MS-DRG v39 (FY 2022) MDC 03 Major head and neck procedures

Enhanced MS-DRG Definitions Manual

MS-DRG v39 (FY 2022) Definitions Manual • MDC 03 • Major head and neck procedures

DRG Assignment Logic for Major head and neck procedures

Patients who qualify for Major head and neck procedures will be grouped into a DRG according to the logic below.

MCC	CC	DRG	Name	Type
Yes	n/a	140	MAJOR HEAD AND NECK PROCEDURES WITH MCC	Medical
n/a	Yes	141	MAJOR HEAD AND NECK PROCEDURES WITH CC	Medical
n/a	n/a	142	MAJOR HEAD AND NECK 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
03LH0CZ	Occlusion of Right Common Carotid Artery with Extraluminal Device, Open Approach
03LH0ZZ	Occlusion of Right Common Carotid Artery, Open Approach
03LH3CZ	Occlusion of Right Common Carotid Artery with Extraluminal Device, Percutaneous Approach
03LH3ZZ	Occlusion of Right Common Carotid Artery, Percutaneous Approach
03LH4CZ	Occlusion of Right Common Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03LH4ZZ	Occlusion of Right Common Carotid Artery, Percutaneous Endoscopic Approach
03LJ0CZ	Occlusion of Left Common Carotid Artery with Extraluminal Device, Open Approach
03LJ0ZZ	Occlusion of Left Common Carotid Artery, Open Approach
03LJ3CZ	Occlusion of Left Common Carotid Artery with Extraluminal Device, Percutaneous Approach
03LJ3ZZ	Occlusion of Left Common Carotid Artery, Percutaneous Approach
03LJ4CZ	Occlusion of Left Common Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03LJ4ZZ	Occlusion of Left Common Carotid Artery, Percutaneous Endoscopic Approach
03LM0CZ	Occlusion of Right External Carotid Artery with Extraluminal Device, Open Approach
03LM0ZZ	Occlusion of Right External Carotid Artery, Open Approach
03LM3CZ	Occlusion of Right External Carotid Artery with Extraluminal Device, Percutaneous Approach
03LM3ZZ	Occlusion of Right External Carotid Artery, Percutaneous Approach
03LM4CZ	Occlusion of Right External Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03LM4ZZ	Occlusion of Right External Carotid Artery, Percutaneous Endoscopic Approach
03LN0CZ	Occlusion of Left External Carotid Artery with Extraluminal Device, Open Approach
03LN0ZZ	Occlusion of Left External Carotid Artery, Open Approach
03LN3CZ	Occlusion of Left External Carotid Artery with Extraluminal Device, Percutaneous Approach
03LN3ZZ	Occlusion of Left External Carotid Artery, Percutaneous Approach
03LN4CZ	Occlusion of Left External Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03LN4ZZ	Occlusion of Left External Carotid Artery, Percutaneous Endoscopic Approach
03LR0CZ	Occlusion of Face Artery with Extraluminal Device, Open Approach
03LR0ZZ	Occlusion of Face Artery, Open Approach
03LR3CZ	Occlusion of Face Artery with Extraluminal Device, Percutaneous Approach
03LR3ZZ	Occlusion of Face Artery, Percutaneous Approach
03LR4CZ	Occlusion of Face Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03LR4ZZ	Occlusion of Face Artery, Percutaneous Endoscopic Approach
03LS0CZ	Occlusion of Right Temporal Artery with Extraluminal Device, Open Approach
03LS0ZZ	Occlusion of Right Temporal Artery, Open Approach
03LS3CZ	Occlusion of Right Temporal Artery with Extraluminal Device, Percutaneous Approach
03LS3ZZ	Occlusion of Right Temporal Artery, Percutaneous Approach
03LS4CZ	Occlusion of Right Temporal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03LS4ZZ	Occlusion of Right Temporal Artery, Percutaneous Endoscopic Approach
03LT0CZ	Occlusion of Left Temporal Artery with Extraluminal Device, Open Approach
03LT0ZZ	Occlusion of Left Temporal Artery, Open Approach
03LT3CZ	Occlusion of Left Temporal Artery with Extraluminal Device, Percutaneous Approach
