MS-DRG v36 (FY 2019) MDC 13 D&C, Conization, Laparoscopy and Tubal Interruption

Enhanced MS-DRG Definitions Manual

MS-DRG v36 (FY 2019) Definitions Manual • MDC 13 • D&C, Conization, Laparoscopy and Tubal Interruption

DRG Assignment Logic for D&C, Conization, Laparoscopy and Tubal Interruption

Patients who qualify for D&C, Conization, Laparoscopy and Tubal Interruption will be grouped into a DRG according to the logic below.

CC or MCC	DRG	Name	Type
Yes	744	D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC	Medical
No	745	D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC	Medical

Detailed Rules

The tables below list the codes required to qualify for this subsection according to the logic listed above. By matching the codes on a patient's account to those listed below, you can work out how a patient will be grouped by the MS-DRG grouper. However, sometimes this can be difficult to work out by hand. If you are looking for automated DRG grouping software that can be integrated into your workflow, please let us know.

OPERATING ROOM PROCEDURES

Codes in OPERATING ROOM PROCEDURES
Code	Description
0DJU4ZZ	Inspection of Omentum, Percutaneous Endoscopic Approach
0DJV4ZZ	Inspection of Mesentery, Percutaneous Endoscopic Approach
0DJW4ZZ	Inspection of Peritoneum, Percutaneous Endoscopic Approach
0FJ04ZZ	Inspection of Liver, Percutaneous Endoscopic Approach
0FJ44ZZ	Inspection of Gallbladder, Percutaneous Endoscopic Approach
0FJD4ZZ	Inspection of Pancreatic Duct, Percutaneous Endoscopic Approach
0FJG4ZZ	Inspection of Pancreas, Percutaneous Endoscopic Approach
0U570ZZ	Destruction of Bilateral Fallopian Tubes, Open Approach
0U573ZZ	Destruction of Bilateral Fallopian Tubes, Percutaneous Approach
0U574ZZ	Destruction of Bilateral Fallopian Tubes, Percutaneous Endoscopic Approach
0U577ZZ	Destruction of Bilateral Fallopian Tubes, Via Natural or Artificial Opening
0U578ZZ	Destruction of Bilateral Fallopian Tubes, Via Natural or Artificial Opening Endoscopic
0U943ZX	Drainage of Uterine Supporting Structure, Percutaneous Approach, Diagnostic
0U944ZX	Drainage of Uterine Supporting Structure, Percutaneous Endoscopic Approach, Diagnostic
0U993ZX	Drainage of Uterus, Percutaneous Approach, Diagnostic
0U994ZX	Drainage of Uterus, Percutaneous Endoscopic Approach, Diagnostic
0U997ZX	Drainage of Uterus, Via Natural or Artificial Opening, Diagnostic
0U998ZX	Drainage of Uterus, Via Natural or Artificial Opening Endoscopic, Diagnostic
0U9C0ZX	Drainage of Cervix, Open Approach, Diagnostic
0U9C3ZX	Drainage of Cervix, Percutaneous Approach, Diagnostic
0U9C4ZX	Drainage of Cervix, Percutaneous Endoscopic Approach, Diagnostic
0U9C7ZX	Drainage of Cervix, Via Natural or Artificial Opening, Diagnostic
0U9C8ZX	Drainage of Cervix, Via Natural or Artificial Opening Endoscopic, Diagnostic
0UB43ZX	Excision of Uterine Supporting Structure, Percutaneous Approach, Diagnostic
0UB44ZX	Excision of Uterine Supporting Structure, Percutaneous Endoscopic Approach, Diagnostic
0UB47ZX	Excision of Uterine Supporting Structure, Via Natural or Artificial Opening, Diagnostic
0UB48ZX	Excision of Uterine Supporting Structure, Via Natural or Artificial Opening Endoscopic, Diagnostic
0UB70ZZ	Excision of Bilateral Fallopian Tubes, Open Approach
0UB73ZZ	Excision of Bilateral Fallopian Tubes, Percutaneous Approach
0UB74ZZ	Excision of Bilateral Fallopian Tubes, Percutaneous Endoscopic Approach
0UB77ZZ	Excision of Bilateral Fallopian Tubes, Via Natural or Artificial Opening
0UB78ZZ	Excision of Bilateral Fallopian Tubes, Via Natural or Artificial Opening Endoscopic
0UB93ZX	Excision of Uterus, Percutaneous Approach, Diagnostic
0UB94ZX	Excision of Uterus, Percutaneous Endoscopic Approach, Diagnostic
0UB97ZX	Excision of Uterus, Via Natural or Artificial Opening, Diagnostic
0UB98ZX	Excision of Uterus, Via Natural or Artificial Opening Endoscopic, Diagnostic
0UBC0ZX	Excision of Cervix, Open Approach, Diagnostic
0UBC3ZX	Excision of Cervix, Percutaneous Approach, Diagnostic
0UBC4ZX	Excision of Cervix, Percutaneous Endoscopic Approach, Diagnostic
0UBC7ZX	Excision of Cervix, Via Natural or Artificial Opening, Diagnostic
0UBC8ZX	Excision of Cervix, Via Natural or Artificial Opening Endoscopic, Diagnostic
0UDB7ZX	Extraction of Endometrium, Via Natural or Artificial Opening, Diagnostic
0UDB7ZZ	Extraction of Endometrium, Via Natural or Artificial Opening
0UDB8ZX	Extraction of Endometrium, Via Natural or Artificial Opening Endoscopic, Diagnostic
