ms-drg v30.0 appendix e
advertisement
APPENDIX E, OPERATING ROOM PROCEDURES AND PROCEDURE CODE/MS-DRG INDEX The Procedure Code/MS-DRG Index is a reference source of all ICD-9-CM procedure codes that affect MS-DRG assignment, the MDCs and MS-DRGs to which they are assigned, and a description of the surgical categories. The procedure codes are listed in code order with an * indicating the nonoperating room procedures. All procedures without an * are considered OPERATING ROOM PROCEDURES by the MS-DRGs. The first section of Appendix E contains the Pacemaker Lead/Device Reference Table, the Cardioverter-Defibrilator Lead(s) Generator Reference Table, the Abdominal Aorta/Thoracic Vessel Resection Reference Table, the Spinal Fusion Reference Table, the Pancreas Transplant Reference Table, and the Lead/Device Reference Table. The Pacemaker Lead/Device Reference Table lists codes for the initial insertion of permanent pacemaker leads and devices with their associated code descriptions. Following this list are pairs of codes, one lead and one device code, that must be used in combination in order to code the initial implantation of a permanent cardiac pacemaker. For example, procedure codes: 3770, 3771, 3772, 3773, 3781, 3782, and 3783 are not considered operating room procedures by the MS-DRGs unless used in combination with their related codes. If used singularly, these codes will be ignored for the purpose of MS-DRG assignment. The Abdominal Aorta/Thoracic Vessel Resection Reference Table lists codes for Abdominal Aorta and Thoracic Vessel resection with their associated code descriptions and MS-DRG assignment. The Cardioverter-Defibrillator Lead(s)/Generator Reference Table lists codes for the implantation and replacement of automatic cardioverter-defibrillator lead(s) and generator, with their associated code descriptions and MS-DRG assignment. The Spinal Fusion Reference Table lists codes for Spinal Fusion and Combined Anterior/Posterior Spinal Fusion with their associated code descriptions and MS-DRG assignment. The Pancreas Transplant Reference Table lists codes for Simultaneous Pancreas/Kidney Transplant and Pancreas Transplant with their associated code descriptions and MS-DRG assignment. The Lead/Device Reference Table lists codes for the insertion and replacement of a intracardiac hemodynamic monitoring sensor and device, with their associated code descriptions and MS-DRG assignment. APPENDIX E PROCEDURE CODE/MS-DRG INDEX PACEMAKER LEAD/DEVICE REFERENCE TABLE 3770 3771 3772 3773 3774 3776 3780 Int insert pacemak lead Int insert lead in vent Int inser lead atri-vent Int inser lead in atrium Int or repl lead epicar Repl tv atri-vent lead Int or repl perm pacemkr 3781 3782 3783 3785 3786 3787 Int insert 1-cham, non Int insert 1-cham, rate Int insert dual-cham dev Repl pacem w 1-cham, non Repl pacem 1-cham, rate Repl pacem w dual-cham LEAD DEVICE MDC MS-DRG SURGICAL CATEGORY 3770 & 3780 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3770 & 3781 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3770 & 3782 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3770 & 3785 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3770 & 3786 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3770 & 3787 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3771 & 3780 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3771 & 3781 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3771 & 3782 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3771 & 3785 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3771 & 3786 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3771 & 3787 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries APPENDIX E PROCEDURE CODE/MS-DRG INDEX 3772 & 3780 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3772 & 3783 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3773 & 3780 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3773 & 3781 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3773 & 3782 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3773 & 3785 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3773 & 3786 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3773 & 3787 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3774 & 3780 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3774 & 3781 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3774 & 3782 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3774 & 3783 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3774 & 3785 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3774 & 3786 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3774 & 3787 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries APPENDIX E PROCEDURE CODE/MS-DRG INDEX 3776 & 3780 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3776 & 3785 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3776 & 3786 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries 3776 & 3787 01 05 21 040-042 242-244 907-909 Periph/Cranial Nerve & Other Cardiac Pacemaker Implant Other Procs for Injuries END OF PACEMAKER LEAD/DEVICE REFERENCE TABLE CARDIOVERTER-DEFIBRILLATOR LEAD/GENERATOR REFERENCE TABLE 0052 0053 0054 1752 3770 3771 3772 Imp/rep lead lf ven sys Imp/rep CRT pacemakr gen Imp/rep CRT defib genat Implant CCM pulse genrtr Int insert pacemak lead Int insert lead in vent Int inser lead atri-vent 3773 3774 3776 3795 3796 3797 3798 Int inser lead in atrium Int or repl lead epicar Repl tv atri-vent lead Implt cardiodefib leads Implt cardiodefib genatr Repl cardiodefib leads Repl cardiodefib genratr PROCEDURES MDC MS-DRG SURGICAL CATEGORY 0052 05 265 AICD Lead 0053 05 258-259 Pacemaker Device Replacement 0054 05 245 AICD Generator 1752 05 245 AICD Generator 3795 05 265 AICD Lead 3796 05 245 AICD Generator 3797 05 265 AICD Lead 3798 05 245 AICD Generator 0052 & 0053 05 242-244 Cardiac Pacemaker Implant 0052 & 0054 05 222-227 Cardiac Defibrillator Implant 0053 & 3770 05 242-244 Cardiac Pacemaker Implant 0053 & 3771 05 242-244 Cardiac Pacemaker Implant 0053 & 3772 05 242-244 Cardiac Pacemaker Implant 0053 & 3773 05 242-244 Cardiac Pacemaker Implant 0053 & 3774 05 242-244 Cardiac Pacemaker Implant APPENDIX E PROCEDURE CODE/MS-DRG INDEX 0053 & 3776 05 242-244 Cardiac Pacemaker Implant 0054 & 3774 05 222-227 Cardiac Defibrillator Implant 0054 & 3795 05 222-227 Cardiac Defibrillator Implant 0054 & 3797 05 222-227 Cardiac Defibrillator Implant 3774 & 3796 05 222-227 Cardiac Defibrillator Implant 3774 & 3798 05 222-227 Cardiac Defibrillator Implant 3795 & 3796 05 222-227 Cardiac Defibrillator Implant 3797 & 3798 05 222-227 Cardiac Defibrillator Implant END OF CARDIOVERTER-DEFIBRILLATOR LEAD/GENERATOR REFERENCE TABLE SPINAL FUSION REFERENCE TABLE 8100 8101 8102 8103 8104 8105 8106 8107 8108 8130 Spinal fusion NOS Atlas-axis fusion Oth cerv fusion ant/ant Ot cerv fusion post/post Drsl/drslumb fus ant/ant Drsl/dslmb fus post/post Lumb/lmbosac fus ant/ant Lmb/lmbsac fus post/post Lumb/lmbsac fus ant/post Spinal refusion NOS 8131 8132 8133 8134 8135 8136 8137 8138 8139 Refusion of atlas-axis Refus oth cervcl ant/ant Refus oth cerv post/post Refus drs/drslmb ant/ant Refus drs/drslmb pst/pst Refus lmb/lmbsac ant/ant Refus lmb/lmbsac pst/pst Refus lmb/lmbsc ant/post Refusion of spine NEC PROCEDURES MDC MS-DRG SURGICAL CATEGORY 8100 8101 8102 8103 8104 8105 8106 8107 8108 8130 8131 8132 8133 8134 8135 8136 8137 8138 8139 8102 & 8103 8102 & 8105 8102 & 8107 8102 & 8108 8102 & 8133 8102 & 8135 8102 & 8137 8102 & 8138 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 456-460 471-473 471-473 471-473 456-460 456-460 456-460 456-460 456-460 456-460 471-473 471-473 471-473 456-460 456-460 456-460 456-460 456-460 456-460 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 Spinal Fusion Cervical Spinal Fusion Cervical Spinal Fusion Cervical Spinal Fusion Spinal Fusion Spinal Fusion Spinal Fusion Spinal Fusion Spinal Fusion Spinal Fusion Cervical Spinal Fusion Cervical Spinal Fusion Cervical Spinal Fusion Spinal Fusion Spinal Fusion Spinal Fusion Spinal Fusion Spinal Fusion Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion APPENDIX E PROCEDURE CODE/MS-DRG INDEX 8104 & 8103 8104 & 8105 8104 & 8107 8104 & 8108 8104 & 8133 8104 & 8135 8104 & 8137 8104 & 8138 8106 & 8103 8106 & 8105 8106 & 8107 8106 & 8108 8106 & 8133 8106 & 8135 8106 & 8137 8106 & 8138 8132 & 8103 8132 & 8105 8132 & 8107 8132 & 8108 8132 & 8133 8132 & 8135 8132 & 8137 8132 & 8138 8134 & 8103 8134 & 8105 8134 & 8107 8134 & 8108 8134 & 8133 8134 & 8135 8134 & 8137 8134 & 8138 8136 & 8103 8136 & 8105 8136 & 8107 8136 & 8108 8136 & 8133 8136 & 8135 8136 & 8137 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 08 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 453-455 8136 & 8138 08 453-455 END OF SPINAL FUSION REFERENCE TABLE Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion Anterior/Posterior Spinal Fusion APPENDIX E PROCEDURE CODE/MS-DRG INDEX KIDNEY/PANCREAS TRANSPLANT REFERENCE TABLE 5280 5282 Pancreat transplant NOS Pancreatic homotransplan PROCEDURES MDC MS-DRG 5569 Kidney transplant NEC SURGICAL CATEGORY 5280 Pre 07 10 010 405-407 628-630 Pancreas Transplant Pancreas, Liver and Shunt Other Endocrine/Nutrit/Metabolic 5282 Pre 07 10 010 405-407 628-630 Pancreas Transplant Pancreas, Liver and Shunt Other Endocrine/Nutrit/Metabolic 5569 11 652 Kidney Transplant 5280 & 5569 Pre 008 Simultaneous Pancreas/Kidney Transplant 5282 & 5569 Pre 008 Simultaneous Pancreas/Kidney Transplant END OF KIDNEY/PANCREAS TRANSPLANT REFERENCE TABLE LEAD/DEVICE REFERENCE TABLE 0056 0057 Ins/rep sens-crd/vsl mtr Imp/rep subcue card dev PROCEDURES MDC MS-DRG SURGICAL CATEGORY 0056 05 260-262 Intracard monitoring sensor insert 0057 05 258-259 Intracard monitoring device insert 0056 & 0057 05 264 Other Circulatory System END OF LEAD/DEVICE REFERENCE TABLE APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 0010* Implant chemothera agent MDC MS-DRG 01 023 SURGICAL CATEGORY *Implant of chemotherapy agent 0015* High-dose infusion IL-2 17 837-838 *High dose chemotherapy agent 0043* Procedure-four+ vessels 05 246,248 *4+ vessel/stent procedures 0048* Insert 4+ vasculr stents 05 246,248 *4+ vessel/stent procedures 0050 Impl CRT pacemaker sys 05 242-244 Implant CRT pacemaker system 0051 Impl CRT defibrillat sys 05 222-227 Cardiac defibrillator implant 0052 Imp/rep lead lf ven sys 05 0053 Imp/rep CRT pacemakr gen 05 05 258-259 Pacemaker device replacement See Lead/Generator Reference Table 0054 Imp/rep CRT defib genat 05 05 245 AICD generator See Lead/Generator Reference Table See Lead/Generator Reference Table 0056 Ins/rep sens-crd/vsl mtr 05 See Lead/Device Reference Table 0057 Imp/rep subcue card dev 05 See Lead/Device Reference Table 0061 Perc angio extracran ves 01 01 05 21 24 034-036 037-039 252-254 907-909 957-959 Angioplasty of precerebral vessel Extracranial Other vascular Other procs for injuries Other procs for mult signif trauma 0062 Perc angio intracran ves 01 05 21 24 023-027 252-254 907-909 957-959 Craniotomy Other vascular Other procs for injuries 0063* Perc ins carotid stent 01 034-036 *Carotid artery stent 0066 PTCA 05 05 231-232 246-251 PTCA Percutaneous cardiovascular 0070 Rev hip repl-acetab/fem 08 08 10 21 24 461-462 466-468 628-630 907-909 956 Bilat/mult major joint, low extrem Revision of hip / knee replacement Other endocrine/nutrit/metabolic Other procs for injuries Limb reattach, hip & femur 0071 Rev hip repl-acetab comp 08 10 21 24 466-468 628-630 907-909 956 Revision of hip / knee replacement Other endocrine/nutrit/metabolic Other procs for injuries Limb reattach, hip & femur 0072 Rev hip repl-fem comp 08 10 21 24 466-468 628-630 907-909 956 Revision of hip / knee replacement Other endocrine/nutrit/metabolic Other procs for injuries Limb reattach, hip & femur 0073 Rev hip repl-liner/head 08 10 21 24 466-468 628-630 907-909 956 Revision of hip / knee replacement Other endocrine/nutrit/metabolic Other procs for injuries Limb reattach, hip & femur Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 0080 Rev knee replacemt-total MDC 08 08 21 24 MS-DRG 461-462 466-468 907-909 957-959 SURGICAL CATEGORY Bilat/mult major joint, low extrem Revision of hip / knee replacement Other procs for injuries Other procs for mult signif trauma 0081 Rev knee repl-tibia comp 08 21 24 466-468 907-909 957-959 Revision of hip / knee replacement Other procs for injuries Other procs for mult signif trauma 0082 Rev knee repl-femur comp 08 21 24 466-468 907-909 957-959 Revision of hip / knee replacement Other procs for injuries Other procs for mult signif trauma 0083 Rev knee replace-patella 08 21 24 485-489 907-909 957-959 Knee Other procs for injuries Other procs for mult signif trauma 0084 Rev knee repl-tibia lin 08 21 24 485-489 907-909 957-959 Knee Other procs for injuries Other procs for mult signif trauma 0085 Resrf hip,total-acet/fem 08 08 21 24 461-462 469-470 907-909 956 Bilat/mult major joint, low extrem Maj joint repl/reattach, low extrm Other procs for injuries Limb reattach, hip & femur 0086 Resrf hip,part-fem head 08 08 10 21 24 461-462 469-470 628-630 907-909 956 Bilat/mult major joint, low extrem Maj joint repl/reattach, low extrm Other endocrine/nutrit/metabolic Other procs for injuries Limb reattach, hip & femur 0087 Resrf hip,part-acetablum 08 08 10 21 24 461-462 469-470 628-630 907-909 956 Bilat/mult major joint, low extrem Maj joint repl/reattach, low extrm Other endocrine/nutrit/metabolic Other procs for injuries Limb reattach, hip & femur 0112 Open cereb meninges bx 01 17 17 023-027 820-822 826-828 Craniotomy Major procedure Major procedure 0114 Open brain biopsy 01 17 17 023-027 820-822 826-828 Craniotomy Major procedure Major procedure 0115 Skull biopsy 01 08 10 023-027 477-479 628-630 Craniotomy Musculoskeletal biopsy Other endocrine/nutrit/metabolic 0118 Other brain dx procedure 01 17 17 21 24 023-027 820-822 826-828 907-909 957-959 Craniotomy Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0119 Other skull dx procedure 01 08 21 24 023-027 477-479 907-909 957-959 Craniotomy Musculoskeletal biopsy Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 0120 Imp/repl brain pulse gen MDC MS-DRG 01 023-024 01 040-042 SURGICAL CATEGORY Insert/repl dual pulse generator Periph/cranial nerve & other 0121 Cranial sinus i & d 01 24 023-027 955 Craniotomy Craniotomy for mult signif trauma 0122 Removal brain stim lead 01 17 17 023-027 820-822 826-828 Craniotomy Major procedure Major procedure 0123 Reopen craniotomy site 01 03 17 17 21 24 023-027 131-132 820-822 826-828 907-909 955 Craniotomy Cranial/facial Major procedure Major procedure Other procs for injuries Craniotomy for mult signif trauma 0124 Other craniotomy 01 03 17 17 21 24 023-027 131-132 820-822 826-828 907-909 955 Craniotomy Cranial/facial Major procedure Major procedure Other procs for injuries Craniotomy for mult signif trauma 0125 Other craniectomy 01 03 08 17 17 21 24 023-027 131-132 515-517 820-822 826-828 907-909 955 Craniotomy Cranial/facial Other musculoskel & connec tissue Major procedure Major procedure Other procs for injuries Craniotomy for mult signif trauma 0128 Intracereb cth-burr hole 01 17 17 21 24 023-027 820-822 826-828 907-909 955 Craniotomy Major procedure Major procedure Other procs for injuries Craniotomy for mult signif trauma 0129 Rem brain pulse generatr 01 040-042 Periph/cranial nerve & other 0131 Incise cerebral meninges 01 17 17 21 24 023-027 820-822 826-828 907-909 955 Craniotomy Major procedure Major procedure Other procs for injuries Craniotomy for mult signif trauma 0132 Lobotomy & tractotomy 01 17 17 21 24 023-027 820-822 826-828 907-909 955 Craniotomy Major procedure Major procedure Other procs for injuries Craniotomy for mult signif trauma 0139 Other brain incision 01 17 17 21 24 023-027 820-822 826-828 907-909 955 Craniotomy Major procedure Major procedure Other procs for injuries Craniotomy for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 0141 Thalamus operations MDC 01 17 17 21 24 MS-DRG 023-027 820-822 826-828 907-909 955 SURGICAL CATEGORY Craniotomy Major procedure Major procedure Other procs for injuries Craniotomy for mult signif trauma 0142 Globus pallidus ops 01 17 17 24 023-027 820-822 826-828 955 Craniotomy Major procedure Major procedure Craniotomy for mult signif trauma 0151 Ex cereb meningeal les 01 17 17 24 023-027 820-822 826-828 955 Craniotomy Major procedure Major procedure Craniotomy for mult signif trauma 0152 Hemispherectomy 01 17 17 21 24 023-027 820-822 826-828 907-909 955 Craniotomy Major procedure Major procedure Other procs for injuries Craniotomy for mult signif trauma 0153 Brain lobectomy 01 17 17 21 24 023-027 820-822 826-828 907-909 955 Craniotomy Major procedure Major procedure Other procs for injuries Craniotomy for mult signif trauma 0159 Other brain excision 01 17 17 21 24 023-027 820-822 826-828 907-909 955 Craniotomy Major procedure Major procedure Other procs for injuries Craniotomy for mult signif trauma 016 Excise skull lesion 01 03 08 17 17 24 023-027 131-132 495-497 820-822 826-828 955 Craniotomy Cranial/facial Loc excis,rm int fx dev ex hip,fem Major procedure Major procedure Craniotomy for mult signif trauma 0201 Linear craniectomy 01 03 08 21 24 023-027 131-132 515-517 907-909 955 Craniotomy Cranial/facial Other musculoskel & connec tissue Other procs for injuries Craniotomy for mult signif trauma 0202 Elevate skull fx fragmnt 01 03 08 21 24 023-027 131-132 515-517 907-909 955 Craniotomy Cranial/facial Other musculoskel & connec tissue Other procs for injuries Craniotomy for mult signif trauma 0203 Skull flap formation 01 03 08 21 24 023-027 131-132 515-517 907-909 955 Craniotomy Cranial/facial Other musculoskel & connec tissue Other procs for injuries Craniotomy for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 0204 Bone graft to skull MDC 01 03 08 21 24 MS-DRG 023-027 131-132 515-517 907-909 955 SURGICAL CATEGORY Craniotomy Cranial/facial Other musculoskel & connec tissue Other procs for injuries Craniotomy for mult signif trauma 0205 Skull plate insertion 01 03 08 21 24 023-027 131-132 515-517 907-909 955 Craniotomy Cranial/facial Other musculoskel & connec tissue Other procs for injuries Craniotomy for mult signif trauma 0206 Cranial osteoplasty NEC 01 03 08 21 24 023-027 131-132 515-517 907-909 955 Craniotomy Cranial/facial Other musculoskel & connec tissue Other procs for injuries Craniotomy for mult signif trauma 0207 Skull plate removal 01 03 08 21 24 023-027 131-132 515-517 907-909 957-959 Craniotomy Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 0211 Simple suture of dura 01 21 24 023-027 907-909 955 Craniotomy Other procs for injuries Craniotomy for mult signif trauma 0212 Brain meninge repair NEC 01 21 24 023-027 907-909 955 Craniotomy Other procs for injuries Craniotomy for mult signif trauma 0213 Meninge vessel ligation 01 01 21 24 020-022 023-027 907-909 955 Intracranial vascular Craniotomy Other procs for injuries Craniotomy for mult signif trauma 0214 Choroid plexectomy 01 24 023-027 955 Craniotomy Craniotomy for mult signif trauma 0221 Insert/replace EVD 01 17 17 21 24 023-027 820-822 826-828 907-909 955 Craniotomy Major procedure Major procedure Other procs for injuries Craniotomy for mult signif trauma 0222 Intrcran vent shunt/anas 01 17 17 21 24 023-027 820-822 826-828 907-909 955 Craniotomy Major procedure Major procedure Other procs for injuries Craniotomy for mult signif trauma 0231 Ventricl shunt-head/neck 01 17 17 21 24 031-033 820-822 826-828 907-909 957-959 Ventricular shunt Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 0232 Ventri shunt-circula sys MDC 01 17 17 21 24 MS-DRG 031-033 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Ventricular shunt Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0233 Ventricl shunt-thorax 01 17 17 21 24 031-033 820-822 826-828 907-909 957-959 Ventricular shunt Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0234 Ventricl shunt-abdomen 01 17 17 21 24 031-033 820-822 826-828 907-909 957-959 Ventricular shunt Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0235 Ventri shunt-uninary sys 01 17 17 21 24 031-033 820-822 826-828 907-909 957-959 Ventricular shunt Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0239 Vent shunt extracran NEC 01 17 17 21 24 031-033 820-822 826-828 907-909 957-959 Ventricular shunt Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0242 Replace ventricle shunt 01 17 17 21 24 031-033 820-822 826-828 907-909 957-959 Ventricular shunt Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0243 Remove ventricle shunt 01 21 24 031-033 907-909 957-959 Ventricular shunt Other procs for injuries Other procs for mult signif trauma 0291 Lysis cortical adhesion 01 17 17 21 24 023-027 820-822 826-828 907-909 957-959 Craniotomy Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0292 Brain repair 01 21 24 023-027 907-909 955 Craniotomy Other procs for injuries Craniotomy for mult signif trauma 0293 Imp/repl brain stim lead 01 01 17 17 21 24 023-024 023-027 820-822 826-828 907-909 957-959 Implant/replace brain stim lead Craniotomy Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0294 Insert/replac skull tong 01 08 21 24 023-027 515-517 907-909 955 Craniotomy Other musculoskel & connec tissue Other procs for injuries Craniotomy for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 0299 Skull & brain op NEC MDC 01 03 08 17 17 21 24 MS-DRG 023-027 131-132 515-517 820-822 826-828 907-909 955 SURGICAL CATEGORY Craniotomy Cranial/facial Other musculoskel & connec tissue Major procedure Major procedure Other procs for injuries Craniotomy for mult signif trauma 0301 Removal FB spinal canal 01 21 24 028-030 907-909 957-959 Spinal Other procs for injuries Other procs for mult signif trauma 0302 Reopen laminectomy site 01 08 17 17 21 24 028-030 490-491 820-822 826-828 907-909 957-959 Spinal Back & neck except spinal fusion Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0309 Spinal canal explor NEC 01 08 17 17 21 24 028-030 490-491 820-822 826-828 907-909 957-959 Spinal Back & neck except spinal fusion Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 031 Intraspin nerve root div 01 08 17 17 21 24 028-030 490-491 820-822 826-828 907-909 957-959 Spinal Back & neck except spinal fusion Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0321 Percutaneous chordotomy 01 07 17 17 21 24 028-030 423-425 820-822 826-828 907-909 957-959 Spinal Other hepatobiliary or pancreas Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0329 Other chordotomy 01 07 17 17 21 24 028-030 423-425 820-822 826-828 907-909 957-959 Spinal Other hepatobiliary or pancreas Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0332 Spinal cord/meninges bx 01 08 17 17 028-030 490-491 820-822 826-828 Spinal Back & neck except spinal fusion Major procedure Major procedure 0339 Other spinal dx proc 01 08 17 17 028-030 490-491 820-822 826-828 Spinal Back & neck except spinal fusion Major procedure Major procedure 034 Excis spinal cord lesion 01 08 17 17 028-030 490-491 820-822 826-828 Spinal Back & neck except spinal fusion Major procedure Major procedure APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 0351 Spine meningocele repair MDC MS-DRG 01 028-030 SURGICAL CATEGORY Spinal 0352 Myelomeningocel repair 01 028-030 Spinal 0353 Vertebral fx repair 01 08 17 17 21 24 028-030 490-491 820-822 826-828 907-909 957-959 Spinal Back & neck except spinal fusion Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0359 Spinal struct repair NEC 01 08 17 17 21 24 028-030 490-491 820-822 826-828 907-909 957-959 Spinal Back & neck except spinal fusion Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 036 Spinal cord adhesiolysis 01 08 17 17 21 24 028-030 490-491 820-822 826-828 907-909 957-959 Spinal Back & neck except spinal fusion Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0371 Subarach-periton shunt 01 17 17 028-030 820-822 826-828 Spinal Major procedure Major procedure 0372 Subarach-ureteral shunt 01 17 17 028-030 820-822 826-828 Spinal Major procedure Major procedure 0379 Oth spinal thecal shunt 01 17 17 028-030 820-822 826-828 Spinal Major procedure Major procedure 0393 Imp/repl spine stim lead 01 01 08 08 11 12 13 17 17 21 24 028-030 029 490 490-491 673-675 715-718 749-750 820-822 826-828 907-909 957-959 Spinal Neurostimulator Neurostimulator Back & neck except spinal fusion Other kidney & urinary tract Other male reproductive system Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0394 Removal spine stim lead 01 08 11 12 13 21 24 028-030 490-491 673-675 715-718 749-750 907-909 957-959 Spinal Back & neck except spinal fusion Other kidney & urinary tract Other male reproductive system Other female reproductive system Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 0397 Revise spine theca shunt MDC 01 08 17 17 21 24 MS-DRG 028-030 490-491 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Spinal Back & neck except spinal fusion Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0398 Remove spine theca shunt 01 08 21 24 028-030 490-491 907-909 957-959 Spinal Back & neck except spinal fusion Other procs for injuries Other procs for mult signif trauma 0399 Spine canal struc op NEC 01 08 17 17 21 24 028-030 490-491 820-822 826-828 907-909 957-959 Spinal Back & neck except spinal fusion Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0401 Excision acoustc neuroma 01 03 023-027 133-134 Craniotomy Other ear, nose, mouth & throat 0402 Trigeminal nerv division 01 03 21 24 040-042 133-134 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 0403 Periph nerve div NEC 01 03 08 21 24 040-042 133-134 515-517 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 0404 Periph nerve incis NEC 01 03 08 21 24 040-042 133-134 515-517 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 0405 Gasserian ganglionectomy 01 03 21 24 040-042 133-134 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 0406 Periph ganglionect NEC 01 03 08 21 24 040-042 133-134 515-517 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 0407 Periph nerv excision NEC 01 03 08 21 24 040-042 133-134 515-517 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 0412 Open periph nerve biopsy 01 03 08 21 24 040-042 133-134 515-517 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 0419 Periph nerve dx proc NEC MDC 01 03 08 21 24 MS-DRG 040-042 133-134 515-517 907-909 957-959 SURGICAL CATEGORY Periph/cranial nerve & other Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 043 Peripheral nerve suture 01 21 24 040-042 907-909 957-959 Periph/cranial nerve & other Other procs for injuries Other procs for mult signif trauma 0441 Decompress trigem root 01 03 21 24 023-027 133-134 907-909 955 Craniotomy Other ear, nose, mouth & throat Other procs for injuries Craniotomy for mult signif trauma 0442 Cran nerv root decom NEC 01 03 21 24 040-042 133-134 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 0443 Carpal tunnel release 01 08 21 24 040-042 513-514 906 957-959 Periph/cranial nerve & other Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 0444 Tarsal tunnel release 01 08 21 24 040-042 503-505 907-909 957-959 Periph/cranial nerve & other Foot Other procs for injuries Other procs for mult signif trauma 0449 Per nerve adhesiolys NEC 01 03 08 21 24 040-042 133-134 515-517 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 045 Peripheral nerve graft 01 21 24 040-042 907-909 957-959 Periph/cranial nerve & other Other procs for injuries Other procs for mult signif trauma 046 Periph nerve transposit 01 21 24 040-042 907-909 957-959 Periph/cranial nerve & other Other procs for injuries Other procs for mult signif trauma 0471 Hypogloss-facial anastom 01 03 21 24 040-042 133-134 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 0472 Accessory-facial anastom 01 03 21 24 040-042 133-134 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 0473 Access-hypogloss anastom 01 03 21 24 040-042 133-134 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 0474 Periph nerv anastom NEC MDC 01 03 21 24 MS-DRG 040-042 133-134 907-909 957-959 SURGICAL CATEGORY Periph/cranial nerve & other Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 0475 Postop revis per nerv op 01 03 21 24 040-042 133-134 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 0476 Late repair per nerv inj 01 03 21 24 040-042 133-134 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 0479 Other neuroplasty 01 21 24 040-042 907-909 957-959 Periph/cranial nerve & other Other procs for injuries Other procs for mult signif trauma 0491 Neurectasis 01 21 24 040-042 907-909 957-959 Periph/cranial nerve & other Other procs for injuries Other procs for mult signif trauma 0492 Imp/repl peri stim lead 01 01 03 05 08 11 12 13 21 24 040-042 041 133-134 252-254 515-517 673-675 715-718 749-750 907-909 957-959 Periph/cranial nerve & other Neurostimulator Other ear, nose, mouth & throat Other vascular Other musculoskel & connec tissue Other kidney & urinary tract Other male reproductive system Other female reproductive system Other procs for injuries Other procs for mult signif trauma 0493 Removal peri stim lead 01 03 08 12 13 21 24 040-042 133-134 515-517 715-718 749-750 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other musculoskel & connec tissue Other male reproductive system Other female reproductive system Other procs for injuries Other procs for mult signif trauma 0499 Peripheral nerve ops NEC 01 03 08 21 24 040-042 133-134 515-517 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 050 Sympath nerve division 01 05 040-042 264 Periph/cranial nerve & other Other circulatory system 0511 Sympathetic nerve biopsy 01 040-042 Periph/cranial nerve & other 0519 Sympath nrv dx proc NEC 01 040-042 Periph/cranial nerve & other 0521 Sphenopalatin ganglionec 01 03 05 040-042 133-134 264 Periph/cranial nerve & other Other ear, nose, mouth & throat Other circulatory system APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 0522 Cervical sympathectomy MDC 01 03 05 MS-DRG 040-042 133-134 264 SURGICAL CATEGORY Periph/cranial nerve & other Other ear, nose, mouth & throat Other circulatory system 0523 Lumbar sympathectomy 01 05 040-042 264 Periph/cranial nerve & other Other circulatory system 0524 Presacral sympathectomy 01 05 13 040-042 264 749-750 Periph/cranial nerve & other Other circulatory system Other female reproductive system 0525 Periart sympathectomy 01 05 040-042 264 Periph/cranial nerve & other Other circulatory system 0529 Other sympathectomy 01 05 040-042 264 Periph/cranial nerve & other Other circulatory system 0581 Sympathetic nerve repair 01 040-042 Periph/cranial nerve & other 0589 Sympathetic nerve op NEC 01 05 040-042 264 Periph/cranial nerve & other Other circulatory system 059 Other nervous system ops 01 21 24 040-042 907-909 957-959 Periph/cranial nerve & other Other procs for injuries Other procs for mult signif trauma 0602 Reopen thyroid field wnd 10 21 24 625-627 907-909 957-959 Thyroid/parathyroid/thyroglossal Other procs for injuries Other procs for mult signif trauma 0609 Incis thyroid field NEC 03 09 10 21 24 133-134 579-581 625-627 907-909 957-959 Other ear, nose, mouth & throat Other skin, subcut tissue & breast Thyroid/parathyroid/thyroglossal Other procs for injuries Other procs for mult signif trauma 0612 Open thyroid gland bx 10 625-627 Thyroid/parathyroid/thyroglossal 0613 Parathyroid biopsy 08 10 515-517 625-627 Other musculoskel & connec tissue Thyroid/parathyroid/thyroglossal 0619 Thyr/parathy dx proc NEC 08 10 515-517 625-627 Other musculoskel & connec tissue Thyroid/parathyroid/thyroglossal 062 Unilat thyroid lobectomy 10 625-627 Thyroid/parathyroid/thyroglossal 0631 Excision thyroid lesion 10 625-627 Thyroid/parathyroid/thyroglossal 0639 Part thyroidectomy NEC 10 625-627 Thyroid/parathyroid/thyroglossal 064 Complete thyroidectomy 10 625-627 Thyroid/parathyroid/thyroglossal 0650 Substern thyroidect NOS 10 625-627 Thyroid/parathyroid/thyroglossal 0651 Part substern thyroidect 10 625-627 Thyroid/parathyroid/thyroglossal 0652 Tot substern thyroidect 10 625-627 Thyroid/parathyroid/thyroglossal 066 Lingual thyroid excision 03 10 133-134 625-627 Other ear, nose, mouth & throat Thyroid/parathyroid/thyroglossal APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 067 Thyrogloss duct excision MDC MS-DRG 03 133-134 10 625-627 SURGICAL CATEGORY Other ear, nose, mouth & throat Thyroid/parathyroid/thyroglossal 0681 Total parathyroidectomy 10 11 625-627 673-675 Thyroid/parathyroid/thyroglossal Other kidney & urinary tract 0689 Other parathyroidectomy 10 11 625-627 673-675 Thyroid/parathyroid/thyroglossal Other kidney & urinary tract 0691 Thyroid isthmus division 10 625-627 Thyroid/parathyroid/thyroglossal 0692 Thyroid vessel ligation 10 21 24 625-627 907-909 957-959 Thyroid/parathyroid/thyroglossal Other procs for injuries Other procs for mult signif trauma 0693 Thyroid suture 10 21 24 625-627 907-909 957-959 Thyroid/parathyroid/thyroglossal Other procs for injuries 0694 Thyroid reimplantation 10 625-627 0695 Parathyroid reimplant 10 625-627 Thyroid/parathyroid/thyroglossal 0698 Other thyroid operations 10 625-627 Thyroid/parathyroid/thyroglossal 0699 Other parathyroid ops 10 625-627 Thyroid/parathyroid/thyroglossal 0700 Adrenal exploration NOS 10 614-615 Adrenal & pituitary 0701 Unilat adrenal explorat 10 614-615 Adrenal & pituitary 0702 Bilat adrenal explorat 10 614-615 Adrenal & pituitary 0712 Open adrenal gland bx 10 614-615 Adrenal & pituitary 0713 Transfront pituitary bx 01 10 023-027 614-615 Craniotomy Adrenal & pituitary 0714 Transphen pituitary bx 01 10 023-027 614-615 Craniotomy Adrenal & pituitary 0715 Pituitary biopsy NOS 01 10 023-027 614-615 Craniotomy Adrenal & pituitary 0716 Thymus biopsy 04 10 16 17 17 163-165 628-630 802-804 820-822 826-828 Major chest Other endocrine/nutrit/metabolic Other blood & blood form org Major procedure Major procedure 0717 Pineal biopsy 01 10 023-027 614-615 Craniotomy Adrenal & pituitary 0719 Endocrine dx proc NEC 01 10 040-042 614-615 Periph/cranial nerve & other Adrenal & pituitary 0721 Adrenal lesion excision 10 614-615 Adrenal & pituitary 0722 Unilateral adrenalectomy 09 10 579-581 614-615 Other skin, subcut tissue & breast Adrenal & pituitary Other procs for mult signif trauma Thyroid/parathyroid/thyroglossal APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 0729 Part adrenalectomy NEC MDC MS-DRG 10 614-615 SURGICAL CATEGORY Adrenal & pituitary 073 Bilateral adrenalectomy 09 10 579-581 614-615 Other skin, subcut tissue & breast Adrenal & pituitary 0741 Adrenal incision 10 614-615 Adrenal & pituitary 0742 Adrenal nerve division 10 614-615 Adrenal & pituitary 0743 Adrenal vessel ligation 10 21 24 614-615 907-909 957-959 Adrenal & pituitary Other procs for injuries Other procs for mult signif trauma 0744 Adrenal repair 10 21 24 614-615 907-909 957-959 Adrenal & pituitary Other procs for injuries Other procs for mult signif trauma 0745 Adrenal reimplantation 10 21 24 614-615 907-909 957-959 Adrenal & pituitary Other procs for injuries Other procs for mult signif trauma 0749 Adrenal operation NEC 10 21 24 614-615 907-909 957-959 Adrenal & pituitary Other procs for injuries Other procs for mult signif trauma 0751 Pineal field exploration 01 10 023-027 614-615 Craniotomy Adrenal & pituitary 0752 Pineal gland incision 01 10 023-027 614-615 Craniotomy Adrenal & pituitary 0753 Partial pinealectomy 01 10 023-027 614-615 Craniotomy Adrenal & pituitary 0754 Total pinealectomy 01 10 023-027 614-615 Craniotomy Adrenal & pituitary 0759 Pineal operation NEC 01 10 023-027 614-615 Craniotomy Adrenal & pituitary 0761 Exc pituit les-transfron 01 10 023-027 614-615 Craniotomy Adrenal & pituitary 0762 Exc pituit les-transphen 01 10 023-027 614-615 Craniotomy Adrenal & pituitary 0763 Part excis pituitary NOS 01 09 10 023-027 579-581 614-615 Craniotomy Other skin, subcut tissue & breast Adrenal & pituitary 0764 Tot exc pituit-transfron 01 09 10 023-027 579-581 614-615 Craniotomy Other skin, subcut tissue & breast Adrenal & pituitary 0765 Tot exc pituit-transphen 01 09 10 023-027 579-581 614-615 Craniotomy Other skin, subcut tissue & breast Adrenal & pituitary 0768 Total exc pituitary NEC 01 09 10 023-027 579-581 614-615 Craniotomy Other skin, subcut tissue & breast Adrenal & pituitary APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 0769 Total exc pituitary NOS MDC 01 09 10 MS-DRG 023-027 579-581 614-615 SURGICAL CATEGORY Craniotomy Other skin, subcut tissue & breast Adrenal & pituitary 0771 Pituitary fossa explorat 01 10 023-027 614-615 Craniotomy Adrenal & pituitary 0772 Pituitary gland incision 01 09 10 023-027 579-581 614-615 Craniotomy Other skin, subcut tissue & breast Adrenal & pituitary 0779 Pituitary operation NEC 01 09 10 023-027 579-581 614-615 Craniotomy Other skin, subcut tissue & breast Adrenal & pituitary 0780 Thymectomy NOS 01 04 10 16 17 17 21 24 040-042 163-165 628-630 802-804 820-822 826-828 907-909 957-959 Periph/cranial nerve & other Major chest Other endocrine/nutrit/metabolic Other blood & blood form org Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0781 Oth part excision thymus 01 04 10 16 17 17 21 24 040-042 163-165 628-630 802-804 820-822 826-828 907-909 957-959 Periph/cranial nerve & other Major chest Other endocrine/nutrit/metabolic Other blood & blood form org Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0782 Oth totl excision thymus 01 04 10 16 17 17 21 24 040-042 163-165 628-630 802-804 820-822 826-828 907-909 957-959 Periph/cranial nerve & other Major chest Other endocrine/nutrit/metabolic Other blood & blood form org Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0783 Thorac part exisn thymus 01 04 10 16 17 17 21 24 040-042 163-165 628-630 802-804 820-822 826-828 907-909 957-959 Periph/cranial nerve & other Major chest Other endocrine/nutrit/metabolic Other blood & blood form org Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0784 Thorac total exc thymus 01 04 10 16 17 17 21 24 040-042 163-165 628-630 802-804 820-822 826-828 907-909 957-959 Periph/cranial nerve & other Major chest Other endocrine/nutrit/metabolic Other blood & blood form org Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 0791 Thymus field exploration MDC 04 10 16 17 17 21 24 MS-DRG 163-165 628-630 802-804 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Major chest Other endocrine/nutrit/metabolic Other blood & blood form org Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0792 Other incision of thymus 04 10 16 17 17 21 24 163-165 628-630 802-804 820-822 826-828 907-909 957-959 Major chest Other endocrine/nutrit/metabolic Other blood & blood form org Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0793 Repair of thymus 04 10 16 17 17 21 24 163-165 628-630 802-804 820-822 826-828 907-909 957-959 Major chest Other endocrine/nutrit/metabolic Other blood & blood form org Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0794 Thymus transplantation 04 10 16 17 17 163-165 628-630 802-804 820-822 826-828 Major chest Other endocrine/nutrit/metabolic Other blood & blood form org Major procedure Major procedure 0795 Thorac incision thymus 01 04 10 16 17 17 21 24 040-042 163-165 628-630 802-804 820-822 826-828 907-909 957-959 Periph/cranial nerve & other Major chest Other endocrine/nutrit/metabolic Other blood & blood form org Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0798 Oth thorac op thymus NOS 01 04 10 16 17 17 21 24 040-042 163-165 628-630 802-804 820-822 826-828 907-909 957-959 Periph/cranial nerve & other Major chest Other endocrine/nutrit/metabolic Other blood & blood form org Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 0799 Other thymus ops NOS 04 10 16 17 17 163-165 628-630 802-804 820-822 826-828 Major chest Other endocrine/nutrit/metabolic Other blood & blood form org Major procedure Major procedure 0811 Eyelid biopsy 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 0820 Remove eyelid lesion NOS MDC 02 09 10 21 24 MS-DRG 115 579-581 628-630 907-909 957-959 SURGICAL CATEGORY Extraocular except orbital Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 0821 Chalazion excision 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0822 Excise minor les lid NEC 02 09 21 24 115 579-581 907-909 957-959 Extraocular except orbital Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 0823 Exc maj les lid prt-thic 02 09 21 24 115 579-581 907-909 957-959 Extraocular except orbital Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 0824 Exc maj les lid ful-thic 02 09 21 24 115 579-581 907-909 957-959 Extraocular except orbital Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 