Sample page. DRG Expert A comprehensive guidebook to the DRG classification system using the ICD-10-CM and -PCS code sets EXPERT

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1 EXPERT 2018 DRG Expert A comprehensive guidebook to the DRG classification system using the ICD-10-CM and -PCS code sets POWER UP YOUR CODING with Optum360, your trusted coding partner for 32 years. Visit optum360coding.com.

2 Contents Numeric MS-DRG Listing... iii MS-DRG Listing by Major Diagnostic Category... xiii Introduction... xxiii MS-DRGs Pre MDC...1 MDC 1 Diseases And Disorders Of The Nervous System...7 MDC 2 Diseases And Disorders Of The Eye MDC 3 Diseases And Disorders Of The Ear, Nose, Mouth And Throat MDC 4 Diseases And Disorders Of The Respiratory System MDC 5 Diseases And Disorders Of The Circulatory System MDC 6 Diseases And Disorders Of The Digestive System MDC 7 Diseases And Disorders Of The Hepatobiliary System And Pancreas MDC 8 Diseases And Disorders Of The Musculoskeletal System And Connective Tissue MDC 9 Diseases And Disorders Of The Skin, Subcutaneous Tissue And Breast MDC 10 Endocrine, Nutritional And Metabolic Diseases And Disorders MDC 11 Diseases And Disorders Of The Kidney And Urinary Tract MDC 12 Diseases And Disorders Of The Male Reproductive System MDC 13 Diseases And Disorders Of The Female Reproductive System MDC 14 Pregnancy, Childbirth And The Puerperium MDC 15 Newborns And Other Neonates With Conditions Originating In The Perinatal Period MDC 16 Diseases And Disorders Of The Blood And Blood-Forming Organs And Immunological Disorders MDC 17 Myeloproliferative Diseases And Disorders And Poorly Differentiated Neoplasms MDC 18 Infectious And Parasitic Diseases, Systemic or Unspecified Sites MDC 19 Mental Diseases And Disorders MDC 20 Alcohol/Drug Use And Alcohol/Drug-Induced Organic Mental Disorders MDC 21 Injuries, Poisonings And Toxic Effects Of Drugs MDC 22 Burns MDC 23 Factors Influencing Health Status And Other Contacts With Health Services MDC 24 Multiple Significant Trauma MDC 25 Human Immunodeficiency Virus Infections DRGs Associated with All MDCs Alphabetic Index to Diseases Numeric Index to Diseases Alphabetic Index to Procedures Numeric Index to Procedures Appendix A Lists of Principal Diagnoses That Are Their Own CC and Their Own MCC Appendix B Alphabetic & Numeric Lists of CCs & MCCs Alphabetic CC List Alphabetic MCC List Numeric CC List Numeric MCC List Appendix C MS-DRG Surgical Hierarchy Table Appendix D National Average Payment Table Appendix E Abbreviations Glossary Optum360, LLC i

