MS-DRG v39 (FY 2022) Pre Heart transplant or implant of heart assist system

Enhanced MS-DRG Definitions Manual

MS-DRG v39 (FY 2022) Definitions Manual • Pre • Heart transplant or implant of heart assist system

DRG Assignment Logic for Heart transplant or implant of heart assist system

Patients who qualify for Heart transplant or implant of heart assist system will be grouped into a DRG according to the logic below.

MCC	DRG	Name	Type
Yes	001	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC	Medical
No	002	HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT 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.

HEART TRANSPLANT OPERATING ROOM PROCEDURES

Codes in HEART TRANSPLANT OPERATING ROOM PROCEDURES
Code	Description
02YA0Z0	Transplantation of Heart, Allogeneic, Open Approach
02YA0Z1	Transplantation of Heart, Syngeneic, Open Approach
02YA0Z2	Transplantation of Heart, Zooplastic, Open Approach
02RK0JZ and 02RL0JZ	Replacement of Right Ventricle with Synthetic Substitute, Open Approach Replacement of Left Ventricle with Synthetic Substitute, Open Approach

IMPLANT OF HEART ASSIST SYSTEM

Codes in IMPLANT OF HEART ASSIST SYSTEM
Code	Description
02HA0QZ	Insertion of Implantable Heart Assist System into Heart, Open Approach
02HA3QZ	Insertion of Implantable Heart Assist System into Heart, Percutaneous Approach
02HA4QZ	Insertion of Implantable Heart Assist System into Heart, Percutaneous Endoscopic Approach
02RA0LZ	Replacement of Heart with Biologic and Synthetic Substitute, Autoregulated Electrohydraulic, Open Approach
02RA0MZ	Replacement of Heart with Synthetic Substitute, Pneumatic, Open Approach
02HA0RS and 02PA0RZ	Insertion of Biventricular External Heart Assist System into Heart, Open Approach Removal of External Heart Assist System from Heart, Open Approach
02HA0RS and 02PA3RZ	Insertion of Biventricular External Heart Assist System into Heart, Open Approach Removal of External Heart Assist System from Heart, Percutaneous Approach
02HA0RS and 02PA4RZ	Insertion of Biventricular External Heart Assist System into Heart, Open Approach Removal of External Heart Assist System from Heart, Percutaneous Endoscopic Approach
02HA0RZ and 02PA0RZ	Insertion of External Heart Assist System into Heart, Open Approach Removal of External Heart Assist System from Heart, Open Approach
02HA0RZ and 02PA3RZ	Insertion of External Heart Assist System into Heart, Open Approach Removal of External Heart Assist System from Heart, Percutaneous Approach
02HA0RZ and 02PA4RZ	Insertion of External Heart Assist System into Heart, Open Approach Removal of External Heart Assist System from Heart, Percutaneous Endoscopic Approach
02HA3RS and 02PA0RZ	Insertion of Biventricular External Heart Assist System into Heart, Percutaneous Approach Removal of External Heart Assist System from Heart, Open Approach
02HA3RS and 02PA3RZ	Insertion of Biventricular External Heart Assist System into Heart, Percutaneous Approach Removal of External Heart Assist System from Heart, Percutaneous Approach
02HA3RS and 02PA4RZ	Insertion of Biventricular External Heart Assist System into Heart, Percutaneous Approach Removal of External Heart Assist System from Heart, Percutaneous Endoscopic Approach
02HA4RS and 02PA0RZ	Insertion of Biventricular External Heart Assist System into Heart, Percutaneous Endoscopic Approach Removal of External Heart Assist System from Heart, Open Approach
02HA4RS and 02PA3RZ	Insertion of Biventricular External Heart Assist System into Heart, Percutaneous Endoscopic Approach Removal of External Heart Assist System from Heart, Percutaneous Approach
02HA4RS and 02PA4RZ	Insertion of Biventricular External Heart Assist System into Heart, Percutaneous Endoscopic Approach Removal of External Heart Assist System from Heart, Percutaneous Endoscopic Approach