0825 Destruction lid lesion 02 09 21 24 115 579-581 907-909 957-959 Extraocular except orbital Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 0831 Ptosis rep-front mus sut 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0832 Ptosis rep-fron mus slng 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0833 Ptosis rep-levat mus adv 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0834 Ptosis rep-levat mus NEC 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0835 Ptos rep-tarsal techniq 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0836 Blepharoptos repair NEC 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0837 Reduc overcorrect ptosis 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 0838 Correct lid retraction MDC 02 09 10 21 24 MS-DRG 115 579-581 628-630 907-909 957-959 SURGICAL CATEGORY Extraocular except orbital Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 0841 Thermocaut/entropion rep 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0842 Suture entropion repair 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0843 Wedg resec entropion rep 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0844 Lid recons entropion rep 02 09 21 24 115 579-581 907-909 957-959 Extraocular except orbital Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 0849 Entropion/ectrop rep NEC 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0851 Canthotomy 01 02 09 21 24 040-042 115 579-581 907-909 957-959 Periph/cranial nerve & other Extraocular except orbital Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 0852 Blepharorrhaphy 01 02 09 21 24 040-042 115 579-581 907-909 957-959 Periph/cranial nerve & other Extraocular except orbital Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 0859 Adjust lid position NEC 01 02 09 21 24 040-042 115 579-581 907-909 957-959 Periph/cranial nerve & other Extraocular except orbital Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 0861 Lid reconst w skin graft 02 09 21 24 115 579-581 907-909 957-959 Extraocular except orbital Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 0862 Lid reconst w muc graft 02 09 21 24 115 579-581 907-909 957-959 Extraocular except orbital Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 0863 Lid reconst w hair graft 02 09 21 24 115 579-581 907-909 957-959 Extraocular except orbital Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 0864 Lid recon-tarsoconj flap MDC 02 09 21 24 MS-DRG 115 579-581 907-909 957-959 SURGICAL CATEGORY Extraocular except orbital Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 0869 Lid reconstr w graft NEC 02 09 21 24 115 579-581 907-909 957-959 Extraocular except orbital Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 0870 Lid reconstruction NOS 02 09 10 21 24 115 579-581 628-630 907-909 957-959 Extraocular except orbital Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 0871 Lid marg recon-part thic 02 09 21 24 115 579-581 907-909 957-959 Extraocular except orbital Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 0872 Lid recons-part thic NEC 02 09 21 24 115 579-581 907-909 957-959 Extraocular except orbital Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 0873 Lid marg recons ful thic 02 09 21 24 115 579-581 907-909 957-959 Extraocular except orbital Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 0874 Lid reconst-ful thic NEC 02 09 21 24 115 579-581 907-909 957-959 Extraocular except orbital Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 0891 Electrosurg lid epilat 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0892 Cryosurg lid epilation 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0893 Eyelid epilation NEC 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0899 Eyelid operation NEC 02 09 21 24 115 579-581 907-909 957-959 Extraocular except orbital Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 090 Lacrimal gland incision 02 115 Extraocular except orbital 0911 Lacrimal gland biopsy 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0912 Lacrimal sac biopsy 02 03 115 133-134 Extraocular except orbital Other ear, nose, mouth & throat APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 0919 Lacrimal sys dx proc NEC MDC 02 03 21 24 MS-DRG 115 133-134 907-909 957-959 SURGICAL CATEGORY Extraocular except orbital Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 0920 Exc lacrimal gland NOS 02 115 Extraocular except orbital 0921 Excis les lacrimal gland 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0922 Part dacryoadenect NEC 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0923 Total dacryoadenectomy 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 093 Other lacrimal gland ops 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0941 Lacrimal punctum probe 02 115 Extraocular except orbital 0942 Lac canaliculi probe 02 115 Extraocular except orbital 0943 Nasolacrimal duct probe 02 03 115 133-134 Extraocular except orbital Other ear, nose, mouth & throat 0944 Nasolac duct intubat 02 03 21 24 115 133-134 907-909 957-959 Extraocular except orbital Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 0949 Lac passage manip NEC 02 115 Extraocular except orbital 0951 Lac punctum incision 02 115 Extraocular except orbital 0952 Lac canaliculi incision 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0953 Lacrimal sac incision 02 115 Extraocular except orbital 0959 Lacrim passage incis NEC 02 115 Extraocular except orbital 096 Lacrim sac/passage excis 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0971 Correct everted punctum 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0972 Punctum repair NEC 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 0973 Canaliculus repair MDC 02 09 21 24 MS-DRG 115 579-581 907-909 957-959 SURGICAL CATEGORY Extraocular except orbital Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 0981 Dacryocystorhinostomy 02 03 21 24 115 133-134 907-909 957-959 Extraocular except orbital Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 0982 Conjunctivocystorhinost 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0983 Conjunctivorhinos w tube 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0991 Lac punctum obliteration 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 0999 Lacrimal system op NEC 02 03 21 24 115 133-134 907-909 957-959 Extraocular except orbital Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 100 Incise/remov conjunct FB 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 101 Conjunctiva incision NEC 02 115 Extraocular except orbital 1021 Conjunctival biopsy 02 115 Extraocular except orbital 1029 Conjunctiva dx proc NEC 02 115 Extraocular except orbital 1031 Excise conjunctiv lesion 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 1032 Destruct conjunc les NEC 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 1033 Oth conjunc destruc proc 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 1041 Symbleph rep w free grft 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 1042 Graft conjunc cul-de-sac 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 1043 Conjun cul-de-sac rx NEC 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 1044 Conjunc free graft NEC MDC 02 21 24 MS-DRG 115 907-909 957-959 SURGICAL CATEGORY Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 1049 Conjunctivoplasty NEC 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 105 Conjunc/lid adhesiolysis 02 115 Extraocular except orbital 106 Repair conjunct lacerat 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 1091 Subconjunctival inject 02 115 Extraocular except orbital 1099 Conjunctival op NEC 02 115 Extraocular except orbital 110 Magnet removal cornea FB 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 111 Corneal incision 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1121 Corneal scrape for smear 02 115 Extraocular except orbital 1122 Corneal biopsy 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 1129 Corneal dx proc NEC 02 115 Extraocular except orbital 1131 Pterygium transposition 02 115 Extraocular except orbital 1132 Pteryg exc w cornea grft 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 1139 Pterygium excision NEC 02 115 Extraocular except orbital 1141 Mech remov cornea epith 02 115 Extraocular except orbital 1142 Thermocaut cornea lesion 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 1143 Cryotherap cornea lesion 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 1149 Destruct cornea les NEC 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 1151 Suture cornea laceration 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 1152 Rep cornea postop dehisc MDC 02 21 24 MS-DRG 116-117 907-909 957-959 SURGICAL CATEGORY Intraocular Other procs for injuries Other procs for mult signif trauma 1153 Rx cornea lac w conj flp 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1159 Corneal repair NEC 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1160 Corneal transplant NOS 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1161 Lam keratplast w autgrft 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 1162 Lamellar keratoplast NEC 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 1163 Perf keratopl w autogrft 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1164 Perforat keratoplast NEC 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1169 Corneal transplant NEC 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1171 Keratomileusis 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 1172 Keratophakia 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 1173 Keratoprosthesis 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1174 Thermokeratoplasty 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 1175 Radial keratotomy 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1176 Epikeratophakia 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 1179 Cornea reconstruct NEC MDC 02 21 24 MS-DRG 116-117 907-909 957-959 SURGICAL CATEGORY Intraocular Other procs for injuries Other procs for mult signif trauma 1191 Corneal tattooing 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 1192 Remove corneal implant 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1199 Corneal operation NEC 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1200 Remov ant segmnt FB NOS 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1201 Magnet remov ant seg FB 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1202 Nonmag remov ant seg FB 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1211 Iridotomy w transfixion 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1212 Iridotomy NEC 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1213 Prolapsed iris excision 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1214 Iridectomy NEC 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1221 Dx aspirat-ant chamber 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1222 Iris biopsy 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1229 Ant segment dx proc NEC 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1231 Goniosynechiae lysis 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 1232 Ant synechia lysis NEC MDC 02 21 24 MS-DRG 116-117 907-909 957-959 SURGICAL CATEGORY Intraocular Other procs for injuries Other procs for mult signif trauma 1233 Post synechiae lysis 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1234 Corneovitreal adhesiolys 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1235 Coreoplasty 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1239 Iridoplasty NEC 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1240 Remov ant segmnt les NOS 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1241 Nonexc destruc iris les 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1242 Excision of iris lesion 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1243 Nonexc destr cil bod les 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1244 Excise ciliary body les 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1251 Goniopuncture 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1252 Goniotomy 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1253 Goniotomy w goniopunctur 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1254 Trabeculotomy ab externo 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1255 Cyclodialysis 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 1259 Facilit intraoc circ NEC MDC 02 21 24 MS-DRG 116-117 907-909 957-959 SURGICAL CATEGORY Intraocular Other procs for injuries Other procs for mult signif trauma 1261 Trephin sclera w iridect 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1262 Thermcaut scler w iridec 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1263 Iridencleisis/iridotasis 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1264 Trabeculectom ab externo 02 10 21 24 116-117 628-630 907-909 957-959 Intraocular Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 1265 Scler fistuliz w iridect 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1266 Postop revis scl fistul 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1267 Insert aqueous drain dev 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1269 Scler fistulizing op NEC 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1271 Cyclodiathermy 02 116-117 Intraocular 1272 Cyclocryotherapy 02 10 116-117 628-630 Intraocular Other endocrine/nutrit/metabolic 1273 Cyclophotocoagulation 02 116-117 Intraocular 1274 Cil body diminution NOS 02 116-117 Intraocular 1279 Glaucoma procedure NEC 02 10 116-117 628-630 Intraocular Other endocrine/nutrit/metabolic 1281 Suture scleral lacer 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1282 Scleral fistula repair 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1283 Revis ant seg op wnd NEC 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 1284 Destruct scleral lesion MDC 02 21 24 MS-DRG 115 907-909 957-959 SURGICAL CATEGORY Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 1285 Repair staphylom w graft 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1286 Rep scler staphyloma NEC 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1287 Graft reinforce sclera 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 1288 Sclera reinforcement NEC 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 1289 Scleral operation NEC 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 1291 Therapeut evac ant chamb 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1292 Anterior chamber inject 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1293 Remov epithel downgrowth 02 116-117 Intraocular 1297 Iris operation NEC 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1298 Ciliary body op NEC 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1299 Anterior chamber op NEC 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1300 Remove FB lens NOS 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1301 Magnet remove FB lens 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1302 Nonmagnet remove FB lens 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1311 Temp-inf intrcap lens ex 02 10 116-117 628-630 Intraocular Other endocrine/nutrit/metabolic APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 1319 Intracapsul lens ext NEC MDC MS-DRG 02 116-117 10 628-630 SURGICAL CATEGORY Intraocular Other endocrine/nutrit/metabolic 132 Linear extracap lens ext 02 116-117 Intraocular 133 Simpl aspir lens extract 02 116-117 Intraocular 1341 Catarac phacoemuls/aspir 02 116-117 Intraocular 1342 Post catarac frag/aspir 02 116-117 Intraocular 1343 Cataract frag/aspir NEC 02 116-117 Intraocular 1351 Temp-inf xtracap lens ex 02 116-117 Intraocular 1359 Extracap lens extrac NEC 02 10 116-117 628-630 Intraocular Other endocrine/nutrit/metabolic 1364 After-catar discission 02 116-117 Intraocular 1365 After-cataract excision 02 116-117 Intraocular 1366 After catar fragmntation 02 116-117 Intraocular 1369 Cataract extraction NEC 02 116-117 Intraocular 1370 Insert pseudophakos NOS 02 116-117 Intraocular 1371 Insert lens at catar ext 02 116-117 Intraocular 1372 Secondary insert lens 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 138 Implanted lens removal 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1390 Operation on lens NEC 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1391 Impl intraoc telesc pros 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1400 Remov post segmnt FB NOS 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1401 Magnet remov post seg FB 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1402 Nonmag remov post seg FB 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1411 Diagnost vitreous aspir 02 116-117 Intraocular 1419 Dx proc post seg NEC 02 116-117 Intraocular APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 1421 Chorioret les diathermy MDC MS-DRG 02 116-117 SURGICAL CATEGORY Intraocular 1422 Chorioretin les cryother 02 116-117 Intraocular 1426 Chorioret les radiother 02 116-117 Intraocular 1427 Chorioret les rad implan 02 116-117 Intraocular 1429 Chorioret les destr NEC 02 116-117 Intraocular 1431 Retinal tear diathermy 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1432 Retinal tear cryotherapy 02 116-117 Intraocular 1439 Retinal tear repair NEC 02 116-117 Intraocular 1441 Scleral buckle w implant 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1449 Scleral buckling NEC 02 10 21 24 116-117 628-630 907-909 957-959 Intraocular Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 1451 Detach retina-diathermy 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1452 Detach retina-cryotherap 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1453 Detach retina xenon coag 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1454 Detach retina laser coag 02 10 21 24 116-117 628-630 907-909 957-959 Intraocular Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 1455 Detach ret photocoag NOS 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1459 Repair retina detach NEC 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 146 Remov pros mat post seg 02 10 21 24 115 628-630 907-909 957-959 Extraocular except orbital Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 1471 Anterior remov vitreous 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 1472 Vitreous removal NEC MDC 02 10 21 24 MS-DRG 116-117 628-630 907-909 957-959 SURGICAL CATEGORY Intraocular Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 1473 Anterior mechan vitrect 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1474 Mech vitrectomy NEC 02 10 21 24 116-117 628-630 907-909 957-959 Intraocular Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 1475 Vitreous substitut injec 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1479 Vitreous operation NEC 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 149 Other post segment ops 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries Other procs for mult signif trauma 1501 Extraoc musc-tend biopsy 02 115 Extraocular except orbital 1509 Extraoc musc dx proc NEC 02 115 Extraocular except orbital 1511 One extraoc mus recess 02 115 Extraocular except orbital 1512 1 extraoc muscl advance 02 115 Extraocular except orbital 1513 1 extraoc muscl resect 02 115 Extraocular except orbital 1519 Xtraoc mus op/detach NEC 02 115 Extraocular except orbital 1521 Lengthen 1 extraoc musc 02 115 Extraocular except orbital 1522 Shorten 1 extraoc musc 02 115 Extraocular except orbital 1529 Op on 1 extraoc musc NEC 02 115 Extraocular except orbital 153 Temp detach >1 xtroc mus 02 115 Extraocular except orbital 154 Oth op on >l extraoc mus 02 115 Extraocular except orbital 155 Extraocul mus transposit 02 115 Extraocular except orbital 156 Revis extraoc musc surg 02 115 Extraocular except orbital 157 Extraoc musc inj repair 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma 159 Oth extraoc mus-tend op 02 21 24 115 907-909 957-959 Extraocular except orbital Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 1601 Orbitotomy w bone flap MDC 02 03 21 24 MS-DRG 113-114 131-132 907-909 957-959 SURGICAL CATEGORY Orbital extraocular Cranial/facial Other procs for injuries Other procs for mult signif trauma 1602 Orbitotomy w implant 02 03 21 24 113-114 131-132 907-909 957-959 Orbital extraocular Cranial/facial Other procs for injuries Other procs for mult signif trauma 1609 Orbitotomy NEC 02 03 21 24 113-114 131-132 907-909 957-959 Orbital extraocular Cranial/facial Other procs for injuries Other procs for mult signif trauma 161 Remove penetrat FB eye 02 21 24 116-117 907-909 957-959 Intraocular Other procs for injuries 1622 Diagnostic asp of orbit 02 113-114 Orbital extraocular 1623 Eyeball & orbit biopsy 02 113-114 Orbital extraocular 1629 Eyebal/orbit dx proc NEC 02 113-114 Orbital extraocular 1631 Eye evisc w synch implan 02 21 24 113-114 907-909 957-959 Orbital extraocular Other procs for injuries Other procs for mult signif trauma 1639 Eyeball evisceration NEC 02 21 24 113-114 907-909 957-959 Orbital extraocular Other procs for injuries Other procs for mult signif trauma 1641 Eye enuc/implan/musc att 02 21 24 113-114 907-909 957-959 Orbital extraocular Other procs for injuries Other procs for mult signif trauma 1642 Eye enuc w implant NEC 02 21 24 113-114 907-909 957-959 Orbital extraocular Other procs for injuries Other procs for mult signif trauma 1649 Eyeball enucleation NEC 02 21 24 113-114 907-909 957-959 Orbital extraocular Other procs for injuries Other procs for mult signif trauma 1651 Radical orbitomaxillect 02 03 08 21 24 113-114 131-132 515-517 907-909 957-959 Orbital extraocular Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 1652 Orbit exent w bone remov 02 03 21 24 113-114 131-132 907-909 957-959 Orbital extraocular Cranial/facial Other procs for injuries Other procs for mult signif trauma 1659 Orbital exenteration NEC 02 03 08 21 24 113-114 131-132 515-517 907-909 957-959 Orbital extraocular Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 1661 2ndry ocular imp insert MDC 02 21 24 MS-DRG 113-114 907-909 957-959 SURGICAL CATEGORY Orbital extraocular Other procs for injuries Other procs for mult signif trauma 1662 Revis/reinsert ocul imp 02 21 24 113-114 907-909 957-959 Orbital extraocular Other procs for injuries Other procs for mult signif trauma 1663 Revis enuc socket w grft 02 03 21 24 113-114 131-132 907-909 957-959 Orbital extraocular Cranial/facial Other procs for injuries Other procs for mult signif trauma 1664 Enuc socket revis NEC 02 03 21 24 113-114 131-132 907-909 957-959 Orbital extraocular Cranial/facial Other procs for injuries Other procs for mult signif trauma 1665 2ndry exent cavity graft 02 03 21 24 113-114 133-134 907-909 957-959 Orbital extraocular Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 1666 Revis exenter cavity NEC 02 03 21 24 113-114 133-134 907-909 957-959 Orbital extraocular Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 1669 2nd op post eye rem NEC 02 21 24 113-114 907-909 957-959 Orbital extraocular Other procs for injuries Other procs for mult signif trauma 1671 Remove ocular implant 02 21 24 113-114 907-909 957-959 Orbital extraocular Other procs for injuries Other procs for mult signif trauma 1672 Remove orbital implant 02 21 24 113-114 907-909 957-959 Orbital extraocular Other procs for injuries Other procs for mult signif trauma 1681 Repair of orbital wound 02 21 24 113-114 907-909 957-959 Orbital extraocular Other procs for injuries Other procs for mult signif trauma 1682 Repair eyeball rupture 02 21 24 113-114 907-909 957-959 Orbital extraocular Other procs for injuries Other procs for mult signif trauma 1689 Eye/orbit inj repair NEC 02 03 21 24 113-114 131-132 907-909 957-959 Orbital extraocular Cranial/facial Other procs for injuries Other procs for mult signif trauma 1692 Excision orbital lesion 02 03 21 24 113-114 131-132 907-909 957-959 Orbital extraocular Cranial/facial Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 1693 Excision eye lesion NOS MDC 02 09 21 24 MS-DRG 115 579-581 907-909 957-959 SURGICAL CATEGORY Extraocular except orbital Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 1698 Operation on orbit NEC 02 03 21 24 113-114 131-132 907-909 957-959 Orbital extraocular Cranial/facial Other procs for injuries Other procs for mult signif trauma 1699 Operation on eyeball NEC 02 10 21 24 115 628-630 907-909 957-959 Extraocular except orbital Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 1711 Lap dir ing hern-graft 06 350-352 Inguinal & femoral hernia 1712 Lap indir ing hern-graft 06 350-352 Inguinal & femoral hernia 1713 Lap ing hern-graft NOS 06 350-352 Inguinal & femoral hernia 1721 Lap bil dir ing hrn-grft 06 350-352 Inguinal & femoral hernia 1722 Lap bi indir ing hrn-grf 06 350-352 Inguinal & femoral hernia 1723 Lap bi dr/ind ing hrn-gr 06 350-352 Inguinal & femoral hernia 1724 Lap bil ing hern-grf NOS 06 350-352 Inguinal & femoral hernia 1731 Lap mul seg res lg intes 06 17 17 21 24 329-331 820-822 826-828 907-909 957-959 Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 1732 Laparoscopic cecectomy 05 06 21 24 264 329-331 907-909 957-959 Other circulatory system Major small & large bowel Other procs for injuries Other procs for mult signif trauma 1733 Lap right hemicolectomy 05 06 17 17 21 24 264 329-331 820-822 826-828 907-909 957-959 Other circulatory system Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 1734 Lap res transverse colon 05 06 17 17 21 24 264 329-331 820-822 826-828 907-909 957-959 Other circulatory system Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 1735 Lap left hemicolectomy 05 06 10 17 17 21 24 264 329-331 628-630 820-822 826-828 907-909 957-959 Other circulatory system Major small & large bowel Other endocrine/nutrit/metabolic Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 1736 Lap sigmoidectomy MDC 06 17 17 21 24 MS-DRG 329-331 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 1739 Lap pt ex lrg intest NEC 05 06 17 17 21 24 264 329-331 820-822 826-828 907-909 957-959 Other circulatory system Major small & large bowel Major procedure Major procedure Other procs for injuries 1751 Implant CCM,total system 05 222-227 Cardiac defibrillator implant 1752 Implant CCM pulse genrtr 05 245 AICD generator 1753 Perc ather extracran vsl 01 01 05 21 24 034-036 037-039 252-254 907-909 957-959 Angioplasty of precerebral vessel Extracranial Other vascular Other procs for injuries Other procs for mult signif trauma 1754 Perc ather intracran vsl 01 05 21 24 023-027 252-254 907-909 957-959 Craniotomy Other vascular Other procs for injuries Other procs for mult signif trauma 1755 Translum cor atherectomy 05 05 231-232 246-251 PTCA Percutaneous cardiovascular 1756 Ather oth non-cor vessel 01 04 05 06 07 08 09 10 11 21 24 037-039 166-168 252-254 356-358 423-425 515-517 579-581 628-630 673-675 907-909 957-959 Extracranial Other respiratory system Other vascular Other digestive system Other hepatobiliary or pancreas Other musculoskel & connec tissue Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma Other procs for mult signif trauma 1761 LITT lesn brain,guidance 01 023-027 Craniotomy 1762 LITT les hd/nck,guidance 10 17 17 625-627 820-822 826-828 Thyroid/parathyroid/thyroglossal Major procedure Major procedure 1763 LITT lesn liver,guidance 06 07 356-358 405-407 Other digestive system Pancreas, liver and shunt 1769 LITT lesn, guide oth/NOS 04 09 12 17 17 163-165 584-585 715-718 820-822 826-828 Major chest Breast biop/local excis/oth breast Other male reproductive system Major procedure Major procedure 1821 Preauricular sinus excis 03 09 133-134 579-581 Other ear, nose, mouth & throat Other skin, subcut tissue & breast APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 1831 Rad excis ext ear les MDC MS-DRG 03 133-134 09 579-581 SURGICAL CATEGORY Other ear, nose, mouth & throat Other skin, subcut tissue & breast 1839 Excis external ear NEC 03 09 21 24 133-134 579-581 907-909 957-959 Other ear, nose, mouth & throat Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 185 Correction prominent ear 03 09 133-134 579-581 Other ear, nose, mouth & throat Other skin, subcut tissue & breast 186 Ext audit canal reconstr 03 09 21 24 133-134 579-581 907-909 957-959 Other ear, nose, mouth & throat Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 1871 Construction ear auricle 03 09 21 24 133-134 579-581 907-909 957-959 Other ear, nose, mouth & throat Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 1872 Reattach amputated ear 03 21 24 133-134 907-909 957-959 Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 1879 Plastic rep ext ear NEC 03 09 21 24 133-134 579-581 907-909 957-959 Other ear, nose, mouth & throat Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 189 Other ext ear operations 03 09 21 24 133-134 579-581 907-909 957-959 Other ear, nose, mouth & throat Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 190 Stapes mobilization 03 133-134 1911 Stapedect w replac incus 03 133-134 1919 Stapedectomy NEC 03 133-134 1921 Rev stapdec w incus repl 03 133-134 Other ear, nose, mouth & throat 1929 Stapedectomy revis NEC 03 133-134 Other ear, nose, mouth & throat 193 Ossicular chain op NEC 03 133-134 Other ear, nose, mouth & throat 194 Myringoplasty 03 133-134 Other ear, nose, mouth & throat 1952 Type 2 tympanoplasty 03 133-134 Other ear, nose, mouth & throat 1953 Type 3 tympanoplasty 03 133-134 Other ear, nose, mouth & throat 1954 Type 4 tympanoplasty 03 133-134 Other ear, nose, mouth & throat 1955 Type 5 tympanoplasty 03 133-134 Other ear, nose, mouth & throat 196 Tympanoplasty revision 03 133-134 Other ear, nose, mouth & throat 199 Middle ear repair NEC 03 133-134 Other ear, nose, mouth & throat Other ear, nose, mouth & throat Other ear, nose, mouth & throat Other ear, nose, mouth & throat APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 2001 Myringotomy w intubation MDC MS-DRG 03 133-134 SURGICAL CATEGORY Other ear, nose, mouth & throat 2021 Mastoid incision 03 135-136 Sinus & mastoid 2022 Petrus pyram air cel inc 03 135-136 Sinus & mastoid 2023 Middle ear incision 03 133-134 Other ear, nose, mouth & throat 2032 Mid & inner ear biopsy 03 133-134 Other ear, nose, mouth & throat 2039 Mid/in ear dx proc NEC 03 133-134 Other ear, nose, mouth & throat 2041 Simple mastoidectomy 03 135-136 Sinus & mastoid 2042 Radical mastoidectomy 03 135-136 Sinus & mastoid 2049 Mastoidectomy NEC 03 135-136 Sinus & mastoid 2051 Excise middle ear lesion 03 133-134 Other ear, nose, mouth & throat 2059 Middle ear excision NEC 03 133-134 Other ear, nose, mouth & throat 2061 Inner ear fenestration 03 133-134 Other ear, nose, mouth & throat 2062 Revis inner ear fenestra 03 133-134 Other ear, nose, mouth & throat 2071 Endolymphatic shunt 03 133-134 Other ear, nose, mouth & throat 2072 Inner ear injection 03 133-134 Other ear, nose, mouth & throat 2079 Inc/exc/destr in ear NEC 03 133-134 Other ear, nose, mouth & throat 2091 Tympanosympathectomy 03 133-134 Other ear, nose, mouth & throat 2092 Mastoidectomy revision 03 135-136 Sinus & mastoid 2093 Repair oval/round window 03 133-134 Other ear, nose, mouth & throat 2095 Elecmag hear dev implant 03 133-134 Other ear, nose, mouth & throat 2096 Implt cochlear prost NOS 03 03 129 129-130 Cochlear implant Major head & neck 2097 Imp/rep schan coch pros 03 03 129 129-130 Cochlear implant Major head & neck 2098 Imp/rep mchan cochl pros 03 03 129 129-130 Cochlear implant Major head & neck 2099 Mid-inner ear ops NEC 03 133-134 Other ear, nose, mouth & throat 2104 Ethmoid art ligat-epist 03 05 21 24 133-134 264 907-909 957-959 Other ear, nose, mouth & throat Other circulatory system Other procs for injuries Other procs for mult signif trauma 2105 Max art lig for epistax 03 05 21 24 133-134 264 907-909 957-959 Other ear, nose, mouth & throat Other circulatory system Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 2106 Ext carot art lig-epist MDC 03 05 21 24 MS-DRG 133-134 264 907-909 957-959 SURGICAL CATEGORY Other ear, nose, mouth & throat Other circulatory system Other procs for injuries Other procs for mult signif trauma 2107 Nasal sept grft-epistax 03 05 21 24 133-134 264 907-909 957-959 Other ear, nose, mouth & throat Other circulatory system Other procs for injuries Other procs for mult signif trauma 2109 Epistaxis control NEC 03 05 21 24 133-134 264 907-909 957-959 Other ear, nose, mouth & throat Other circulatory system Other procs for injuries Other procs for mult signif trauma 214 Resection of nose 03 09 21 24 131-132 579-581 907-909 957-959 Cranial/facial Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 215 Submuc nasal sept resect 03 21 24 133-134 907-909 957-959 Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 2161 Diather/cryo turbinectom 03 133-134 Other ear, nose, mouth & throat 2162 Turbinate fracture 03 21 24 133-134 907-909 957-959 Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 2169 Turbinectomy NEC 03 21 24 133-134 907-909 957-959 Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 2172 Open reduction nasal fx 03 08 09 21 24 131-132 515-517 579-581 907-909 957-959 Cranial/facial Other musculoskel & connec tissue Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 2182 Nasal fistula closure 03 133-134 Other ear, nose, mouth & throat 2183 Tot nasal reconstruction 03 08 09 21 24 133-134 515-517 579-581 907-909 957-959 Other ear, nose, mouth & throat Other musculoskel & connec tissue Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 2184 Revision rhinoplasty 03 08 09 21 24 133-134 515-517 579-581 907-909 957-959 Other ear, nose, mouth & throat Other musculoskel & connec tissue Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 2185 Augmentation rhinoplasty 03 08 09 21 24 133-134 515-517 579-581 907-909 957-959 Other ear, nose, mouth & throat Other musculoskel & connec tissue Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 2186 Limited rhinoplasty MDC 03 08 09 21 24 MS-DRG 133-134 515-517 579-581 907-909 957-959 SURGICAL CATEGORY Other ear, nose, mouth & throat Other musculoskel & connec tissue Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 2187 Rhinoplasty NEC 03 08 09 21 24 133-134 515-517 579-581 907-909 957-959 Other ear, nose, mouth & throat Other musculoskel & connec tissue Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 2188 Septoplasty NEC 03 08 09 21 24 133-134 515-517 579-581 907-909 957-959 Other ear, nose, mouth & throat Other musculoskel & connec tissue Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 2189 Nasal repair NEC 03 08 09 21 24 133-134 515-517 579-581 907-909 957-959 Other ear, nose, mouth & throat Other musculoskel & connec tissue Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 2199 Nasal operation NEC 03 09 21 24 133-134 579-581 907-909 957-959 Other ear, nose, mouth & throat Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 2212 Open biopsy nasal sinus 03 135-136 Sinus & mastoid 2231 Radical maxillary antrot 03 135-136 Sinus & mastoid 2239 Ext maxillary antrot NEC 03 135-136 Sinus & mastoid 2241 Frontal sinusotomy 03 135-136 Sinus & mastoid 2242 Frontal sinusectomy 03 135-136 Sinus & mastoid 2250 Sinusotomy NOS 03 135-136 Sinus & mastoid 2251 Ethmoidotomy 03 135-136 Sinus & mastoid 2252 Sphenoidotomy 03 135-136 Sinus & mastoid 2253 Multiple sinus incision 03 135-136 Sinus & mastoid 2260 Sinusectomy NOS 03 135-136 Sinus & mastoid 2261 C-luc exc max sinus les 03 135-136 Sinus & mastoid 2262 Exc max sinus lesion NEC 03 08 135-136 515-517 Sinus & mastoid Other musculoskel & connec tissue 2263 Ethmoidectomy 03 135-136 Sinus & mastoid 2264 Sphenoidectomy 03 135-136 Sinus & mastoid 2271 Nasal sinus fistula clos 03 135-136 Sinus & mastoid 2279 Nasal sinus repair NEC 03 135-136 Sinus & mastoid APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 229 Other nasal sinus ops MDC MS-DRG 03 135-136 SURGICAL CATEGORY Sinus & mastoid 242 Gingivoplasty 03 21 24 137-138 907-909 957-959 Mouth Other procs for injuries Other procs for mult signif trauma 244 Exc of dental les of jaw 03 137-138 Mouth 245 Alveoloplasty 03 21 24 137-138 907-909 957-959 Mouth Other procs for injuries Other procs for mult signif trauma 2502 Open biopsy of tongue 03 137-138 Mouth 251 Destruction tongue les 03 05 137-138 264 Mouth Other circulatory system 252 Partial glossectomy 03 137-138 Mouth 253 Complete glossectomy 03 129-130 Major head & neck 254 Radical glossectomy 03 129-130 Major head & neck 2559 Repair of tongue NEC 03 21 24 137-138 907-909 957-959 Mouth Other procs for injuries Other procs for mult signif trauma 2594 Other glossotomy 03 137-138 Mouth 2599 Tongue operation NEC 03 137-138 Mouth 2612 Open bx saliv gland/duct 03 139 Salivary gland 2621 Salivary cyst marsupial 03 139 Salivary gland 2629 Saliv lesion excis NEC 03 139 Salivary gland 2630 Sialoadenectomy NOS 03 16 139 802-804 Salivary gland Other blood & blood form org 2631 Partial sialoadenectomy 03 139 Salivary gland 2632 Complete sialoadenectomy 03 139 Salivary gland 2641 Suture of saliv glnd lac 03 21 24 139 907-909 957-959 Salivary gland Other procs for injuries Other procs for mult signif trauma 2642 Salivary fistula closure 03 21 24 139 907-909 957-959 Salivary gland Other procs for injuries Other procs for mult signif trauma 2649 Salivary repair NEC 03 21 24 139 907-909 957-959 Salivary gland Other procs for injuries Other procs for mult signif trauma 2699 Salivary operation NEC 03 139 Salivary gland APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 270 Drain face & mouth floor MDC 03 09 21 24 MS-DRG 137-138 579-581 907-909 957-959 SURGICAL CATEGORY Mouth Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 271 Incision of palate 03 137-138 Mouth 2721 Bony palate biopsy 03 137-138 Mouth 2722 Uvula and soft palate bx 03 137-138 Mouth 2731 Loc exc bony palate les 03 137-138 Mouth 2732 Wide exc bony palate les 03 129-130 Major head & neck 2742 Wide excision of lip les 03 09 137-138 579-581 Mouth Other skin, subcut tissue & breast 2743 Excision of lip les NEC 03 09 137-138 579-581 Mouth Other skin, subcut tissue & breast 2749 Excision of mouth NEC 03 21 24 137-138 907-909 957-959 Mouth Other procs for injuries Other procs for mult signif trauma 2753 Closure of mouth fistula 03 21 24 137-138 907-909 957-959 Mouth Other procs for injuries Other procs for mult signif trauma 2754 Repair of cleft lip 03 09 21 24 133-134 579-581 907-909 957-959 Other ear, nose, mouth & throat Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 2755 Full-thick grft to mouth 03 09 21 24 137-138 579-581 907-909 957-959 Mouth Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 2756 Skin graft to mouth NEC 03 09 21 24 137-138 579-581 907-909 957-959 Mouth Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 2757 Pedicle attach to mouth 03 09 21 24 137-138 579-581 907-909 957-959 Mouth Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 2759 Mouth repair NEC 03 09 21 24 137-138 579-581 907-909 957-959 Mouth Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 2761 Suture of palate lacerat 03 21 24 137-138 907-909 957-959 Mouth Other procs for injuries Other procs for mult signif trauma 2762 Cleft palate correction 01 03 040-042 133-134 Periph/cranial nerve & other Other ear, nose, mouth & throat APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 2763 Revis cleft palat repair MDC MS-DRG 03 133-134 09 579-581 SURGICAL CATEGORY Other ear, nose, mouth & throat Other skin, subcut tissue & breast 2769 Oth plastic repair palat 01 03 09 040-042 133-134 579-581 Periph/cranial nerve & other Other ear, nose, mouth & throat Other skin, subcut tissue & breast 2771 Incision of uvula 03 137-138 Mouth 2772 Excision of uvula 03 137-138 Mouth 2773 Repair of uvula 03 137-138 Mouth 2779 Other uvula operations 03 137-138 Mouth 2792 Mouth incision NOS 03 09 21 24 137-138 579-581 907-909 957-959 Mouth Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 2799 Oral cavity ops NEC 03 21 24 137-138 907-909 957-959 Mouth Other procs for injuries Other procs for mult signif trauma 280 Peritonsillar i & d 03 133-134 Other ear, nose, mouth & throat 2811 Tonsil&adenoid biopsy 03 133-134 Other ear, nose, mouth & throat 2819 Tonsil&adenoid dx op NEC 03 133-134 Other ear, nose, mouth & throat 282 Tonsillectomy 03 133-134 Other ear, nose, mouth & throat 283 Tonsillectomy/adenoidec 03 133-134 Other ear, nose, mouth & throat 284 Excision of tonsil tag 03 133-134 Other ear, nose, mouth & throat 285 Excision lingual tonsil 03 133-134 Other ear, nose, mouth & throat 286 Adenoidectomy 03 133-134 Other ear, nose, mouth & throat 287 Hemorr contrl post T & A 03 21 24 133-134 907-909 957-959 Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 