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Orthopedic Surgery

MS-DRGs are grouped by "Medical Service" to provide a meaningful way of summarizing utilization data.
MS-DRGs are based on FY 2015 regulations.
MS-DRG MS-DRG Description
239 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC
240 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC
241 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC
255 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC
256 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC
257 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W/O CC/MCC
453 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC
454 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC
455 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC
456 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS W MCC
457 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS W CC
458 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS W/O CC/MCC
459 SPINAL FUSION EXCEPT CERVICAL W MCC
460 SPINAL FUSION EXCEPT CERVICAL W/O MCC
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC
466 REVISION OF HIP OR KNEE REPLACEMENT W MCC
467 REVISION OF HIP OR KNEE REPLACEMENT W CC
468 REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC
469 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC
470 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC
471 CERVICAL SPINAL FUSION W MCC
472 CERVICAL SPINAL FUSION W CC
473 CERVICAL SPINAL FUSION W/O CC/MCC
474 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC
475 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC
476 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC
480 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC
481 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC
482 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES
485 KNEE PROCEDURES W PDX OF INFECTION W MCC
486 KNEE PROCEDURES W PDX OF INFECTION W CC
487 KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC
488 KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC
489 KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC
492 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC
493 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC
494 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC
495 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W MCC
496 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC
497 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC
498 LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W CC/MCC
499 LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W/O CC/MCC
500 SOFT TISSUE PROCEDURES W MCC
501 SOFT TISSUE PROCEDURES W CC
502 SOFT TISSUE PROCEDURES W/O CC/MCC
503 FOOT PROCEDURES W MCC
504 FOOT PROCEDURES W CC
505 FOOT PROCEDURES W/O CC/MCC
506 MAJOR THUMB OR JOINT PROCEDURES
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W/O CC/MCC
509 ARTHROSCOPY
510 SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W MCC
511 SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W CC
512 SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W/O CC/MCC
513 HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC
514 HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC
515 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC
516 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC
517 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC
518 BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM
519 BACK & NECK PROC EXC SPINAL FUSION W CC
520 BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC
616 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W MCC
617 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC
618 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W/O CC/MCC
906 HAND PROCEDURES FOR INJURIES
956 LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA