ICD-10 MS-DRG v42 (2025)

Medicare Severity Diagnosis Related Group

PRE-MDC

ICD10CM Code Assignment

Surgical DRGs

001   HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC
002   HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC
003   ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES
004   TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES
005   LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT
006   LIVER TRANSPLANT WITHOUT MCC
007   LUNG TRANSPLANT
019   SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS
008   SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT
010   PANCREAS TRANSPLANT
011   TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC
012   TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC
013   TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC

Medical DRGs

018   CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
014   ALLOGENEIC BONE MARROW TRANSPLANT
016   AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC
017   AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC
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