2891 Incis to remov tonsil FB 03 21 24 133-134 907-909 957-959 Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 2892 Excis tonsil/adenoid les 03 133-134 Other ear, nose, mouth & throat 2899 Tonsil/adenoid ops NEC 03 133-134 Other ear, nose, mouth & throat 290 Pharyngotomy 03 21 24 133-134 907-909 957-959 Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 292 Exc branchial cleft cyst 03 09 133-134 579-581 Other ear, nose, mouth & throat Other skin, subcut tissue & breast 2931 Cricopharyngeal myotomy 03 06 133-134 326-328 Other ear, nose, mouth & throat Stomach, esophageal & duodenal APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 2932 Pharyngeal diverticulec MDC MS-DRG 03 133-134 06 326-328 SURGICAL CATEGORY Other ear, nose, mouth & throat Stomach, esophageal & duodenal 2933 Pharyngectomy 03 06 133-134 326-328 Other ear, nose, mouth & throat Stomach, esophageal & duodenal 2939 Excis/destr les phar NEC 03 06 133-134 326-328 Other ear, nose, mouth & throat Stomach, esophageal & duodenal 294 Plastic op on pharynx 01 03 21 24 040-042 133-134 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 2951 Suture of pharyngeal lac 03 21 24 133-134 907-909 957-959 Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 2952 Clos branch cleft fistul 03 09 133-134 579-581 Other ear, nose, mouth & throat Other skin, subcut tissue & breast 2953 Clos pharynx fistula NEC 03 21 24 133-134 907-909 957-959 Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 2954 Lysis pharyngeal adhes 03 133-134 Other ear, nose, mouth & throat 2959 Pharyngeal repair NEC 01 03 21 24 040-042 133-134 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 2992 Divis glossopharyng nerv 01 03 023-027 133-134 Craniotomy Other ear, nose, mouth & throat 2999 Pharyngeal operation NEC 03 21 24 133-134 907-909 957-959 Other ear, nose, mouth & throat Other procs for injuries Other procs for mult signif trauma 3001 Larynx cyst marsupializ 03 04 133-134 166-168 Other ear, nose, mouth & throat Other respiratory system 3009 Destruct larynx les NEC 03 04 133-134 166-168 Other ear, nose, mouth & throat Other respiratory system 301 Hemilaryngectomy 03 04 21 24 129-130 166-168 907-909 957-959 Major head & neck Other respiratory system Other procs for injuries Other procs for mult signif trauma 3021 Epiglottidectomy 03 04 21 24 133-134 166-168 907-909 957-959 Other ear, nose, mouth & throat Other respiratory system Other procs for injuries Other procs for mult signif trauma 3022 Vocal cordectomy 03 04 21 24 133-134 166-168 907-909 957-959 Other ear, nose, mouth & throat Other respiratory system Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 3029 Other part laryngectomy MDC 03 04 21 24 MS-DRG 129-130 166-168 907-909 957-959 SURGICAL CATEGORY Major head & neck Other respiratory system Other procs for injuries Other procs for mult signif trauma 303 Complete laryngectomy 011-013 Laryngectomy 304 Radical laryngectomy 011-013 Laryngectomy 311* Temporary tracheostomy 003-004 011-013 *Tracheostomy *Tracheostomy 3121 Mediastinal tracheostomy 003-004 011-013 Tracheostomy Tracheostomy 3129 Other perm tracheostomy 003-004 011-013 Tracheostomy Tracheostomy 313 Incis larynx trachea NEC 03 04 133-134 166-168 Other ear, nose, mouth & throat Other respiratory system 3145 Opn bx larynx or trachea 03 04 133-134 166-168 Other ear, nose, mouth & throat Other respiratory system 315 Local destruc trach les 03 04 133-134 166-168 Other ear, nose, mouth & throat Other respiratory system 3161 Suture of laryngeal lac 03 04 21 24 133-134 166-168 907-909 957-959 Other ear, nose, mouth & throat Other respiratory system Other procs for injuries Other procs for mult signif trauma 3162 Laryngeal fistula clos 03 04 133-134 166-168 Other ear, nose, mouth & throat Other respiratory system 3163 Laryngostomy revision 03 04 133-134 166-168 Other ear, nose, mouth & throat Other respiratory system 3164 Laryngeal fx repair 03 04 21 24 133-134 166-168 907-909 957-959 Other ear, nose, mouth & throat Other respiratory system Other procs for injuries Other procs for mult signif trauma 3169 Other laryngeal repair 03 04 21 24 133-134 166-168 907-909 957-959 Other ear, nose, mouth & throat Other respiratory system Other procs for injuries Other procs for mult signif trauma 3171 Suture of tracheal lacer 03 04 21 24 133-134 166-168 907-909 957-959 Other ear, nose, mouth & throat Other respiratory system Other procs for injuries Other procs for mult signif trauma 3172 Closure of tracheostomy 03 04 05 09 21 24 133-134 166-168 264 579-581 907-909 957-959 Other ear, nose, mouth & throat Other respiratory system Other circulatory system Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 3173 Trachea fistula clos NEC MDC 03 04 06 21 24 MS-DRG 133-134 163-165 326-328 907-909 957-959 SURGICAL CATEGORY Other ear, nose, mouth & throat Major chest Stomach, esophageal & duodenal Other procs for injuries Other procs for mult signif trauma 3174 Revision of tracheostomy 03 04 05 09 21 24 133-134 166-168 264 579-581 907-909 957-959 Other ear, nose, mouth & throat Other respiratory system Other circulatory system Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 3175 Tracheal reconstruction 03 04 21 24 133-134 163-165 907-909 957-959 Other ear, nose, mouth & throat Major chest Other procs for injuries Other procs for mult signif trauma 3179 Other tracheal repair 03 04 21 24 133-134 163-165 907-909 957-959 Other ear, nose, mouth & throat Major chest Other procs for injuries Other procs for mult signif trauma 3191 Laryngeal nerv division 03 04 133-134 166-168 Other ear, nose, mouth & throat Other respiratory system 3192 Lysis trach/larynx adhes 03 04 21 24 133-134 166-168 907-909 957-959 Other ear, nose, mouth & throat Other respiratory system Other procs for injuries Other procs for mult signif trauma 3198 Oth laryngeal operation 03 04 133-134 166-168 Other ear, nose, mouth & throat Other respiratory system 3199 Other tracheal operation 03 04 21 24 133-134 166-168 907-909 957-959 Other ear, nose, mouth & throat Other respiratory system Other procs for injuries Other procs for mult signif trauma 3209 Other destruc bronc les 04 163-165 Major chest 321 Other bronchial excision 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 3220 Thorac exc lung lesion 04 17 17 21 24 163-165 820-822 826-828 907-909 957-959 Major chest Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 3221 Emphysema bleb plication 04 163-165 Major chest 3222 Lung vol reduction surg 04 163-165 Major chest 3223 Open abltn lung les/tiss 04 17 17 163-165 820-822 826-828 Major chest Major procedure Major procedure 3224 Perc abltn lung les/tiss 04 166-168 Other respiratory system APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 3225 Thor abltn lung les/tiss MDC 04 17 17 MS-DRG 163-165 820-822 826-828 SURGICAL CATEGORY Major chest Major procedure Major procedure 3226 Abltn lung tiss NEC/NOS 04 163-165 Major chest 3227 Brnc thrmplsty,ablt mscl 04 163-165 Major chest 3229 Destroy loc lung les NEC 04 17 17 163-165 820-822 826-828 Major chest Major procedure Major procedure 3230 Thorac seg lung resect 04 17 17 21 24 163-165 820-822 826-828 907-909 957-959 Major chest Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 3239 Oth seg lung resect NOS 04 17 17 21 24 163-165 820-822 826-828 907-909 957-959 Major chest Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 3241 Thorac lobectomy lung 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 3249 Lobectomy of lung NEC 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 3250 Thoracospc pneumonectomy 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 3259 Other pneumonectomy NOS 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 326 Rad dissec thorac struct 04 163-165 Major chest 329 Other excision of lung 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 330 Incision of bronchus 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 331 Incision of lung 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 3320 Thoracoscopc lung biopsy 04 05 08 11 166-168 264 515-517 673-675 Other respiratory system Other circulatory system Other musculoskel & connec tissue Other kidney & urinary tract 3325 Open bronchial biopsy 04 163-165 Major chest APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 3327 Clos endoscopic lung bx MDC MS-DRG 04 166-168 05 264 SURGICAL CATEGORY Other respiratory system Other circulatory system 3328 Open lung biopsy 04 05 08 11 17 17 163-165 264 515-517 673-675 820-822 826-828 Major chest Other circulatory system Other musculoskel & connec tissue Other kidney & urinary tract Major procedure Major procedure 3329 Bronch/lung dx proc NEC 04 166-168 Other respiratory system 3334 Thoracoplasty 04 163-165 Major chest 3339 Surg collaps of lung NEC 04 163-165 Major chest 3341 Bronchial lacerat suture 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 3342 Bronchial fistula clos 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 3343 Lung laceration closure 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 3348 Bronchial repair NEC 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 3349 Lung repair NEC 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 3350 Lung transplant NOS 007 Lung transplant 3351 Unilat lung transplant 007 Lung transplant 3352 Bilat lung transplant 007 Lung transplant 336 Comb heart/lung transpla 001-002 Heart transplant 3392 Bronchial ligation 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 3393 Puncture of lung 04 166-168 Other respiratory system 3398 Bronchial operation NEC 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 3399 Lung operation NEC 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 3402 Exploratory thoracotomy MDC 04 05 11 17 17 21 24 MS-DRG 163-165 264 673-675 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Major chest Other circulatory system Other kidney & urinary tract Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 3403 Reopen thoracotomy site 04 05 21 24 163-165 264 907-909 957-959 Major chest Other circulatory system Other procs for injuries Other procs for mult signif trauma 3406 Thorac drain pleurl cav 04 166-168 Other respiratory system 341 Incision of mediastinum 04 05 21 24 166-168 264 907-909 957-959 Other respiratory system Other circulatory system Other procs for injuries Other procs for mult signif trauma 3420 Thoracoscopic pleural bx 04 166-168 Other respiratory system 3421 Transpleura thoracoscopy 04 05 21 24 166-168 264 907-909 957-959 Other respiratory system Other circulatory system Other procs for injuries Other procs for mult signif trauma 3422 Mediastinoscopy 03 04 05 16 17 17 133-134 166-168 264 802-804 820-822 826-828 Other ear, nose, mouth & throat Other respiratory system Other circulatory system Other blood & blood form org Major procedure Major procedure 3426 Open mediastinal biopsy 04 05 10 16 17 17 166-168 264 628-630 802-804 820-822 826-828 Other respiratory system Other circulatory system Other endocrine/nutrit/metabolic Other blood & blood form org Major procedure Major procedure 3427 Biopsy of diaphragm 04 163-165 Major chest 3428 Dx procedure thorax NEC 04 166-168 Other respiratory system 3429 Dx proc mediastinum NEC 04 05 166-168 264 Other respiratory system Other circulatory system 343 Destruct mediastin les 04 10 17 17 163-165 628-630 820-822 826-828 Major chest Other endocrine/nutrit/metabolic Major procedure Major procedure 344 Destruct chest wall les 04 08 09 10 17 17 166-168 495-497 579-581 628-630 820-822 826-828 Other respiratory system Loc excis,rm int fx dev ex hip,fem Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Major procedure Major procedure APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 3451 Decortication of lung MDC 04 17 17 21 24 MS-DRG 163-165 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Major chest Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 3452 Thoracoscopc decort lung 04 17 17 21 24 163-165 820-822 826-828 907-909 957-959 Major chest Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 3459 Other pleural excision 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 346 Scarification of pleura 04 17 17 21 24 163-165 820-822 826-828 907-909 957-959 Major chest Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 3473 Clos thoracic fistul NEC 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 3474 Pectus deformity repair 04 08 163-165 515-517 Major chest Other musculoskel & connec tissue 3479 Other chest wall repair 04 08 09 21 24 166-168 515-517 579-581 907-909 957-959 Other respiratory system Other musculoskel & connec tissue Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 3481 Excise diaphragm lesion 04 08 163-165 515-517 Major chest Other musculoskel & connec tissue 3482 Suture diaphragm lacerat 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 3483 Close diaphragm fistula 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 3484 Other diaphragm repair 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 3485 Implant diaphra pacemake 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 3489 Diaphragm operation NEC 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 3493 Repair of pleura 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 3499 Thoracic operation NEC MDC 04 21 24 MS-DRG 166-168 907-909 957-959 SURGICAL CATEGORY Other respiratory system Other procs for injuries Other procs for mult signif trauma 3500 Closed valvotomy NOS 05 237-238 Major cardiovascular 3501 Closed aortic valvotomy 05 237-238 Major cardiovascular 3502 Closed mitral valvotomy 05 237-238 Major cardiovascular 3503 Closed pulmon valvotomy 05 237-238 Major cardiovascular 3504 Closed tricusp valvotomy 05 237-238 Major cardiovascular 3505 Endovas repl aortc valve 05 216-221 Valve & other major cardiothoracic 3506 Trnsapcl rep aortc valve 05 216-221 Valve & other major cardiothoracic 3507 Endovas repl pulm valve 05 216-221 Valve & other major cardiothoracic 3508 Trnsapcl repl pulm valve 05 216-221 Valve & other major cardiothoracic 3509 Endovas repl uns hrt vlv 05 216-221 Valve & other major cardiothoracic 3510 Open valvuloplasty NOS 05 216-221 Valve & other major cardiothoracic 3511 Opn aortic valvuloplasty 05 216-221 Valve & other major cardiothoracic 3512 Opn mitral valvuloplasty 05 216-221 Valve & other major cardiothoracic 3513 Opn pulmon valvuloplasty 05 216-221 Valve & other major cardiothoracic 3514 Opn tricus valvuloplasty 05 216-221 Valve & other major cardiothoracic 3520 Opn/oth rep hrt vlv NOS 05 216-221 Valve & other major cardiothoracic 3521 Opn/oth rep aort vlv-tis 05 216-221 Valve & other major cardiothoracic 3522 Opn/oth rep aortic valve 05 216-221 Valve & other major cardiothoracic 3523 Opn/oth rep mtrl vlv-tis 05 216-221 Valve & other major cardiothoracic 3524 Opn/oth rep mitral valve 05 216-221 Valve & other major cardiothoracic 3525 Opn/oth rep pulm vlv-tis 05 216-221 Valve & other major cardiothoracic 3526 Opn/oth repl pul valve 05 216-221 Valve & other major cardiothoracic 3527 Opn/oth rep tcspd vlv-ts 05 216-221 Valve & other major cardiothoracic 3528 Opn/oth repl tcspd valve 05 216-221 Valve & other major cardiothoracic 3531 Papillary muscle ops 05 228-230 Other cardiothoracic 3532 Chordae tendineae ops 05 228-230 Other cardiothoracic 3533 Annuloplasty 05 216-221 Valve & other major cardiothoracic 3534 Infundibulectomy 05 228-230 Other cardiothoracic 3535 Trabecul carneae cord op 05 228-230 Other cardiothoracic APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 3539 Tiss adj to valv ops NEC MDC MS-DRG 05 228-230 SURGICAL CATEGORY Other cardiothoracic 3542 Create septal defect 05 228-230 Other cardiothoracic 3550 Prosth rep hrt septa NOS 05 228-230 Other cardiothoracic 3551 Pros rep atrial def-opn 05 228-230 Other cardiothoracic 3552 Pros repair atria def-cl 05 250-251 Percutaneous cardiovascular 3553 Pros rep ventric def-opn 05 228-230 Other cardiothoracic 3554 Pros rep endocar cushion 05 228-230 Other cardiothoracic 3555 Pros rep ventrc def-clos 05 228-230 Other cardiothoracic 3560 Grft repair hrt sept NOS 05 228-230 Other cardiothoracic 3561 Graft repair atrial def 05 228-230 Other cardiothoracic 3562 Graft repair ventric def 05 228-230 Other cardiothoracic 3563 Grft rep endocar cushion 05 228-230 Other cardiothoracic 3570 Heart septa repair NOS 05 228-230 Other cardiothoracic 3571 Atria septa def rep NEC 05 228-230 Other cardiothoracic 3572 Ventr septa def rep NEC 05 228-230 Other cardiothoracic 3573 Endocar cushion rep NEC 05 228-230 Other cardiothoracic 3581 Tot repair tetral fallot 05 228-230 Other cardiothoracic 3582 Total repair of tapvc 05 228-230 Other cardiothoracic 3583 Tot rep truncus arterios 05 228-230 Other cardiothoracic 3584 Tot cor transpos grt ves 05 228-230 Other cardiothoracic 3591 Interat ven retrn transp 05 228-230 Other cardiothoracic 3592 Conduit rt vent-pul art 05 228-230 Other cardiothoracic 3593 Conduit left ventr-aorta 05 228-230 Other cardiothoracic 3594 Conduit artium-pulm art 05 228-230 Other cardiothoracic 3595 Heart repair revision 05 228-230 Other cardiothoracic 3596 Perc balloon valvuplasty 05 05 231-232 246-251 PTCA Percutaneous cardiovascular 3597 Perc mtrl vlv repr w imp 05 05 231-232 246-251 PTCA Percutaneous cardiovascular 3598 Other heart septa ops 05 228-230 Other cardiothoracic 3599 Other heart valve ops 05 228-230 Other cardiothoracic 3603 Open coronry angioplasty 05 228-230 Other cardiothoracic APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 3606* Ins nondrug elut cor st MDC MS-DRG 05 248-249 SURGICAL CATEGORY *Insert non-drug-eluting stent 3607* Ins drug-elut coronry st 05 246-247 *Insert drug-eluting stent 3609 Rem of cor art obstr NEC 05 246-251 Percutaneous cardiovascular 3610 Aortocoronary bypass NOS 05 231-236 Coronary bypass 3611 Aortocor bypas-1 cor art 05 231-236 Coronary bypass 3612 Aortocor bypas-2 cor art 05 231-236 Coronary bypass 3613 Aortocor bypas-3 cor art 05 231-236 Coronary bypass 3614 Aortcor bypas-4+ cor art 05 231-236 Coronary bypass 3615 1 int mam-cor art bypass 05 231-236 Coronary bypass 3616 2 int mam-cor art bypass 05 231-236 Coronary bypass 3617 Abd-coron artery bypass 05 231-236 Coronary bypass 3619 Hrt revas byps anas NEC 05 231-236 Coronary bypass 362 Arterial implant revasc 05 228-230 Other cardiothoracic 3631 Open chest trans revasc 05 228-230 Other cardiothoracic 3632 Oth transmyo revascular 05 228-230 Other cardiothoracic 3633 Endo transmyo revascular 05 228-230 Other cardiothoracic 3634 Perc transmyo revascular 05 228-230 Other cardiothoracic 3639 Oth heart revascular 05 228-230 Other cardiothoracic 3691 Coron vess aneurysm rep 05 228-230 Other cardiothoracic 3699 Heart vessel op NEC 05 228-230 Other cardiothoracic 3710 Incision of heart NOS 05 228-230 Other cardiothoracic 3711 Cardiotomy 05 21 24 228-230 907-909 957-959 Other cardiothoracic Other procs for injuries Other procs for mult signif trauma 3712 Pericardiotomy 04 05 17 17 21 24 163-165 237-238 820-822 826-828 907-909 957-959 Major chest Major cardiovascular Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 05 05 05 05 216-218 222-225 233-234 286-287 *Cardiac catheter *Cardiac catheter *Cardiac catheter *Cardiac catheter 3721* Rt heart cardiac cath APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 3722* Left heart cardiac cath MDC 05 05 05 05 MS-DRG 216-218 222-225 233-234 286-287 SURGICAL CATEGORY *Cardiac catheter *Cardiac catheter *Cardiac catheter *Cardiac catheter 3723* Rt/left heart card cath 05 05 05 05 216-218 222-225 233-234 286-287 *Cardiac catheter *Cardiac catheter *Cardiac catheter *Cardiac catheter 3724 04 05 17 17 163-165 237-238 820-822 826-828 Major chest Major cardiovascular Major procedure Major procedure 05 05 216-218 246-251 *Cardiac catheter 3727* Cardiac mapping 05 246-251 *Percutaneous cardiovascular 3731 Pericardiectomy 04 05 17 17 21 24 163-165 237-238 820-822 826-828 907-909 957-959 Major chest Major cardiovascular Major procedure Major procedure Other procs for injuries 3732 Heart aneurysm excision 05 228-230 Other cardiothoracic 3733 Exc/dest hrt lesion open 05 228-230 Other cardiothoracic 3734 Exc/des hrt les,endovasc 05 246-251 Percutaneous cardiovascular 3735 Partial ventriculectomy 05 228-230 Other cardiothoracic 3736* Exc,destrct,exclus LAA 05 250-251 *Percutaneous cardiovascular 3737 Exc/dest hrt les, thrspc 05 228-230 Other cardiothoracic 3741 Impl cardiac support dev 05 237-238 Major cardiovascular 3749 Heart/pericard repr NEC 05 21 24 237-238 907-909 957-959 Major cardiovascular Other procs for injuries 3751 Heart transplantation 001-002 Heart transplant 3752 Imp tot int bi ht rp sys 001-002 Heart transplant 3753 Repl/rep thr unt tot hrt 05 215 Other heart assist system implant 3754 Repl/rep oth tot hrt sys 05 215 Other heart assist system implant 3755 Rem int bivent hrt sys 05 237-238 Major cardiovascular 3760 Imp bivn ext hrt ast sys 05 001-002 215 Implant of heart assist system Other heart assist system implant Pericardial biopsy 3726* Cath base invasv ep test *Percutaneous cardiovascular Other procs for mult signif trauma Other procs for mult signif trauma 3761 Pulsation balloon implan 05 237-238 Major cardiovascular 3762 Insrt non-impl circ dev 05 215 Other heart assist system implant APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 3763 Repair heart assist sys 3764 3765 MDC MS-DRG 001-002 05 215 Remve ext hrt assist sys SURGICAL CATEGORY Implant of heart assist system Other heart assist system implant 05 001-002 237-238 Removal of heart assist system Major cardiovascular 05 001-002 215 Implant of heart assist system Other heart assist system implant 001-002 Heart transplant Imp vent ext hrt ast sys 3766 Implantable hrt assist 3767 Imp cardiomyostimul sys 05 237-238 Major cardiovascular 3768 Percutan hrt assist syst 05 216-221 Valve & other major cardiothoracic 3770* Int insert pacemak lead 01 05 05 21 See Pacemaker Reference Table See Lead/Generator Reference Table See Pacemaker Reference Table See Pacemaker Reference Table 3771* Int insert lead in vent 01 05 05 21 See Pacemaker Reference Table See Lead/Generator Reference Table See Pacemaker Reference Table See Pacemaker Reference Table 3772* Int inser lead atri-vent 01 05 05 21 See Pacemaker Reference Table See Lead/Generator Reference Table See Pacemaker Reference Table See Pacemaker Reference Table 3773* Int inser lead in atrium 01 05 05 21 See Pacemaker Reference Table See Lead/Generator Reference Table See Pacemaker Reference Table See Pacemaker Reference Table 3774 01 01 05 05 05 21 21 24 040-042 957-959 Periph/cranial nerve & other See Pacemaker Reference Table See Lead/Generator Reference Table Pacemaker revis exc device replace See Pacemaker Reference Table Other procs for injuries See Pacemaker Reference Table Other procs for mult signif trauma Int or repl lead epicar 260-262 907-909 3775 Revision of lead 01 05 21 24 040-042 260-262 907-909 957-959 Periph/cranial nerve & other Pacemaker revis exc device replace Other procs for injuries Other procs for mult signif trauma 3776 Repl tv atri-vent lead 01 01 05 05 05 21 21 24 040-042 Periph/cranial nerve & other See Pacemaker Reference Table See Lead/Generator Reference Table Pacemaker revis exc device replace See Pacemaker Reference Table Other procs for injuries See Pacemaker Reference Table Other procs for mult signif trauma 260-262 907-909 957-959 APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 3777 Removal of lead w/o repl MDC 01 05 21 24 MS-DRG 040-042 260-262 907-909 957-959 SURGICAL CATEGORY Periph/cranial nerve & other Pacemaker revis exc device replace Other procs for injuries Other procs for mult signif trauma 3779 Rev/reloc card dev pockt 01 05 09 21 24 040-042 260-262 579-581 907-909 957-959 Periph/cranial nerve & other Pacemaker revis exc device replace Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 3780 Int or repl perm pacemkr 01 01 05 05 21 21 24 040-042 Periph/cranial nerve & other See Pacemaker Reference Table Pacemaker device replacement See Pacemaker Reference Table Other procs for injuries See Pacemaker Reference Table Other procs for mult signif trauma 258-259 907-909 957-959 3781* Int insert 1-cham, non 01 05 21 See Pacemaker Reference Table See Pacemaker Reference Table See Pacemaker Reference Table 3782* Int insert 1-cham, rate 01 05 21 See Pacemaker Reference Table See Pacemaker Reference Table See Pacemaker Reference Table 3783* Int insert dual-cham dev 01 05 21 See Pacemaker Reference Table See Pacemaker Reference Table See Pacemaker Reference Table 3785 01 01 05 05 21 21 24 040-042 01 01 05 05 21 21 24 040-042 01 01 05 05 21 21 24 040-042 01 05 21 24 040-042 260-262 907-909 957-959 Periph/cranial nerve & other Pacemaker revis exc device replace Other procs for injuries 05 250-251 *Percutaneous cardiovascular 3786 3787 3789 Repl pacem w 1-cham, non Repl pacem 1-cham, rate Repl pacem w dual-cham Revise or remove pacemak 3790* Ins left atr append dev 258-259 907-909 957-959 258-259 907-909 957-959 258-259 907-909 957-959 Periph/cranial nerve & other See Pacemaker Reference Table Pacemaker device replacement See Pacemaker Reference Table Other procs for injuries See Pacemaker Reference Table Other procs for mult signif trauma Periph/cranial nerve & other See Pacemaker Reference Table Pacemaker device replacement See Pacemaker Reference Table Other procs for injuries See Pacemaker Reference Table Other procs for mult signif trauma Periph/cranial nerve & other See Pacemaker Reference Table Pacemaker device replacement See Pacemaker Reference Table Other procs for injuries See Pacemaker Reference Table Other procs for mult signif trauma Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 3791 Opn chest cardiac massag MDC 04 05 17 17 21 24 MS-DRG 163-165 237-238 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Major chest Major cardiovascular Major procedure Major procedure Other procs for injuries 222-227 Cardiac defibrillator implant 3794 Implt/repl carddefib tot 05 3795 Implt cardiodefib leads 05 3796 Implt cardiodefib genatr 05 05 Other procs for mult signif trauma See Lead/Generator Reference Table 245 AICD generator See Lead/Generator Reference Table 3797 Repl cardiodefib leads 05 3798 Repl cardiodefib genratr 05 05 245 3799 Other heart/pericard ops 05 237-238 Major cardiovascular 3800 Incision of vessel NOS 03 05 10 21 24 133-134 252-254 628-630 907-909 957-959 Other ear, nose, mouth & throat Other vascular Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 3801 Intracran vessel incis 01 01 21 24 020-022 023-027 907-909 957-959 Intracranial vascular Craniotomy Other procs for injuries Other procs for mult signif trauma 3802 Head/neck ves incis NEC 01 03 05 10 21 24 040-042 133-134 252-254 628-630 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other vascular Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 3803 Upper limb vessel incis 05 10 21 24 252-254 628-630 907-909 957-959 Other vascular Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 3804 Incision of aorta 05 06 21 24 237-238 356-358 907-909 957-959 Major cardiovascular Other digestive system Other procs for injuries Other procs for mult signif trauma 3805 Thoracic vessel inc NEC 04 05 06 21 24 163-165 237-238 326-328 907-909 957-959 Major chest Major cardiovascular Stomach, esophageal & duodenal Other procs for injuries Other procs for mult signif trauma 3806 Abdomen artery incision 05 06 11 21 24 237-238 356-358 673-675 907-909 957-959 Major cardiovascular Other digestive system Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma See Lead/Generator Reference Table AICD generator See Lead/Generator Reference Table APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 3807 Abdominal vein incision MDC 05 06 11 21 24 MS-DRG 237-238 356-358 673-675 907-909 957-959 SURGICAL CATEGORY Major cardiovascular Other digestive system Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma 3808 Lower limb artery incis 05 10 17 17 21 24 252-254 628-630 820-822 826-828 907-909 957-959 Other vascular Other endocrine/nutrit/metabolic Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 3809 Lower limb vein incision 05 21 24 263 907-909 957-959 Vein ligation & stripping Other procs for injuries Other procs for mult signif trauma 3810 Endarterectomy NOS 01 05 21 24 037-039 252-254 907-909 957-959 Extracranial Other vascular Other procs for injuries Other procs for mult signif trauma 3811 Intracran endarterectomy 01 01 020-022 023-027 Intracranial vascular Craniotomy 3812 Head & neck endarter NEC 01 03 05 10 21 24 037-039 133-134 252-254 628-630 907-909 957-959 Extracranial Other ear, nose, mouth & throat Other vascular Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 3813 Upper limb endarterectom 05 10 21 24 252-254 628-630 907-909 957-959 Other vascular Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 3814 Endarterectomy of aorta 05 06 21 24 237-238 356-358 907-909 957-959 Major cardiovascular Other digestive system Other procs for injuries Other procs for mult signif trauma 3815 Thoracic endarterectomy 04 05 21 24 163-165 237-238 907-909 957-959 Major chest Major cardiovascular Other procs for injuries Other procs for mult signif trauma 3816 Abdominal endarterectomy 05 06 11 21 24 237-238 356-358 673-675 907-909 957-959 Major cardiovascular Other digestive system Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma 3818 Lower limb endarterect 05 10 21 24 252-254 628-630 907-909 957-959 Other vascular Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 3821 Blood vessel biopsy MDC 01 02 03 04 05 08 10 11 MS-DRG 040-042 115 133-134 166-168 252-254 515-517 628-630 673-675 SURGICAL CATEGORY Periph/cranial nerve & other Extraocular except orbital Other ear, nose, mouth & throat Other respiratory system Other vascular Other musculoskel & connec tissue Other endocrine/nutrit/metabolic Other kidney & urinary tract 3826 Insrt prsr snsr w/o lead 05 264 Other circulatory system 3829 Blood vessel dx proc NEC 05 10 252-254 628-630 Other vascular Other endocrine/nutrit/metabolic 3830 Vessel resect/anast NOS 05 10 21 24 252-254 628-630 907-909 957-959 Other vascular Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 3831 Intracran ves resec-anas 01 01 21 24 020-022 023-027 907-909 957-959 Intracranial vascular Craniotomy Other procs for injuries Other procs for mult signif trauma 3832 Head/neck ves resec-anas 01 03 05 21 24 037-039 133-134 252-254 907-909 957-959 Extracranial Other ear, nose, mouth & throat Other vascular Other procs for injuries Other procs for mult signif trauma 3833 Arm vessel resect/anast 05 10 21 24 252-254 628-630 907-909 957-959 Other vascular Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 3834 Aorta resection & anast 05 06 21 24 237-238 356-358 907-909 957-959 Major cardiovascular Other digestive system Other procs for injuries Other procs for mult signif trauma 3835 Thor vessel resect/anast 04 05 06 21 24 163-165 237-238 326-328 907-909 957-959 Major chest Major cardiovascular Stomach, esophageal & duodenal Other procs for injuries Other procs for mult signif trauma 3836 Abd vessel resect/anast 05 06 11 21 24 237-238 356-358 673-675 907-909 957-959 Major cardiovascular Other digestive system Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma 3837 Abd vein resect & anast 05 06 11 21 24 237-238 356-358 673-675 907-909 957-959 Major cardiovascular Other digestive system Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 3838 Leg artery resect/anast MDC 05 10 21 24 MS-DRG 252-254 628-630 907-909 957-959 SURGICAL CATEGORY Other vascular Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 3839 Leg vein resect/anastom 05 21 24 263 907-909 957-959 Vein ligation & stripping Other procs for injuries Other procs for mult signif trauma 3840 Vessel resect/replac NOS 05 21 24 252-254 907-909 957-959 Other vascular Other procs for injuries Other procs for mult signif trauma 3841 Intracran ves resec-repl 01 01 21 24 020-022 023-027 907-909 957-959 Intracranial vascular Craniotomy Other procs for injuries Other procs for mult signif trauma 3842 Head/neck ves resec-repl 01 03 05 21 24 040-042 133-134 252-254 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other vascular Other procs for injuries Other procs for mult signif trauma 3843 Arm ves resect w replace 05 10 21 24 252-254 628-630 907-909 957-959 Other vascular Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 3844 Resect abdm aorta w repl 05 21 24 237-238 907-909 957-959 Major cardiovascular Other procs for injuries Other procs for mult signif trauma 3845 Resect thorac ves w repl 04 05 06 21 24 163-165 216-221 326-328 907-909 957-959 Major chest Valve & other major cardiothoracic Stomach, esophageal & duodenal Other procs for injuries Other procs for mult signif trauma 3846 Abd artery resec w repla 05 06 11 21 24 237-238 356-358 673-675 907-909 957-959 Major cardiovascular Other digestive system Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma 3847 Abd vein resect w replac 05 06 11 21 24 237-238 356-358 673-675 907-909 957-959 Major cardiovascular Other digestive system Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma 3848 Leg artery resec w repla 05 10 21 24 252-254 628-630 907-909 957-959 Other vascular Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 3849 Leg vein resect w replac 05 21 24 263 907-909 957-959 Vein ligation & stripping Other procs for injuries 05 263 Vein ligation & stripping 3850 Varicose v lig-strip NOS Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 3851 Intcran var v lig-strip MDC MS-DRG 01 020-022 01 023-027 SURGICAL CATEGORY Intracranial vascular Craniotomy 3852 Head/neck var v lig-str 05 252-254 Other vascular 3853 Arm varicose v lig-strip 05 263 Vein ligation & stripping 3855 Thorac var v lig-strip 04 05 10 163-165 237-238 628-630 Major chest Major cardiovascular Other endocrine/nutrit/metabolic 3857 Abd varicos v liga-strip 05 06 252-254 356-358 Other vascular Other digestive system 3859 Leg varicos v liga-strip 05 263 Vein ligation & stripping 3860 Excision of vessel NOS 05 10 21 24 252-254 628-630 907-909 957-959 Other vascular Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 3861 Intracran vessel excis 01 01 21 24 020-022 023-027 907-909 957-959 Intracranial vascular Craniotomy Other procs for injuries Other procs for mult signif trauma 3862 Head/neck vessel excis 01 03 05 21 24 037-039 133-134 252-254 907-909 957-959 Extracranial Other ear, nose, mouth & throat Other vascular Other procs for injuries Other procs for mult signif trauma 3863 Arm vessel excision 05 10 21 24 252-254 628-630 907-909 957-959 Other vascular Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 3864 Excision of aorta 05 06 21 24 237-238 356-358 907-909 957-959 Major cardiovascular Other digestive system Other procs for injuries Other procs for mult signif trauma 3865 Thoracic vessel excision 04 05 06 21 24 163-165 237-238 326-328 907-909 957-959 Major chest Major cardiovascular Stomach, esophageal & duodenal Other procs for injuries Other procs for mult signif trauma 3866 Abdominal artery excis 05 06 11 21 24 237-238 356-358 673-675 907-909 957-959 Major cardiovascular Other digestive system Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma 3867 Abdominal vein excision 05 06 11 21 24 237-238 356-358 673-675 907-909 957-959 Major cardiovascular Other digestive system Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 3868 Leg artery excision MDC 05 10 21 24 MS-DRG 252-254 628-630 907-909 957-959 SURGICAL CATEGORY Other vascular Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 3869 Leg vein excision 05 21 24 263 907-909 957-959 Vein ligation & stripping Other procs for injuries Other procs for mult signif trauma 387 Interruption vena cava 01 04 05 06 07 08 10 11 12 13 14 16 21 24 040-042 166-168 252-254 356-358 423-425 515-517 628-630 673-675 715-718 749-750 768 802-804 907-909 957-959 Periph/cranial nerve & other Other respiratory system Other vascular Other digestive system Other hepatobiliary or pancreas Other musculoskel & connec tissue Other endocrine/nutrit/metabolic Other kidney & urinary tract Other male reproductive system Other female reproductive system Delivery except steril &/or D&C Other blood & blood form org Other procs for injuries Other procs for mult signif trauma 3880 Surg vessel occlus NEC 05 21 24 252-254 907-909 957-959 Other vascular Other procs for injuries Other procs for mult signif trauma 3881 Occlus intracran ves NEC 01 01 21 24 020-022 023-027 907-909 955 Intracranial vascular Craniotomy Other procs for injuries Craniotomy for mult signif trauma 3882 Occlus head/neck ves NEC 01 03 05 21 24 040-042 133-134 252-254 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other vascular Other procs for injuries Other procs for mult signif trauma 3883 Occlude arm vessel NEC 05 10 21 24 252-254 628-630 907-909 957-959 Other vascular Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 3884 Occlude aorta NEC 05 06 21 24 237-238 356-358 907-909 957-959 Major cardiovascular Other digestive system Other procs for injuries Other procs for mult signif trauma 3885 Occlude thoracic ves NEC 04 05 06 21 24 163-165 237-238 326-328 907-909 957-959 Major chest Major cardiovascular Stomach, esophageal & duodenal Other procs for injuries Other procs for mult signif trauma 3886 Occlude abd artery NEC 05 06 11 21 24 237-238 356-358 673-675 907-909 957-959 Major cardiovascular Other digestive system Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 3887 Occlude abd vein NEC MDC 05 06 11 21 24 MS-DRG 237-238 356-358 673-675 907-909 957-959 SURGICAL CATEGORY Major cardiovascular Other digestive system Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma 3888 Occlude leg artery NEC 05 10 21 24 252-254 628-630 907-909 957-959 Other vascular Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 3889 Occlude leg vein NEC 05 21 24 263 907-909 957-959 Vein ligation & stripping Other procs for injuries 390 Systemic-pulm art shunt 05 237-238 Major cardiovascular 391 Intra-abd venous shunt 05 06 07 237-238 326-328 405-407 Major cardiovascular Stomach, esophageal & duodenal Pancreas, liver and shunt 3921 Caval-pulmon art anastom 05 237-238 Major cardiovascular 3922 Aorta-subclv-carot bypas 01 05 21 24 037-039 237-238 907-909 957-959 Extracranial Major cardiovascular Other procs for injuries Other procs for mult signif trauma 3923 Intrathoracic shunt NEC 05 21 24 237-238 907-909 957-959 Major cardiovascular Other procs for injuries Other procs for mult signif trauma 3924 Aorta-renal bypass 05 11 21 24 237-238 656-661 907-909 957-959 Major cardiovascular Kidney & ureter Other procs for injuries Other procs for mult signif trauma 3925 Aorta-iliac-femor bypass 05 09 10 21 24 237-238 579-581 628-630 907-909 957-959 Major cardiovascular Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 3926 Intra-abdomin shunt NEC 05 06 07 11 21 24 237-238 356-358 423-425 656-661 907-909 957-959 Major cardiovascular Other digestive system Other hepatobiliary or pancreas Kidney & ureter Other procs for injuries Other procs for mult signif trauma 3927 Dialysis arteriovenostom 05 06 10 11 21 24 264 356-358 628-630 673-675 907-909 957-959 Other circulatory system Other digestive system Other endocrine/nutrit/metabolic Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma 3928 Extracran-intracr bypass 01 01 21 24 020-022 023-027 907-909 957-959 Intracranial vascular Craniotomy Other procs for injuries Other procs for mult signif trauma Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 3929 Vasc shunt & bypass NEC MDC 01 04 05 07 09 10 21 24 MS-DRG 037-039 166-168 252-254 423-425 579-581 628-630 907-909 957-959 SURGICAL CATEGORY Extracranial Other respiratory system Other vascular Other hepatobiliary or pancreas Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 3930 Suture of vessel NOS 01 05 21 24 037-039 252-254 907-909 957-959 Extracranial Other vascular Other procs for injuries Other procs for mult signif trauma 3931 Suture of artery 01 04 05 09 10 21 24 037-039 166-168 252-254 579-581 628-630 907-909 957-959 Extracranial Other respiratory system Other vascular Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 3932 Suture of vein 01 05 21 24 037-039 263 907-909 957-959 Extracranial Vein ligation & stripping Other procs for injuries Other procs for mult signif trauma 3941 Postop vasc op hem contr 05 10 21 24 252-254 628-630 907-909 957-959 Other vascular Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 3942 Revis ren dialysis shunt 05 10 11 21 24 264 628-630 673-675 907-909 957-959 Other circulatory system Other endocrine/nutrit/metabolic Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma 3943 Remov ren dialysis shunt 05 11 21 24 264 673-675 