MS-DRG v37 (FY 2020) MDC 08 Major Joint and Limb Reattachment Procedures of Upper Extremity

Enhanced MS-DRG Definitions Manual

MS-DRG v37 (FY 2020) Definitions Manual • MDC 08 • Major Joint and Limb Reattachment Procedures of Upper Extremity

DRG Assignment Logic for Major Joint and Limb Reattachment Procedures of Upper Extremity

All patients who qualify for Major Joint and Limb Reattachment Procedures of Upper Extremity will be automatically grouped into DRG 483 - MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES.

View the requirements to qualify for this subsection.

DRG	Name	Type
483	MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES	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
0RRE07Z	Replacement of Right Sternoclavicular Joint with Autologous Tissue Substitute, Open Approach
0RRE0JZ	Replacement of Right Sternoclavicular Joint with Synthetic Substitute, Open Approach
0RRE0KZ	Replacement of Right Sternoclavicular Joint with Nonautologous Tissue Substitute, Open Approach
0RRF07Z	Replacement of Left Sternoclavicular Joint with Autologous Tissue Substitute, Open Approach
0RRF0JZ	Replacement of Left Sternoclavicular Joint with Synthetic Substitute, Open Approach
0RRF0KZ	Replacement of Left Sternoclavicular Joint with Nonautologous Tissue Substitute, Open Approach
0RRG07Z	Replacement of Right Acromioclavicular Joint with Autologous Tissue Substitute, Open Approach
0RRG0JZ	Replacement of Right Acromioclavicular Joint with Synthetic Substitute, Open Approach
0RRG0KZ	Replacement of Right Acromioclavicular Joint with Nonautologous Tissue Substitute, Open Approach
0RRH07Z	Replacement of Left Acromioclavicular Joint with Autologous Tissue Substitute, Open Approach
0RRH0JZ	Replacement of Left Acromioclavicular Joint with Synthetic Substitute, Open Approach
0RRH0KZ	Replacement of Left Acromioclavicular Joint with Nonautologous Tissue Substitute, Open Approach
0RRJ00Z	Replacement of Right Shoulder Joint with Reverse Ball and Socket Synthetic Substitute, Open Approach
0RRJ07Z	Replacement of Right Shoulder Joint with Autologous Tissue Substitute, Open Approach
0RRJ0J6	Replacement of Right Shoulder Joint with Synthetic Substitute, Humeral Surface, Open Approach
0RRJ0J7	Replacement of Right Shoulder Joint with Synthetic Substitute, Glenoid Surface, Open Approach
0RRJ0JZ	Replacement of Right Shoulder Joint with Synthetic Substitute, Open Approach
0RRJ0KZ	Replacement of Right Shoulder Joint with Nonautologous Tissue Substitute, Open Approach
0RRK00Z	Replacement of Left Shoulder Joint with Reverse Ball and Socket Synthetic Substitute, Open Approach
0RRK07Z	Replacement of Left Shoulder Joint with Autologous Tissue Substitute, Open Approach
0RRK0J6	Replacement of Left Shoulder Joint with Synthetic Substitute, Humeral Surface, Open Approach
0RRK0J7	Replacement of Left Shoulder Joint with Synthetic Substitute, Glenoid Surface, Open Approach
0RRK0JZ	Replacement of Left Shoulder Joint with Synthetic Substitute, Open Approach
0RRK0KZ	Replacement of Left Shoulder Joint with Nonautologous Tissue Substitute, Open Approach
0RRL07Z	Replacement of Right Elbow Joint with Autologous Tissue Substitute, Open Approach
0RRL0JZ	Replacement of Right Elbow Joint with Synthetic Substitute, Open Approach
0RRL0KZ	Replacement of Right Elbow Joint with Nonautologous Tissue Substitute, Open Approach
0RRM07Z	Replacement of Left Elbow Joint with Autologous Tissue Substitute, Open Approach
0RRM0JZ	Replacement of Left Elbow Joint with Synthetic Substitute, Open Approach
0RRM0KZ	Replacement of Left Elbow Joint with Nonautologous Tissue Substitute, Open Approach
0RRN07Z	Replacement of Right Wrist Joint with Autologous Tissue Substitute, Open Approach
0RRN0JZ	Replacement of Right Wrist Joint with Synthetic Substitute, Open Approach
0RRN0KZ	Replacement of Right Wrist Joint with Nonautologous Tissue Substitute, Open Approach
0RRP07Z	Replacement of Left Wrist Joint with Autologous Tissue Substitute, Open Approach
0RRP0JZ	Replacement of Left Wrist Joint with Synthetic Substitute, Open Approach
0RRP0KZ	Replacement of Left Wrist Joint with Nonautologous Tissue Substitute, Open Approach
0XM00ZZ	Reattachment of Right Forequarter, Open Approach
0XM10ZZ	Reattachment of Left Forequarter, Open Approach
0XM20ZZ	Reattachment of Right Shoulder Region, Open Approach
0XM30ZZ	Reattachment of Left Shoulder Region, Open Approach
0XM40ZZ	Reattachment of Right Axilla, Open Approach
0XM50ZZ	Reattachment of Left Axilla, Open Approach
0XM60ZZ	Reattachment of Right Upper Extremity, Open Approach
0XM70ZZ	Reattachment of Left Upper Extremity, Open Approach
0XM80ZZ	Reattachment of Right Upper Arm, Open Approach
0XM90ZZ	Reattachment of Left Upper Arm, Open Approach
0XMB0ZZ	Reattachment of Right Elbow Region, Open Approach
0XMC0ZZ	Reattachment of Left Elbow Region, Open Approach
0XMD0ZZ	Reattachment of Right Lower Arm, Open Approach
0XMF0ZZ	Reattachment of Left Lower Arm, Open Approach
0XMG0ZZ	Reattachment of Right Wrist Region, Open Approach
0XMH0ZZ	Reattachment of Left Wrist Region, Open Approach
0XMJ0ZZ	Reattachment of Right Hand, Open Approach
0XMK0ZZ	Reattachment of Left Hand, Open 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.

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