MS-DRG v37 (FY 2020) MDC 12 Major Male Pelvic Procedures

Enhanced MS-DRG Definitions Manual

MS-DRG v37 (FY 2020) Definitions Manual • MDC 12 • Major Male Pelvic Procedures

DRG Assignment Logic for Major Male Pelvic Procedures

Patients who qualify for Major Male Pelvic Procedures will be grouped into a DRG according to the logic below.

CC or MCC	DRG	Name	Type
Yes	707	MAJOR MALE PELVIC PROCEDURES WITH CC/MCC	Medical
No	708	MAJOR MALE PELVIC PROCEDURES 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
07JP0ZZ	Inspection of Spleen, Open Approach
07T80ZZ	Resection of Right Internal Mammary Lymphatic, Open Approach
07T84ZZ	Resection of Right Internal Mammary Lymphatic, Percutaneous Endoscopic Approach
07T90ZZ	Resection of Left Internal Mammary Lymphatic, Open Approach
07T94ZZ	Resection of Left Internal Mammary Lymphatic, Percutaneous Endoscopic Approach
07TC0ZZ	Resection of Pelvis Lymphatic, Open Approach
07TC4ZZ	Resection of Pelvis Lymphatic, Percutaneous Endoscopic Approach
07TD0ZZ	Resection of Aortic Lymphatic, Open Approach
07TD4ZZ	Resection of Aortic Lymphatic, Percutaneous Endoscopic Approach
07TH0ZZ	Resection of Right Inguinal Lymphatic, Open Approach
07TH4ZZ	Resection of Right Inguinal Lymphatic, Percutaneous Endoscopic Approach
07TJ0ZZ	Resection of Left Inguinal Lymphatic, Open Approach
07TJ4ZZ	Resection of Left Inguinal Lymphatic, Percutaneous Endoscopic Approach
0DBP0ZZ	Excision of Rectum, Open Approach
0DBP4ZZ	Excision of Rectum, Percutaneous Endoscopic Approach
0DJ00ZZ	Inspection of Upper Intestinal Tract, Open Approach
0DJ60ZZ	Inspection of Stomach, Open Approach
0DJD0ZZ	Inspection of Lower Intestinal Tract, Open Approach
0DJU0ZZ	Inspection of Omentum, Open Approach
0DJV0ZZ	Inspection of Mesentery, Open Approach
0DJW0ZZ	Inspection of Peritoneum, Open Approach
0FJ00ZZ	Inspection of Liver, Open Approach
0TBB0ZZ	Excision of Bladder, Open Approach
0TBB3ZZ	Excision of Bladder, Percutaneous Approach
0TBB4ZZ	Excision of Bladder, Percutaneous Endoscopic Approach
0TBC0ZZ	Excision of Bladder Neck, Open Approach
0TBC3ZZ	Excision of Bladder Neck, Percutaneous Approach
0TBC4ZZ	Excision of Bladder Neck, Percutaneous Endoscopic Approach
0TTB0ZZ	Resection of Bladder, Open Approach
0TTB4ZZ	Resection of Bladder, Percutaneous Endoscopic Approach
0TTB7ZZ	Resection of Bladder, Via Natural or Artificial Opening
0TTB8ZZ	Resection of Bladder, Via Natural or Artificial Opening Endoscopic
0TTC0ZZ	Resection of Bladder Neck, Open Approach
0TTC4ZZ	Resection of Bladder Neck, Percutaneous Endoscopic Approach
0TTC7ZZ	Resection of Bladder Neck, Via Natural or Artificial Opening
0TTC8ZZ	Resection of Bladder Neck, Via Natural or Artificial Opening Endoscopic
0V500ZZ	Destruction of Prostate, Open Approach
0V503ZZ	Destruction of Prostate, Percutaneous Approach
0V504ZZ	Destruction of Prostate, Percutaneous Endoscopic Approach
0VT00ZZ	Resection of Prostate, Open Approach
0VT04ZZ	Resection of Prostate, Percutaneous Endoscopic Approach
0WBH0ZZ	Excision of Retroperitoneum, Open Approach
0WBH3ZZ	Excision of Retroperitoneum, Percutaneous Approach
0WBH4ZZ	Excision of Retroperitoneum, Percutaneous Endoscopic Approach
0WJG0ZZ	Inspection of Peritoneal Cavity, Open Approach
0WJJ0ZZ	Inspection of Pelvic Cavity, Open Approach
0WJP0ZZ	Inspection of Gastrointestinal Tract, Open Approach
0WJR0ZZ	Inspection of Genitourinary Tract, Open Approach
0VT00ZZ and 0VT30ZZ	Resection of Prostate, Open Approach Resection of Bilateral Seminal Vesicles, Open Approach
0VT00ZZ and 0VT34ZZ	Resection of Prostate, Open Approach Resection of Bilateral Seminal Vesicles, Percutaneous Endoscopic Approach
0VT04ZZ and 0VT30ZZ	Resection of Prostate, Percutaneous Endoscopic Approach Resection of Bilateral Seminal Vesicles, Open Approach
0VT04ZZ and 0VT34ZZ	Resection of Prostate, Percutaneous Endoscopic Approach Resection of Bilateral Seminal Vesicles, Percutaneous Endoscopic Approach
0VT07ZZ and 0VT30ZZ	Resection of Prostate, Via Natural or Artificial Opening Resection of Bilateral Seminal Vesicles, Open Approach
0VT07ZZ and 0VT34ZZ	Resection of Prostate, Via Natural or Artificial Opening Resection of Bilateral Seminal Vesicles, Percutaneous Endoscopic Approach
0VT08ZZ and 0VT30ZZ	Resection of Prostate, Via Natural or Artificial Opening Endoscopic Resection of Bilateral Seminal Vesicles, Open Approach
0VT08ZZ and 0VT34ZZ	Resection of Prostate, Via Natural or Artificial Opening Endoscopic Resection of Bilateral Seminal Vesicles, 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.