907-909 957-959 Other circulatory system Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma 3949 Vasc proc revision NEC 05 06 07 10 11 21 24 252-254 356-358 423-425 628-630 673-675 907-909 957-959 Other vascular Other digestive system Other hepatobiliary or pancreas Other endocrine/nutrit/metabolic Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 3950 Angio oth non-coronary MDC 01 04 05 06 07 08 09 10 11 21 24 MS-DRG 037-039 166-168 252-254 356-358 423-425 515-517 579-581 628-630 673-675 907-909 957-959 SURGICAL CATEGORY Extracranial Other respiratory system Other vascular Other digestive system Other hepatobiliary or pancreas Other musculoskel & connec tissue Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma 3951 Clipping of aneurysm 01 01 05 020-022 023-027 252-254 Intracranial vascular Craniotomy Other vascular 3952 Aneurysm repair NEC 01 01 05 11 21 24 020-022 023-027 237-238 673-675 907-909 957-959 Intracranial vascular Craniotomy Major cardiovascular Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma 3953 Arterioven fistula rep 01 01 05 020-022 023-027 252-254 Intracranial vascular Craniotomy Other vascular 3954 Re-entry operation 04 05 163-165 237-238 Major chest Major cardiovascular 3955 Reimplan aberr renal ves 05 11 252-254 656-661 Other vascular Kidney & ureter 3956 Repair vess w tis patch 01 05 10 11 21 24 037-039 252-254 628-630 673-675 907-909 957-959 Extracranial Other vascular Other endocrine/nutrit/metabolic Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma 3957 Rep vess w synth patch 01 05 10 11 21 24 037-039 252-254 628-630 673-675 907-909 957-959 Extracranial Other vascular Other endocrine/nutrit/metabolic Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma 3958 Repair vess w patch NOS 01 05 10 11 21 24 037-039 252-254 628-630 673-675 907-909 957-959 Extracranial Other vascular Other endocrine/nutrit/metabolic Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma 3959 Repair of vessel NEC 01 05 09 10 11 21 24 037-039 252-254 579-581 628-630 673-675 907-909 957-959 Extracranial Other vascular Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 3965 Extracorporeal memb oxy MDC MS-DRG 003 SURGICAL CATEGORY ECMO 3971 Endo imp oth grf abd aor 05 11 21 24 237-238 673-675 907-909 957-959 Major cardiovascular Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma 3972 Endovasc embol hd/nk ves 01 01 05 11 21 24 020-022 023-027 237-238 673-675 907-909 957-959 Intracranial vascular Craniotomy Major cardiovascular Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma 3973 Endo imp grft thor aorta 05 11 21 24 216-221 673-675 907-909 957-959 Valve & other major cardiothoracic Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma 3974 Endo rem obs hd/neck ves 01 21 24 023-027 907-909 957-959 Craniotomy Other procs for injuries Other procs for mult signif trauma 3975 Endo emb hd/nk,bare coil 01 01 05 11 21 24 020-022 023-027 237-238 673-675 907-909 957-959 Intracranial vascular Craniotomy Major cardiovascular Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma 3976 Endo em hd/nk,bioac coil 01 01 05 11 21 24 020-022 023-027 237-238 673-675 907-909 957-959 Intracranial vascular Craniotomy Major cardiovascular Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma 3977 Temp endovsc occls vessl 01 05 21 24 037-039 252-254 907-909 957-959 Extracranial Other vascular Other procs for injuries Other procs for mult signif trauma 3978 Endovas impln grft aorta 05 24 237-238 957-959 Major cardiovascular Other procs for mult signif trauma 3979 Oth endo proc oth vessel 01 01 05 11 21 24 020-022 023-027 237-238 673-675 907-909 957-959 Intracranial vascular Craniotomy Major cardiovascular Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma 3981 Imp crtd sinus stm,totl 05 252-254 Other vascular 3982 Imp/rep crtd sinus lead 05 252-254 Other vascular 3983 Imp/rep crtd sinus gnrtr 05 252-254 Other vascular 3984 Rev crtd sinus stm leads 05 252-254 Other vascular 3985 Rev crtd sinus pulse gen 05 252-254 Other vascular APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 3986 Rem crtd sinus stm, totl MDC MS-DRG 05 252-254 SURGICAL CATEGORY Other vascular 3987 Rem crtd sinus stm lead 05 252-254 Other vascular 3988 Rem crtd sinus pulse gen 05 252-254 Other vascular 3989 Oth cartd body/sinus op 05 252-254 Other vascular 3991 Freeing of vessel 05 06 10 21 24 252-254 356-358 628-630 907-909 957-959 Other vascular Other digestive system Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 3992 Vein inject-scleros agnt 01 05 037-039 263 Extracranial Vein ligation & stripping 3993 Insert ves-to-ves cannul 05 10 11 21 24 264 628-630 673-675 907-909 957-959 Other circulatory system Other endocrine/nutrit/metabolic Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma 3994 Replac ves-to-ves cannul 05 11 252-254 673-675 Other vascular Other kidney & urinary tract 3998 Hemorrhage control NOS 03 04 05 06 07 08 09 10 11 12 13 14 17 17 21 24 133-134 163-165 264 356-358 423-425 515-517 579-581 628-630 673-675 715-718 749-750 768 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Major chest Other circulatory system Other digestive system Other hepatobiliary or pancreas Other musculoskel & connec tissue Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract Other male reproductive system Other female reproductive system Delivery except steril &/or D&C Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 3999 Vessel operation NEC 03 04 05 06 14 17 17 21 24 133-134 166-168 252-254 356-358 768 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Other respiratory system Other vascular Other digestive system Delivery except steril &/or D&C Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 400 Incis lymphatic structur 09 16 579-581 802-804 Other skin, subcut tissue & breast Other blood & blood form org APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4011 Lymphatic struct biopsy MDC 01 03 04 05 06 07 08 09 10 11 12 13 16 MS-DRG 040-042 133-134 166-168 264 356-358 423-425 515-517 579-581 628-630 673-675 715-718 749-750 802-804 SURGICAL CATEGORY Periph/cranial nerve & other Other ear, nose, mouth & throat Other respiratory system Other circulatory system Other digestive system Other hepatobiliary or pancreas Other musculoskel & connec tissue Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract Other male reproductive system Other female reproductive system Other blood & blood form org 4019 Lymphatic diag proc NEC 03 04 05 06 08 09 10 11 12 16 133-134 166-168 264 356-358 515-517 579-581 628-630 673-675 715-718 802-804 Other ear, nose, mouth & throat Other respiratory system Other circulatory system Other digestive system Other musculoskel & connec tissue Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract Other male reproductive system Other blood & blood form org 4021 Excis deep cervical node 03 04 05 06 08 09 10 16 133-134 166-168 264 356-358 515-517 579-581 628-630 802-804 Other ear, nose, mouth & throat Other respiratory system Other circulatory system Other digestive system Other musculoskel & connec tissue Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other blood & blood form org 4022 Excise int mammary node 04 09 16 163-165 579-581 802-804 Major chest Other skin, subcut tissue & breast Other blood & blood form org 4023 Excise axillary node 03 04 05 06 08 09 16 133-134 166-168 264 356-358 515-517 579-581 802-804 Other ear, nose, mouth & throat Other respiratory system Other circulatory system Other digestive system Other musculoskel & connec tissue Other skin, subcut tissue & breast Other blood & blood form org 4024 Excise inguinal node 04 05 06 08 09 11 12 13 14 16 166-168 264 356-358 515-517 579-581 673-675 715-718 749-750 768 802-804 Other respiratory system Other circulatory system Other digestive system Other musculoskel & connec tissue Other skin, subcut tissue & breast Other kidney & urinary tract Other male reproductive system Other female reproductive system Delivery except steril &/or D&C Other blood & blood form org APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4029 Simp exc lymph struc NEC MDC 03 04 05 06 08 09 10 11 12 13 16 21 24 MS-DRG 133-134 166-168 264 356-358 515-517 579-581 628-630 673-675 715-718 749-750 802-804 907-909 957-959 SURGICAL CATEGORY Other ear, nose, mouth & throat Other respiratory system Other circulatory system Other digestive system Other musculoskel & connec tissue Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract Other male reproductive system Other female reproductive system Other blood & blood form org Other procs for injuries Other procs for mult signif trauma 403 Regional lymph node exc 03 04 05 06 08 09 10 11 12 13 14 16 17 17 133-134 166-168 264 356-358 515-517 579-581 628-630 673-675 715-718 749-750 768 802-804 820-822 826-828 Other ear, nose, mouth & throat Other respiratory system Other circulatory system Other digestive system Other musculoskel & connec tissue Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract Other male reproductive system Other female reproductive system Delivery except steril &/or D&C Other blood & blood form org Major procedure Major procedure 4040 Rad neck dissection NOS 03 04 09 10 16 17 17 129-130 166-168 579-581 628-630 802-804 820-822 826-828 Major head & neck Other respiratory system Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other blood & blood form org Major procedure Major procedure 4041 Unilat rad neck dissect 03 04 09 10 16 17 17 129-130 166-168 579-581 628-630 802-804 820-822 826-828 Major head & neck Other respiratory system Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other blood & blood form org Major procedure Major procedure 4042 Bilat rad neck dissect 03 04 09 10 16 17 17 129-130 166-168 579-581 628-630 802-804 820-822 826-828 Major head & neck Other respiratory system Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other blood & blood form org Major procedure Major procedure APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4050 Rad node dissection NOS MDC 03 04 06 09 11 12 13 16 17 17 MS-DRG 129-130 166-168 356-358 579-581 673-675 715-718 734-735 802-804 820-822 826-828 SURGICAL CATEGORY Major head & neck Other respiratory system Other digestive system Other skin, subcut tissue & breast Other kidney & urinary tract Other male reproductive system Pelv evisc, rad hyst & vulvectomy Other blood & blood form org Major procedure Major procedure 4051 Rad dissec axillary node 06 08 09 16 17 17 356-358 515-517 579-581 802-804 820-822 826-828 Other digestive system Other musculoskel & connec tissue Other skin, subcut tissue & breast Other blood & blood form org Major procedure Major procedure 4052 Rad dissec periaort node 04 06 08 09 10 11 12 13 16 17 17 163-165 356-358 515-517 579-581 628-630 656-661 707-708 734-735 802-804 820-822 826-828 Major chest Other digestive system Other musculoskel & connec tissue Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Kidney & ureter Major pelvic Pelv evisc, rad hyst & vulvectomy Other blood & blood form org Major procedure Major procedure 4053 Rad dissect iliac nodes 06 08 09 10 11 12 13 16 17 17 356-358 515-517 579-581 628-630 656-661 707-708 734-735 802-804 820-822 826-828 Other digestive system Other musculoskel & connec tissue Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Kidney & ureter Major pelvic Pelv evisc, rad hyst & vulvectomy Other blood & blood form org Major procedure Major procedure 4054 Radical groin dissection 06 08 09 11 12 13 16 17 17 356-358 515-517 579-581 656-661 707-708 734-735 802-804 820-822 826-828 Other digestive system Other musculoskel & connec tissue Other skin, subcut tissue & breast Kidney & ureter Major pelvic Pelv evisc, rad hyst & vulvectomy Other blood & blood form org Major procedure Major procedure APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4059 Rad node dissection NEC MDC 03 04 06 08 09 11 12 13 16 17 17 MS-DRG 129-130 166-168 356-358 515-517 579-581 656-661 707-708 734-735 802-804 820-822 826-828 SURGICAL CATEGORY Major head & neck Other respiratory system Other digestive system Other musculoskel & connec tissue Other skin, subcut tissue & breast Kidney & ureter Major pelvic Pelv evisc, rad hyst & vulvectomy Other blood & blood form org Major procedure Major procedure 4061 Thorac duct cannulation 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 4062 Thoracic duct fistulizat 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 4063 Close thoracic duct fist 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 4064 Ligate thoracic duct 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 4069 Thoracic duct op NEC 04 21 24 163-165 907-909 957-959 Major chest Other procs for injuries Other procs for mult signif trauma 409 Lymph structure op NEC 03 06 09 11 12 16 17 17 21 24 133-134 356-358 579-581 673-675 715-718 802-804 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Other digestive system Other skin, subcut tissue & breast Other kidney & urinary tract Other male reproductive system Other blood & blood form org Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4100 Bone marrow trnsplnt NOS 016-017 4101 Auto bone mt w/o purg 016-017 4102 Alo bone marrow trnsplnt 014 Allogeneic Bone Marrow Transplant 4103 Allogrft bone marrow NOS 014 Allogeneic Bone Marrow Transplant 4104 Auto hem stem ct w/o pur 016-017 Autologous Bone Marrow Transplant 4105 Allo hem stem ct w/o pur 014 Allogeneic Bone Marrow Transplant 4106 Cord bld stem cell trans 014 Allogeneic Bone Marrow Transplant 4107 Auto hem stem ct w purg 016-017 Autologous Bone Marrow Transplant 4108 Allo hem stem ct w purg 014 Allogeneic Bone Marrow Transplant Autologous Bone Marrow Transplant Autologous Bone Marrow Transplant APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4109 Auto bone mt w purging MDC MS-DRG 016-017 SURGICAL CATEGORY Autologous Bone Marrow Transplant 412 Splenotomy 16 17 17 21 24 799-801 820-822 826-828 907-909 957-959 Splenectomy Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4133 Open spleen biopsy 16 17 17 799-801 820-822 826-828 Splenectomy Major procedure Major procedure 4141 Splenic cyst marsupial 16 17 17 799-801 820-822 826-828 Splenectomy Major procedure Major procedure 4142 Exc splenic lesion/tiss 16 17 17 21 24 799-801 820-822 826-828 907-909 957-959 Splenectomy Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4143 Partial splenectomy 08 16 17 17 21 24 515-517 799-801 820-822 826-828 907-909 957-959 Other musculoskel & connec tissue Splenectomy Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 415 Total splenectomy 05 06 08 16 17 17 21 24 264 356-358 515-517 799-801 820-822 826-828 907-909 957-959 Other circulatory system Other digestive system Other musculoskel & connec tissue Splenectomy Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4193 Exc of accessory spleen 16 17 17 21 24 799-801 820-822 826-828 907-909 957-959 Splenectomy Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4194 Spleen transplantation 16 17 17 799-801 820-822 826-828 Splenectomy Major procedure Major procedure 4195 Repair of spleen 16 17 17 21 24 799-801 820-822 826-828 907-909 957-959 Splenectomy Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4199 Spleen operation NEC 16 17 17 21 24 799-801 820-822 826-828 907-909 957-959 Splenectomy Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4201 Esophageal web incision MDC MS-DRG 03 133-134 06 326-328 SURGICAL CATEGORY Other ear, nose, mouth & throat Stomach, esophageal & duodenal 4209 Esophageal incision NEC 03 06 21 24 133-134 326-328 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Other procs for injuries Other procs for mult signif trauma 4210 Esophagostomy NOS 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4211 Cervical esophagostomy 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4212 Esoph pouch exteriorizat 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4219 Ext fistulizat esoph NEC 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4221 Esophagoscopy by incis 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4225 Open biopsy of esophagus 03 06 17 17 133-134 326-328 820-822 826-828 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure 4231 Loc excis esoph divertic 03 06 133-134 326-328 Other ear, nose, mouth & throat Stomach, esophageal & duodenal 4232 Local excis esophag NEC 03 06 17 17 133-134 326-328 820-822 826-828 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure 4239 Destruct esophag les NEC 03 06 17 17 133-134 326-328 820-822 826-828 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4240 Esophagectomy NOS MDC 03 06 17 17 21 24 MS-DRG 133-134 326-328 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4241 Partial esophagectomy 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4242 Total esophagectomy 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4251 Thorac esophagoesophagos 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4252 Thorac esophagogastrost 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4253 Thorac sm bowel interpos 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4254 Thorac esophagoenter NEC 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4255 Thorac lg bowel interpos 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4256 Thorac esophagocolos NEC MDC 03 06 17 17 21 24 MS-DRG 133-134 326-328 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4258 Thorac interposition NEC 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4259 Thorac esophag anast NEC 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4261 Stern esophagoesophagost 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4262 Stern esophagogastrostom 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4263 Stern sm bowel interpos 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4264 Stern esophagoenter NEC 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4265 Stern lg bowel interpos 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4266 Stern esophagocolos NEC MDC 03 06 17 17 21 24 MS-DRG 133-134 326-328 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4268 Stern interposition NEC 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4269 Stern esophag anast NEC 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 427 Esophagomyotomy 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4282 Suture esophageal lacer 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4283 Esophagostomy closure 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4284 Esoph fistula repair NEC 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4285 Esophag stricture repair 06 17 17 21 24 326-328 820-822 826-828 907-909 957-959 Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4286 Prod subq tunnel no anas 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4287 Esophageal graft NEC MDC 03 06 17 17 21 24 MS-DRG 133-134 326-328 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4289 Esophageal repair NEC 03 06 17 17 21 24 133-134 326-328 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4291 Ligation esoph varix 06 07 326-328 423-425 Stomach, esophageal & duodenal Other hepatobiliary or pancreas 430 Gastrotomy 06 07 10 17 17 21 24 326-328 423-425 628-630 820-822 826-828 907-909 957-959 Stomach, esophageal & duodenal Other hepatobiliary or pancreas Other endocrine/nutrit/metabolic Major procedure Major procedure Other procs for injuries 433 Pyloromyotomy 06 326-328 Stomach, esophageal & duodenal 4342 Local gastr excision NEC 06 07 10 326-328 423-425 628-630 Stomach, esophageal & duodenal Other hepatobiliary or pancreas Other endocrine/nutrit/metabolic 4349 Local gastr destruct NEC 06 326-328 Stomach, esophageal & duodenal 435 Proximal gastrectomy 06 17 17 21 24 326-328 820-822 826-828 907-909 957-959 Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 436 Distal gastrectomy 05 06 17 17 21 24 264 326-328 820-822 826-828 907-909 957-959 Other circulatory system Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 437 Part gastrec w jej anast 05 06 10 17 17 21 24 264 326-328 628-630 820-822 826-828 907-909 957-959 Other circulatory system Stomach, esophageal & duodenal Other endocrine/nutrit/metabolic Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4381 Part gast w jej transpos 06 17 17 21 24 326-328 820-822 826-828 907-909 957-959 Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4382 Lap vertical gastrectomy MDC 05 06 10 17 17 21 24 MS-DRG 264 326-328 619-621 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Other circulatory system Stomach, esophageal & duodenal Procs for obesity Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4389 Opn/oth part gastrectomy 05 06 10 17 17 21 24 264 326-328 619-621 820-822 826-828 907-909 957-959 Other circulatory system Stomach, esophageal & duodenal Procs for obesity Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4391 Tot gast w intes interpo 06 17 17 21 24 326-328 820-822 826-828 907-909 957-959 Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4399 Total gastrectomy NEC 05 06 17 17 21 24 264 326-328 820-822 826-828 907-909 957-959 Other circulatory system Stomach, esophageal & duodenal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4400 Vagotomy NOS 01 06 040-042 326-328 Periph/cranial nerve & other Stomach, esophageal & duodenal 4401 Truncal vagotomy 06 326-328 Stomach, esophageal & duodenal 4402 Highly select vagotomy 06 326-328 Stomach, esophageal & duodenal 4403 Selective vagotomy NEC 06 326-328 Stomach, esophageal & duodenal 4411 Transabdomin gastroscopy 06 07 17 17 21 24 326-328 420-422 820-822 826-828 907-909 957-959 Stomach, esophageal & duodenal Hepatobiliary diagnostic procs Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4415 Open gastric biopsy 06 326-328 Stomach, esophageal & duodenal 4421 Dilate pylorus, incision 06 326-328 Stomach, esophageal & duodenal 4429 Other pyloroplasty 06 326-328 Stomach, esophageal & duodenal 4431 High gastric bypass 06 10 17 17 326-328 619-621 820-822 826-828 Stomach, esophageal & duodenal Procs for obesity Major procedure Major procedure 4432 Percu gastrojejunostomy 06 07 10 17 17 326-328 423-425 619-621 820-822 826-828 Stomach, esophageal & duodenal Other hepatobiliary or pancreas Procs for obesity Major procedure Major procedure APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4438 Lap gastroenterostomy MDC 05 06 07 10 17 17 MS-DRG 264 326-328 423-425 619-621 820-822 826-828 SURGICAL CATEGORY Other circulatory system Stomach, esophageal & duodenal Other hepatobiliary or pancreas Procs for obesity Major procedure Major procedure 4439 Gastroenterostomy NEC 05 06 07 10 17 17 264 326-328 423-425 619-621 820-822 826-828 Other circulatory system Stomach, esophageal & duodenal Other hepatobiliary or pancreas Procs for obesity Major procedure Major procedure 4440 Suture peptic ulcer NOS 06 326-328 Stomach, esophageal & duodenal 4441 Sut gastric ulcer site 06 326-328 Stomach, esophageal & duodenal 4442 Suture duoden ulcer site 06 326-328 Stomach, esophageal & duodenal 445 Revision gastric anastom 06 10 21 24 326-328 619-621 907-909 957-959 Stomach, esophageal & duodenal Procs for obesity Other procs for injuries Other procs for mult signif trauma 4461 Suture gastric lacerat 06 21 24 326-328 907-909 957-959 Stomach, esophageal & duodenal Other procs for injuries Other procs for mult signif trauma 4463 Close gastric fistul NEC 06 07 17 17 21 24 326-328 423-425 820-822 826-828 907-909 957-959 Stomach, esophageal & duodenal Other hepatobiliary or pancreas Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4464 Gastropexy 06 21 24 326-328 907-909 957-959 Stomach, esophageal & duodenal Other procs for injuries Other procs for mult signif trauma 4465 Esophagogastroplasty 06 21 24 326-328 907-909 957-959 Stomach, esophageal & duodenal Other procs for injuries Other procs for mult signif trauma 4466 Creat esophagastr sphinc 06 21 24 326-328 907-909 957-959 Stomach, esophageal & duodenal Other procs for injuries Other procs for mult signif trauma 4467 Lap creat esoph sphinct 06 21 24 326-328 907-909 957-959 Stomach, esophageal & duodenal Other procs for injuries Other procs for mult signif trauma 4468 Laparoscop gastroplasty 06 10 21 24 326-328 619-621 907-909 957-959 Stomach, esophageal & duodenal Procs for obesity Other procs for injuries Other procs for mult signif trauma 4469 Gastric repair NEC 06 10 21 24 326-328 619-621 907-909 957-959 Stomach, esophageal & duodenal Procs for obesity Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4491 Ligate gastric varices MDC MS-DRG 06 326-328 07 423-425 SURGICAL CATEGORY Stomach, esophageal & duodenal Other hepatobiliary or pancreas 4492 Intraop gastric manipul 06 07 10 21 24 326-328 423-425 628-630 907-909 957-959 Stomach, esophageal & duodenal Other hepatobiliary or pancreas Other endocrine/nutrit/metabolic Other procs for injuries 4495 Lap gastric restric proc 10 619-621 Procs for obesity 4496 Lap rev gast restri proc 10 619-621 Procs for obesity 4497 Lap rem gast restric dev 10 619-621 Procs for obesity 4498 Adjust gast restrict dev 10 619-621 Procs for obesity 4499 Gastric operation NEC 06 10 21 24 326-328 619-621 907-909 957-959 Stomach, esophageal & duodenal Procs for obesity Other procs for injuries Other procs for mult signif trauma 4500 Intestinal incision NOS 06 21 24 344-346 907-909 957-959 Minor small & large bowel Other procs for injuries Other procs for mult signif trauma 4501 Duodenal incision 06 07 21 24 326-328 423-425 907-909 957-959 Stomach, esophageal & duodenal Other hepatobiliary or pancreas Other procs for injuries Other procs for mult signif trauma 4502 Small bowel incision NEC 06 17 17 21 24 344-346 820-822 826-828 907-909 957-959 Minor small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4503 Large bowel incision 06 17 17 21 24 344-346 820-822 826-828 907-909 957-959 Minor small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4511 Transab sm bowel endosc 06 17 17 21 24 344-346 820-822 826-828 907-909 957-959 Minor small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma Other procs for mult signif trauma 4515 Open small bowel biopsy 06 344-346 Minor small & large bowel 4521 Transab lg bowel endosc 06 21 24 344-346 907-909 957-959 Minor small & large bowel Other procs for injuries Other procs for mult signif trauma 4526 Open large bowel biopsy 06 344-346 Minor small & large bowel 4531 Oth excise duodenum les 06 07 17 17 326-328 423-425 820-822 826-828 Stomach, esophageal & duodenal Other hepatobiliary or pancreas Major procedure Major procedure APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4532 Destruct duoden les NEC MDC 06 07 17 17 MS-DRG 326-328 423-425 820-822 826-828 SURGICAL CATEGORY Stomach, esophageal & duodenal Other hepatobiliary or pancreas Major procedure Major procedure 4533 Local excis sm bowel NEC 06 17 17 347-349 820-822 826-828 Anal and stomal Major procedure Major procedure 4534 Destr sm bowel les NEC 06 17 17 344-346 820-822 826-828 Minor small & large bowel Major procedure Major procedure 4541 Excise lg intestine les 06 10 17 17 347-349 628-630 820-822 826-828 Anal and stomal Other endocrine/nutrit/metabolic Major procedure Major procedure 4549 Destruc lg bowel les NEC 06 17 17 344-346 820-822 826-828 Minor small & large bowel Major procedure Major procedure 4550 Intest seg isolat NOS 06 17 17 329-331 820-822 826-828 Major small & large bowel Major procedure Major procedure 4551 Sm bowel segment isolat 06 329-331 Major small & large bowel 4552 Lg bowel segment isolat 06 329-331 Major small & large bowel 4561 Mult seg sm bowel excis 05 06 17 17 21 24 264 329-331 820-822 826-828 907-909 957-959 Other circulatory system Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4562 Part sm bowel resect NEC 05 06 10 17 17 21 24 264 329-331 628-630 820-822 826-828 907-909 957-959 Other circulatory system Major small & large bowel Other endocrine/nutrit/metabolic Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4563 Total removal sm bowel 06 17 17 21 24 329-331 820-822 826-828 907-909 957-959 Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4571 Opn mul seg lg intes NEC 06 17 17 21 24 329-331 820-822 826-828 907-909 957-959 Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4572 Open cecectomy NEC 05 06 21 24 264 329-331 907-909 957-959 Other circulatory system Major small & large bowel Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4573 Opn rt hemicolectomy NEC MDC 05 06 17 17 21 24 MS-DRG 264 329-331 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Other circulatory system Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4574 Opn transv colon res NEC 05 06 17 17 21 24 264 329-331 820-822 826-828 907-909 957-959 Other circulatory system Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4575 Opn lft hemicolectmy NEC 05 06 10 17 17 21 24 264 329-331 628-630 820-822 826-828 907-909 957-959 Other circulatory system Major small & large bowel Other endocrine/nutrit/metabolic Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4576 Open sigmoidectomy NEC 06 17 17 21 24 329-331 820-822 826-828 907-909 957-959 Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4579 Prt lg intes exc NEC/NOS 05 06 17 17 21 24 264 329-331 820-822 826-828 907-909 957-959 Other circulatory system Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4581 Lap tot intr-ab colectmy 05 06 17 17 21 24 264 329-331 820-822 826-828 907-909 957-959 Other circulatory system Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4582 Op tot intr-abd colectmy 05 06 17 17 21 24 264 329-331 820-822 826-828 907-909 957-959 Other circulatory system Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4583 Tot abd colectmy NEC/NOS 05 06 17 17 21 24 264 329-331 820-822 826-828 907-909 957-959 Other circulatory system Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4590 Intestinal anastom NOS MDC 06 10 17 17 21 24 MS-DRG 329-331 619-621 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Major small & large bowel Procs for obesity Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4591 Sm-to-sm bowel anastom 06 10 17 17 21 24 329-331 619-621 820-822 826-828 907-909 957-959 Major small & large bowel Procs for obesity Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4592 Sm bowel-rect stump anas 06 17 17 21 24 329-331 820-822 826-828 907-909 957-959 Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4593 Small-to-large bowel NEC 05 06 10 17 17 21 24 264 329-331 628-630 820-822 826-828 907-909 957-959 Other circulatory system Major small & large bowel Other endocrine/nutrit/metabolic Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4594 Lg-to-lg bowel anastom 06 10 17 17 21 24 329-331 628-630 820-822 826-828 907-909 957-959 Major small & large bowel Other endocrine/nutrit/metabolic Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4595 Anal anastomosis 06 17 17 21 24 329-331 820-822 826-828 907-909 957-959 Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4601 Sm bowel exteriorization 06 17 17 21 24 329-331 820-822 826-828 907-909 957-959 Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4602 Resect ext seg sm bowel 06 17 17 21 24 329-331 820-822 826-828 907-909 957-959 Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4603 Lg bowel exteriorization 05 06 17 17 21 24 264 329-331 820-822 826-828 907-909 957-959 Other circulatory system Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4604 Resect ext seg lg bowel MDC 06 17 17 21 24 MS-DRG 329-331 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4610 Colostomy NOS 06 17 17 21 24 329-331 820-822 826-828 907-909 957-959 Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4611 Temporary colostomy 06 17 17 21 24 329-331 820-822 826-828 907-909 957-959 Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4613 Permanent colostomy 05 06 17 17 21 24 264 329-331 820-822 826-828 907-909 957-959 Other circulatory system Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4620 Ileostomy NOS 06 17 17 21 24 329-331 820-822 826-828 907-909 957-959 Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4621 Temporary ileostomy 06 17 17 21 24 329-331 820-822 826-828 907-909 957-959 Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4622 Continent ileostomy 06 17 17 21 24 329-331 820-822 826-828 907-909 957-959 Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4623 Permanent ileostomy NEC 06 17 17 21 24 329-331 820-822 826-828 907-909 957-959 Major small & large bowel Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4640 Intest stoma revis NOS 06 17 17 21 24 347-349 820-822 826-828 907-909 957-959 Anal and stomal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4641 Sm bowel stoma revision 06 17 17 21 24 347-349 820-822 826-828 907-909 957-959 Anal and stomal Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4642 Pericolost hernia repair MDC 06 21 24 MS-DRG 347-349 907-909 957-959 SURGICAL CATEGORY Anal and stomal Other procs for injuries Other procs for mult signif trauma 4643 Lg bowel stoma revis NEC 06 21 24 347-349 907-909 957-959 Anal and stomal Other procs for injuries Other procs for mult signif trauma 4650 Intest stoma closure NOS 06 21 24 344-346 907-909 957-959 Minor small & large bowel Other procs for injuries Other procs for mult signif trauma 4651 Sm bowel stoma closure 06 21 24 344-346 907-909 957-959 Minor small & large bowel Other procs for injuries Other procs for mult signif trauma 4652 Lg bowel stoma closure 06 21 24 344-346 907-909 957-959 Minor small & large bowel Other procs for injuries Other procs for mult signif trauma 4660 Intestinal fixation NOS 06 344-346 Minor small & large bowel 4661 Sm bowel-abd wall fixat 06 344-346 Minor small & large bowel 4662 Small bowel fixation NEC 06 344-346 Minor small & large bowel 4663 Lg bowel-abd wall fixat 06 344-346 Minor small & large bowel 4664 Large bowel fixation NEC 06 344-346 Minor small & large bowel 4671 Duodenal lacerat suture 06 21 24 326-328 907-909 957-959 Stomach, esophageal & duodenal Other procs for injuries Other procs for mult signif trauma 4672 Duodenal fistula closure 06 21 24 326-328 907-909 957-959 Stomach, esophageal & duodenal Other procs for injuries Other procs for mult signif trauma 4673 Small bowel suture NEC 06 21 24 329-331 907-909 957-959 Major small & large bowel Other procs for injuries Other procs for mult signif trauma 4674 Close sm bowel fist NEC 06 21 24 329-331 907-909 957-959 Major small & large bowel Other procs for injuries Other procs for mult signif trauma 4675 Suture lg bowel lacerat 06 21 24 329-331 907-909 957-959 Major small & large bowel Other procs for injuries Other procs for mult signif trauma 4676 Close lg bowel fistula 06 21 24 329-331 907-909 957-959 Major small & large bowel Other procs for injuries Other procs for mult signif trauma 4679 Repair of intestine NEC 06 21 24 329-331 907-909 957-959 Major small & large bowel Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4680 Intra-ab bowel manip NOS MDC 06 07 17 17 21 24 MS-DRG 329-331 423-425 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Major small & large bowel Other hepatobiliary or pancreas Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4681 Intra-abd sm bowel manip 06 07 17 17 21 24 329-331 423-425 820-822 826-828 907-909 957-959 Major small & large bowel Other hepatobiliary or pancreas Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4682 Intra-abd lg bowel manip 06 07 17 17 21 24 329-331 423-425 820-822 826-828 907-909 957-959 Major small & large bowel Other hepatobiliary or pancreas Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4691 Myotomy of sigmoid colon 06 329-331 Major small & large bowel 4692 Myotomy of colon NEC 06 329-331 Major small & large bowel 4693 Revise sm bowel anastom 06 21 24 329-331 907-909 957-959 Major small & large bowel Other procs for injuries Other procs for mult signif trauma 4694 Revise lg bowel anastom 06 21 24 329-331 907-909 957-959 Major small & large bowel Other procs for injuries Other procs for mult signif trauma 4697 Transplant of intestine 005 Intestinal transplant 4699 Intestinal op NEC 06 07 17 17 21 24 329-331 423-425 820-822 826-828 907-909 957-959 Major small & large bowel Other hepatobiliary or pancreas Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4701 Lap appendectomy 06 338-343 Appendectomy 4709 Other appendectomy 05 06 264 338-343 Other circulatory system Appendectomy 4711 Lap incid appendectomy 13 21 24 749-750 907-909 957-959 Other female reproductive system Other procs for injuries Other procs for mult signif trauma 4719 Other incid appendectomy 13 21 24 749-750 907-909 957-959 Other female reproductive system Other procs for injuries Other procs for mult signif trauma 472 Drain appendiceal absc 06 338-343 Appendectomy 4791 Appendicostomy 06 344-346 Minor small & large bowel APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4792 Close appendiceal fistul MDC 06 21 24 MS-DRG 329-331 907-909 957-959 SURGICAL CATEGORY Major small & large bowel Other procs for injuries Other procs for mult signif trauma 4799 Appendiceal ops NEC 06 338-343 Appendectomy 480 Proctotomy 06 21 24 344-346 907-909 957-959 Minor small & large bowel Other procs for injuries Other procs for mult signif trauma 481 Proctostomy 06 21 24 329-331 907-909 957-959 Major small & large bowel Other procs for injuries Other procs for mult signif trauma 4821 Transab proctosigmoidosc 06 21 24 344-346 907-909 957-959 Minor small & large bowel Other procs for injuries Other procs for mult signif trauma 4825 Open rectal biopsy 05 06 264 344-346 Other circulatory system Minor small & large bowel 4835 Local excis rectal les 05 06 09 264 347-349 579-581 Other circulatory system Anal and stomal Other skin, subcut tissue & breast 4840 Pull-thru res rectum NOS 06 17 17 21 24 332-334 820-822 826-828 907-909 957-959 Rectal resection Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4841 Soave submuc rect resect 06 17 17 332-334 820-822 826-828 Rectal resection Major procedure Major procedure 4842 Lap pull-thru res rectum 06 17 17 21 24 332-334 820-822 826-828 907-909 957-959 Rectal resection Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4843 Opn pull-thru res rectum 06 17 17 21 24 332-334 820-822 826-828 907-909 957-959 Rectal resection Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4849 Pull-thru rect resec NEC 06 17 17 21 24 332-334 820-822 826-828 907-909 957-959 Rectal resection Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4850 Abdperneal res rectm NOS 06 17 17 21 24 332-334 820-822 826-828 907-909 957-959 Rectal resection Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4851 Lap abdperneal resc rec MDC 06 17 17 21 24 MS-DRG 332-334 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Rectal resection Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4852 Opn abdperneal resc rec 06 17 17 21 24 332-334 820-822 826-828 907-909 957-959 Rectal resection Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4859 Abdperneal resc rect NEC 06 17 17 21 24 332-334 820-822 826-828 907-909 957-959 Rectal resection Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4861 Transsac rectosigmoidect 06 17 17 21 24 332-334 820-822 826-828 907-909 957-959 Rectal resection Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4862 Ant rect resect w colost 05 06 17 17 21 24 264 332-334 820-822 826-828 907-909 957-959 Other circulatory system Rectal resection Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4863 Anterior rect resect NEC 05 06 17 17 21 24 264 332-334 820-822 826-828 907-909 957-959 Other circulatory system Rectal resection Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4864 Posterior rect resection 06 17 17 21 24 332-334 820-822 826-828 907-909 957-959 Rectal resection Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4865 Duhamel rectal resection 06 17 17 21 24 332-334 820-822 826-828 907-909 957-959 Rectal resection Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 4869 Rectal resection NEC 05 06 12 17 17 21 24 264 332-334 707-708 820-822 826-828 907-909 957-959 Other circulatory system Rectal resection Major pelvic Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4871 Suture of rectal lacer MDC 06 14 21 24 MS-DRG 329-331 774-775 907-909 957-959 SURGICAL CATEGORY Major small & large bowel Uncomp vaginal delivery procs Other procs for injuries Other procs for mult signif trauma 4872 Closure of proctostomy 06 21 24 329-331 907-909 957-959 Major small & large bowel Other procs for injuries Other procs for mult signif trauma 4873 Close rectal fist NEC 06 09 13 21 24 347-349 579-581 746-747 907-909 957-959 Anal and stomal Other skin, subcut tissue & breast Vagina, cervix & vulva Other procs for injuries Other procs for mult signif trauma 4874 Rectorectostomy 06 21 24 329-331 907-909 