03LT3ZZ	Occlusion of Left Temporal Artery, Percutaneous Approach
03LT4CZ	Occlusion of Left Temporal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03LT4ZZ	Occlusion of Left Temporal Artery, Percutaneous Endoscopic Approach
07T00ZZ	Resection of Head Lymphatic, Open Approach
07T04ZZ	Resection of Head Lymphatic, Percutaneous Endoscopic Approach
07T10ZZ	Resection of Right Neck Lymphatic, Open Approach
07T14ZZ	Resection of Right Neck Lymphatic, Percutaneous Endoscopic Approach
07T20ZZ	Resection of Left Neck Lymphatic, Open Approach
07T24ZZ	Resection of Left Neck Lymphatic, Percutaneous Endoscopic Approach
08Q0XZZ	Repair Right Eye, External Approach
08Q1XZZ	Repair Left Eye, External Approach
08T0XZZ	Resection of Right Eye, External Approach
08T1XZZ	Resection of Left Eye, External Approach
09HD01Z	Insertion of Radioactive Element into Right Inner Ear, Open Approach
09HD05Z	Insertion of Single Channel Cochlear Prosthesis into Right Inner Ear, Open Approach
09HD06Z	Insertion of Multiple Channel Cochlear Prosthesis into Right Inner Ear, Open Approach
09HD0SZ	Insertion of Hearing Device into Right Inner Ear, Open Approach
09HD35Z	Insertion of Single Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Approach
09HD36Z	Insertion of Multiple Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Approach
09HD41Z	Insertion of Radioactive Element into Right Inner Ear, Percutaneous Endoscopic Approach
09HD45Z	Insertion of Single Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Endoscopic Approach
09HD46Z	Insertion of Multiple Channel Cochlear Prosthesis into Right Inner Ear, Percutaneous Endoscopic Approach
09HD4SZ	Insertion of Hearing Device into Right Inner Ear, Percutaneous Endoscopic Approach
09HE01Z	Insertion of Radioactive Element into Left Inner Ear, Open Approach
09HE05Z	Insertion of Single Channel Cochlear Prosthesis into Left Inner Ear, Open Approach
09HE06Z	Insertion of Multiple Channel Cochlear Prosthesis into Left Inner Ear, Open Approach
09HE0SZ	Insertion of Hearing Device into Left Inner Ear, Open Approach
09HE35Z	Insertion of Single Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Approach
09HE36Z	Insertion of Multiple Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Approach
09HE41Z	Insertion of Radioactive Element into Left Inner Ear, Percutaneous Endoscopic Approach
09HE45Z	Insertion of Single Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Endoscopic Approach
09HE46Z	Insertion of Multiple Channel Cochlear Prosthesis into Left Inner Ear, Percutaneous Endoscopic Approach
09HE4SZ	Insertion of Hearing Device into Left Inner Ear, Percutaneous Endoscopic Approach
0B510ZZ	Destruction of Trachea, Open Approach
0B513ZZ	Destruction of Trachea, Percutaneous Approach
0B514ZZ	Destruction of Trachea, Percutaneous Endoscopic Approach
0B517ZZ	Destruction of Trachea, Via Natural or Artificial Opening
0B518ZZ	Destruction of Trachea, Via Natural or Artificial Opening Endoscopic
0BW10FZ	Revision of Tracheostomy Device in Trachea, Open Approach
0BW14FZ	Revision of Tracheostomy Device in Trachea, Percutaneous Endoscopic Approach
0CBS0ZZ	Excision of Larynx, Open Approach
0CBS4ZZ	Excision of Larynx, Percutaneous Endoscopic Approach
0CT20ZZ	Resection of Hard Palate, Open Approach
0CT2XZZ	Resection of Hard Palate, External Approach
0CT70ZZ	Resection of Tongue, Open Approach
0CT7XZZ	Resection of Tongue, External Approach
0HR1X73	Replacement of Face Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HR1X74	Replacement of Face Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HR4X73	Replacement of Neck Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HR4XJZ	Replacement of Neck Skin with Synthetic Substitute, External Approach
