ICD-10 MS-DRG v42 (2025)

Medicare Severity Diagnosis Related Group

-/+ Deleted, Replaced, Expanded Codes

ICD10CM Code Assignment
009  BONE MARROW TRANSPLANT  
015  AUTOLOGOUS BONE MARROW TRANSPLANT  
129  MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE  
130  MAJOR HEAD & NECK PROCEDURES W/O CC/MCC  
131  CRANIAL/FACIAL PROCEDURES W CC/MCC  
132  CRANIAL/FACIAL PROCEDURES W/O CC/MCC  
133  OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC  
134  OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC  
222  CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC  
223  CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC  
224  CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC  
225  CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC  
226  CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC  
227  CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC  
230  OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC  
237  MAJOR CARDIOVASC PROCEDURES W MCC  
238  MAJOR CARDIOVASC PROCEDURES W/O MCC  
246  PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS  
247  PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC  
248  PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS  
249  PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC  
338  APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC  
339  APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC  
340  APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC  
341  APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC  
342  APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC  
343  APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC  
453  COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC  
454  COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC  
455  COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC  
459  SPINAL FUSION EXCEPT CERVICAL WITH MCC  
460  SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC  
484  MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC  
490  BACK & NECK PROC EXC SPINAL FUSION W CC/MCC OR DISC DEVICE/NEUROSTIM  
491  BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC  
685  ADMIT FOR RENAL DIALYSIS  
691  URINARY STONES W ESW LITHOTRIPSY W CC/MCC  
692  URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC  
765  CESAREAN SECTION W CC/MCC  
766  CESAREAN SECTION W/O CC/MCC  
767  VAGINAL DELIVERY W STERILIZATION &/OR D&C  
774  VAGINAL DELIVERY W COMPLICATING DIAGNOSES  
775  VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES  
777  ECTOPIC PREGNANCY  
778  THREATENED ABORTION  
780  FALSE LABOR  
781  OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS  
782  OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS  
984  PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC  
985  PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC  
986  PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC  
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