02HA4RZ and 02PA0RZ	Insertion of External Heart Assist System into Heart, Percutaneous Endoscopic Approach Removal of External Heart Assist System from Heart, Open Approach
02HA4RZ and 02PA3RZ	Insertion of External Heart Assist System into Heart, Percutaneous Endoscopic Approach Removal of External Heart Assist System from Heart, Percutaneous Approach
02HA4RZ and 02PA4RZ	Insertion of External Heart Assist System into Heart, Percutaneous Endoscopic Approach Removal of External Heart Assist System from Heart, Percutaneous Endoscopic Approach
02WA0QZ and 02PA0RZ	Revision of Implantable Heart Assist System in Heart, Open Approach Removal of External Heart Assist System from Heart, Open Approach
02WA0QZ and 02PA3RZ	Revision of Implantable Heart Assist System in Heart, Open Approach Removal of External Heart Assist System from Heart, Percutaneous Approach
02WA0QZ and 02PA4RZ	Revision of Implantable Heart Assist System in Heart, Open Approach Removal of External Heart Assist System from Heart, Percutaneous Endoscopic Approach
02WA0RZ and 02PA0RZ	Revision of External Heart Assist System in Heart, Open Approach Removal of External Heart Assist System from Heart, Open Approach
02WA0RZ and 02PA3RZ	Revision of External Heart Assist System in Heart, Open Approach Removal of External Heart Assist System from Heart, Percutaneous Approach
02WA0RZ and 02PA4RZ	Revision of External Heart Assist System in Heart, Open Approach Removal of External Heart Assist System from Heart, Percutaneous Endoscopic Approach
02WA3QZ and 02PA0RZ	Revision of Implantable Heart Assist System in Heart, Percutaneous Approach Removal of External Heart Assist System from Heart, Open Approach
02WA3QZ and 02PA3RZ	Revision of Implantable Heart Assist System in Heart, Percutaneous Approach Removal of External Heart Assist System from Heart, Percutaneous Approach
02WA3QZ and 02PA4RZ	Revision of Implantable Heart Assist System in Heart, Percutaneous Approach Removal of External Heart Assist System from Heart, Percutaneous Endoscopic Approach
02WA3RZ and 02PA0RZ	Revision of External Heart Assist System in Heart, Percutaneous Approach Removal of External Heart Assist System from Heart, Open Approach
02WA3RZ and 02PA3RZ	Revision of External Heart Assist System in Heart, Percutaneous Approach Removal of External Heart Assist System from Heart, Percutaneous Approach
02WA3RZ and 02PA4RZ	Revision of External Heart Assist System in Heart, Percutaneous Approach Removal of External Heart Assist System from Heart, Percutaneous Endoscopic Approach
02WA4QZ and 02PA0RZ	Revision of Implantable Heart Assist System in Heart, Percutaneous Endoscopic Approach Removal of External Heart Assist System from Heart, Open Approach
02WA4QZ and 02PA3RZ	Revision of Implantable Heart Assist System in Heart, Percutaneous Endoscopic Approach Removal of External Heart Assist System from Heart, Percutaneous Approach
02WA4QZ and 02PA4RZ	Revision of Implantable Heart Assist System in Heart, Percutaneous Endoscopic Approach Removal of External Heart Assist System from Heart, Percutaneous Endoscopic Approach
02WA4RZ and 02PA0RZ	Revision of External Heart Assist System in Heart, Percutaneous Endoscopic Approach Removal of External Heart Assist System from Heart, Open Approach
02WA4RZ and 02PA3RZ	Revision of External Heart Assist System in Heart, Percutaneous Endoscopic Approach Removal of External Heart Assist System from Heart, Percutaneous Approach
02WA4RZ and 02PA4RZ	Revision of External Heart Assist System in Heart, Percutaneous Endoscopic Approach Removal of External Heart Assist System from Heart, 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.