0JR107Z	Replacement of Face Subcutaneous Tissue and Fascia with Autologous Tissue Substitute, Open Approach
0JR10KZ	Replacement of Face Subcutaneous Tissue and Fascia with Nonautologous Tissue Substitute, Open Approach
0JX40ZB	Transfer Anterior Neck Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
0JX40ZC	Transfer Anterior Neck Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0JX50ZB	Transfer Posterior Neck Subcutaneous Tissue and Fascia with Skin and Subcutaneous Tissue, Open Approach
0JX50ZC	Transfer Posterior Neck Subcutaneous Tissue and Fascia with Skin, Subcutaneous Tissue and Fascia, Open Approach
0NBT0ZZ	Excision of Right Mandible, Open Approach
0NBT4ZZ	Excision of Right Mandible, Percutaneous Endoscopic Approach
0NBV0ZZ	Excision of Left Mandible, Open Approach
0NBV4ZZ	Excision of Left Mandible, Percutaneous Endoscopic Approach
0NNP0ZZ	Release Right Orbit, Open Approach
0NNP3ZZ	Release Right Orbit, Percutaneous Approach
0NNP4ZZ	Release Right Orbit, Percutaneous Endoscopic Approach
0NNQ0ZZ	Release Left Orbit, Open Approach
0NNQ3ZZ	Release Left Orbit, Percutaneous Approach
0NNQ4ZZ	Release Left Orbit, Percutaneous Endoscopic Approach
0NRT07Z	Replacement of Right Mandible with Autologous Tissue Substitute, Open Approach
0NRT0JZ	Replacement of Right Mandible with Synthetic Substitute, Open Approach
0NRT0KZ	Replacement of Right Mandible with Nonautologous Tissue Substitute, Open Approach
0NRT37Z	Replacement of Right Mandible with Autologous Tissue Substitute, Percutaneous Approach
0NRT3JZ	Replacement of Right Mandible with Synthetic Substitute, Percutaneous Approach
0NRT3KZ	Replacement of Right Mandible with Nonautologous Tissue Substitute, Percutaneous Approach
0NRT47Z	Replacement of Right Mandible with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0NRT4JZ	Replacement of Right Mandible with Synthetic Substitute, Percutaneous Endoscopic Approach
0NRT4KZ	Replacement of Right Mandible with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0NRV07Z	Replacement of Left Mandible with Autologous Tissue Substitute, Open Approach
0NRV0JZ	Replacement of Left Mandible with Synthetic Substitute, Open Approach
0NRV0KZ	Replacement of Left Mandible with Nonautologous Tissue Substitute, Open Approach
0NRV37Z	Replacement of Left Mandible with Autologous Tissue Substitute, Percutaneous Approach
0NRV3JZ	Replacement of Left Mandible with Synthetic Substitute, Percutaneous Approach
0NRV3KZ	Replacement of Left Mandible with Nonautologous Tissue Substitute, Percutaneous Approach
0NRV47Z	Replacement of Left Mandible with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0NRV4JZ	Replacement of Left Mandible with Synthetic Substitute, Percutaneous Endoscopic Approach
0NRV4KZ	Replacement of Left Mandible with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0NS104Z	Reposition Right Frontal Bone with Internal Fixation Device, Open Approach
0NS10ZZ	Reposition Right Frontal Bone, Open Approach
0NS134Z	Reposition Right Frontal Bone with Internal Fixation Device, Percutaneous Approach
0NS13ZZ	Reposition Right Frontal Bone, Percutaneous Approach
0NS144Z	Reposition Right Frontal Bone with Internal Fixation Device, Percutaneous Endoscopic Approach
0NS14ZZ	Reposition Right Frontal Bone, Percutaneous Endoscopic Approach
0NS704Z	Reposition Right Occipital Bone with Internal Fixation Device, Open Approach
0NS70ZZ	Reposition Right Occipital Bone, Open Approach
0NS734Z	Reposition Right Occipital Bone with Internal Fixation Device, Percutaneous Approach
0NS73ZZ	Reposition Right Occipital Bone, Percutaneous Approach