0UDB8ZZ	Extraction of Endometrium, Via Natural or Artificial Opening Endoscopic
0UHC01Z	Insertion of Radioactive Element into Cervix, Open Approach
0UHC31Z	Insertion of Radioactive Element into Cervix, Percutaneous Approach
0UHC41Z	Insertion of Radioactive Element into Cervix, Percutaneous Endoscopic Approach
0UHC71Z	Insertion of Radioactive Element into Cervix, Via Natural or Artificial Opening
0UHC81Z	Insertion of Radioactive Element into Cervix, Via Natural or Artificial Opening Endoscopic
0UHG01Z	Insertion of Radioactive Element into Vagina, Open Approach
0UHG31Z	Insertion of Radioactive Element into Vagina, Percutaneous Approach
0UHG41Z	Insertion of Radioactive Element into Vagina, Percutaneous Endoscopic Approach
0UHG71Z	Insertion of Radioactive Element into Vagina, Via Natural or Artificial Opening
0UHG81Z	Insertion of Radioactive Element into Vagina, Via Natural or Artificial Opening Endoscopic
0UHGX1Z	Insertion of Radioactive Element into Vagina, External Approach
0UL70CZ	Occlusion of Bilateral Fallopian Tubes with Extraluminal Device, Open Approach
0UL70DZ	Occlusion of Bilateral Fallopian Tubes with Intraluminal Device, Open Approach
0UL70ZZ	Occlusion of Bilateral Fallopian Tubes, Open Approach
0UL73CZ	Occlusion of Bilateral Fallopian Tubes with Extraluminal Device, Percutaneous Approach
0UL73DZ	Occlusion of Bilateral Fallopian Tubes with Intraluminal Device, Percutaneous Approach
0UL73ZZ	Occlusion of Bilateral Fallopian Tubes, Percutaneous Approach
0UL74CZ	Occlusion of Bilateral Fallopian Tubes with Extraluminal Device, Percutaneous Endoscopic Approach
0UL74DZ	Occlusion of Bilateral Fallopian Tubes with Intraluminal Device, Percutaneous Endoscopic Approach
0UL74ZZ	Occlusion of Bilateral Fallopian Tubes, Percutaneous Endoscopic Approach
0UL77DZ	Occlusion of Bilateral Fallopian Tubes with Intraluminal Device, Via Natural or Artificial Opening
0UL77ZZ	Occlusion of Bilateral Fallopian Tubes, Via Natural or Artificial Opening
0UL78DZ	Occlusion of Bilateral Fallopian Tubes with Intraluminal Device, Via Natural or Artificial Opening Endoscopic
0UL78ZZ	Occlusion of Bilateral Fallopian Tubes, Via Natural or Artificial Opening Endoscopic
0UN90ZZ	Release Uterus, Open Approach
0UN93ZZ	Release Uterus, Percutaneous Approach
0UN94ZZ	Release Uterus, Percutaneous Endoscopic Approach
0UN97ZZ	Release Uterus, Via Natural or Artificial Opening
0UN98ZZ	Release Uterus, Via Natural or Artificial Opening Endoscopic
0WHJ01Z	Insertion of Radioactive Element into Pelvic Cavity, Open Approach
0WHJ31Z	Insertion of Radioactive Element into Pelvic Cavity, Percutaneous Approach
0WHJ41Z	Insertion of Radioactive Element into Pelvic Cavity, Percutaneous Endoscopic Approach
0WHN01Z	Insertion of Radioactive Element into Female Perineum, Open Approach
0WHN31Z	Insertion of Radioactive Element into Female Perineum, Percutaneous Approach
0WHN41Z	Insertion of Radioactive Element into Female Perineum, Percutaneous Endoscopic Approach
0WHR01Z	Insertion of Radioactive Element into Genitourinary Tract, Open Approach
0WHR31Z	Insertion of Radioactive Element into Genitourinary Tract, Percutaneous Approach
0WHR41Z	Insertion of Radioactive Element into Genitourinary Tract, Percutaneous Endoscopic Approach
0WHR71Z	Insertion of Radioactive Element into Genitourinary Tract, Via Natural or Artificial Opening
0WHR81Z	Insertion of Radioactive Element into Genitourinary Tract, Via Natural or Artificial Opening Endoscopic
0WJF4ZZ	Inspection of Abdominal Wall, Percutaneous Endoscopic Approach
0WJG4ZZ	Inspection of Peritoneal Cavity, Percutaneous Endoscopic Approach
0WJJ4ZZ	Inspection of Pelvic Cavity, Percutaneous Endoscopic Approach
0WJP4ZZ	Inspection of Gastrointestinal Tract, Percutaneous Endoscopic Approach
0WJR4ZZ	Inspection of Genitourinary Tract, Percutaneous Endoscopic Approach

About the Turquoise Health MS-DRG Manual Browser

We build tools and machine learning systems that simplify healthcare revenue cycle operations. We were frustrated with the formatting of the MS-DRG rules, so we built our own solution.

MS-DRG rules and ICD-10 CM/PCS codes are automatically parsed from CMS's MS-DRG data files. All content is provided strictly “AS IS” and may contain parsing errors. If you spot an error, please let us know.

We have converted the MS-DRG logic into fully structured, machine-readable data. If you need structured data versions of the MS-DRG manuals, we would love to talk with you.