957-959 Major small & large bowel Other procs for injuries Other procs for mult signif trauma 4875 Abdominal proctopexy 06 21 24 329-331 907-909 957-959 Major small & large bowel Other procs for injuries Other procs for mult signif trauma 4876 Proctopexy NEC 06 21 24 329-331 907-909 957-959 Major small & large bowel Other procs for injuries Other procs for mult signif trauma 4879 Repair of rectum NEC 06 14 21 24 347-349 768 907-909 957-959 Anal and stomal Delivery except steril &/or D&C Other procs for injuries Other procs for mult signif trauma 4881 Perirectal incision 06 09 21 24 347-349 579-581 907-909 957-959 Anal and stomal Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 4882 Perirectal excision 06 09 21 24 347-349 579-581 907-909 957-959 Anal and stomal Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 4891 Incis rectal stricture 06 21 24 347-349 907-909 957-959 Anal and stomal Other procs for injuries Other procs for mult signif trauma 4892 Anorectal myomectomy 06 347-349 Anal and stomal 4893 Repair perirect fistula 06 347-349 Anal and stomal 4899 Rectal perirect op NEC 06 347-349 Anal and stomal 4901 Incis perianal abscess 06 09 347-349 579-581 Anal and stomal Other skin, subcut tissue & breast 4902 Perianal incision NEC 06 09 347-349 579-581 Anal and stomal Other skin, subcut tissue & breast 4904 Perianal excision NEC 06 09 347-349 579-581 Anal and stomal Other skin, subcut tissue & breast APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4911 Anal fistulotomy MDC 06 09 21 24 MS-DRG 347-349 579-581 907-909 957-959 SURGICAL CATEGORY Anal and stomal Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 4912 Anal fistulectomy 06 09 21 24 347-349 579-581 907-909 957-959 Anal and stomal Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 4939 Other destruc anus les 06 09 347-349 579-581 Anal and stomal Other skin, subcut tissue & breast 4944 Hemorrhoid cryotherapy 06 347-349 Anal and stomal 4945 Hemorrhoid ligation 06 347-349 Anal and stomal 4946 Hemorrhoidectomy 06 14 347-349 768 Anal and stomal Delivery except steril &/or D&C 4949 Hemorrhoid procedure NEC 06 347-349 Anal and stomal 4951 Left lat sphincterotomy 06 347-349 Anal and stomal 4952 Post sphincterotomy 06 347-349 Anal and stomal 4959 Anal sphincterotomy NEC 06 14 347-349 774-775 Anal and stomal Uncomp vaginal delivery procs 496 Excision of anus 06 347-349 Anal and stomal 4971 Suture anal laceration 06 09 21 24 347-349 579-581 907-909 957-959 Anal and stomal Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 4972 Anal cerclage 06 09 347-349 579-581 Anal and stomal Other skin, subcut tissue & breast 4973 Closure of anal fistula 06 09 21 24 347-349 579-581 907-909 957-959 Anal and stomal Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 4974 Gracilis musc transplan 06 356-358 Other digestive system 4975 Impl or rev art anal sph 06 09 21 24 332-334 579-581 907-909 957-959 Rectal resection Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 4976 Remov art anal sphincter 06 09 21 24 332-334 579-581 907-909 957-959 Rectal resection Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 4979 Anal sphinct repair NEC 06 09 21 24 347-349 579-581 907-909 957-959 Anal and stomal Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 4991 Incision of anal septum MDC MS-DRG 06 347-349 SURGICAL CATEGORY Anal and stomal 4992 Insert subq anal stimul 06 347-349 Anal and stomal 4993 Anal incision NEC 06 347-349 Anal and stomal 4994 Reduction anal prolapse 06 347-349 Anal and stomal 4995 Control anal hemorrhage 06 21 24 347-349 907-909 957-959 Anal and stomal Other procs for injuries Other procs for mult signif trauma 4999 Anal operation NEC 06 21 24 347-349 907-909 957-959 Anal and stomal Other procs for injuries Other procs for mult signif trauma 500 Hepatotomy 07 21 24 405-407 907-909 957-959 Pancreas, liver and shunt Other procs for injuries Other procs for mult signif trauma 5012 Open liver biopsy 03 04 05 06 07 08 09 10 11 12 13 16 17 17 21 24 133-134 166-168 264 356-358 420-422 515-517 579-581 628-630 673-675 715-718 749-750 802-804 820-822 826-828 907-909 957-959 Other ear, nose, mouth & throat Other respiratory system Other circulatory system Other digestive system Hepatobiliary diagnostic procs Other musculoskel & connec tissue Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract Other male reproductive system Other female reproductive system Other blood & blood form org Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5014 Laparoscopic liver bx 06 07 09 11 16 17 17 21 24 356-358 420-422 579-581 673-675 802-804 820-822 826-828 907-909 957-959 Other digestive system Hepatobiliary diagnostic procs Other skin, subcut tissue & breast Other kidney & urinary tract Other blood & blood form org Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5019 Hepatic dx proc NEC 06 07 09 11 16 17 17 21 24 356-358 420-422 579-581 673-675 802-804 820-822 826-828 907-909 957-959 Other digestive system Hepatobiliary diagnostic procs Other skin, subcut tissue & breast Other kidney & urinary tract Other blood & blood form org Major procedure Major procedure Other procs for injuries 07 405-407 Pancreas, liver and shunt 5021 Marsupializat liver les Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 5022 Partial hepatectomy MDC 07 21 24 MS-DRG 405-407 907-909 957-959 SURGICAL CATEGORY Pancreas, liver and shunt Other procs for injuries Other procs for mult signif trauma 5023 Opn abltn liver les/tiss 06 07 356-358 405-407 Other digestive system Pancreas, liver and shunt 5024 Perc abltn liver les/tis 06 07 356-358 405-407 Other digestive system Pancreas, liver and shunt 5025 Lap abltn liver les/tiss 06 07 356-358 405-407 Other digestive system Pancreas, liver and shunt 5026 Abltn liver les/tiss NEC 06 07 356-358 405-407 Other digestive system Pancreas, liver and shunt 5029 Destruc hepatic les NEC 06 07 356-358 405-407 Other digestive system Pancreas, liver and shunt 503 Hepatic lobectomy 07 21 24 405-407 907-909 957-959 Pancreas, liver and shunt Other procs for injuries Other procs for mult signif trauma 504 Total hepatectomy 07 21 24 405-407 907-909 957-959 Pancreas, liver and shunt Other procs for injuries 5051 Auxiliary liver transpl 005-006 Liver transplant 5059 Liver transplant NEC 005-006 Liver transplant 5061 Closure liver lacerat 07 21 24 405-407 907-909 957-959 Pancreas, liver and shunt Other procs for injuries Other procs for mult signif trauma 5069 Liver repair NEC 07 21 24 405-407 907-909 957-959 Pancreas, liver and shunt Other procs for injuries Other procs for mult signif trauma Other procs for mult signif trauma 5102 Trocar cholecystostomy 07 408-410 Biliary tract 5103 Cholecystostomy NEC 06 07 356-358 408-410 Other digestive system Biliary tract 5104 Cholecystotomy NEC 07 408-410 Biliary tract 5113 Open biliary tract bx 06 07 356-358 420-422 Other digestive system Hepatobiliary diagnostic procs 5119 Biliary tr dx proc NEC 06 07 356-358 420-422 Other digestive system Hepatobiliary diagnostic procs 5121 Oth part cholecystectomy 07 07 17 17 21 24 411-413 414-416 820-822 826-828 907-909 957-959 Cholecystectomy Cholecystectomy exc laparoscopic Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 5122 Cholecystectomy MDC 06 07 07 17 17 21 24 MS-DRG 356-358 411-413 414-416 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Other digestive system Cholecystectomy Cholecystectomy exc laparoscopic Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5123 Laparoscopic cholecystec 06 07 07 17 17 21 24 356-358 411-413 417-419 820-822 826-828 907-909 957-959 Other digestive system Cholecystectomy Laparoscopic cholecystectomy Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5124 Lap part cholecystectomy 07 07 17 17 21 24 411-413 417-419 820-822 826-828 907-909 957-959 Cholecystectomy Laparoscopic cholecystectomy Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5131 Gb-to-hepat duct anast 07 17 17 21 24 408-410 820-822 826-828 907-909 957-959 Biliary tract Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5132 Gb-to-intestine anastom 06 07 17 17 21 24 356-358 408-410 820-822 826-828 907-909 957-959 Other digestive system Biliary tract Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5133 Gb-to-pancreas anastom 07 17 17 21 24 408-410 820-822 826-828 907-909 957-959 Biliary tract Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5134 Gb-to-stomach anastomos 07 17 17 21 24 408-410 820-822 826-828 907-909 957-959 Biliary tract Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5135 Gallbladder anastom NEC 07 17 17 21 24 408-410 820-822 826-828 907-909 957-959 Biliary tract Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5136 Choledochoenterostomy 06 07 17 17 21 24 356-358 408-410 820-822 826-828 907-909 957-959 Other digestive system Biliary tract Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 5137 Hepatic duct-gi anastom MDC 06 07 17 17 21 24 MS-DRG 356-358 408-410 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Other digestive system Biliary tract Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5139 Bile duct anastomos NEC 07 17 17 21 24 408-410 820-822 826-828 907-909 957-959 Biliary tract Major procedure Major procedure Other procs for injuries 5141 Cde for calculus remov 07 408-413 Common bile duct exploration 5142 Cde for obstruction NEC 07 17 17 21 24 408-413 820-822 826-828 907-909 957-959 Common bile duct exploration Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5143 Choledochohepat intubat 07 17 17 21 24 405-407 820-822 826-828 907-909 957-959 Pancreas, liver and shunt Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5149 Incis obstr bile duc NEC 07 17 17 408-410 820-822 826-828 Biliary tract Major procedure Major procedure 5151 Common duct exploration 07 408-413 Common bile duct exploration 5159 Bile duct incision NEC 06 07 17 17 21 24 356-358 408-410 820-822 826-828 907-909 957-959 Other digestive system Biliary tract Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5161 Excis cyst duct remnant 07 21 24 408-410 907-909 957-959 Biliary tract Other procs for injuries Other procs for mult signif trauma 5162 Excis ampulla of vater 06 07 356-358 408-410 Other digestive system Biliary tract 5163 Common duct excis NEC 06 07 356-358 408-410 Other digestive system Biliary tract 5169 Bile duct excision NEC 06 07 356-358 408-410 Other digestive system Biliary tract 5171 Simple sut-common duct 07 21 24 408-410 907-909 957-959 Biliary tract Other procs for injuries Other procs for mult signif trauma 5172 Choledochoplasty 07 21 24 408-410 907-909 957-959 Biliary tract Other procs for injuries Other procs for mult signif trauma Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 5179 Bile duct repair NEC MDC 07 21 24 MS-DRG 408-410 907-909 957-959 SURGICAL CATEGORY Biliary tract Other procs for injuries Other procs for mult signif trauma 5181 Sphincter of oddi dilat 06 07 21 24 356-358 408-410 907-909 957-959 Other digestive system Biliary tract Other procs for injuries Other procs for mult signif trauma 5182 Pancreat sphincterotom 06 07 21 24 326-328 405-407 907-909 957-959 Stomach, esophageal & duodenal Pancreas, liver and shunt Other procs for injuries Other procs for mult signif trauma 5183 Pancreat sphincteroplas 06 07 21 24 326-328 405-407 907-909 957-959 Stomach, esophageal & duodenal Pancreas, liver and shunt Other procs for injuries Other procs for mult signif trauma 5189 Sphinct of oddi op NEC 07 21 24 408-410 907-909 957-959 Biliary tract Other procs for injuries Other procs for mult signif trauma 5191 Repair gb laceration 07 21 24 408-410 907-909 957-959 Biliary tract Other procs for injuries Other procs for mult signif trauma 5192 Closure cholecystostomy 07 21 24 408-410 907-909 957-959 Biliary tract Other procs for injuries Other procs for mult signif trauma 5193 Clos biliary fistul NEC 07 17 17 21 24 408-410 820-822 826-828 907-909 957-959 Biliary tract Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5194 Revis bile tract anastom 07 17 17 21 24 408-410 820-822 826-828 907-909 957-959 Biliary tract Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5195 Remove bile duct prosth 07 17 17 21 24 408-410 820-822 826-828 907-909 957-959 Biliary tract Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5199 Biliary tract op NEC 07 17 17 21 24 408-410 820-822 826-828 907-909 957-959 Biliary tract Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5201 Cath drain-pancreat cyst 07 405-407 Pancreas, liver and shunt 5209 Pancreatotomy NEC 07 405-407 Pancreas, liver and shunt APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 5212 Open pancreatic biopsy MDC 06 07 10 17 17 21 24 MS-DRG 356-358 420-422 628-630 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Other digestive system Hepatobiliary diagnostic procs Other endocrine/nutrit/metabolic Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5219 Pancreatic dx proc NEC 06 07 10 17 17 21 24 356-358 420-422 628-630 820-822 826-828 907-909 957-959 Other digestive system Hepatobiliary diagnostic procs Other endocrine/nutrit/metabolic Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5222 Other destru pancrea les 07 10 405-407 628-630 Pancreas, liver and shunt Other endocrine/nutrit/metabolic 523 Pancreat cyst marsupiali 07 405-407 Pancreas, liver and shunt 524 Int drain pancreat cyst 07 405-407 Pancreas, liver and shunt 5251 Proximal pancreatectomy 07 10 21 24 405-407 628-630 907-909 957-959 Pancreas, liver and shunt Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 5252 Distal pancreatectomy 07 10 21 24 405-407 628-630 907-909 957-959 Pancreas, liver and shunt Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 5253 Rad subtot pancreatectom 07 10 21 24 405-407 628-630 907-909 957-959 Pancreas, liver and shunt Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 5259 Partial pancreatect NEC 07 10 21 24 405-407 628-630 907-909 957-959 Pancreas, liver and shunt Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 526 Total pancreatectomy 07 21 24 405-407 907-909 957-959 Pancreas, liver and shunt Other procs for injuries Other procs for mult signif trauma 527 Rad pancreaticoduodenect 06 07 21 24 326-328 405-407 907-909 957-959 Stomach, esophageal & duodenal Pancreas, liver and shunt Other procs for injuries Other procs for mult signif trauma 5280 Pancreat transplant NOS 07 10 405-407 628-630 See Transplant Reference Table Pancreas, liver and shunt Other endocrine/nutrit/metabolic 07 405-407 Pancreas, liver and shunt 07 10 405-407 628-630 See Transplant Reference Table Pancreas, liver and shunt Other endocrine/nutrit/metabolic 5281 Reimplant pancreatic tis 5282 Pancreatic homotransplan APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 5283 Pancreatic heterotranspl MDC MS-DRG 07 405-407 10 628-630 SURGICAL CATEGORY Pancreas, liver and shunt Other endocrine/nutrit/metabolic 5284* Autotrnsplnt islets lang 11 673-675 *Transplant of islets-langerhans 5285* Allotrnsplnt islets lang 11 673-675 *Transplant of islets-langerhans 5292 Cannulation pancrea duc 06 07 17 17 21 24 356-358 405-407 820-822 826-828 907-909 957-959 Other digestive system Pancreas, liver and shunt Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5295 Pancreatic repair NEC 07 21 24 405-407 907-909 957-959 Pancreas, liver and shunt Other procs for injuries Other procs for mult signif trauma 5296 Pancreatic anastomosis 07 21 24 405-407 907-909 957-959 Pancreas, liver and shunt Other procs for injuries Other procs for mult signif trauma 5299 Pancreatic operation NEC 06 07 21 24 356-358 405-407 907-909 957-959 Other digestive system Pancreas, liver and shunt Other procs for injuries Other procs for mult signif trauma 5300 Unilat ing hern rep NOS 06 350-352 Inguinal & femoral hernia 5301 Opn rep dir ing hern NEC 06 350-352 Inguinal & femoral hernia 5302 Opn rep ind ing hern NEC 06 350-352 Inguinal & femoral hernia 5303 Opn dir ing hern-gft NEC 06 350-352 Inguinal & femoral hernia 5304 Opn ind ing hern-gft NEC 06 350-352 Inguinal & femoral hernia 5305 Ing hernia rep-graft NOS 06 350-352 Inguinal & femoral hernia 5310 Bilat ing hernia rep NOS 06 350-352 Inguinal & femoral hernia 5311 Opn bil dir ing hern NEC 06 350-352 Inguinal & femoral hernia 5312 Opn bil ind ing hern NEC 06 350-352 Inguinal & femoral hernia 5313 Opn bi dr/in ing hrn NEC 06 350-352 Inguinal & femoral hernia 5314 Opn bi dr ing hrn-gr NEC 06 350-352 Inguinal & femoral hernia 5315 Op bi in ing hrn-grf NEC 06 350-352 Inguinal & femoral hernia 5316 Op bi dr/in ig hr-gr NEC 06 350-352 Inguinal & femoral hernia 5317 Bil ing hrn rep-grft NOS 06 350-352 Inguinal & femoral hernia 5321 Unil femor hrn rep-grft 06 350-352 Inguinal & femoral hernia 5329 Unil femor hern rep NEC 06 350-352 Inguinal & femoral hernia 5331 Bil fem hern repair-grft 06 350-352 Inguinal & femoral hernia APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 5339 Bil fem hern repair NEC MDC MS-DRG 06 350-352 SURGICAL CATEGORY Inguinal & femoral hernia 5341 Opn rep umb hrn-grft NEC 06 353-355 Hernia except inguinal & femoral 5342 Lap umbil hernia-graft 06 353-355 Hernia except inguinal & femoral 5343 Lap umbilical hernia NEC 06 21 24 353-355 907-909 957-959 Hernia except inguinal & femoral Other procs for injuries Other procs for mult signif trauma 5349 Open rep umbil hern NEC 06 21 24 353-355 907-909 957-959 Hernia except inguinal & femoral Other procs for injuries Other procs for mult signif trauma 5351 Incisional hernia repair 06 353-355 Hernia except inguinal & femoral 5359 Abd wall hern repair NEC 06 353-355 Hernia except inguinal & femoral 5361 Open incis hern-grft NEC 06 21 24 353-355 907-909 957-959 Hernia except inguinal & femoral Other procs for injuries Other procs for mult signif trauma 5362 Lap incis hern repr-grft 06 21 24 353-355 907-909 957-959 Hernia except inguinal & femoral Other procs for injuries Other procs for mult signif trauma 5363 Lap hern ant abd-gft NEC 06 353-355 Hernia except inguinal & femoral 5369 Opn hern ant abd-grf NEC 06 353-355 Hernia except inguinal & femoral 5371 Lap abd rep-diaphr hern 04 06 21 24 163-165 326-328 907-909 957-959 Major chest Stomach, esophageal & duodenal Other procs for injuries Other procs for mult signif trauma 5372 Opn abd diaphrm hern NEC 04 06 21 24 163-165 326-328 907-909 957-959 Major chest Stomach, esophageal & duodenal Other procs for injuries Other procs for mult signif trauma 5375 Abd rep-diaphr hern NOS 04 06 21 24 163-165 326-328 907-909 957-959 Major chest Stomach, esophageal & duodenal Other procs for injuries Other procs for mult signif trauma 5380 Thor rep-diaph hern NOS 04 06 21 24 163-165 326-328 907-909 957-959 Major chest Stomach, esophageal & duodenal Other procs for injuries Other procs for mult signif trauma 5381 Diaphragmatic plication 04 06 21 24 163-165 326-328 907-909 957-959 Major chest Stomach, esophageal & duodenal Other procs for injuries Other procs for mult signif trauma 5382 Parastern hernia repair 04 06 21 24 163-165 326-328 907-909 957-959 Major chest Stomach, esophageal & duodenal Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 5383 Lap thorc app-diaph hern MDC 04 06 21 24 MS-DRG 163-165 326-328 907-909 957-959 SURGICAL CATEGORY Major chest Stomach, esophageal & duodenal Other procs for injuries Other procs for mult signif trauma 5384 Opn thorc diaph hern NEC 04 06 21 24 163-165 326-328 907-909 957-959 Major chest Stomach, esophageal & duodenal Other procs for injuries Other procs for mult signif trauma 539 Other hernia repair 06 353-355 Hernia except inguinal & femoral 540 Abdominal wall incision 05 06 07 09 11 17 17 21 24 264 356-358 423-425 579-581 673-675 820-822 826-828 907-909 957-959 Other circulatory system Other digestive system Other hepatobiliary or pancreas Other skin, subcut tissue & breast Other kidney & urinary tract Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5411 Exploratory laparotomy 04 05 06 07 09 10 11 12 13 14 16 17 17 21 24 166-168 264 356-358 420-422 579-581 628-630 673-675 707-708 749-750 768 802-804 820-822 826-828 907-909 957-959 Other respiratory system Other circulatory system Other digestive system Hepatobiliary diagnostic procs Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract Major pelvic Other female reproductive system Delivery except steril &/or D&C Other blood & blood form org Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5412 Reopen recent lap site 06 07 11 13 17 17 21 24 356-358 423-425 673-675 749-750 820-822 826-828 907-909 957-959 Other digestive system Other hepatobiliary or pancreas Other kidney & urinary tract Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5419 Laparotomy NEC 05 06 07 11 13 16 17 17 21 24 264 356-358 420-422 673-675 749-750 802-804 820-822 826-828 907-909 957-959 Other circulatory system Other digestive system Hepatobiliary diagnostic procs Other kidney & urinary tract Other female reproductive system Other blood & blood form org Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 5421 Laparoscopy MDC 06 07 09 11 13 14 16 21 24 MS-DRG 356-358 420-422 579-581 673-675 744-745 768 802-804 907-909 957-959 SURGICAL CATEGORY Other digestive system Hepatobiliary diagnostic procs Other skin, subcut tissue & breast Other kidney & urinary tract D&C/conizat/laparoscpy/tubl intrpt Delivery except steril &/or D&C Other blood & blood form org Other procs for injuries Other procs for mult signif trauma 5422 Abdominal wall biopsy 06 09 17 17 21 24 356-358 579-581 820-822 826-828 907-909 957-959 Other digestive system Other skin, subcut tissue & breast Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5423 Peritoneal biopsy 06 07 13 16 356-358 420-422 749-750 802-804 Other digestive system Hepatobiliary diagnostic procs Other female reproductive system Other blood & blood form org 5429 Abd region dx proc NEC 06 07 13 16 17 17 21 24 356-358 420-422 749-750 802-804 820-822 826-828 907-909 957-959 Other digestive system Hepatobiliary diagnostic procs Other female reproductive system Other blood & blood form org Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 543 Destruct abd wall lesion 06 08 09 10 17 17 356-358 500-502 579-581 628-630 820-822 826-828 Other digestive system Soft tissue Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Major procedure Major procedure 544 Destruct peritoneal tiss 06 07 10 13 17 17 356-358 423-425 628-630 749-750 820-822 826-828 Other digestive system Other hepatobiliary or pancreas Other endocrine/nutrit/metabolic Other female reproductive system Major procedure Major procedure 5451 Lap periton adhesiolysis 06 07 11 13 21 24 335-337 423-425 673-675 749-750 907-909 957-959 Peritoneal adhesiolysis Other hepatobiliary or pancreas Other kidney & urinary tract Other female reproductive system Other procs for injuries Other procs for mult signif trauma 5459 Oth periton adhesiolysis 06 07 10 11 13 21 24 335-337 423-425 628-630 673-675 749-750 907-909 957-959 Peritoneal adhesiolysis Other hepatobiliary or pancreas Other endocrine/nutrit/metabolic Other kidney & urinary tract Other female reproductive system Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 5461 Reclose post op disrupt MDC 06 07 13 21 24 MS-DRG 356-358 423-425 749-750 907-909 957-959 SURGICAL CATEGORY Other digestive system Other hepatobiliary or pancreas Other female reproductive system Other procs for injuries Other procs for mult signif trauma 5462 Delayed clos abd wound 06 07 13 21 24 356-358 423-425 749-750 907-909 957-959 Other digestive system Other hepatobiliary or pancreas Other female reproductive system Other procs for injuries Other procs for mult signif trauma 5463 Abd wall suture NEC 06 09 17 17 21 24 356-358 579-581 820-822 826-828 907-909 957-959 Other digestive system Other skin, subcut tissue & breast Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5464 Peritoneal suture 06 07 17 17 21 24 356-358 423-425 820-822 826-828 907-909 957-959 Other digestive system Other hepatobiliary or pancreas Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5471 Repair of gastroschisis 06 21 24 353-355 907-909 957-959 Hernia except inguinal & femoral Other procs for injuries Other procs for mult signif trauma 5472 Abdomen wall repair NEC 06 07 09 17 17 21 24 353-355 423-425 579-581 820-822 826-828 907-909 957-959 Hernia except inguinal & femoral Other hepatobiliary or pancreas Other skin, subcut tissue & breast Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5473 Peritoneal repair NEC 06 07 17 17 21 24 356-358 423-425 820-822 826-828 907-909 957-959 Other digestive system Other hepatobiliary or pancreas Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5474 Omental repair NEC 06 07 17 17 21 24 356-358 423-425 820-822 826-828 907-909 957-959 Other digestive system Other hepatobiliary or pancreas Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5475 Mesenteric repair NEC 06 07 17 17 21 24 356-358 423-425 820-822 826-828 907-909 957-959 Other digestive system Other hepatobiliary or pancreas Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 5492 Remove FB from periton MDC 06 11 21 24 MS-DRG 356-358 673-675 907-909 957-959 SURGICAL CATEGORY Other digestive system Other kidney & urinary tract Other procs for injuries Other procs for mult signif trauma 5493 Create cutanperiton fist 05 06 07 11 17 17 21 24 264 356-358 423-425 673-675 820-822 826-828 907-909 957-959 Other circulatory system Other digestive system Other hepatobiliary or pancreas Other kidney & urinary tract Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5494 Creat peritoneovas shunt 06 07 17 17 356-358 405-407 820-822 826-828 Other digestive system Pancreas, liver and shunt Major procedure Major procedure 5495 Peritoneal incision 01 05 06 07 11 17 17 21 24 040-042 264 356-358 423-425 673-675 820-822 826-828 907-909 957-959 Periph/cranial nerve & other Other circulatory system Other digestive system Other hepatobiliary or pancreas Other kidney & urinary tract Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5501 Nephrotomy 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5502 Nephrostomy 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5503 Percu nephrostm w/o frag 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5504 Percu nephrostmy w frag 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5511 Pyelotomy 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5512 Pyelostomy 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5524 Open renal biopsy 08 11 16 17 17 21 24 515-517 656-661 802-804 820-822 826-828 907-909 957-959 Other musculoskel & connec tissue Kidney & ureter Other blood & blood form org Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 5529 Renal diagnost proc NEC MDC 11 16 17 17 21 24 MS-DRG 656-661 802-804 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Kidney & ureter Other blood & blood form org Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5531 Renal les marsupializat 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries 5532 Opn abltn renal les/tiss 11 656-661 Kidney & ureter 5533 Perc abltn renl les/tiss 11 656-661 Kidney & ureter 5534 Lap abltn renal les/tiss 11 656-661 Kidney & ureter 5535 Abltn renal les/tiss NEC 11 656-661 Kidney & ureter 5539 Loc destr renal les NEC 11 656-661 Kidney & ureter 554 Partial nephrectomy 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5551 Nephroureterectomy 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5552 Solitary kidney nephrect 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5553 Rejected kidney nephrect 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5554 Bilateral nephrectomy 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5561 Renal autotransplant 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5569 Kidney transplant NEC 11 008 652 Other procs for mult signif trauma See Transplant Reference Table Kidney transplant Kidney transplant 557 Nephropexy 11 656-661 Kidney & ureter 5581 Suture kidney laceration 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5582 Close nephrost & pyelost 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 5583 Close renal fistula NEC MDC 11 21 24 MS-DRG 656-661 907-909 957-959 SURGICAL CATEGORY Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5584 Reduce renal pedicl tors 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5585 Symphysiotomy 11 656-661 Kidney & ureter 5586 Renal anastomosis 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5587 Correct ureteropelv junc 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5589 Renal repair NEC 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5591 Renal decapsulation 05 11 264 656-661 Other circulatory system Kidney & ureter 5597 Implant mechanic kidney 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5598 Remov mechanical kidney 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5599 Renal operation NEC 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 560 Tu remov ureter obstruct 11 21 24 668-670 907-909 957-959 Transurethral Other procs for injuries Other procs for mult signif trauma 561 Ureteral meatotomy 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 562 Ureterotomy 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5634 Open ureteral biopsy 11 656-661 Kidney & ureter 5639 Ureteral dx procedur NEC 11 656-661 Kidney & ureter 5640 Ureterectomy NOS 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 5641 Partial ureterectomy MDC 11 12 13 21 24 MS-DRG 656-661 715-718 749-750 907-909 957-959 SURGICAL CATEGORY Kidney & ureter Other male reproductive system Other female reproductive system Other procs for injuries Other procs for mult signif trauma 5642 Total ureterectomy 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5651 Form cutan ileoureterost 11 12 13 17 17 21 24 656-661 715-718 749-750 820-822 826-828 907-909 957-959 Kidney & ureter Other male reproductive system Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5652 Revis cutan ileoureteros 11 12 13 17 17 21 24 656-661 715-718 749-750 820-822 826-828 907-909 957-959 Kidney & ureter Other male reproductive system Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5661 Form cutan ureterostomy 11 12 13 17 17 21 24 656-661 715-718 749-750 820-822 826-828 907-909 957-959 Kidney & ureter Other male reproductive system Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5662 Revis cutan ureteros NEC 11 12 13 17 17 21 24 656-661 715-718 749-750 820-822 826-828 907-909 957-959 Kidney & ureter Other male reproductive system Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5671 Urin diversion to bowel 11 12 13 17 17 21 24 656-661 715-718 749-750 820-822 826-828 907-909 957-959 Kidney & ureter Other male reproductive system Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5672 Revis ureteroenterostomy 11 12 13 17 17 21 24 656-661 715-718 749-750 820-822 826-828 907-909 957-959 Kidney & ureter Other male reproductive system Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 5673 Nephrocystanastomosi NOS MDC 11 12 13 17 17 21 24 MS-DRG 656-661 715-718 749-750 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Kidney & ureter Other male reproductive system Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5674 Ureteroneocystostomy 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5675 Transureteroureterostomy 11 12 13 17 17 21 24 656-661 715-718 749-750 820-822 826-828 907-909 957-959 Kidney & ureter Other male reproductive system Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5679 Ureteral anastomosis NEC 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5681 Intralum urete adhesioly 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5682 Suture ureteral lacerat 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5683 Ureterostomy closure 11 12 13 17 17 21 24 656-661 715-718 749-750 820-822 826-828 907-909 957-959 Kidney & ureter Other male reproductive system Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5684 Close ureter fistula NEC 06 11 12 13 17 17 21 24 344-346 656-661 715-718 749-750 820-822 826-828 907-909 957-959 Minor small & large bowel Kidney & ureter Other male reproductive system Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5685 Ureteropexy 11 656-661 Kidney & ureter 5686 Remove ureteral ligature 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5689 Repair of ureter NEC 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5692 Implant ureteral stimul 11 656-661 Kidney & ureter APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 5693 Replace ureteral stimul MDC MS-DRG 11 656-661 SURGICAL CATEGORY Kidney & ureter 5694 Remove ureteral stimulat 11 656-661 Kidney & ureter 5695 Ligation of ureter 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5699 Ureteral operation NEC 11 21 24 656-661 907-909 957-959 Kidney & ureter Other procs for injuries Other procs for mult signif trauma 5712 Cystotomy & adhesiolysis 11 21 24 662-664 907-909 957-959 Minor bladder Other procs for injuries Other procs for mult signif trauma 5718 Other suprapu cystostomy 11 12 13 17 17 21 24 662-664 715-718 746-747 820-822 826-828 907-909 957-959 Minor bladder Other male reproductive system Vagina, cervix & vulva Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5719 Cystotomy NEC 11 21 24 662-664 907-909 957-959 Minor bladder Other procs for injuries Other procs for mult signif trauma 5721 Vesicostomy 11 12 13 17 17 21 24 662-664 715-718 746-747 820-822 826-828 907-909 957-959 Minor bladder Other male reproductive system Vagina, cervix & vulva Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5722 Revise clo vesicostomy 11 12 13 17 17 21 24 662-664 715-718 749-750 820-822 826-828 907-909 957-959 Minor bladder Other male reproductive system Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5733 Clos transureth bladd bx 11 12 13 668-670 715-718 749-750 Transurethral Other male reproductive system Other female reproductive system 5734 Open bladder biopsy 11 12 13 17 17 662-664 715-718 749-750 820-822 826-828 Minor bladder Other male reproductive system Other female reproductive system Major procedure Major procedure 5739 Bladder diagnos proc NEC 11 12 17 17 21 24 662-664 715-718 820-822 826-828 907-909 957-959 Minor bladder Other male reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 5741 Tu adhesiolysis bladder MDC MS-DRG 11 668-670 SURGICAL CATEGORY Transurethral 5749 Tu destruc bladd les NEC 11 12 668-670 715-718 Transurethral Other male reproductive system 5751 Excision of urachus 11 12 13 662-664 715-718 749-750 Minor bladder Other male reproductive system Other female reproductive system 5759 Bladder les destruct NEC 11 12 13 17 17 662-664 715-718 749-750 820-822 826-828 Minor bladder Other male reproductive system Other female reproductive system Major procedure Major procedure 576 Partial cystectomy 11 12 13 17 17 21 24 653-655 707-708 749-750 820-822 826-828 907-909 957-959 Major bladder Major pelvic Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5771 Radical cystectomy 11 12 13 17 17 653-655 707-708 749-750 820-822 826-828 Major bladder Major pelvic Other female reproductive system Major procedure Major procedure 5779 Total cystectomy NEC 11 12 13 17 17 21 24 653-655 707-708 749-750 820-822 826-828 907-909 957-959 Major bladder Major pelvic Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5781 Suture bladder lacerat 11 21 24 662-664 907-909 957-959 Minor bladder Other procs for injuries Other procs for mult signif trauma 5782 Cystostomy closure 11 12 13 17 17 21 24 662-664 715-718 749-750 820-822 826-828 907-909 957-959 Minor bladder Other male reproductive system Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5783 Enterovesico fist repair 06 11 12 13 17 17 21 24 344-346 653-655 715-718 749-750 820-822 826-828 907-909 957-959 Minor small & large bowel Major bladder Other male reproductive system Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 5784 Vesic fistula repair NEC MDC 11 12 13 17 17 21 24 MS-DRG 653-655 715-718 749-750 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Major bladder Other male reproductive system Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5785 Cystourethroplasty 11 13 653-655 748 Major bladder 5786 Bladder exstrophy repair 11 653-655 Major bladder 5787 Bladder reconstruction 11 21 24 653-655 907-909 957-959 Major bladder Other procs for injuries Other procs for mult signif trauma 5788 Bladder anastomosis NEC 11 12 17 17 653-655 715-718 820-822 826-828 Major bladder Other male reproductive system Major procedure Major procedure 5789 Bladder repair NEC 11 13 21 24 653-655 749-750 907-909 957-959 Major bladder Other female reproductive system Other procs for injuries 5791 Bladder sphincterotomy 11 662-664 Minor bladder 5793 Control bladd hemorrhage 11 21 24 662-664 907-909 957-959 Minor bladder Other procs for injuries 5796 Implant bladder stimulat 11 662-664 Minor bladder 5797 Replace bladder stimulat 11 662-664 Minor bladder 5798 Remove bladder stimulat 11 662-664 Minor bladder 5799 Bladder operation NEC 11 21 24 662-664 907-909 957-959 Minor bladder Other procs for injuries Other procs for mult signif trauma 580 Urethrotomy 11 13 21 24 671-672 749-750 907-909 957-959 Urethral Other female reproductive system Other procs for injuries Other procs for mult signif trauma 581 Urethral meatotomy 11 12 21 24 671-672 715-718 907-909 957-959 Urethral Other male reproductive system Other procs for injuries Other procs for mult signif trauma 5841 Suture urethral lacerat 11 21 24 671-672 907-909 957-959 Urethral Other procs for injuries Other procs for mult signif trauma 5842 Urethrostomy closure 11 21 24 671-672 907-909 957-959 Urethral Other procs for injuries Other procs for mult signif trauma Female repro system reconstruction Other procs for mult signif trauma Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 5843 Close ureth fistula NEC MDC 11 12 13 17 17 21 24 MS-DRG 671-672 709-710 749-750 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Urethral Penis Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5844 Urethral reanastomosis 11 21 24 671-672 907-909 957-959 Urethral Other procs for injuries Other procs for mult signif trauma 5845 Hypo-epispadius repair 11 12 671-672 709-710 Urethral Penis 5846 Ureth reconstruction NEC 11 12 21 24 671-672 709-710 907-909 957-959 Urethral Penis Other procs for injuries Other procs for mult signif trauma 5847 Urethral meatoplasty 11 12 671-672 715-718 Urethral Other male reproductive system 5849 Urethral repair NEC 11 12 13 21 24 671-672 709-710 749-750 907-909 957-959 Urethral Penis Other female reproductive system Other procs for injuries Other procs for mult signif trauma 585 Ureth stricture release 11 12 13 21 24 671-672 709-710 749-750 907-909 957-959 Urethral Penis Other female reproductive system Other procs for injuries 5891 Periurethral incision 11 671-672 Urethral 5892 Periurethral excision 11 671-672 Urethral 5893 Implt artf urin sphinct 11 21 24 662-664 907-909 957-959 Minor bladder Other procs for injuries Other procs for mult signif trauma 5899 Ureth/periureth op NEC 11 12 13 671-672 715-718 749-750 Urethral Other male reproductive system Other female reproductive system 5900 Retroperit dissect NOS 08 09 11 12 13 17 17 515-517 579-581 656-661 707-708 749-750 820-822 826-828 Other musculoskel & connec tissue Other skin, subcut tissue & breast Kidney & ureter Major pelvic Other female reproductive system Major procedure Major procedure Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 5902 Periren adhesiolys NEC MDC 11 12 13 17 17 21 24 MS-DRG 656-661 715-718 749-750 820-822 826-828 907-909 957-959 SURGICAL CATEGORY Kidney & ureter Other male reproductive system Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5903 Lap lys periren/uret adh 11 12 13 17 17 21 24 656-661 715-718 749-750 820-822 826-828 907-909 957-959 Kidney & ureter Other male reproductive system Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5909 Periren/ureter incis NEC 11 12 13 17 17 21 24 656-661 715-718 749-750 820-822 826-828 907-909 957-959 Kidney & ureter Other male reproductive system Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5911 Oth lys perives adhesio 11 12 13 17 17 21 24 662-664 715-718 749-750 820-822 826-828 907-909 957-959 Minor bladder Other male reproductive system Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5912 Lap lys perivesureth adh 11 12 13 17 17 21 24 662-664 715-718 749-750 820-822 826-828 907-909 957-959 Minor bladder Other male reproductive system Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5919 Perivesical incision NEC 11 12 13 17 17 21 24 662-664 715-718 749-750 820-822 826-828 907-909 957-959 Minor bladder Other male reproductive system Other female reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5921 Periren/ureteral biopsy 11 