0NS744Z	Reposition Right Occipital Bone with Internal Fixation Device, Percutaneous Endoscopic Approach
0NS74ZZ	Reposition Right Occipital Bone, Percutaneous Endoscopic Approach
0NSB04Z	Reposition Nasal Bone with Internal Fixation Device, Open Approach
0NSB0ZZ	Reposition Nasal Bone, Open Approach
0NSC04Z	Reposition Right Sphenoid Bone with Internal Fixation Device, Open Approach
0NSC0ZZ	Reposition Right Sphenoid Bone, Open Approach
0NSF04Z	Reposition Right Ethmoid Bone with Internal Fixation Device, Open Approach
0NSF0ZZ	Reposition Right Ethmoid Bone, Open Approach
0NSG04Z	Reposition Left Ethmoid Bone with Internal Fixation Device, Open Approach
0NSG0ZZ	Reposition Left Ethmoid Bone, Open Approach
0NSH04Z	Reposition Right Lacrimal Bone with Internal Fixation Device, Open Approach
0NSH0ZZ	Reposition Right Lacrimal Bone, Open Approach
0NSJ04Z	Reposition Left Lacrimal Bone with Internal Fixation Device, Open Approach
0NSJ0ZZ	Reposition Left Lacrimal Bone, Open Approach
0NSK04Z	Reposition Right Palatine Bone with Internal Fixation Device, Open Approach
0NSK0ZZ	Reposition Right Palatine Bone, Open Approach
0NSL04Z	Reposition Left Palatine Bone with Internal Fixation Device, Open Approach
0NSL0ZZ	Reposition Left Palatine Bone, Open Approach
0NSM04Z	Reposition Right Zygomatic Bone with Internal Fixation Device, Open Approach
0NSN04Z	Reposition Left Zygomatic Bone with Internal Fixation Device, Open Approach
0NSP04Z	Reposition Right Orbit with Internal Fixation Device, Open Approach
0NSP0ZZ	Reposition Right Orbit, Open Approach
0NSQ04Z	Reposition Left Orbit with Internal Fixation Device, Open Approach
0NSQ0ZZ	Reposition Left Orbit, Open Approach
0NSR04Z	Reposition Right Maxilla with Internal Fixation Device, Open Approach
0NSR0ZZ	Reposition Right Maxilla, Open Approach
0NST04Z	Reposition Right Mandible with Internal Fixation Device, Open Approach
0NSV04Z	Reposition Left Mandible with Internal Fixation Device, Open Approach
0NTT0ZZ	Resection of Right Mandible, Open Approach
0NTV0ZZ	Resection of Left Mandible, Open Approach
0RBD0ZZ	Excision of Left Temporomandibular Joint, Open Approach
0RBD3ZZ	Excision of Left Temporomandibular Joint, Percutaneous Approach
0RBD4ZZ	Excision of Left Temporomandibular Joint, Percutaneous Endoscopic Approach
0RRC07Z	Replacement of Right Temporomandibular Joint with Autologous Tissue Substitute, Open Approach
0RRC0JZ	Replacement of Right Temporomandibular Joint with Synthetic Substitute, Open Approach
0RRC0KZ	Replacement of Right Temporomandibular Joint with Nonautologous Tissue Substitute, Open Approach
0RRD07Z	Replacement of Left Temporomandibular Joint with Autologous Tissue Substitute, Open Approach
0RRD0JZ	Replacement of Left Temporomandibular Joint with Synthetic Substitute, Open Approach
0RRD0KZ	Replacement of Left Temporomandibular Joint with Nonautologous Tissue Substitute, Open Approach
0RSC04Z	Reposition Right Temporomandibular Joint with Internal Fixation Device, Open Approach
0RSC0ZZ	Reposition Right Temporomandibular Joint, Open Approach
0RSD04Z	Reposition Left Temporomandibular Joint with Internal Fixation Device, Open Approach
0RSD0ZZ	Reposition Left Temporomandibular Joint, Open Approach
0RTC0ZZ	Resection of Right Temporomandibular Joint, Open Approach
0RTD0ZZ	Resection of Left Temporomandibular Joint, Open Approach
0W9100Z	Drainage of Cranial Cavity with Drainage Device, Open Approach
0W910ZZ	Drainage of Cranial Cavity, Open Approach
0WC10ZZ	Extirpation of Matter from Cranial Cavity, Open Approach
0WC13ZZ	Extirpation of Matter from Cranial Cavity, Percutaneous Approach
0WC14ZZ	Extirpation of Matter from Cranial Cavity, 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.