ICD-10 MS-DRG v37.0 (2020)

Medicare Severity Diagnosis Related Group

MDC 08: DISEASES & DISORDERS OF THE MUSCULOSKELETAL SYSTEM & CONN TISSUE

ICD10CM Code Assignment

Surgical DRGs

453   COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC
454   COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC
455   COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC
456   SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W MCC
457   SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W CC
458   SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W/O CC/MCC
459   SPINAL FUSION EXCEPT CERVICAL W MCC
460   SPINAL FUSION EXCEPT CERVICAL W/O MCC
461   BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC
462   BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC
463   WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC
464   WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC
465   WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC
466   REVISION OF HIP OR KNEE REPLACEMENT W MCC
467   REVISION OF HIP OR KNEE REPLACEMENT W CC
468   REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC
469   MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT
470   MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC
471   CERVICAL SPINAL FUSION W MCC
472   CERVICAL SPINAL FUSION W CC
473   CERVICAL SPINAL FUSION W/O CC/MCC
474   AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC
475   AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC
476   AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC
477   BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC
478   BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC
479   BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC
480   HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC
481   HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC
482   HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC
483   MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES
485   KNEE PROCEDURES W PDX OF INFECTION W MCC
486   KNEE PROCEDURES W PDX OF INFECTION W CC
487   KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC
488   KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC
489   KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC
518   BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM
519   BACK & NECK PROC EXC SPINAL FUSION W CC
520   BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC
492   LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC
493   LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC
494   LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC
495   LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W MCC
496   LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC
497   LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC
498   LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W CC/MCC
499   LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W/O CC/MCC
500   SOFT TISSUE PROCEDURES W MCC
501   SOFT TISSUE PROCEDURES W CC
502   SOFT TISSUE PROCEDURES W/O CC/MCC
503   FOOT PROCEDURES W MCC
504   FOOT PROCEDURES W CC
505   FOOT PROCEDURES W/O CC/MCC
506   MAJOR THUMB OR JOINT PROCEDURES
507   MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC
508   MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W/O CC/MCC
509   ARTHROSCOPY
510   SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W MCC
511   SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC
512   SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC
513   HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC
514   HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC
515   OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC
516   OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC
517   OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC

If the Principal Diagnosis designated a DRG should be selected from this MDC, AND an O.R. (Operating Room) procedure was performed but does not match the Surgical DRGs listed above, see the Unrelated Operating Room Procedures DRGs.


Medical DRGs

533   FRACTURES OF FEMUR W MCC
534   FRACTURES OF FEMUR W/O MCC
535   FRACTURES OF HIP & PELVIS W MCC
536   FRACTURES OF HIP & PELVIS W/O MCC
537   SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W CC/MCC
538   SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W/O CC/MCC
539   OSTEOMYELITIS W MCC
540   OSTEOMYELITIS W CC
541   OSTEOMYELITIS W/O CC/MCC
542   PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC
543   PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC
544   PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC
545   CONNECTIVE TISSUE DISORDERS W MCC
546   CONNECTIVE TISSUE DISORDERS W CC
547   CONNECTIVE TISSUE DISORDERS W/O CC/MCC
548   SEPTIC ARTHRITIS W MCC
549   SEPTIC ARTHRITIS W CC
550   SEPTIC ARTHRITIS W/O CC/MCC
551   MEDICAL BACK PROBLEMS W MCC
552   MEDICAL BACK PROBLEMS W/O MCC
553   BONE DISEASES & ARTHROPATHIES W MCC
554   BONE DISEASES & ARTHROPATHIES W/O MCC
555   SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC
556   SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC
557   TENDONITIS, MYOSITIS & BURSITIS W MCC
558   TENDONITIS, MYOSITIS & BURSITIS W/O MCC
559   AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC
560   AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC
561   AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC
562   FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC
563   FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC
564   OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC
565   OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC
566   OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC
free demo
request yours today
pricing
for any budget
sign IN
welcome back!

Thank you for choosing Find-A-Code, please Sign In to remove ads.