12 17 17 21 24 662-664 715-718 820-822 826-828 907-909 957-959 Minor bladder Other male reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 5929 Periren/uret dx proc NEC 11 12 17 17 21 24 662-664 715-718 820-822 826-828 907-909 957-959 Minor bladder Other male reproductive system Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 593 Urethroves junct plicat MDC MS-DRG 11 662-664 SURGICAL CATEGORY Minor bladder 594 Suprapubic sling op 11 13 662-664 748 Minor bladder Female repro system reconstruction 595 Retropubic ureth suspens 11 13 662-664 748 Minor bladder Female repro system reconstruction 596 Paraurethral suspension 11 13 662-664 748 Minor bladder Female repro system reconstruction 5971 Levator musc suspension 11 13 662-664 748 Minor bladder Female repro system reconstruction 5979 Urin incontin repair NEC 11 13 662-664 748 Minor bladder Female repro system reconstruction 5991 Periren/vesicle excision 11 12 17 17 662-664 715-718 820-822 826-828 Minor bladder Other male reproductive system Major procedure Major procedure 5992 Periren/vesicle op NEC 11 12 17 17 662-664 715-718 820-822 826-828 Minor bladder Other male reproductive system Major procedure Major procedure 600 Incision of prostate 12 715-718 Other male reproductive system 6012 Open prostatic biopsy 11 12 668-670 715-718 Transurethral 6014 Open seminal vesicles bx 12 715-718 6015 Periprostatic biopsy 12 715-718 Other male reproductive system 6018 Prostatic dx proced NEC 12 715-718 Other male reproductive system 6019 Semin ves dx proced NEC 12 715-718 Other male reproductive system 6021 Transureth prostatectomy 11 12 665-667 713-714 Prostatectomy Transurethral prostatectomy 6029 Oth transureth prostatec 11 12 665-667 713-714 Prostatectomy Transurethral prostatectomy 603 Suprapubic prostatectomy 11 12 665-667 707-708 Prostatectomy Major pelvic 604 Retropubic prostatectomy 11 12 665-667 707-708 Prostatectomy Major pelvic 605 Radical prostatectomy 11 12 665-667 707-708 Prostatectomy Major pelvic 6061 Los excis prostatic les 12 715-718 Other male reproductive system 6062 Perineal prostatectomy 11 12 665-667 707-708 Prostatectomy Major pelvic Other male reproductive system Other male reproductive system APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 6069 Prostatectomy NEC MDC MS-DRG 11 665-667 12 707-708 SURGICAL CATEGORY Prostatectomy Major pelvic 6072 Seminal vesicle incision 12 715-718 Other male reproductive system 6073 Seminal vesicle excision 12 715-718 Other male reproductive system 6079 Seminal vesicle op NEC 12 715-718 Other male reproductive system 6081 Periprostatic incision 12 715-718 Other male reproductive system 6082 Periprostatic excision 12 715-718 Other male reproductive system 6093 Repair of prostate 12 21 24 715-718 907-909 957-959 Other male reproductive system Other procs for injuries Other procs for mult signif trauma 6094 Control prostate hemorr 12 21 24 715-718 907-909 957-959 Other male reproductive system Other procs for injuries Other procs for mult signif trauma 6095 Trans bal dil pros ureth 11 12 668-670 715-718 Transurethral Other male reproductive system 6096 Tu destr prostate by mt 11 12 665-667 713-714 Prostatectomy Transurethral prostatectomy 6097 Oth tu destr pros - rt 11 12 665-667 713-714 Prostatectomy Transurethral prostatectomy 6099 Prostatic operation NEC 12 715-718 Other male reproductive system 612 Excision of hydrocele 12 711-712 Testes 6142 Scrotal fistula repair 12 21 24 711-712 907-909 957-959 Testes Other procs for injuries Other procs for mult signif trauma 6149 Scrotum/tunic repair NEC 12 21 24 711-712 907-909 957-959 Testes Other procs for injuries Other procs for mult signif trauma 6192 Excision tunica les NEC 12 711-712 Testes 6199 Scrotum & tunica op NEC 12 21 24 711-712 907-909 957-959 Testes Other procs for injuries Other procs for mult signif trauma 620 Incision of testes 12 21 24 711-712 907-909 957-959 Testes Other procs for injuries Other procs for mult signif trauma 6212 Open testicular biopsy 12 711-712 Testes 6219 Testes dx procedure NEC 12 711-712 Testes 622 Testicular les destruct 12 711-712 Testes 623 Unilateral orchiectomy 12 21 24 711-712 907-909 957-959 Testes Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 6241 Remove both testes MDC 08 12 21 24 MS-DRG 515-517 711-712 907-909 957-959 SURGICAL CATEGORY Other musculoskel & connec tissue Testes Other procs for injuries Other procs for mult signif trauma 6242 Remove solitary testis 12 21 24 711-712 907-909 957-959 Testes Other procs for injuries 625 Orchiopexy 12 711-712 Testes 6261 Suture testicular lacer 12 21 24 711-712 907-909 957-959 Testes Other procs for injuries Other procs for mult signif trauma 6269 Testicular repair NEC 12 21 24 711-712 907-909 957-959 Testes Other procs for injuries Other procs for mult signif trauma 627 Insert testicular prosth 10 12 628-630 711-712 Other endocrine/nutrit/metabolic Testes 6299 Testicular operation NEC 12 21 24 711-712 907-909 957-959 Testes Other procs for injuries Other procs for mult signif trauma Other procs for mult signif trauma 6309 Spermat cord/vas dx NEC 12 711-712 Testes 631 Exc spermatic varicocele 12 711-712 Testes 632 Excise epididymis cyst 12 711-712 Testes 633 Excise cord/epid les NEC 12 711-712 Testes 634 Epididymectomy 12 711-712 Testes 6351 Suture cord & epid lacer 12 21 24 711-712 907-909 957-959 Testes Other procs for injuries Other procs for mult signif trauma 6353 Transplant spermat cord 12 21 24 711-712 907-909 957-959 Testes Other procs for injuries Other procs for mult signif trauma 6359 Cord & epidid repair NEC 12 21 24 711-712 907-909 957-959 Testes Other procs for injuries Other procs for mult signif trauma 6381 Suture vas & epidid lac 12 21 24 711-712 907-909 957-959 Testes Other procs for injuries Other procs for mult signif trauma 6382 Postop vas reconstruct 12 21 24 711-712 907-909 957-959 Testes Other procs for injuries Other procs for mult signif trauma 6383 Epididymovasostomy 12 711-712 Testes 6385 Remov vas deferens valve 12 711-712 Testes APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 6389 Vas & epididy repair NEC MDC 12 21 24 MS-DRG 711-712 907-909 957-959 SURGICAL CATEGORY Testes Other procs for injuries Other procs for mult signif trauma 6392 Epididymotomy 12 711-712 Testes 6393 Spermatic cord incision 12 711-712 Testes 6394 Sperm cord adhesiolysis 12 21 24 711-712 907-909 957-959 Testes Other procs for injuries Other procs for mult signif trauma 6395 Insert valve in vas def 12 711-712 Testes 6399 Cord/epid/vas ops NEC 12 21 24 711-712 907-909 957-959 Testes Other procs for injuries Other procs for mult signif trauma 6411 Penile biopsy 09 12 579-581 709-710 Other skin, subcut tissue & breast Penis 642 Local excis penile les 09 12 579-581 709-710 Other skin, subcut tissue & breast Penis 643 Amputation of penis 12 709-710 Penis 6441 Suture penile laceration 12 21 24 709-710 907-909 957-959 Penis Other procs for injuries Other procs for mult signif trauma 6442 Release of chordee 12 709-710 Penis 6443 Construction of penis 12 21 24 709-710 907-909 957-959 Penis Other procs for injuries Other procs for mult signif trauma 6444 Reconstruction of penis 12 21 24 709-710 907-909 957-959 Penis Other procs for injuries Other procs for mult signif trauma 6445 Replantation of penis 12 21 24 709-710 907-909 957-959 Penis Other procs for injuries Other procs for mult signif trauma 6449 Penile repair NEC 09 12 21 24 579-581 709-710 907-909 957-959 Other skin, subcut tissue & breast Penis Other procs for injuries Other procs for mult signif trauma 645 Sex transformat op NEC 12 13 709-710 748 Penis Female repro system reconstruction 6492 Incision of penis 12 709-710 Penis 6493 Division of penile adhes 12 709-710 Penis 6495 Ins noninfl penis prosth 11 12 673-675 709-710 Other kidney & urinary tract Penis 6496 Remove int penile prosth 11 12 673-675 709-710 Other kidney & urinary tract Penis APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 6497 Ins inflate penis prosth MDC MS-DRG 11 673-675 12 709-710 SURGICAL CATEGORY Other kidney & urinary tract Penis 6498 Penile operation NEC 12 709-710 Penis 6499 Male genital op NEC 12 709-710 Penis 6501 Laparoscopic oophorotomy 13 736-743 Uterine & adnexal 6509 Other oophorotomy 13 736-743 Uterine & adnexal 6511 Ovarian aspirat biopsy 13 736-743 Uterine & adnexal 6512 Ovarian biopsy NEC 13 736-743 Uterine & adnexal 6513 Lap biopsy of ovary 13 736-743 Uterine & adnexal 6514 Oth lap dx proc ovaries 13 736-743 Uterine & adnexal 6519 Ovarian dx procedure NEC 13 736-743 Uterine & adnexal 6521 Ovarian cyst marsupializ 13 736-743 Uterine & adnexal 6522 Ovarian wedge resection 10 13 628-630 736-743 Other endocrine/nutrit/metabolic Uterine & adnexal 6523 Lap marsup ovarian cyst 13 736-743 Uterine & adnexal 6524 Lap wedge resect ovary 10 13 628-630 736-743 Other endocrine/nutrit/metabolic Uterine & adnexal 6525 Oth lap loc exc dest ova 13 736-743 Uterine & adnexal 6529 Local destr ova les NEC 13 736-743 Uterine & adnexal 6531 Lap unilat oophorectomy 13 736-743 Uterine & adnexal 6539 Oth unilat oophorectomy 13 736-743 Uterine & adnexal 6541 Lap uni salpingo-oophor 13 736-743 Uterine & adnexal 6549 Oth uni salpingo-oophor 13 736-743 Uterine & adnexal 6551 Oth remove both ovaries 09 13 579-581 736-743 Other skin, subcut tissue & breast Uterine & adnexal 6552 Oth remove remain ovary 09 13 579-581 736-743 Other skin, subcut tissue & breast Uterine & adnexal 6553 Lap remove both ovaries 09 13 579-581 736-743 Other skin, subcut tissue & breast Uterine & adnexal 6554 Lap remove remain ovary 09 13 579-581 736-743 Other skin, subcut tissue & breast Uterine & adnexal 6561 Oth remove ovaries/tubes 09 13 579-581 736-743 Other skin, subcut tissue & breast Uterine & adnexal 6562 Oth remove rem ova/tube 13 736-743 Uterine & adnexal APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 6563 Lap remove ovaries/tubes MDC MS-DRG 09 579-581 13 736-743 SURGICAL CATEGORY Other skin, subcut tissue & breast Uterine & adnexal 6564 Lap remove rem ova/tube 13 736-743 Uterine & adnexal 6571 Oth simple suture ovary 13 21 24 736-743 907-909 957-959 Uterine & adnexal Other procs for injuries Other procs for mult signif trauma 6572 Oth reimplant of ovary 13 21 24 736-743 907-909 957-959 Uterine & adnexal Other procs for injuries Other procs for mult signif trauma 6573 Oth salpingo-oophoroplas 13 21 24 736-743 907-909 957-959 Uterine & adnexal Other procs for injuries Other procs for mult signif trauma 6574 Lap simple suture ovary 13 21 24 736-743 907-909 957-959 Uterine & adnexal Other procs for injuries Other procs for mult signif trauma 6575 Lap reimplant of ovary 13 21 24 736-743 907-909 957-959 Uterine & adnexal Other procs for injuries Other procs for mult signif trauma 6576 Lap salpingo-oophoroplas 13 21 24 736-743 907-909 957-959 Uterine & adnexal Other procs for injuries Other procs for mult signif trauma 6579 Repair of ovary NEC 13 21 24 736-743 907-909 957-959 Uterine & adnexal Other procs for injuries Other procs for mult signif trauma 6581 Lap adhesiolys ova/tube 13 21 24 736-743 907-909 957-959 Uterine & adnexal Other procs for injuries Other procs for mult signif trauma 6589 Adhesiolysis ovary/tube 13 21 24 736-743 907-909 957-959 Uterine & adnexal Other procs for injuries Other procs for mult signif trauma 6591 Aspiration of ovary 13 736-743 Uterine & adnexal 6592 Transplantation of ovary 13 736-743 Uterine & adnexal 6593 Manual rupt ovarian cyst 13 736-743 Uterine & adnexal 6594 Ovarian denervation 13 736-743 Uterine & adnexal 6595 Ovarian torsion release 13 736-743 Uterine & adnexal 6599 Ovarian operation NEC 13 736-743 Uterine & adnexal 6601 Salpingotomy 13 736-743 Uterine & adnexal 6602 Salpingostomy 13 736-743 Uterine & adnexal 6611 Fallopian tube biopsy 13 736-743 Uterine & adnexal 6619 Fallop tube dx proc NEC 13 736-743 Uterine & adnexal APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 6621 Bilat endosc crush tube MDC MS-DRG 13 744-745 14 767 SURGICAL CATEGORY D&C/conizat/laparoscpy/tubl intrpt Sterilization &/or D&C 6622 Bilat endosc divis tube 13 14 744-745 767 D&C/conizat/laparoscpy/tubl intrpt Sterilization &/or D&C 6629 Bilat endos occ tube NEC 13 14 744-745 767 D&C/conizat/laparoscpy/tubl intrpt Sterilization &/or D&C 6631 Bilat tubal crushing NEC 13 14 744-745 767 D&C/conizat/laparoscpy/tubl intrpt Sterilization &/or D&C 6632 Bilat tubal division NEC 13 14 744-745 767 D&C/conizat/laparoscpy/tubl intrpt Sterilization &/or D&C 6639 Bilat tubal destruct NEC 13 14 744-745 767 D&C/conizat/laparoscpy/tubl intrpt Sterilization &/or D&C 664 Total unilat salpingect 13 14 736-743 767 Uterine & adnexal Sterilization &/or D&C 6651 Remove both fallop tubes 13 14 736-743 767 Uterine & adnexal Sterilization &/or D&C 6652 Remove solitary fal tube 13 14 736-743 767 Uterine & adnexal Sterilization &/or D&C 6661 Destroy fallop tube les 13 736-743 Uterine & adnexal 6662 Remov tube & ectop preg 13 14 736-743 768 Uterine & adnexal Delivery except steril &/or D&C 6663 Bilat part salpingec NOS 13 14 744-745 767 D&C/conizat/laparoscpy/tubl intrpt Sterilization &/or D&C 6669 Partial salpingectom NEC 13 14 736-743 767 Uterine & adnexal Sterilization &/or D&C 6671 Simpl suture fallop tube 13 21 24 736-743 907-909 957-959 Uterine & adnexal Other procs for injuries Other procs for mult signif trauma 6672 Salpingo-oophorostomy 13 736-743 Uterine & adnexal 6673 Salpingo-salpingostomy 13 736-743 Uterine & adnexal 6674 Salpingo-uterostomy 13 736-743 Uterine & adnexal 6679 Fallop tube repair NEC 13 21 24 736-743 907-909 957-959 Uterine & adnexal Other procs for injuries Other procs for mult signif trauma 6692 Unilat fallop tube destr 13 14 736-743 767 Uterine & adnexal Sterilization &/or D&C 6693 Impl fallop tube prosth 13 736-743 Uterine & adnexal 6694 Remov fallop tube prosth 13 736-743 Uterine & adnexal 6695 Blow therapeut into tube 13 749-750 Other female reproductive system APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 6696 Fallopian tube dilation MDC MS-DRG 13 736-743 SURGICAL CATEGORY Uterine & adnexal 6697 Bury fimbriae in uterus 13 14 736-743 767 Uterine & adnexal Sterilization &/or D&C 6699 Fallopian tube op NEC 13 736-743 Uterine & adnexal 6711 Endocervical biopsy 09 13 14 579-581 744-745 768 Other skin, subcut tissue & breast D&C/conizat/laparoscpy/tubl intrpt Delivery except steril &/or D&C 6712 Cervical biopsy NEC 09 13 14 579-581 744-745 768 Other skin, subcut tissue & breast D&C/conizat/laparoscpy/tubl intrpt Delivery except steril &/or D&C 6719 Cervical dx procedur NEC 09 13 14 579-581 744-745 768 Other skin, subcut tissue & breast D&C/conizat/laparoscpy/tubl intrpt Delivery except steril &/or D&C 672 Conization of cervix 13 14 744-745 768 D&C/conizat/laparoscpy/tubl intrpt Delivery except steril &/or D&C 6731 Cervical cyst marsupial 13 14 746-747 768 Vagina, cervix & vulva Delivery except steril &/or D&C 6732 Cervical les cauterizat 13 14 746-747 768 Vagina, cervix & vulva Delivery except steril &/or D&C 6733 Cervical les cryotherapy 13 14 746-747 768 Vagina, cervix & vulva Delivery except steril &/or D&C 6739 Cervical les destruc NEC 09 13 14 579-581 746-747 768 Other skin, subcut tissue & breast Vagina, cervix & vulva 674 Amputation of cervix 13 746-747 Vagina, cervix & vulva 6751 Transab cerclage cervix 13 14 21 24 746-747 774-775 907-909 957-959 Vagina, cervix & vulva Uncomp vaginal delivery procs Other procs for injuries Other procs for mult signif trauma 6759 Oth rep int cervical os 13 14 21 24 746-747 774-775 907-909 957-959 Vagina, cervix & vulva Uncomp vaginal delivery procs Other procs for injuries Other procs for mult signif trauma 6761 Suture cervical lacerat 13 14 21 24 746-747 774-775 907-909 957-959 Vagina, cervix & vulva Uncomp vaginal delivery procs Other procs for injuries Other procs for mult signif trauma 6762 Cervical fistula repair 13 14 21 24 746-747 768 907-909 957-959 Vagina, cervix & vulva Delivery except steril &/or D&C Other procs for injuries Other procs for mult signif trauma 6769 Cervical repair NEC 13 14 21 24 746-747 774-775 907-909 957-959 Vagina, cervix & vulva Uncomp vaginal delivery procs Other procs for injuries Other procs for mult signif trauma Delivery except steril &/or D&C APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 680 Hysterotomy MDC 13 14 21 24 MS-DRG 736-743 768 907-909 957-959 SURGICAL CATEGORY Uterine & adnexal Delivery except steril &/or D&C Other procs for injuries Other procs for mult signif trauma 6813 Open uterine biopsy 13 736-743 Uterine & adnexal 6814 Open uterine ligament bx 13 736-743 Uterine & adnexal 6815 Clos uterine ligament bx 13 744-745 D&C/conizat/laparoscpy/tubl intrpt 6816 Closed uterine biopsy 13 744-745 D&C/conizat/laparoscpy/tubl intrpt 6819 Uterus/adnex dx proc NEC 13 736-743 Uterine & adnexal 6821 Endomet synechiae divis 13 744-745 D&C/conizat/laparoscpy/tubl intrpt 6822 Incision uterine septum 13 744-745 D&C/conizat/laparoscpy/tubl intrpt 6823 Endometrial ablation 13 736-743 Uterine & adnexal 6824 Uterine art emb w coils 13 749-750 Other female reproductive system 6825 Uterine art emb w/o coil 13 749-750 Other female reproductive system 6829 Uterine les destruct NEC 13 736-743 Uterine & adnexal 6831 Lap scervic hysterectomy 13 14 736-743 768 Uterine & adnexal Delivery except steril &/or D&C 6839 Subtotl abd hyst NEC/NOS 13 14 736-743 768 Uterine & adnexal Delivery except steril &/or D&C 6841 Lap total abdominal hyst 13 14 736-743 768 Uterine & adnexal Delivery except steril &/or D&C 6849 Total abd hyst NEC/NOS 13 14 736-743 768 Uterine & adnexal Delivery except steril &/or D&C 6851 Lap ast vag hysterectomy 13 14 736-743 768 Uterine & adnexal Delivery except steril &/or D&C 6859 Vag hysterectomy NEC/NOS 13 14 736-743 768 Uterine & adnexal Delivery except steril &/or D&C 6861 Lap radical abdomnl hyst 13 14 734-735 768 Pelv evisc, rad hyst & vulvectomy Delivery except steril &/or D&C 6869 Radical abd hyst NEC/NOS 13 14 734-735 768 Pelv evisc, rad hyst & vulvectomy Delivery except steril &/or D&C 6871 Lap radical vaginal hyst 13 14 734-735 768 Pelv evisc, rad hyst & vulvectomy Delivery except steril &/or D&C 6879 Radical vag hyst NEC/NOS 13 14 734-735 768 Pelv evisc, rad hyst & vulvectomy Delivery except steril &/or D&C 688 Pelvic evisceration 06 13 332-334 734-735 Rectal resection Pelv evisc, rad hyst & vulvectomy APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 689 Hysterectomy NEC/NOS MDC MS-DRG 13 736-743 14 768 SURGICAL CATEGORY Uterine & adnexal Delivery except steril &/or D&C 6901 D & C for preg terminat 14 770 D&C, aspir curet or hysterotomy 6902 D & C post delivery 14 14 767 770 Sterilization &/or D&C D&C, aspir curet or hysterotomy 6909 D & C NEC 13 14 14 744-745 767 770 D&C/conizat/laparoscpy/tubl intrpt Sterilization &/or D&C D&C, aspir curet or hysterotomy 6919 Destruc uter support NEC 13 736-743 Uterine & adnexal 6921 Interposit op uterin lig 13 748 Female repro system reconstruction 6922 Uterine suspension NEC 13 748 Female repro system reconstruction 6923 Vag repair invers uterus 13 21 24 748 907-909 957-959 Female repro system reconstruction Other procs for injuries Other procs for mult signif trauma 6929 Uterus/adnexa repair NEC 13 21 24 748 907-909 957-959 Female repro system reconstruction Other procs for injuries Other procs for mult signif trauma 693 Paracerv uterine denerv 13 736-743 Uterine & adnexal 6941 Suture uterine lacerat 13 14 21 24 736-743 768 907-909 957-959 Uterine & adnexal Delivery except steril &/or D&C Other procs for injuries Other procs for mult signif trauma 6942 Closure uterine fistula 06 13 21 24 344-346 736-743 907-909 957-959 Minor small & large bowel Uterine & adnexal Other procs for injuries Other procs for mult signif trauma 6949 Uterine repair NEC 13 14 21 24 736-743 768 907-909 957-959 Uterine & adnexal Delivery except steril &/or D&C Other procs for injuries Other procs for mult signif trauma 6951 Aspirat curet-preg termi 14 770 D&C, aspir curet or hysterotomy 6952 Aspirat curet-post deliv 14 14 767 770 Sterilization &/or D&C D&C, aspir curet or hysterotomy 6995 Incision of cervix 13 14 746-747 768 Vagina, cervix & vulva Delivery except steril &/or D&C 6997 Remove penetrat cerv FB 13 21 24 746-747 907-909 957-959 Vagina, cervix & vulva Other procs for injuries Other procs for mult signif trauma 6998 Uterine support op NEC 13 748 Female repro system reconstruction 6999 Uterine operation NEC 13 749-750 Other female reproductive system 7012 Culdotomy 13 14 749-750 768 Other female reproductive system Delivery except steril &/or D&C APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7013 Intralum vag adhesiolys MDC 13 14 21 24 MS-DRG 746-747 774-775 907-909 957-959 SURGICAL CATEGORY Vagina, cervix & vulva Uncomp vaginal delivery procs Other procs for injuries Other procs for mult signif trauma 7014 Vaginotomy NEC 13 14 746-747 774-775 Vagina, cervix & vulva Uncomp vaginal delivery procs 7023 Cul-de-sac biopsy 13 14 746-747 768 Vagina, cervix & vulva Delivery except steril &/or D&C 7024 Vaginal biopsy 09 13 14 579-581 746-747 774-775 Other skin, subcut tissue & breast Vagina, cervix & vulva Uncomp vaginal delivery procs 7029 Vagin/cul-de-sac dx NEC 13 14 746-747 768 Vagina, cervix & vulva Delivery except steril &/or D&C 7031 Hymenectomy 13 14 746-747 774-775 Vagina, cervix & vulva Uncomp vaginal delivery procs 7032 Excis cul-de-sac lesion 13 14 746-747 768 Vagina, cervix & vulva Delivery except steril &/or D&C 7033 Excision vaginal lesion 09 13 14 579-581 746-747 774-775 Other skin, subcut tissue & breast Vagina, cervix & vulva Uncomp vaginal delivery procs 704 Vaginal obliteration 13 748 Female repro system reconstruction 7050 Cystocel/rectocel repair 06 11 13 356-358 662-664 748 Other digestive system Minor bladder Female repro system reconstruction 7051 Cystocele repair 11 13 662-664 748 Minor bladder Female repro system reconstruction 7052 Rectocele repair 06 13 329-331 748 Major small & large bowel Female repro system reconstruction 7053 Cysto & recto w grf/pros 06 11 13 329-331 653-655 748 Major small & large bowel Major bladder Female repro system reconstruction 7054 Rep cystocel w grft/pros 11 13 662-664 748 Minor bladder Female repro system reconstruction 7055 Rep rectocele w grf/pros 06 13 329-331 748 Major small & large bowel Female repro system reconstruction 7061 Vaginal construction 13 748 Female repro system reconstruction 7062 Vaginal reconstruction 13 21 24 748 907-909 957-959 Female repro system reconstruction Other procs for injuries Other procs for mult signif trauma 7063 Vaginal const w grf/pros 13 748 Female repro system reconstruction 7064 Vag reconst w grft/pros 13 21 24 748 907-909 957-959 Female repro system reconstruction Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7071 Suture vagina laceration MDC 09 13 14 21 24 MS-DRG 579-581 746-747 774-775 907-909 957-959 SURGICAL CATEGORY Other skin, subcut tissue & breast Vagina, cervix & vulva Uncomp vaginal delivery procs Other procs for injuries Other procs for mult signif trauma 7072 Repair colovagin fistula 06 13 17 17 21 24 329-331 746-747 820-822 826-828 907-909 957-959 Major small & large bowel Vagina, cervix & vulva Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 7073 Repair rectovag fistula 06 13 17 17 21 24 329-331 746-747 820-822 826-828 907-909 957-959 Major small & large bowel Vagina, cervix & vulva Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 7074 Rep vaginoent fistul NEC 06 13 17 17 21 24 329-331 746-747 820-822 826-828 907-909 957-959 Major small & large bowel Vagina, cervix & vulva Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 7075 Repair vag fistula NEC 06 13 17 17 21 24 344-346 746-747 820-822 826-828 907-909 957-959 Minor small & large bowel Vagina, cervix & vulva Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 7076 Hymenorrhaphy 13 746-747 Vagina, cervix & vulva 7077 Vaginal suspens & fixat 11 13 662-664 748 Minor bladder Female repro system reconstruction 7078 Vag susp/fix w grft/pros 11 13 662-664 748 Minor bladder Female repro system reconstruction 7079 Vaginal repair NEC 13 14 21 24 746-747 774-775 907-909 957-959 Vagina, cervix & vulva Uncomp vaginal delivery procs Other procs for injuries Other procs for mult signif trauma 708 Vaginal vault obliterat 13 748 Female repro system reconstruction 7091 Vaginal operation NEC 13 746-747 Vagina, cervix & vulva 7092 Cul-de-sac operation NEC 13 746-747 Vagina, cervix & vulva 7093 Cul-de-sac grf/pros NEC 13 746-747 Vagina, cervix & vulva 7101 Vulvar adhesiolysis 13 14 21 24 746-747 774-775 907-909 957-959 Vagina, cervix & vulva Uncomp vaginal delivery procs Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7109 Incis vulva/perineum NEC MDC 09 13 14 MS-DRG 579-581 746-747 774-775 SURGICAL CATEGORY Other skin, subcut tissue & breast Vagina, cervix & vulva Uncomp vaginal delivery procs 7111 Vulvar biopsy 09 13 14 579-581 746-747 774-775 Other skin, subcut tissue & breast Vagina, cervix & vulva Uncomp vaginal delivery procs 7119 Vulvar diagnos proc NEC 09 13 14 579-581 746-747 774-775 Other skin, subcut tissue & breast Vagina, cervix & vulva Uncomp vaginal delivery procs 7122 Incise bartholin's gland 13 14 746-747 768 Vagina, cervix & vulva Delivery except steril &/or D&C 7123 Bartholin gland marsup 13 14 746-747 768 Vagina, cervix & vulva Delivery except steril &/or D&C 7124 Destruc bartholin gland 09 13 14 579-581 746-747 768 Other skin, subcut tissue & breast Vagina, cervix & vulva Delivery except steril &/or D&C 7129 Bartholin's gland op NEC 13 14 746-747 768 Vagina, cervix & vulva Delivery except steril &/or D&C 713 Local vulvar excis NEC 09 13 14 579-581 746-747 774-775 Other skin, subcut tissue & breast Vagina, cervix & vulva 714 Operations on clitoris 13 746-747 Vagina, cervix & vulva 715 Radical vulvectomy 13 734-735 Pelv evisc, rad hyst & vulvectomy 7161 Unilateral vulvectomy 13 746-747 Vagina, cervix & vulva 7162 Bilateral vulvectomy 09 13 579-581 746-747 Other skin, subcut tissue & breast Vagina, cervix & vulva 7171 Suture vulvar laceration 09 13 14 21 24 579-581 746-747 774-775 907-909 957-959 Other skin, subcut tissue & breast Vagina, cervix & vulva Uncomp vaginal delivery procs Other procs for injuries Other procs for mult signif trauma 7172 Repair vulvar fistula 06 13 21 24 344-346 746-747 907-909 957-959 Minor small & large bowel Vagina, cervix & vulva Other procs for injuries Other procs for mult signif trauma 7179 Vulvar/perin repair NEC 13 14 21 24 746-747 774-775 907-909 957-959 Vagina, cervix & vulva Uncomp vaginal delivery procs Other procs for injuries Uncomp vaginal delivery procs Other procs for mult signif trauma 718 Other vulvar operations 13 746-747 Vagina, cervix & vulva 719 Other female genital ops 13 749-750 Other female reproductive system 7394 Pubiotomy to assist del 14 768 Delivery except steril &/or D&C 7399 Ops assisting deliv NEC 14 774-775 Uncomp vaginal delivery procs APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 740 Classical c-section MDC MS-DRG 14 765-766 SURGICAL CATEGORY Cesarean section 741 Low cervical c-section 14 765-766 Cesarean section 742 Extraperitoneal c-sect 14 765-766 Cesarean section 743 Rem extratub ectop preg 14 768 Delivery except steril &/or D&C 744 Cesarean section NEC 14 765-766 Cesarean section 7491 Hysterotomy to termin pg 14 770 D&C, aspir curet or hysterotomy 7499 Cesarean section NOS 14 765-766 Cesarean section 7536 Correction fetal defect 14 768 Delivery except steril &/or D&C 7550 Repair ob lac uterus NOS 14 774-775 Uncomp vaginal delivery procs 7551 Repair ob lacerat cervix 14 774-775 Uncomp vaginal delivery procs 7552 Repair ob lac corp uteri 14 768 Delivery except steril &/or D&C 7561 Repair ob lac blad/ureth 14 774-775 Uncomp vaginal delivery procs 7593 Surg corr invert uterus 14 768 Delivery except steril &/or D&C 7599 Obstetric operation NEC 14 768 Delivery except steril &/or D&C 7601 Facial bone sequestrect 03 08 21 24 131-132 515-517 907-909 957-959 Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7609 Facial bone incision NEC 03 08 21 24 133-134 495-497 907-909 957-959 Other ear, nose, mouth & throat Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7611 Facial bone biopsy 03 08 21 24 133-134 477-479 907-909 957-959 Other ear, nose, mouth & throat Musculoskeletal biopsy Other procs for injuries Other procs for mult signif trauma 7619 Facial bone dx proc NEC 03 08 21 24 131-132 477-479 907-909 957-959 Cranial/facial Musculoskeletal biopsy Other procs for injuries Other procs for mult signif trauma 762 Destruct facial bone les 03 08 21 24 131-132 495-497 907-909 957-959 Cranial/facial Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7631 Partial mandibulectomy 03 08 21 24 129-130 515-517 907-909 957-959 Major head & neck Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7639 Part facial ostectom NEC MDC 03 08 21 24 MS-DRG 131-132 515-517 907-909 957-959 SURGICAL CATEGORY Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7641 Tot mandibulec w reconst 03 08 21 24 129-130 515-517 907-909 957-959 Major head & neck Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7642 Total mandibulectomy NEC 03 08 21 24 129-130 515-517 907-909 957-959 Major head & neck Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7643 Mandibular reconst NEC 03 08 09 21 24 131-132 515-517 579-581 907-909 957-959 Cranial/facial Other musculoskel & connec tissue Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 7644 Tot face ostect w recons 03 08 21 24 131-132 515-517 907-909 957-959 Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7645 Tot face bone ostect NEC 03 08 21 24 131-132 515-517 907-909 957-959 Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7646 Facial bone reconstr NEC 02 03 08 21 24 113-114 131-132 515-517 907-909 957-959 Orbital extraocular Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 765 Temporomand arthroplasty 03 08 21 24 133-134 515-517 907-909 957-959 Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7661 Cl osteoplasty mand rami 03 08 21 24 131-132 515-517 907-909 957-959 Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7662 Open osteoplas mand rami 03 08 21 24 131-132 515-517 907-909 957-959 Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7663 Osteoplasty mandible bdy 03 08 21 24 131-132 515-517 907-909 957-959 Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7664 Mand orthognathic op NEC 03 08 21 24 131-132 515-517 907-909 957-959 Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7665 Seg osteoplasty maxilla MDC 03 08 21 24 MS-DRG 131-132 515-517 907-909 957-959 SURGICAL CATEGORY Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7666 Tot osteoplasty maxilla 03 08 21 24 131-132 515-517 907-909 957-959 Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7667 Reduction genioplasty 03 08 21 24 131-132 515-517 907-909 957-959 Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7668 Augmentation genioplasty 03 08 21 24 131-132 515-517 907-909 957-959 Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7669 Facial bone repair NEC 03 08 21 24 131-132 515-517 907-909 957-959 Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7670 Reduction facial fx NOS 03 08 21 24 131-132 515-517 907-909 957-959 Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7672 Opn reduct malar/zygo fx 03 08 21 24 131-132 515-517 907-909 957-959 Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7674 Open reduct maxillary fx 03 08 21 24 131-132 515-517 907-909 957-959 Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7676 Open reduct mandible fx 03 08 21 24 131-132 515-517 907-909 957-959 Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7677 Open reduct alveolar fx 03 08 21 24 131-132 515-517 907-909 957-959 Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7679 Open reduct face fx NEC 02 03 08 21 24 113-114 131-132 515-517 907-909 957-959 Orbital extraocular Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7691 Bone graft to face bone 02 03 08 21 24 113-114 131-132 515-517 907-909 957-959 Orbital extraocular Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7692 Syn implant to face bone MDC 02 03 08 21 24 MS-DRG 113-114 131-132 515-517 907-909 957-959 SURGICAL CATEGORY Orbital extraocular Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7694 Open reduct tm dislocat 03 08 21 24 131-132 515-517 907-909 957-959 Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7697 Remove int fix face bone 03 08 21 24 131-132 495-497 907-909 957-959 Cranial/facial Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7699 Facial bone/jnt op NEC 03 08 21 24 131-132 515-517 907-909 957-959 Cranial/facial Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7700 Sequestrectomy NOS 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7701 Chest cage sequestrec 04 08 21 24 166-168 515-517 907-909 957-959 Other respiratory system Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7702 Humerus sequestrectomy 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7703 Radius & ulna sequestrec 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 7704 Metacarp/carp sequestrec 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7705 Femoral sequestrectomy 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 7706 Patellar sequestrectomy 08 21 24 485-489 907-909 957-959 Knee Other procs for injuries Other procs for mult signif trauma 7707 Tibia/fibula sequestrec 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7708 Metatar/tar sequestrec 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 7709 Sequestrectomy NEC 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7710 Other bone incision NOS MDC 08 21 24 MS-DRG 495-497 907-909 957-959 SURGICAL CATEGORY Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7711 Other chest cage incis 04 08 21 24 166-168 495-497 907-909 957-959 Other respiratory system Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7712 Other humerus incision 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7713 Other radius/ulna incis 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7714 Oth metacarp/carp incis 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7715 Other femoral incision 08 21 24 498-499 907-909 957-959 Loc excis,rm int fx dev - hip,fem Other procs for injuries Other procs for mult signif trauma 7716 Other patellar incision 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7717 Other tibia/fibula incis 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7718 Oth metatars/tars incis 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 7719 Bone incis w/o div NEC 03 08 21 24 133-134 495-497 907-909 957-959 Other ear, nose, mouth & throat Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7720 Wedge osteotomy NOS 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7721 Chest cage wedg osteotom 04 08 21 24 166-168 515-517 907-909 957-959 Other respiratory system Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7722 Humerus wedge osteotomy 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7723 Radius/ulna wedg osteoto 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7724 Metacar/car wedg osteoto MDC 08 21 24 MS-DRG 513-514 906 957-959 SURGICAL CATEGORY Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7725 Femoral wedge osteotomy 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 7726 Patellar wedge osteotomy 08 21 24 485-489 907-909 957-959 Knee Other procs for injuries Other procs for mult signif trauma 7727 Tibia/fibul wedg osteot 08 10 21 24 492-494 628-630 907-909 957-959 Low extrem/humer ex hip,foot,femur Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 7728 Metatar/tar wedg osteot 08 09 21 24 503-505 579-581 907-909 957-959 Foot Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 7729 Wedge osteotomy NEC 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7730 Other bone division NOS 03 08 21 24 133-134 515-517 907-909 957-959 Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7731 Chest cage bone div NEC 04 08 21 24 166-168 515-517 907-909 957-959 Other respiratory system Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7732 Humerus division NEC 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7733 Radius/ulna division NEC 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 7734 Metacar/car division NEC 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7735 Femoral division NEC 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 7736 Patellar division NEC 08 21 24 485-489 907-909 957-959 Knee Other procs for injuries Other procs for mult signif trauma 7737 Tibia/fibula div NEC 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7738 Metatar/tar division NEC MDC 08 10 21 24 MS-DRG 503-505 628-630 907-909 957-959 SURGICAL CATEGORY Foot Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 7739 Bone division NEC 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7740 Bone biopsy NOS 03 08 09 10 11 12 133-134 477-479 579-581 628-630 673-675 715-718 Other ear, nose, mouth & throat Musculoskeletal biopsy Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract Other male reproductive system 7741 Chest cage bone biopsy 04 08 09 10 11 12 166-168 477-479 579-581 628-630 673-675 715-718 Other respiratory system Musculoskeletal biopsy Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract Other male reproductive system 7742 Humerus biopsy 08 09 10 11 12 477-479 579-581 628-630 673-675 715-718 Musculoskeletal biopsy Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract Other male reproductive system 7743 Radius & ulna biopsy 08 09 10 11 12 477-479 579-581 628-630 673-675 715-718 Musculoskeletal biopsy Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract Other male reproductive system 7744 Metacarpal/carpal biopsy 08 09 10 11 12 21 24 513-514 579-581 628-630 673-675 715-718 906 957-959 Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract Other male reproductive system Hand procs for injuries Other procs for mult signif trauma 7745 Femoral biopsy 08 09 10 11 12 477-479 579-581 628-630 673-675 715-718 Musculoskeletal biopsy Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract Other male reproductive system 7746 Patellar biopsy 08 09 10 11 12 477-479 579-581 628-630 673-675 715-718 Musculoskeletal biopsy Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract Other male reproductive system 7747 Tibia & fibula biopsy 08 09 10 11 12 477-479 579-581 628-630 673-675 715-718 Musculoskeletal biopsy Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract Other male reproductive system APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7748 Metatarsal/tarsal biopsy MDC 08 09 10 11 12 MS-DRG 477-479 579-581 628-630 673-675 715-718 SURGICAL CATEGORY Musculoskeletal biopsy Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract Other male reproductive system 7749 Bone biopsy NEC 03 04 08 09 10 11 12 16 133-134 166-168 477-479 579-581 628-630 673-675 715-718 802-804 Other ear, nose, mouth & throat Other respiratory system Musculoskeletal biopsy Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract Other male reproductive system Other blood & blood form org 7751 Bunionect/sft/osteotomy 08 503-505 Foot 7752 Bunionect/sft/arthrodes 08 503-505 Foot 7753 Oth bunionect w sft corr 08 503-505 Foot 7754 Exc correct bunionette 08 503-505 Foot 7756 Repair of hammer toe 08 503-505 Foot 7757 Repair of claw toe 08 503-505 Foot 7758 Oth exc, fus, repair toe 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries 7759 Bunionectomy NEC 08 503-505 Foot 7760 Loc exc bone lesion NOS 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7761 Exc chest cage bone les 04 08 10 21 24 166-168 495-497 628-630 907-909 957-959 Other respiratory system Loc excis,rm int fx dev ex hip,fem Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 7762 Loc exc bone les humerus 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7763 Loc exc les radius/ulna 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7764 Loc exc les metacar/car 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7765 Loc exc bone les femur 08 21 24 498-499 907-909 957-959 Loc excis,rm int fx dev - hip,fem Other procs for injuries Other procs for mult signif trauma Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7766 Loc exc bone les patella MDC 08 21 24 MS-DRG 495-497 907-909 957-959 SURGICAL CATEGORY Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7767 Loc exc les tibia/fibula 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7768 Loc exc les metatar/tar 08 10 21 24 503-505 628-630 907-909 957-959 Foot Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 7769 Loc exc bone lesion NEC 03 08 10 21 24 133-134 495-497 628-630 907-909 957-959 Other ear, nose, mouth & throat Loc excis,rm int fx dev ex hip,fem Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 7770 Excise bone for grft NOS 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7771 Ex chest cage bone-gft 04 08 21 24 166-168 495-497 907-909 957-959 Other respiratory system Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7772 Excise humerus for graft 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7773 Excis radius/ulna-graft 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7774 Excis metacar/car-graft 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7775 Excise femur for graft 08 21 24 498-499 907-909 957-959 Loc excis,rm int fx dev - hip,fem Other procs for injuries Other procs for mult signif trauma 7776 Excise patella for graft 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7777 Excise tib/fib for graft 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7778 Excis metatar/tar-graft 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 7779 Excise bone for gft NEC 03 08 21 24 133-134 495-497 907-909 957-959 Other ear, nose, mouth & throat Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7780 Oth part ostectomy NOS MDC 08 21 24 MS-DRG 515-517 907-909 957-959 SURGICAL CATEGORY Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7781 Oth chest cage ostectomy 01 04 08 21 24 028-030 166-168 515-517 907-909 957-959 Spinal Other respiratory system Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7782 Partial humerectomy NEC 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7783 Part ostect-radius/ulna 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 7784 Part ostect-metacar/car 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7785 Part ostectomy-femur 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 7786 Partial patellectomy 08 21 24 485-489 907-909 957-959 Knee Other procs for injuries Other procs for mult signif trauma 7787 Part ostect-tibia/fibula 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7788 Part ostect-metatar/tar 08 10 21 24 503-505 628-630 907-909 957-959 Foot Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 7789 Partial ostectomy NEC 03 08 10 21 24 133-134 515-517 628-630 907-909 957-959 Other ear, nose, mouth & throat Other musculoskel & connec tissue Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 7790 Total ostectomy NOS 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7791 Tot chest cage ostectomy 01 04 08 21 24 028-030 166-168 515-517 907-909 957-959 Spinal Other respiratory system Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7792 Total ostectomy-humerus 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7793 Tot ostect-radius/ulna MDC 08 21 24 MS-DRG 510-512 907-909 957-959 SURGICAL CATEGORY Other upper extremity Other procs for injuries Other procs for mult signif trauma 7794 Tot ostect-metacarp/carp 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7795 Tot ostectomy-femur 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 7796 Total patellectomy 08 21 24 485-489 907-909 957-959 Knee Other procs for injuries Other procs for mult signif trauma 7797 Tot ostect-tibia/fibula 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7798 Tot ostect-metatars/tars 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 7799 Total ostectomy NEC 03 08 21 24 133-134 515-517 907-909 957-959 Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7800 Bone graft NOS 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7801 Bone graft to chest cage 04 08 21 24 166-168 515-517 907-909 957-959 Other respiratory system Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7802 Bone graft to humerus 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7803 Bone graft-radius/ulna 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 7804 Bone grft to metacar/car 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7805 Bone graft to femur 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 7806 Bone graft to patella 08 21 24 485-489 907-909 957-959 Knee Other procs for injuries Other procs for mult signif trauma 7807 Bone graft-tibia/fibula 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7808 Bone graft-metatar/tar MDC 08 21 24 MS-DRG 503-505 907-909 957-959 SURGICAL CATEGORY Foot Other procs for injuries Other procs for mult signif trauma 7809 Bone graft NEC 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7810 Applic ext fix dev NOS 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7811 Appl ext fix-chest cage 04 08 21 24 166-168 515-517 907-909 957-959 Other respiratory system Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7812 Applic ext fix-humerus 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7813 Appl ext fix-radius/ulna 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 7814 Appl ext fix-metacar/car 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7815 Applic ext fix dev-femur 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 7816 Appl ext fix dev-patella 08 21 24 485-489 907-909 957-959 Knee Other procs for injuries Other procs for mult signif trauma 7817 Appl ext fix-tib/fibula 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7818 Appl ext fix-metatar/tar 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 7819 Applic ext fix dev NEC 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7820 Limb shorten proc NOS 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7822 Limb short proc-humerus 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7823 Limb shorten-radius/ulna 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7824 Limb shorten-metacar/car MDC 08 21 24 MS-DRG 513-514 906 957-959 SURGICAL CATEGORY Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7825 Limb short proc-femur 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 7827 Limb shorten-tib/fibula 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7828 Limb shorten-metatar/tar 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 7829 Limb shorten proc NEC 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7830 Limb lengthen proc NOS 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7832 Limb length proc-humerus 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7833 Limb length-radius/ulna 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 7834 Limb length-metacar/car 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7835 Limb length proc-femur 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 7837 Limb lengthen-tib/fibula 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7838 Limb lengthn-metatar/tar 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 7839 Limb lengthen proc NEC 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7840 Oth bone repair/plast op 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7841 Oth chest cage rep/plast 04 08 21 24 166-168 515-517 907-909 957-959 Other respiratory system Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7842 Oth humerus repair/plast MDC 08 21 24 MS-DRG 492-494 907-909 957-959 SURGICAL CATEGORY Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7843 Oth rad/uln repair/plast 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 7844 Oth metac/carp rep/plast 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7845 Oth femur repair/plastic 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 7846 Oth patella repair/plast 08 21 24 485-489 907-909 957-959 Knee Other procs for injuries Other procs for mult signif trauma 7847 Oth tib/fib repair/plast 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7848 Oth meta/tar repa/plast 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 7849 Oth bone repa/plast NEC 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7850 Int fix w/o fx reduc NOS 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7851 Int fixation-chest cage 04 08 21 24 166-168 515-517 907-909 957-959 Other respiratory system Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7852 Int fixation-humerus 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7853 Int fixation-radius/ulna 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 7854 Int fixation-metacar/car 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7855 Internal fixation-femur 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 7856 Internal fix-patella 08 21 24 485-489 907-909 957-959 Knee Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7857 Int fixation-tibia/fibul MDC 08 21 24 MS-DRG 492-494 907-909 957-959 SURGICAL CATEGORY Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7858 Int fixation-metatar/tar 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 7859 Int fix-no fx reduct NEC 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7860 Remove imp device NOS 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7861 Remov imp dev-chest cage 04 08 21 24 166-168 495-497 907-909 957-959 Other respiratory system Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7862 Remove impl dev-humerus 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7863 Remov imp dev-radius/uln 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7864 Remov imp dev-metac/carp 08 21 24 495-497 906 957-959 Loc excis,rm int fx dev ex hip,fem Hand procs for injuries Other procs for mult signif trauma 7865 Remove imp device-femur 08 10 21 24 498-499 628-630 907-909 957-959 Loc excis,rm int fx dev - hip,fem Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 7866 Remov imp device-patella 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7867 Remov imp dev-tib/fibula 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7868 Remove imp dev-metat/tar 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7869 Remove impl device NEC 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 7870 Osteoclasis NOS 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7871 Osteoclasis-chest cage MDC 04 08 21 24 MS-DRG 166-168 515-517 907-909 957-959 SURGICAL CATEGORY Other respiratory system Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7872 Osteoclasis-humerus 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7873 Osteoclasis-radius/ulna 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 7874 Osteoclasis-metacar/car 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7875 Osteoclasis-femur 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 7876 Osteoclasis-patella 08 21 24 485-489 907-909 957-959 Knee Other procs for injuries Other procs for mult signif trauma 7877 Osteoclasis-tibia/fibula 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7878 Osteoclasis-metatar/tar 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 7879 Osteoclasis NEC 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7880 Other bone dx proc NOS 08 477-479 Musculoskeletal biopsy 7881 Oth dx proced-chest cage 04 08 166-168 477-479 Other respiratory system Musculoskeletal biopsy 7882 Oth dx proced-humerus 08 477-479 Musculoskeletal biopsy 7883 Oth dx proc-radius/ulna 08 477-479 Musculoskeletal biopsy 7884 Oth dx proc-metacar/car 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7885 Oth dx proced-femur 08 477-479 Musculoskeletal biopsy 7886 Oth dx proced-patella 08 477-479 Musculoskeletal biopsy 7887 Oth dx proc-tibia/fibula 08 477-479 Musculoskeletal biopsy 7888 Oth dx proc-metatar/tar 08 503-505 Foot 7889 Other bone dx proc NEC 08 477-479 Musculoskeletal biopsy APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7890 Insert bone stimul NOS MDC 08 21 24 MS-DRG 515-517 907-909 957-959 SURGICAL CATEGORY Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7891 Insert bone stimul-chest 04 08 21 24 166-168 515-517 907-909 957-959 Other respiratory system Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7892 Insert bone stim-humerus 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7893 Inser bone stim-rad/ulna 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 7894 Inser bone stim-meta/car 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7895 Insert bone stim-femur 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 7896 Insert bone stim-patella 08 21 24 485-489 907-909 957-959 Knee Other procs for injuries Other procs for mult signif trauma 7897 Inser bone stim-tib/fib 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7898 Inser bone stim-meta/tar 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 7899 Insert bone stimul NEC 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7910 Cl fx reduc-int fix NOS 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7911 Clos red-int fix humerus 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7912 Cl red-int fix rad/ulna 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 7913 Cl red-int fix metac/car 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7914 Close red-int fix finger 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7915 Closed red-int fix femur MDC 08 21 24 MS-DRG 480-482 907-909 956 SURGICAL CATEGORY Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 7916 Cl red-int fix tib/fibu 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7917 Cl red-int fix metat/tar 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 7918 Close red-int fix toe fx 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 7919 Cl fx reduc-int fix NEC 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7920 Open fx reduction NOS 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7921 Open reduc-humerus fx 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7922 Open reduc-radius/uln fx 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 7923 Open reduc-metac/car fx 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7924 Open reduction-finger fx 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7925 Open reduction-femur fx 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 7926 Open reduc-tibia/fib fx 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7927 Open reduc-metat/tars fx 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 7928 Open reduction-toe fx 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 7929 Open fx reduction NEC 03 08 21 24 133-134 515-517 907-909 957-959 Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7930 Opn fx red w int fix NOS MDC 08 21 24 MS-DRG 515-517 907-909 957-959 SURGICAL CATEGORY Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7931 Open red-int fix humerus 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7932 Op red-int fix rad/ulna 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 7933 Op red-int fix metac/car 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7934 Open red-int fix finger 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7935 Open reduc-int fix femur 08 10 21 24 480-482 628-630 907-909 956 Hip & femur except major joint Other endocrine/nutrit/metabolic Other procs for injuries Limb reattach, hip & femur 7936 Op red-int fix tib/fibul 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7937 Op red-int fix metat/tar 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 7938 Open reduct-int fix toe 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 7939 Opn fx red w int fix NEC 03 08 21 24 133-134 515-517 907-909 957-959 Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7940 Cls reduc-sep epiphy NOS 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7941 Close red-humerus epiphy 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7942 Cls red-radius/ul epiphy 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 7945 Close reduc-femur epiphy 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 7946 Cls red-tibia/fib epiphy 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7949 Cls reduc-sep epiphy NEC MDC 08 21 24 MS-DRG 515-517 907-909 957-959 SURGICAL CATEGORY Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7950 Open red-sep epiphy NOS 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7951 Opn red-sep epiphy-humer 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7952 Op red-radius/uln epiphy 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 7955 Opn red-sep epiphy-femur 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 7956 Op red-tibia/fib epiphys 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7959 Open red-sep epiphy NEC 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7960 Open fx site debride NOS 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7961 Debrid open fx-humerus 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7962 Debrid opn fx-radius/uln 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 7963 Debrid opn fx-metac/car 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7964 Debrid opn fx-finger 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7965 Debrid opn fx-femur 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 7966 Debrid opn fx-tibia/fib 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7967 Debrid opn fx-metat/tar 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7968 Debrid opn fx-toe MDC 08 21 24 MS-DRG 503-505 907-909 957-959 SURGICAL CATEGORY Foot Other procs for injuries Other procs for mult signif trauma 7969 Open fx site debride NEC 03 08 21 24 133-134 515-517 907-909 957-959 Other ear, nose, mouth & throat Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7980 Open reduc-dislocat NOS 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7981 Opn reduc disloc-shouldr 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 7982 Open reduc-elbow disloc 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 7983 Open reduc-wrist disloc 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7984 Opn reduc disloc-hand 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7985 Open reduc-hip dislocat 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 7986 Open reduc-knee dislocat 08 21 24 485-489 907-909 957-959 Knee Other procs for injuries Other procs for mult signif trauma 7987 Open reduc-ankle disloc 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7988 Opn reduc disloc-ft/toe 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 7989 Open reduc-dislocat NEC 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7990 Unspec op bone inj NOS 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 7991 Humerus injury op NOS 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7992 Radius/ulna inj op NOS 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 7993 Metacarp/carp inj op NOS MDC 08 21 24 MS-DRG 513-514 906 957-959 SURGICAL CATEGORY Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7994 Finger injury op NOS 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 7995 Femur injury op NOS 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 7996 Tibia/fibula inj op NOS 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7997 Metatars/tars inj op NOS 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 7998 Toe injury operation NOS 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 7999 Unspec op-bone inj NEC 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 8000 Arth/pros rem wo rep NOS 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 8001 Arth/pros rem wo re-shld 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 8002 Arth/pros rem wo rep-elb 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 8003 Arth/pros rem wo re-wrst 08 21 24 495-497 906 957-959 Loc excis,rm int fx dev ex hip,fem Hand procs for injuries Other procs for mult signif trauma 8004 Arth/pros rem wo rep-hnd 08 21 24 495-497 906 957-959 Loc excis,rm int fx dev ex hip,fem Hand procs for injuries Other procs for mult signif trauma 8005 Arth/pros rem wo rep-hip 08 21 24 463-465 907-909 956 Wound debride & skin graft ex hand Other procs for injuries Limb reattach, hip & femur 8006 Arth/pros rem wo re-knee 08 21 24 463-465 907-909 957-959 Wound debride & skin graft ex hand Other procs for injuries Other procs for mult signif trauma 8007 Arth/pros rem wo rep-ank 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8008 Arth/pros rem wo re-foot MDC 08 21 24 MS-DRG 495-497 907-909 957-959 SURGICAL CATEGORY Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 8009 Arth/pros rem wo rep NEC 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 8010 Other arthrotomy NOS 08 10 21 24 515-517 628-630 907-909 957-959 Other musculoskel & connec tissue Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 8011 Oth arthrotomy-shoulder 08 21 24 507-508 907-909 957-959 Major shoulder/elbow Other procs for injuries Other procs for mult signif trauma 8012 Oth arthrotomy-elbow 08 10 21 24 507-508 628-630 907-909 957-959 Major shoulder/elbow Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 8013 Oth arthrotomy-wrist 08 21 24 506 906 957-959 Major thumb or joint Hand procs for injuries Other procs for mult signif trauma 8014 Oth arthrotomy-hand/fngr 08 21 24 506 906 957-959 Major thumb or joint Hand procs for injuries Other procs for mult signif trauma 8015 Oth arthrotomy-hip 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 8016 Oth arthrotomy-knee 08 10 21 24 485-489 628-630 907-909 957-959 Knee Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 8017 Oth arthrotomy-ankle 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 8018 Oth arthrotomy-foot/toe 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 8019 Other arthrotomy NEC 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 8020 Arthroscopy NOS 08 21 24 509 907-909 957-959 Arthroscopy Other procs for injuries Other procs for mult signif trauma 8021 Shoulder arthroscopy 08 21 24 509 907-909 957-959 Arthroscopy Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8022 Elbow arthroscopy MDC 08 21 24 MS-DRG 509 907-909 957-959 SURGICAL CATEGORY Arthroscopy Other procs for injuries Other procs for mult signif trauma 8023 Wrist arthroscopy 08 21 24 509 907-909 957-959 Arthroscopy Other procs for injuries Other procs for mult signif trauma 8024 Hand & finger arthroscop 08 21 24 509 907-909 957-959 Arthroscopy Other procs for injuries Other procs for mult signif trauma 8025 Hip arthroscopy 08 21 24 509 907-909 957-959 Arthroscopy Other procs for injuries Other procs for mult signif trauma 8026 Knee arthroscopy 08 10 21 24 509 628-630 907-909 957-959 Arthroscopy Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 8027 Ankle arthroscopy 08 21 24 509 907-909 957-959 Arthroscopy Other procs for injuries Other procs for mult signif trauma 8028 Foot & toe arthroscopy 08 21 24 509 907-909 957-959 Arthroscopy Other procs for injuries Other procs for mult signif trauma 8029 Arthroscopy NEC 08 21 24 509 907-909 957-959 Arthroscopy Other procs for injuries Other procs for mult signif trauma 8040 Jt structur division NOS 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 8041 Shoulder struct division 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 8042 Elbow structure division 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 8043 Wrist structure division 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8044 Hand joint struct divis 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8045 Hip structure division 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 8046 Knee structure division 08 21 24 485-489 907-909 957-959 Knee Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8047 Ankle structure division MDC 08 21 24 MS-DRG 492-494 907-909 957-959 SURGICAL CATEGORY Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 8048 Foot joint struct divis 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 8049 Jt structur division NEC 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 8050 Exc/dest intvrt disc NOS 01 08 21 24 028-030 490-491 907-909 957-959 Spinal Back & neck except spinal fusion Other procs for injuries Other procs for mult signif trauma 8051 Excision intervert disc 01 08 21 24 028-030 490-491 907-909 957-959 Spinal Back & neck except spinal fusion Other procs for injuries Other procs for mult signif trauma 8053 Rep anulus fibrosus-grft 01 08 17 17 21 24 028-030 490-491 820-822 826-828 907-909 957-959 Spinal Back & neck except spinal fusion Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 8054 Rep anuls fibros NEC/NOS 01 08 17 17 21 24 028-030 490-491 820-822 826-828 907-909 957-959 Spinal Back & neck except spinal fusion Major procedure Major procedure Other procs for injuries Other procs for mult signif trauma 8059 Oth exc/dest intvrt disc 01 08 21 24 028-030 490-491 907-909 957-959 Spinal Back & neck except spinal fusion Other procs for injuries Other procs for mult signif trauma 806 Excis knee semilun cartl 08 10 21 24 485-489 628-630 907-909 957-959 Knee Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 8070 Synovectomy-site NOS 08 21 24 500-502 907-909 957-959 Soft tissue Other procs for injuries Other procs for mult signif trauma 8071 Shoulder synovectomy 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 8072 Elbow synovectomy 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 8073 Wrist synovectomy 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8074 Hand synovectomy MDC 08 21 24 MS-DRG 513-514 906 957-959 SURGICAL CATEGORY Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8075 Hip synovectomy 08 21 24 480-482 907-909 957-959 Hip & femur except major joint Other procs for injuries Other procs for mult signif trauma 8076 Knee synovectomy 08 21 24 485-489 907-909 957-959 Knee Other procs for injuries Other procs for mult signif trauma 8077 Ankle synovectomy 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 8078 Foot synovectomy 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 8079 Synovectomy-site NEC 08 21 24 500-502 907-909 957-959 Soft tissue Other procs for injuries Other procs for mult signif trauma 8080 Destruct joint les NOS 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 8081 Destruc-shoulder les NEC 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 8082 Destruc-elbow lesion NEC 08 10 21 24 495-497 628-630 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 8083 Destruc-wrist lesion NEC 08 09 21 24 513-514 579-581 906 957-959 Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Hand procs for injuries Other procs for mult signif trauma 8084 Destruc-hand jt les NEC 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8085 Destruct-hip lesion NEC 08 21 24 498-499 907-909 957-959 Loc excis,rm int fx dev - hip,fem Other procs for injuries Other procs for mult signif trauma 8086 Destruct-knee lesion NEC 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 8087 Destruc-ankle lesion NEC 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8088 Destruc-foot jt les NEC MDC 08 10 21 24 MS-DRG 503-505 628-630 907-909 957-959 SURGICAL CATEGORY Foot Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 8089 Destruct joint les NEC 08 21 24 495-497 907-909 957-959 Loc excis,rm int fx dev ex hip,fem Other procs for injuries Other procs for mult signif trauma 8090 Excision of joint NOS 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 8091 Excision of shoulder NEC 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 8092 Excision of elbow NEC 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 8093 Excision of wrist NEC 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8094 Excision hand joint NEC 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8095 Excision of hip NEC 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 8096 Excision of knee NEC 08 21 24 485-489 907-909 957-959 Knee Other procs for injuries Other procs for mult signif trauma 8097 Excision of ankle NEC 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 8098 Excision foot joint NEC 08 10 21 24 503-505 628-630 907-909 957-959 Foot Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 8099 Excision of joint NEC 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 8100 Spinal fusion NOS 01 08 21 24 028-030 Spinal See Spinal Fusion Reference Table Other procs for injuries Other procs for mult signif trauma 01 08 21 24 028-030 8101 Atlas-axis fusion 907-909 957-959 907-909 957-959 Spinal See Spinal Fusion Reference Table Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8102 Oth cerv fusion ant/ant 8103 8104 8105 8106 8107 8108 Ot cerv fusion post/post Drsl/drslumb fus ant/ant Drsl/dslmb fus post/post Lumb/lmbosac fus ant/ant Lmb/lmbsac fus post/post Lumb/lmbsac fus ant/post MDC 01 08 21 24 MS-DRG 028-030 01 08 21 24 028-030 01 08 21 24 028-030 01 08 21 24 028-030 01 08 21 24 028-030 01 08 21 24 028-030 01 08 21 24 028-030 907-909 957-959 Spinal See Spinal Fusion Reference Table Other procs for injuries Other procs for mult signif trauma 907-909 957-959 907-909 957-959 907-909 957-959 907-909 957-959 907-909 957-959 907-909 957-959 SURGICAL CATEGORY Spinal See Spinal Fusion Reference Table Other procs for injuries Other procs for mult signif trauma Spinal See Spinal Fusion Reference Table Other procs for injuries Other procs for mult signif trauma Spinal See Spinal Fusion Reference Table Other procs for injuries Other procs for mult signif trauma Spinal See Spinal Fusion Reference Table Other procs for injuries Other procs for mult signif trauma Spinal See Spinal Fusion Reference Table Other procs for injuries Other procs for mult signif trauma Spinal See Spinal Fusion Reference Table Other procs for injuries Other procs for mult signif trauma 8111 Ankle fusion 08 10 21 24 492-494 628-630 907-909 957-959 Low extrem/humer ex hip,foot,femur Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 8112 Triple arthrodesis 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 8113 Subtalar fusion 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 8114 Midtarsal fusion 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 8115 Tarsometatarsal fusion 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 8116 Metatarsophalangeal fus 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8117 Other fusion of foot MDC 08 21 24 MS-DRG 503-505 907-909 957-959 SURGICAL CATEGORY Foot Other procs for injuries Other procs for mult signif trauma 8118 Subtalr jt arthroereisis 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 8120 Arthrodesis NOS 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 8121 Arthrodesis of hip 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 8122 Arthrodesis of knee 08 21 24 485-489 907-909 957-959 Knee Other procs for injuries Other procs for mult signif trauma 8123 Arthrodesis of shoulder 08 10 21 24 507-508 628-630 907-909 957-959 Major shoulder/elbow Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 8124 Arthrodesis of elbow 08 21 24 507-508 907-909 957-959 Major shoulder/elbow Other procs for injuries Other procs for mult signif trauma 8125 Carporadial fusion 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8126 Metacarpocarpal fusion 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8127 Metacarpophalangeal fus 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8128 Interphalangeal fusion 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8129 Arthrodesis NEC 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 8130 Spinal refusion NOS 01 08 21 24 028-030 Spinal See Spinal Fusion Reference Table Other procs for injuries Other procs for mult signif trauma 01 08 21 24 028-030 8131 Refusion of atlas-axis 907-909 957-959 907-909 957-959 Spinal See Spinal Fusion Reference Table Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8132 Refus oth cervcl ant/ant 8133 8134 8135 8136 8137 8138 8139 Refus oth cerv post/post Refus drs/drslmb ant/ant Refus drs/drslmb pst/pst Refus lmb/lmbsac ant/ant Refus lmb/lmbsac pst/pst Refus lmb/lmbsc ant/post Refusion of spine NEC MDC 01 08 21 24 MS-DRG 028-030 01 08 21 24 028-030 01 08 21 24 028-030 01 08 21 24 028-030 01 08 21 24 028-030 01 08 21 24 028-030 01 08 21 24 028-030 01 08 21 24 028-030 907-909 957-959 Spinal See Spinal Fusion Reference Table Other procs for injuries Other procs for mult signif trauma 907-909 957-959 907-909 957-959 907-909 957-959 907-909 957-959 907-909 957-959 907-909 957-959 907-909 957-959 SURGICAL CATEGORY Spinal See Spinal Fusion Reference Table Other procs for injuries Other procs for mult signif trauma Spinal See Spinal Fusion Reference Table Other procs for injuries Other procs for mult signif trauma Spinal See Spinal Fusion Reference Table Other procs for injuries Other procs for mult signif trauma Spinal See Spinal Fusion Reference Table Other procs for injuries Other procs for mult signif trauma Spinal See Spinal Fusion Reference Table Other procs for injuries Other procs for mult signif trauma Spinal See Spinal Fusion Reference Table Other procs for injuries Other procs for mult signif trauma Spinal See Spinal Fusion Reference Table Other procs for injuries Other procs for mult signif trauma 8140 Repair of hip, NEC 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 8142 Five-in-one knee repair 08 21 24 485-489 907-909 957-959 Knee Other procs for injuries Other procs for mult signif trauma 8143 Triad knee repair 08 21 24 485-489 907-909 957-959 Knee Other procs for injuries Other procs for mult signif trauma 8144 Patellar stabilization 08 21 24 485-489 907-909 957-959 Knee Other procs for injuries Other procs for mult signif trauma 8145 Cruciate lig repair NEC 08 21 24 485-489 907-909 957-959 Knee Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8146 Collaterl lig repair NEC MDC 08 21 24 MS-DRG 485-489 907-909 957-959 SURGICAL CATEGORY Knee Other procs for injuries Other procs for mult signif trauma 8147 Other repair of knee 08 21 24 485-489 907-909 957-959 Knee Other procs for injuries Other procs for mult signif trauma 8149 Other repair of ankle 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 8151 Total hip replacement 08 08 21 24 461-462 469-470 907-909 956 Bilat/mult major joint, low extrem Maj joint repl/reattach, low extrm Other procs for injuries Limb reattach, hip & femur 8152 Partial hip replacement 08 08 10 21 24 461-462 469-470 628-630 907-909 956 Bilat/mult major joint, low extrem Maj joint repl/reattach, low extrm Other endocrine/nutrit/metabolic Other procs for injuries Limb reattach, hip & femur 8153 Revise hip replacemt NOS 08 10 21 24 466-468 628-630 907-909 956 Revision of hip / knee replacement Other endocrine/nutrit/metabolic Other procs for injuries Limb reattach, hip & femur 8154 Total knee replacement 08 08 21 24 461-462 469-470 907-909 957-959 Bilat/mult major joint, low extrem Maj joint repl/reattach, low extrm Other procs for injuries Other procs for mult signif trauma 8155 Revise knee replace NOS 08 21 24 466-468 907-909 957-959 Revision of hip / knee replacement Other procs for injuries Other procs for mult signif trauma 8156 Total ankle replacement 08 08 21 24 461-462 469-470 907-909 957-959 Bilat/mult major joint, low extrem Maj joint repl/reattach, low extrm Other procs for injuries Other procs for mult signif trauma 8157 Repl joint of foot, toe 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 8159 Rev jt repl low ext NEC 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries 8164* Fus/refus 9 vertebrae 08 456-458 *Spinal fusion - 9+ 8165 Percutan vertebroplasty 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 8166 Percut vertebral augment 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8171 Arthroplas metacarp wit MDC 01 08 21 24 MS-DRG 040-042 506 906 957-959 SURGICAL CATEGORY Periph/cranial nerve & other Major thumb or joint Hand procs for injuries Other procs for mult signif trauma 8172 Arthroplasty metacar w/o 01 08 21 24 040-042 506 906 957-959 Periph/cranial nerve & other Major thumb or joint Hand procs for injuries Other procs for mult signif trauma 8173 Total wrist replacement 08 21 24 483-484 907-909 957-959 Maj joint/limb reattach, up extrm Other procs for injuries Other procs for mult signif trauma 8174 Arthroplasty carpal wit 01 08 21 24 040-042 506 906 957-959 Periph/cranial nerve & other Major thumb or joint Hand procs for injuries Other procs for mult signif trauma 8175 Arthroplasty carpal w/o 01 08 21 24 040-042 506 906 957-959 Periph/cranial nerve & other Major thumb or joint Hand procs for injuries Other procs for mult signif trauma 8179 Oth repair han/fin/wris 01 08 21 24 040-042 506 906 957-959 Periph/cranial nerve & other Major thumb or joint Hand procs for injuries Other procs for mult signif trauma 8180 Oth totl shouldr replace 08 21 24 483-484 907-909 957-959 Maj joint/limb reattach, up extrm Other procs for injuries Other procs for mult signif trauma 8181 Partial shoulder replace 08 21 24 483-484 907-909 957-959 Maj joint/limb reattach, up extrm Other procs for injuries Other procs for mult signif trauma 8182 Rep recur shlder disloc 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 8183 Shoulder arthroplast NEC 08 21 24 507-508 907-909 957-959 Major shoulder/elbow Other procs for injuries Other procs for mult signif trauma 8184 Total elbow replacement 08 21 24 483-484 907-909 957-959 Maj joint/limb reattach, up extrm Other procs for injuries Other procs for mult signif trauma 8185 Elbow arthroplasty NEC 08 21 24 507-508 907-909 957-959 Major shoulder/elbow Other procs for injuries Other procs for mult signif trauma 8188 Rvrs totl shldr replacmt 08 21 24 483-484 907-909 957-959 Maj joint/limb reattach, up extrm Other procs for injuries Other procs for mult signif trauma 8193 Sutur capsul/ligamen arm 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8194 Suture capsul/lig ank/ft MDC 08 21 24 MS-DRG 503-505 907-909 957-959 SURGICAL CATEGORY Foot Other procs for injuries Other procs for mult signif trauma 8195 Sutur capsul/lig leg NEC 08 21 24 500-502 907-909 957-959 Soft tissue Other procs for injuries Other procs for mult signif trauma 8196 Other repair of joint 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 8197 Rev jt repl upper extrem 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 8198 Other joint dx procedure 08 21 24 477-479 907-909 957-959 Musculoskeletal biopsy Other procs for injuries Other procs for mult signif trauma 8199 Joint structure op NEC 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 8201 Explor tend sheath-hand 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8202 Myotomy of hand 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8203 Bursotomy of hand 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8209 Inc soft tissue hand NEC 08 09 21 24 513-514 579-581 906 957-959 Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Hand procs for injuries Other procs for mult signif trauma 8211 Tenotomy of hand 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8212 Fasciotomy of hand 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8219 Div soft tissue hand NEC 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8221 Exc les tend sheath hand 08 09 10 21 24 513-514 579-581 628-630 906 957-959 Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Hand procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8222 Excision hand muscle les MDC 08 21 24 MS-DRG 513-514 906 957-959 SURGICAL CATEGORY Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8229 Exc les sft tiss hnd NEC 08 09 21 24 513-514 579-581 906 957-959 Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Hand procs for injuries Other procs for mult signif trauma 8231 Bursectomy of hand 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8232 Excis hand tend for grft 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8233 Hand tenonectomy NEC 08 10 21 24 513-514 628-630 906 957-959 Hand/wrist, except maj thumb/joint Other endocrine/nutrit/metabolic Hand procs for injuries Other procs for mult signif trauma 8234 Exc hnd mus/fas for grft 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8235 Hand fasciectomy NEC 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8236 Other myectomy of hand 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8239 Hand soft tissue exc NEC 08 09 21 24 513-514 579-581 906 957-959 Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Hand procs for injuries Other procs for mult signif trauma 8241 Suture tendn sheath hand 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8242 Delay sut flex tend hand 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8243 Delay sut hand tend NEC 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8244 Sutur flex tend hand NEC 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8245 Suture hand tendon NEC 08 09 21 24 513-514 579-581 906 957-959 Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Hand procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8246 Suture hand muscle/fasc MDC 08 21 24 MS-DRG 513-514 906 957-959 SURGICAL CATEGORY Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8251 Hand tendon advancement 01 08 21 24 040-042 513-514 906 957-959 Periph/cranial nerve & other Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8252 Hand tendon recession 01 08 21 24 040-042 513-514 906 957-959 Periph/cranial nerve & other Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8253 Hand tendon reattachment 01 08 21 24 040-042 513-514 906 957-959 Periph/cranial nerve & other Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8254 Hand muscle reattachment 01 08 21 24 040-042 513-514 906 957-959 Periph/cranial nerve & other Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8255 Chng hnd mus/ten lng NEC 01 08 21 24 040-042 513-514 906 957-959 Periph/cranial nerve & other Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8256 Transplant hand tend NEC 01 08 21 24 040-042 513-514 906 957-959 Periph/cranial nerve & other Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8257 Transposit hand tend NEC 01 08 21 24 040-042 513-514 906 957-959 Periph/cranial nerve & other Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8258 Transplant hand musc NEC 01 08 21 24 040-042 513-514 906 957-959 Periph/cranial nerve & other Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8259 Transposit hand musc NEC 01 08 21 24 040-042 513-514 906 957-959 Periph/cranial nerve & other Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8261 Pollicization operation 01 08 21 24 040-042 506 906 957-959 Periph/cranial nerve & other Major thumb or joint Hand procs for injuries Other procs for mult signif trauma 8269 Thumb reconstruction NEC 01 08 21 24 040-042 506 906 957-959 Periph/cranial nerve & other Major thumb or joint Hand procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8271 Hand tend pulley reconst MDC 01 08 21 24 MS-DRG 040-042 513-514 906 957-959 SURGICAL CATEGORY Periph/cranial nerve & other Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8272 Plast op hnd-mus/fas grf 01 08 09 21 24 040-042 513-514 579-581 906 957-959 Periph/cranial nerve & other Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Hand procs for injuries Other procs for mult signif trauma 8279 Plast op hand w grft NEC 01 08 09 21 24 040-042 513-514 579-581 906 957-959 Periph/cranial nerve & other Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Hand procs for injuries Other procs for mult signif trauma 8281 Transfer of finger 01 08 21 24 040-042 513-514 906 957-959 Periph/cranial nerve & other Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8282 Repair of cleft hand 01 08 21 24 040-042 513-514 906 957-959 Periph/cranial nerve & other Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8283 Repair of macrodactyly 01 08 21 24 040-042 513-514 906 957-959 Periph/cranial nerve & other Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8284 Repair of mallet finger 01 08 21 24 040-042 513-514 906 957-959 Periph/cranial nerve & other Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8285 Other tenodesis of hand 01 08 21 24 040-042 513-514 906 957-959 Periph/cranial nerve & other Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8286 Other tenoplasty of hand 01 08 21 24 040-042 513-514 906 957-959 Periph/cranial nerve & other Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8289 Hand plastic op NEC 01 08 09 21 24 040-042 513-514 579-581 906 957-959 Periph/cranial nerve & other Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Hand procs for injuries Other procs for mult signif trauma 8291 Lysis of hand adhesions 08 09 21 24 513-514 579-581 906 957-959 Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Hand procs for injuries Other procs for mult signif trauma 8299 Hand mus/ten/fas/ops NEC 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8301 Tendon sheath explorat MDC 08 21 24 MS-DRG 500-502 907-909 957-959 SURGICAL CATEGORY Soft tissue Other procs for injuries Other procs for mult signif trauma 8302 Myotomy 03 08 09 21 24 133-134 500-502 579-581 907-909 957-959 Other ear, nose, mouth & throat Soft tissue Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8303 Bursotomy 08 21 24 500-502 907-909 957-959 Soft tissue Other procs for injuries Other procs for mult signif trauma 8309 Soft tissue incision NEC 08 09 21 24 500-502 579-581 907-909 957-959 Soft tissue Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8311 Achillotenotomy 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 8312 Adductor tenotomy of hip 08 21 24 480-482 907-909 956 Hip & femur except major joint Other procs for injuries Limb reattach, hip & femur 8313 Other tenotomy 01 08 10 21 24 040-042 500-502 628-630 907-909 957-959 Periph/cranial nerve & other Soft tissue Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 8314 Fasciotomy 01 08 09 21 24 040-042 500-502 579-581 907-909 957-959 Periph/cranial nerve & other Soft tissue Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8319 Soft tissue division NEC 01 08 21 24 040-042 500-502 907-909 957-959 Periph/cranial nerve & other Soft tissue Other procs for injuries Other procs for mult signif trauma 8321 Open biopsy soft tissue 01 04 08 09 16 040-042 166-168 500-502 579-581 802-804 Periph/cranial nerve & other Other respiratory system Soft tissue Other skin, subcut tissue & breast Other blood & blood form org 8329 Soft tissue dx proc NEC 08 21 24 500-502 907-909 957-959 Soft tissue Other procs for injuries Other procs for mult signif trauma 8331 Excis les tendon sheath 08 10 21 24 500-502 628-630 907-909 957-959 Soft tissue Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8332 Excis lesion of muscle MDC 08 09 21 24 MS-DRG 500-502 579-581 907-909 957-959 SURGICAL CATEGORY Soft tissue Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8339 Exc les soft tissue NEC 03 08 09 10 21 24 133-134 500-502 579-581 628-630 907-909 957-959 Other ear, nose, mouth & throat Soft tissue Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 8341 Tendon excision for grft 01 08 21 24 040-042 500-502 907-909 957-959 Periph/cranial nerve & other Soft tissue Other procs for injuries Other procs for mult signif trauma 8342 Other tenonectomy 08 21 24 500-502 907-909 957-959 Soft tissue Other procs for injuries Other procs for mult signif trauma 8343 Musc/fasc excis for grft 01 08 21 24 040-042 500-502 907-909 957-959 Periph/cranial nerve & other Soft tissue Other procs for injuries Other procs for mult signif trauma 8344 Other fasciectomy 08 09 21 24 500-502 579-581 907-909 957-959 Soft tissue Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8345 Other myectomy 01 08 09 21 24 040-042 500-502 579-581 907-909 957-959 Periph/cranial nerve & other Soft tissue Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8349 Other soft tissue excis 01 03 08 09 21 24 040-042 133-134 500-502 579-581 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Soft tissue Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 835 Bursectomy 08 21 24 500-502 907-909 957-959 Soft tissue Other procs for injuries Other procs for mult signif trauma 8361 Tendon sheath suture 08 21 24 500-502 907-909 957-959 Soft tissue Other procs for injuries Other procs for mult signif trauma 8362 Delayed tendon suture 08 21 24 500-502 907-909 957-959 Soft tissue Other procs for injuries Other procs for mult signif trauma 8363 Rotator cuff repair 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8364 Other suture of tendon MDC 08 21 24 MS-DRG 500-502 907-909 957-959 SURGICAL CATEGORY Soft tissue Other procs for injuries Other procs for mult signif trauma 8365 Other muscle/fasc suture 08 09 10 21 24 500-502 579-581 628-630 907-909 957-959 Soft tissue Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 8371 Tendon advancement 01 08 09 21 24 040-042 500-502 579-581 907-909 957-959 Periph/cranial nerve & other Soft tissue Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8372 Tendon recession 01 08 21 24 040-042 500-502 907-909 957-959 Periph/cranial nerve & other Soft tissue Other procs for injuries Other procs for mult signif trauma 8373 Tendon reattachment 01 08 21 24 040-042 500-502 907-909 957-959 Periph/cranial nerve & other Soft tissue Other procs for injuries Other procs for mult signif trauma 8374 Muscle reattachment 01 08 21 24 040-042 500-502 907-909 957-959 Periph/cranial nerve & other Soft tissue Other procs for injuries Other procs for mult signif trauma 8375 Tendon trnsfr/transplant 01 08 10 21 24 040-042 500-502 628-630 907-909 957-959 Periph/cranial nerve & other Soft tissue Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 8376 Other tendon transposit 01 08 21 24 040-042 500-502 907-909 957-959 Periph/cranial nerve & other Soft tissue Other procs for injuries Other procs for mult signif trauma 8377 Muscle trnsfr/transplant 01 08 21 24 040-042 500-502 907-909 957-959 Periph/cranial nerve & other Soft tissue Other procs for injuries Other procs for mult signif trauma 8379 Other muscle transposit 01 08 10 21 24 040-042 500-502 628-630 907-909 957-959 Periph/cranial nerve & other Soft tissue Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 8381 Tendon graft 01 08 21 24 040-042 500-502 907-909 957-959 Periph/cranial nerve & other Soft tissue Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8382 Muscle or fascia graft MDC 01 08 09 21 24 MS-DRG 040-042 500-502 579-581 907-909 957-959 SURGICAL CATEGORY Periph/cranial nerve & other Soft tissue Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8383 Tendon pulley reconstruc 01 08 21 24 040-042 500-502 907-909 957-959 Periph/cranial nerve & other Soft tissue Other procs for injuries Other procs for mult signif trauma 8384 Clubfoot release NEC 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 8385 Musc/tend lng change NEC 01 08 21 24 040-042 500-502 907-909 957-959 Periph/cranial nerve & other Soft tissue Other procs for injuries Other procs for mult signif trauma 8386 Quadricepsplasty 08 21 24 500-502 907-909 957-959 Soft tissue Other procs for injuries Other procs for mult signif trauma 8387 Other plastic ops muscle 01 08 09 21 24 040-042 500-502 579-581 907-909 957-959 Periph/cranial nerve & other Soft tissue Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8388 Other plastic ops tendon 01 08 09 21 24 040-042 500-502 579-581 907-909 957-959 Periph/cranial nerve & other Soft tissue Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8389 Other plastic ops fascia 01 08 09 21 24 040-042 500-502 579-581 907-909 957-959 Periph/cranial nerve & other Soft tissue Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8391 Adhesiolysis mus/ten/fas 08 21 24 500-502 907-909 957-959 Soft tissue Other procs for injuries Other procs for mult signif trauma 8392 Insert skel musc stimula 01 08 21 24 040-042 500-502 907-909 957-959 Periph/cranial nerve & other Soft tissue Other procs for injuries Other procs for mult signif trauma 8393 Remov skel musc stimulat 01 08 21 24 040-042 500-502 907-909 957-959 Periph/cranial nerve & other Soft tissue Other procs for injuries Other procs for mult signif trauma 8399 Mus/ten/fas/bur op NEC 08 21 24 500-502 907-909 957-959 Soft tissue Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8400 Upper limb amputat NOS MDC 05 08 09 21 24 MS-DRG 255-257 474-476 579-581 907-909 957-959 SURGICAL CATEGORY Amputation, upper limb & toe Amputation Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8401 Finger amputation 05 08 09 21 24 255-257 513-514 579-581 906 957-959 Amputation, upper limb & toe Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Hand procs for injuries Other procs for mult signif trauma 8402 Thumb amputation 05 08 09 21 24 255-257 513-514 579-581 906 957-959 Amputation, upper limb & toe Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Hand procs for injuries Other procs for mult signif trauma 8403 Amputation through hand 05 08 09 21 24 255-257 474-476 579-581 907-909 957-959 Amputation, upper limb & toe Amputation Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8404 Disarticulation of wrist 05 08 09 21 24 255-257 474-476 579-581 907-909 957-959 Amputation, upper limb & toe Amputation Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8405 Amputation thru forearm 05 08 09 21 24 255-257 474-476 579-581 907-909 957-959 Amputation, upper limb & toe Amputation Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8406 Disarticulation of elbow 05 08 09 21 24 255-257 474-476 579-581 907-909 957-959 Amputation, upper limb & toe Amputation Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8407 Amputation thru humerus 05 08 09 21 24 255-257 474-476 579-581 907-909 957-959 Amputation, upper limb & toe Amputation Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8408 Shoulder disarticulation 05 08 09 21 24 255-257 474-476 579-581 907-909 957-959 Amputation, upper limb & toe Amputation Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8409 Forequarter amputation 05 08 09 21 24 255-257 474-476 579-581 907-909 957-959 Amputation, upper limb & toe Amputation Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8410 Lower limb amputat NOS MDC 05 08 09 10 21 24 MS-DRG 239-241 474-476 579-581 616-618 907-909 957-959 SURGICAL CATEGORY Amputation except upper limb & toe Amputation Other skin, subcut tissue & breast Amputation of lower limb Other procs for injuries Other procs for mult signif trauma 8411 Toe amputation 01 05 08 09 10 21 24 040-042 255-257 503-505 579-581 616-618 907-909 957-959 Periph/cranial nerve & other Amputation, upper limb & toe Foot Other skin, subcut tissue & breast Amputation of lower limb Other procs for injuries Other procs for mult signif trauma 8412 Amputation through foot 01 05 08 09 10 21 24 040-042 239-241 474-476 579-581 616-618 907-909 957-959 Periph/cranial nerve & other Amputation except upper limb & toe Amputation Other skin, subcut tissue & breast Amputation of lower limb Other procs for injuries Other procs for mult signif trauma 8413 Disarticulation of ankle 01 05 08 09 10 21 24 040-042 239-241 474-476 579-581 616-618 907-909 957-959 Periph/cranial nerve & other Amputation except upper limb & toe Amputation Other skin, subcut tissue & breast Amputation of lower limb Other procs for injuries Other procs for mult signif trauma 8414 Amputat through malleoli 01 05 08 09 10 21 24 040-042 239-241 474-476 579-581 616-618 907-909 957-959 Periph/cranial nerve & other Amputation except upper limb & toe Amputation Other skin, subcut tissue & breast Amputation of lower limb Other procs for injuries Other procs for mult signif trauma 8415 Below knee amputat NEC 01 05 08 09 10 21 24 040-042 239-241 474-476 579-581 616-618 907-909 957-959 Periph/cranial nerve & other Amputation except upper limb & toe Amputation Other skin, subcut tissue & breast Amputation of lower limb Other procs for injuries Other procs for mult signif trauma 8416 Disarticulation of knee 01 05 08 09 10 21 24 040-042 239-241 474-476 579-581 616-618 907-909 957-959 Periph/cranial nerve & other Amputation except upper limb & toe Amputation Other skin, subcut tissue & breast Amputation of lower limb Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8417 Above knee amputation MDC 01 05 08 09 10 21 24 MS-DRG 040-042 239-241 474-476 579-581 616-618 907-909 957-959 SURGICAL CATEGORY Periph/cranial nerve & other Amputation except upper limb & toe Amputation Other skin, subcut tissue & breast Amputation of lower limb Other procs for injuries Other procs for mult signif trauma 8418 Disarticulation of hip 05 08 09 21 24 239-241 474-476 579-581 907-909 957-959 Amputation except upper limb & toe Amputation Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8419 Hindquarter amputation 05 08 09 21 24 239-241 474-476 579-581 907-909 957-959 Amputation except upper limb & toe Amputation Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8421 Thumb reattachment 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8422 Finger reattachment 08 21 24 513-514 906 957-959 Hand/wrist, except maj thumb/joint Hand procs for injuries Other procs for mult signif trauma 8423 Forearm/wrist/hand reatt 08 21 24 483-484 907-909 956 Maj joint/limb reattach, up extrm Other procs for injuries Limb reattach, hip & femur 8424 Upper arm reattachment 08 21 24 483-484 907-909 956 Maj joint/limb reattach, up extrm Other procs for injuries Limb reattach, hip & femur 8425 Toe reattachment 08 21 24 503-505 907-909 957-959 Foot Other procs for injuries Other procs for mult signif trauma 8426 Foot reattachment 08 21 24 469-470 907-909 956 Maj joint repl/reattach, low extrm Other procs for injuries Limb reattach, hip & femur 8427 Lower leg/ankle reattach 08 21 24 469-470 907-909 956 Maj joint repl/reattach, low extrm Other procs for injuries Limb reattach, hip & femur 8428 Thigh reattachment 08 21 24 469-470 907-909 956 Maj joint repl/reattach, low extrm Other procs for injuries Limb reattach, hip & femur 8429 Reattachment NEC 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 843 Amputation stump revis MDC 05 08 09 10 21 24 MS-DRG 255-257 474-476 579-581 622-624 907-909 957-959 SURGICAL CATEGORY Amputation, upper limb & toe Amputation Other skin, subcut tissue & breast Skin graft & wound debridement Other procs for injuries Other procs for mult signif trauma 8440 Implnt/fit pros limb NOS 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 8444 Implant arm prosthesis 08 21 24 510-512 907-909 957-959 Other upper extremity Other procs for injuries Other procs for mult signif trauma 8448 Implant leg prosthesis 08 21 24 492-494 907-909 957-959 Low extrem/humer ex hip,foot,femur Other procs for injuries Other procs for mult signif trauma 8459 Insert othr spin device 01 08 08 21 24 028-030 490 490-491 907-909 957-959 Spinal Disc devices Back & neck except spinal fusion Other procs for injuries Other procs for mult signif trauma 8460 Insert disc pros NOS 01 08 21 24 028-030 490-491 907-909 957-959 Spinal Back & neck except spinal fusion Other procs for injuries Other procs for mult signif trauma 8461 Ins part disc pros cerv 01 08 21 24 028-030 490-491 907-909 957-959 Spinal Back & neck except spinal fusion Other procs for injuries Other procs for mult signif trauma 8462 Ins tot disc prost cerv 01 08 08 21 24 028-030 490 490-491 907-909 957-959 Spinal Disc devices Back & neck except spinal fusion Other procs for injuries Other procs for mult signif trauma 8463 Ins spin disc pros thor 01 08 21 24 028-030 490-491 907-909 957-959 Spinal Back & neck except spinal fusion Other procs for injuries Other procs for mult signif trauma 8464 Ins part disc pros lumb 01 08 21 24 028-030 490-491 907-909 957-959 Spinal Back & neck except spinal fusion Other procs for injuries Other procs for mult signif trauma 8465 Ins totl disc pros lumb 01 08 08 21 24 028-030 490 490-491 907-909 957-959 Spinal Disc devices Back & neck except spinal fusion Other procs for injuries Other procs for mult signif trauma 8466 Revise disc prost cerv 01 08 21 24 028-030 490-491 907-909 957-959 Spinal Back & neck except spinal fusion Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8467 Revise disc prost thora MDC 01 08 21 24 MS-DRG 028-030 490-491 907-909 957-959 SURGICAL CATEGORY Spinal Back & neck except spinal fusion Other procs for injuries Other procs for mult signif trauma 8468 Revise disc prosth lumb 01 08 21 24 028-030 490-491 907-909 957-959 Spinal Back & neck except spinal fusion Other procs for injuries Other procs for mult signif trauma 8469 Revise disc prosth NOS 01 08 21 24 028-030 490-491 907-909 957-959 Spinal Back & neck except spinal fusion Other procs for injuries Other procs for mult signif trauma 8480 Ins/repl interspine dev 01 08 08 21 24 028-030 490 490-491 907-909 957-959 Spinal Disc devices Back & neck except spinal fusion Other procs for injuries Other procs for mult signif trauma 8481 Rev interspine device 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 8482 Ins/repl pdcl stabil dev 01 08 08 21 24 028-030 490 490-491 907-909 957-959 Spinal Disc devices Back & neck except spinal fusion Other procs for injuries Other procs for mult signif trauma 8483 Rev pedcl dyn stabil dev 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 8484 Ins/repl facet replc dev 01 08 08 21 24 028-030 490 490-491 907-909 957-959 Spinal Disc devices Back & neck except spinal fusion Other procs for injuries Other procs for mult signif trauma 8485 Rev facet replace device 08 21 24 515-517 907-909 957-959 Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 8491 Amputation NOS 05 08 09 21 24 239-241 474-476 579-581 907-909 957-959 Amputation except upper limb & toe Amputation Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8492 Separat equal join twin 08 515-517 Other musculoskel & connec tissue 8493 Separat unequl join twin 08 515-517 Other musculoskel & connec tissue 8494 Ins strn fix w rgd plate 04 05 08 21 24 166-168 264 515-517 907-909 957-959 Other respiratory system Other circulatory system Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8499 Musculoskeletal op NEC MDC 08 21 24 MS-DRG 515-517 907-909 957-959 SURGICAL CATEGORY Other musculoskel & connec tissue Other procs for injuries Other procs for mult signif trauma 8512 Open breast biopsy 09 10 21 24 584-585 628-630 907-909 957-959 Breast biop/local excis/oth breast Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 8520 Breast tissu destruc NOS 09 21 24 584-585 907-909 957-959 Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8521 Local excis breast les 09 10 21 24 584-585 628-630 907-909 957-959 Breast biop/local excis/oth breast Other endocrine/nutrit/metabolic Other procs for injuries Other procs for mult signif trauma 8522 Quadrant resect breast 09 09 21 24 582-583 584-585 907-909 957-959 Mastectomy Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8523 Subtotal mastectomy 09 09 21 24 582-583 584-585 907-909 957-959 Mastectomy Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8524 Exc ectopic breast tissu 09 21 24 584-585 907-909 957-959 Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8525 Excision of nipple 09 21 24 584-585 907-909 957-959 Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8531 Unilat reduct mammoplast 09 09 10 21 24 582-583 584-585 619-621 907-909 957-959 Mastectomy Breast biop/local excis/oth breast Procs for obesity Other procs for injuries Other procs for mult signif trauma 8532 Bilat reduct mammoplasty 09 09 10 21 24 582-583 584-585 619-621 907-909 957-959 Mastectomy Breast biop/local excis/oth breast Procs for obesity Other procs for injuries Other procs for mult signif trauma 8533 Unil subq mammect-implnt 09 09 21 24 582-583 584-585 907-909 957-959 Mastectomy Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8534 Unilat subq mammect NEC 09 09 21 24 582-583 584-585 907-909 957-959 Mastectomy Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8535 Bil subq mammect-implant MDC 09 09 21 24 MS-DRG 582-583 584-585 907-909 957-959 SURGICAL CATEGORY Mastectomy Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8536 Bilat subq mammectom NEC 09 09 21 24 582-583 584-585 907-909 957-959 Mastectomy Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8541 Unilat simple mastectomy 09 09 21 24 582-583 584-585 907-909 957-959 Mastectomy Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8542 Bilat simple mastectomy 09 09 21 24 582-583 584-585 907-909 957-959 Mastectomy Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8543 Unilat exten simp mastec 09 09 21 24 582-583 584-585 907-909 957-959 Mastectomy Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8544 Bilat extend simp mastec 09 09 21 24 582-583 584-585 907-909 957-959 Mastectomy Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8545 Unilat radical mastectom 09 09 21 24 582-583 584-585 907-909 957-959 Mastectomy Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8546 Bilat radical mastectomy 09 09 21 24 582-583 584-585 907-909 957-959 Mastectomy Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8547 Unil ext rad mastectomy 09 09 21 24 582-583 584-585 907-909 957-959 Mastectomy Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8548 Bil exten rad mastectomy 09 09 21 24 582-583 584-585 907-909 957-959 Mastectomy Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8550 Augment mammoplasty NOS 09 21 24 584-585 907-909 957-959 Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8553 Unilat breast implant 09 21 24 584-585 907-909 957-959 Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8554 Bilateral breast implant 09 21 24 584-585 907-909 957-959 Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8555 Fat graft to breast MDC MS-DRG 09 584-585 SURGICAL CATEGORY Breast biop/local excis/oth breast 856 Mastopexy 09 21 24 584-585 907-909 957-959 Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8570 Totl reconstc breast NOS 09 09 21 24 582-583 584-585 907-909 957-959 Mastectomy Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8571 Latiss dorsi myocut flap 09 09 21 24 582-583 584-585 907-909 957-959 Mastectomy Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8572 TRAM flap, pedicled 09 09 21 24 582-583 584-585 907-909 957-959 Mastectomy Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8573 TRAM flap, free 09 09 21 24 582-583 584-585 907-909 957-959 Mastectomy Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8574 DIEP flap, free 09 09 21 24 582-583 584-585 907-909 957-959 Mastectomy Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8575 SIEA flap, free 09 09 21 24 582-583 584-585 907-909 957-959 Mastectomy Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8576 GAP flap, free 09 09 21 24 582-583 584-585 907-909 957-959 Mastectomy Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8579 Totl reconst breast NEC 09 09 21 24 582-583 584-585 907-909 957-959 Mastectomy Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8582 Breast split-thick graft 09 21 22 24 573-578 904-905 927-929 957-959 Skin graft Skin grafts for injuries Skin grafts for burns Other procs for mult signif trauma 8583 Breast full-thick graft 09 21 22 24 573-578 904-905 927-929 957-959 Skin graft Skin grafts for injuries Skin grafts for burns Other procs for mult signif trauma 8584 Breast pedicle graft 09 21 22 24 573-578 904-905 927-929 957-959 Skin graft Skin grafts for injuries Skin grafts for burns Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8585 Breast muscle flap graft MDC 09 21 24 MS-DRG 573-578 907-909 957-959 SURGICAL CATEGORY Skin graft Other procs for injuries Other procs for mult signif trauma 8586 Transposition of nipple 09 21 24 584-585 907-909 957-959 Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8587 Nipple repair NEC 09 21 24 584-585 907-909 957-959 Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8589 Mammoplasty NEC 09 21 24 584-585 907-909 957-959 Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8593 Breast implant revision 09 21 24 584-585 907-909 957-959 Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8594 Breast implant removal 09 21 24 584-585 907-909 957-959 Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8595 Inser breast tissu expan 09 21 24 584-585 907-909 957-959 Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8596 Remov breast tissu expan 09 21 24 584-585 907-909 957-959 Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8599 Breast operation NEC 09 21 24 584-585 907-909 957-959 Breast biop/local excis/oth breast Other procs for injuries Other procs for mult signif trauma 8606 Insert infusion pump 01 04 05 06 07 08 09 10 11 12 13 16 21 24 040-042 166-168 264 356-358 423-425 515-517 579-581 628-630 673-675 715-718 749-750 802-804 907-909 957-959 Periph/cranial nerve & other Other respiratory system Other circulatory system Other digestive system Other hepatobiliary or pancreas Other musculoskel & connec tissue Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract Other male reproductive system Other female reproductive system Other blood & blood form org Other procs for injuries Other procs for mult signif trauma 8607* Insert vasc access dev 09 11 579-581 673-675 *Other skin, subcut tissue & breast *Insert vascular access device 8609* Skin & subq incision NEC 09 579-581 *Other skin, subcut tissue & breast 8621 09 21 24 579-581 907-909 957-959 Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma Excision of pilonid cyst APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8622 Exc wound debridement MDC 01 02 03 04 05 06 07 08 09 10 11 12 13 16 21 24 MS-DRG 040-042 115 133-134 166-168 264 356-358 423-425 463-465 570-572 622-624 673-675 715-718 749-750 802-804 901-903 957-959 SURGICAL CATEGORY Periph/cranial nerve & other Extraocular except orbital Other ear, nose, mouth & throat Other respiratory system Other circulatory system Other digestive system Other hepatobiliary or pancreas Wound debride & skin graft ex hand Wound debridement Skin graft & wound debridement Other kidney & urinary tract Other male reproductive system Other female reproductive system Other blood & blood form org Wound debridement Other procs for mult signif trauma 8625 Dermabrasion 09 579-581 Other skin, subcut tissue & breast 863* Other local destruc skin 09 579-581 *Other skin, subcut tissue & breast 864 Radical excis skin les 01 02 03 05 08 09 21 24 040-042 115 133-134 264 500-502 573-578 907-909 957-959 Periph/cranial nerve & other Extraocular except orbital Other ear, nose, mouth & throat Other circulatory system Soft tissue Skin graft Other procs for injuries Other procs for mult signif trauma 8660 Free skin graft NOS 01 05 06 08 09 10 21 22 24 040-042 264 356-358 463-465 573-578 622-624 904-905 927-929 957-959 Periph/cranial nerve & other Other circulatory system Other digestive system Wound debride & skin graft ex hand Skin graft Skin graft & wound debridement Skin grafts for injuries Skin grafts for burns Other procs for mult signif trauma 8661 Full-thick hand skin grf 01 05 08 09 21 22 24 040-042 264 513-514 573-578 906 927-929 957-959 Periph/cranial nerve & other Other circulatory system Hand/wrist, except maj thumb/joint Skin graft Hand procs for injuries Skin grafts for burns Other procs for mult signif trauma 8662 Hand skin graft NEC 01 05 08 09 21 22 24 040-042 264 513-514 573-578 906 927-929 957-959 Periph/cranial nerve & other Other circulatory system Hand/wrist, except maj thumb/joint Skin graft Hand procs for injuries Skin grafts for burns Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8663 Full-thick skin grft NEC MDC 01 03 05 06 08 09 10 21 22 24 MS-DRG 040-042 133-134 264 356-358 463-465 573-578 622-624 904-905 927-929 957-959 SURGICAL CATEGORY Periph/cranial nerve & other Other ear, nose, mouth & throat Other circulatory system Other digestive system Wound debride & skin graft ex hand Skin graft Skin graft & wound debridement Skin grafts for injuries Skin grafts for burns Other procs for mult signif trauma 8665 Heterograft to skin 01 05 06 08 09 21 22 24 040-042 264 356-358 463-465 573-578 904-905 927-929 957-959 Periph/cranial nerve & other Other circulatory system Other digestive system Wound debride & skin graft ex hand Skin graft Skin grafts for injuries Skin grafts for burns Other procs for mult signif trauma 8666 Homograft to skin 01 03 05 06 08 09 21 22 24 040-042 133-134 264 356-358 463-465 573-578 904-905 927-929 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other circulatory system Other digestive system Wound debride & skin graft ex hand Skin graft Skin grafts for injuries Skin grafts for burns Other procs for mult signif trauma 8667 Dermal regener graft 01 03 05 06 08 09 10 21 22 24 040-042 133-134 264 356-358 463-465 573-578 622-624 904-905 927-929 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other circulatory system Other digestive system Wound debride & skin graft ex hand Skin graft Skin graft & wound debridement Skin grafts for injuries Skin grafts for burns Other procs for mult signif trauma 8669 Free skin graft NEC 01 03 04 05 06 08 09 10 21 22 24 040-042 133-134 166-168 264 356-358 463-465 573-578 622-624 904-905 927-929 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other respiratory system Other circulatory system Other digestive system Wound debride & skin graft ex hand Skin graft Skin graft & wound debridement Skin grafts for injuries Skin grafts for burns Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8670 Pedicle graft/flap NOS MDC 01 03 05 06 08 09 10 21 22 24 MS-DRG 040-042 133-134 264 356-358 463-465 573-578 622-624 904-905 927-929 957-959 SURGICAL CATEGORY Periph/cranial nerve & other Other ear, nose, mouth & throat Other circulatory system Other digestive system Wound debride & skin graft ex hand Skin graft Skin graft & wound debridement Skin grafts for injuries Skin grafts for burns Other procs for mult signif trauma 8671 Cut & prep pedicle graft 01 03 05 06 08 09 10 21 22 24 040-042 133-134 264 356-358 463-465 573-578 622-624 904-905 927-929 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other circulatory system Other digestive system Wound debride & skin graft ex hand Skin graft Skin graft & wound debridement Skin grafts for injuries Skin grafts for burns Other procs for mult signif trauma 8672 Pedicle graft advancemen 01 03 05 06 08 09 10 21 22 24 040-042 133-134 264 356-358 463-465 573-578 622-624 904-905 927-929 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other circulatory system Other digestive system Wound debride & skin graft ex hand Skin graft Skin graft & wound debridement Skin grafts for injuries Skin grafts for burns Other procs for mult signif trauma 8673 Attach pedicle to hand 08 09 21 22 24 513-514 573-578 906 927-929 957-959 Hand/wrist, except maj thumb/joint Skin graft Hand procs for injuries Skin grafts for burns Other procs for mult signif trauma 8674 Attach pedicle graft NEC 01 03 05 06 08 09 10 21 22 24 040-042 133-134 264 356-358 463-465 573-578 622-624 904-905 927-929 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other circulatory system Other digestive system Wound debride & skin graft ex hand Skin graft Skin graft & wound debridement Skin grafts for injuries Skin grafts for burns Other procs for mult signif trauma 8675 Revision of pedicle grft 01 03 05 06 08 09 10 21 22 24 040-042 133-134 264 356-358 463-465 573-578 622-624 904-905 927-929 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other circulatory system Other digestive system Wound debride & skin graft ex hand Skin graft Skin graft & wound debridement Skin grafts for injuries Skin grafts for burns Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8681 Repair facial weakness MDC 01 03 08 09 21 24 MS-DRG 040-042 133-134 500-502 579-581 907-909 957-959 SURGICAL CATEGORY Periph/cranial nerve & other Other ear, nose, mouth & throat Soft tissue Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8682 Facial rhytidectomy 03 09 21 24 133-134 579-581 907-909 957-959 Other ear, nose, mouth & throat Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8683 Size reduct plastic op 09 10 21 24 579-581 619-621 907-909 957-959 Other skin, subcut tissue & breast Procs for obesity Other procs for injuries Other procs for mult signif trauma 8684 Relaxation of scar 03 09 21 24 133-134 579-581 907-909 957-959 Other ear, nose, mouth & throat Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8685 Syndactyly correction 08 09 21 24 513-514 579-581 906 957-959 Hand/wrist, except maj thumb/joint Other skin, subcut tissue & breast Hand procs for injuries Other procs for mult signif trauma 8686 Onychoplasty 09 21 24 579-581 907-909 957-959 Other skin, subcut tissue & breast Other procs for injuries Other procs for mult signif trauma 8687 Fat grft skin/subq tiss 03 09 10 21 24 133-134 579-581 619-621 907-909 957-959 Other ear, nose, mouth & throat Other skin, subcut tissue & breast Procs for obesity Other procs for injuries Other procs for mult signif trauma 8689 Skin repair & plasty NEC 03 09 10 21 24 133-134 579-581 619-621 907-909 957-959 Other ear, nose, mouth & throat Other skin, subcut tissue & breast Procs for obesity Other procs for injuries Other procs for mult signif trauma 8690 Ext fat for grft/banking 09 579-581 Other skin, subcut tissue & breast 8691 Skin excision for graft 01 03 05 09 10 21 24 040-042 133-134 264 573-578 622-624 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other circulatory system Skin graft Skin graft & wound debridement Other procs for injuries Other procs for mult signif trauma APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8693 Insert tissue expander MDC 01 03 05 06 08 09 10 21 22 24 MS-DRG 040-042 133-134 264 356-358 463-465 573-578 622-624 904-905 927-929 957-959 SURGICAL CATEGORY Periph/cranial nerve & other Other ear, nose, mouth & throat Other circulatory system Other digestive system Wound debride & skin graft ex hand Skin graft Skin graft & wound debridement Skin grafts for injuries Skin grafts for burns Other procs for mult signif trauma 8694 Ins/repl single pul gen 01 01 08 029,041 040-042 490 Neurostimulator Periph/cranial nerve & other Neurostimulator 8695 Ins/re pls gn no rechrg 01 01 01 08 023-024 029,041 040-042 490 Insert/repl dual pulse generator Neurostimulator Periph/cranial nerve & other Neurostimulator 8696 Insert/repl oth neurost 01 05 040-042 252-254 Periph/cranial nerve & other Other vascular 8697 Ins/rep 1 pul gen,rechrg 01 01 08 029,041 040-042 490 Neurostimulator Periph/cranial nerve & other Neurostimulator 8698 Ins/rep mul pul gn,rechg 01 01 01 08 023-024 029,041 040-042 490 Insert/repl dual pulse generator Neurostimulator Periph/cranial nerve & other Neurostimulator 8753 Intraoper cholangiogram 07 420-422 Hepatobiliary diagnostic procs 8852* Rt heart angiocardiogram 05 05 05 05 216-218 222-225 233-234 286-287 *Cardiac catheter *Cardiac catheter *Cardiac catheter *Cardiac catheter 8853* Lt heart angiocardiogram 05 05 05 05 216-218 222-225 233-234 286-287 *Cardiac catheter *Cardiac catheter *Cardiac catheter *Cardiac catheter 8854* Rt & lt heart angiocard 05 05 05 05 216-218 222-225 233-234 286-287 *Cardiac catheter *Cardiac catheter *Cardiac catheter *Cardiac catheter 8855* Coronar arteriogr-1 cath 05 05 05 05 216-218 222-225 233-234 286-287 *Cardiac catheter *Cardiac catheter *Cardiac catheter *Cardiac catheter 8856* Coronar arteriogr-2 cath 05 05 05 05 216-218 222-225 233-234 286-287 *Cardiac catheter *Cardiac catheter *Cardiac catheter *Cardiac catheter APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 8857* Coronary arteriogram NEC MDC 05 05 05 05 MS-DRG 216-218 222-225 233-234 286-287 SURGICAL CATEGORY *Cardiac catheter *Cardiac catheter *Cardiac catheter *Cardiac catheter 8858* Negatve-contr cardiogram 05 05 05 05 216-218 222-225 233-234 286-287 *Cardiac catheter *Cardiac catheter *Cardiac catheter *Cardiac catheter 9227 Radioactive elem implant 01 03 04 05 05 06 09 10 11 12 13 21 24 040-042 133-134 166-168 248-249 264 356-358 579-581 628-630 673-675 715-718 744-745 907-909 957-959 Periph/cranial nerve & other Other ear, nose, mouth & throat Other respiratory system Radioactive element implant Other circulatory system Other digestive system Other skin, subcut tissue & breast Other endocrine/nutrit/metabolic Other kidney & urinary tract Other male reproductive system D&C/conizat/laparoscpy/tubl intrpt Other procs for injuries Other procs for mult signif trauma 9230* Stereo radiosurgery NOS 01 10 17 17 040-042 628-630 823-825 829-830 *Periph/cranial nerve & other *Other endocrine/nutrit/metabolic *Other procedure *Other procedure 9231* Sing source radiosurgery 01 10 17 17 040-042 628-630 823-825 829-830 *Periph/cranial nerve & other *Other endocrine/nutrit/metabolic *Other procedure *Other procedure 9232* Multisource radiosurgery 01 10 17 17 040-042 628-630 823-825 829-830 *Periph/cranial nerve & other *Other endocrine/nutrit/metabolic *Other procedure *Other procedure 9233* Particulate radiosurgery 01 10 17 17 040-042 628-630 823-825 829-830 *Periph/cranial nerve & other *Other endocrine/nutrit/metabolic *Other procedure *Other procedure 9239* Stereo radiosurgery NEC 01 10 17 17 040-042 628-630 823-825 829-830 *Periph/cranial nerve & other *Other endocrine/nutrit/metabolic *Other procedure *Other procedure 9461* Alcohol rehabilitation 20 895 *Alcohol/drug rehab or rehab/detox 9463* Alcohol rehab/detox 20 895 *Alcohol/drug rehab or rehab/detox 9464* Drug rehabilitation 20 895 *Alcohol/drug rehab or rehab/detox 9466* Drug rehab/detox 20 895 *Alcohol/drug rehab or rehab/detox 9467* Comb alcohol/drug rehab 20 895 *Alcohol/drug rehab or rehab/detox 9469* Comb alco/drug reha/deto 20 895 *Alcohol/drug rehab or rehab/detox APPENDIX E PROCEDURE CODE/MS-DRG INDEX CODE DESCRIPTION 9504 Anesthetized eye exam MDC MS-DRG SURGICAL CATEGORY 02 115 Extraocular except orbital 9670* Con inv mec ven-unsp dur 04 208 *MV <96 hours 9671* Cont inv mec ven <96 hrs 04 208 *MV <96 hours 04 18 22 003-004 207 870 927,933 *MV 96+ hours *MV 96+ hours *MV 96+ hours *MV 96+ hours 11 691-692 *ESWL 01 061-063 *Use of thrombolytic agent 9672* Cont inv mec ven 96+ hrs 9851* Eswl kid/ureter/bladder 9910* Inject/inf thrombo agent