3 MDC 5 Diseases And Disorders Of The Circulatory System SURGICAL DRG 215 Other Heart Assist System Implant GMLOS 12.0 AMLOS 18.4 RW HA0RS Insert of Bivent Ext Heart Assist into Heart, Opn Appr 02HA0R Insert of Ext Heart Assist into Heart, Opn Appr 02HA3RS Insert of Bivent Ext Heart Assist into Heart, Perc Appr 02HA3R Insert of Ext Heart Assist into Heart, Perc Appr 02HA4RS Insert Bivent Ext Heart Assist in Heart, Perc Endo 02HA4R Insert of Ext Heart Assist into Heart, Perc Endo Appr 02WA0J Rev of Synth Sub in Heart, Opn Appr 02WA0Q Rev of Implant Heart Assist in Heart, Opn Appr 02WA0R Rev of Ext Heart Assist in Heart, Opn Appr 02WA3Q Rev of Implant Heart Assist in Heart, Perc Appr 02WA3R Rev of Ext Heart Assist in Heart, Perc Appr 02WA4Q Rev of Implant Heart Assist in Heart, Perc Endo Appr 02WA4R Rev of Ext Heart Assist in Heart, Perc Endo Appr DRG 216 Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC GMLOS 12.7 AMLOS 15.5 RW t 027F0[4,D,] Dilation/Aortic Valve, Opn, [Drug-eluting Intralum Dev, 027G0[4,D,] Dilation/Mitral Valve, Opn, [Drug-eluting Intralum Dev, 027H0[4,D,] Dilation/Pulmn Valve, Opn, [Drug-eluting Intralum Dev, 027J0[4,D,] Dilation/Tricuspid Valve, Opn, [Drug-eluting Intralum Dev, 02NF0 Rls Aortic Valve, Opn Appr 02NG0 Rls Mitral Valve, Opn Appr 02NH0 Rls Pulmn Valve, Opn Appr 02NJ0 Rls Tricuspid Valve, Opn Appr 02QF* Repair/Aortic Valve 02QG* Repair/Mitral Valve 02QH* Repair/Pulmn Valve 02QJ* Repair/Tricuspid Valve 02RF07 Replace of Aortic Valve with Autol Sub, Opn Appr 02RF08 Replace of Aortic Valve with ooplastic, Opn Appr 02RF0J Replace of Aortic Valve with Synth Sub, Opn Appr 02RF0K Replace of Aortic Valve with Nonaut Sub, Opn Appr 02RF47 Replace of Aortic Valve with Autol Sub, Perc Endo Appr 02RF48 Replace of Aortic Valve with ooplastic, Perc Endo Appr 02RF4J Replace of Aortic Valve with Synth Sub, Perc Endo Appr 02RF4K Replace of Aortic Valve with Nonaut Sub, Perc Endo Appr 02RG[0,3,4][7,8,J,K] Replace/Mitral Valve, [Opn, Perc, Perc Endo], [Auto Tissue Sub, 02RH07 Replace of Pulmn Valve with Autol Sub, Opn Appr 02RH08 Replace of Pulm Valve with ooplastic, Opn Appr 02RH0J Replace of Pulmn Valve with Synth Sub, Opn Appr 02RH0K Replace of Pulm Valve with Nonaut Sub, Opn Appr 02RH47 Replace of Pulm Valve with Autol Sub, Perc Endo Appr 02RH48 Replace of Pulm Valve with ooplastic, Perc Endo Appr 02RH4J Replace of Pulm Valve with Synth Sub, Perc Endo Appr 02RH4K Replace of Pulm Valve with Nonaut Sub, Perc Endo Appr 02RJ* Replace/Tricuspid Valve 02RP[0,4][7,8,J,K] Replace/Pulmn Trunk, [Opn, Perc Endo], [Auto Tissue Sub, 02RQ[0,4][7,8,J,K] Replace/Pulmn Artery, Rt, [Opn, Perc Endo], [Auto Tissue Sub, 02RR[0,4][7,8,J,K] Replace/Pulmn Artery, Lt, [Opn, Perc Endo], [Auto Tissue Sub, 02RS[0,4][7,8,J,K] Replace/Pulmn Vein, Rt, [Opn, Perc Endo], [Auto Tissue Sub, 02RT[0,4][7,8,J,K] Replace/Pulmn Vein, Lt, [Opn, Perc Endo], [Auto Tissue Sub, 02RV[0,4][7,8,J,K] Replace/Superior Vena Cava, [Opn, Perc Endo], [Auto Tissue Sub, 02RW[0,4][7,8,J,K] Replace/Thoracic Aorta, [Opn, Perc Endo], [Auto Tissue Sub, 02UF* Supl/Aortic Valve 02UG07 Supl Mitral Valve with Autol Sub, Opn Appr 02UG08 Supl Mitral Valve with ooplastic, Opn Appr 02UG0J Supl Mitral Valve with Synth Sub, Opn Appr 02UG0K Supl Mitral Valve with Nonaut Sub, Opn Appr 02UG37 Supl Mitral Valve with Autol Sub, Perc Appr 02UG38 Supl Mitral Valve with ooplastic, Perc Appr 02UG3K Supl Mitral Valve with Nonaut Sub, Perc Appr 02UG47 Supl Mitral Valve with Autol Sub, Perc Endo Appr 02UG48 Supl Mitral Valve with ooplastic, Perc Endo Appr 02UG4J Supl Mitral Valve with Synth Sub, Perc Endo Appr 02UG4K Supl Mitral Valve with Nonaut Sub, Perc Endo Appr 02UH* Supl/Pulmn Valve 02UJ* Supl/Tricuspid Valve 02UW[3,4]J Supl/Thoracic Aorta, [Perc, Perc Endo], Synth Sub, NQ 02VW[0,3,4]D Restrict/Thoracic Aorta, [Opn, Perc, Perc Endo], Intralum Dev, NQ 03R0[0,4][7,J,K] Replace/Int Mammary Artery, Rt, [Opn, Perc Endo], [Auto Tissue 03R1[0,4][7,J,K] Replace/Int Mammary Artery, Lt, [Opn, Perc Endo], [Auto Tissue 03R2[0,4][7,J,K] Replace/Innominate Artery, [Opn, Perc Endo], [Auto Tissue 03R3[0,4][7,J,K] Replace/Subclavian Artery, Rt, [Opn, Perc Endo], [Auto Tissue 03R4[0,4][7,J,K] Replace/Subclavian Artery, Lt, [Opn, Perc Endo], [Auto Tissue 05R0[0,4][7,J,K] Replace/Azygos Vein, [Opn, Perc Endo], [Auto Tissue Sub, 05R1[0,4][7,J,K] Replace/Hemiazygos Vein, [Opn, Perc Endo], [Auto Tissue Sub, 05R3[0,4][7,J,K] Replace/Innominate Vein, Rt, [Opn, Perc Endo], [Auto Tissue 05R4[0,4][7,J,K] Replace/Innominate Vein, Lt, [Opn, Perc Endo], [Auto Tissue 05R5[0,4][7,J,K] Replace/Subclavian Vein, Rt, [Opn, Perc Endo], [Auto Tissue 05R6[0,4][7,J,K] Replace/Subclavian Vein, Lt, [Opn, Perc Endo], [Auto Tissue 5A02[1,2]1[6,D] Assistance/Cardiac, [Intermittent, Continuous], Output, [Oth Pump, Impeller Pump] Nonoperating Room Procedures 4A023F Measurement of Cardiac Rhythm, Perc Appr 4A02[0,3]N[6,7,8] Measurement/Cardiac, [Opn, Perc], Sampling and Pressure, [Rt Heart, Lt Heart, Bilat] B20* Imaging, Heart, Plain Radiography B210[0,1,Y] Fluoroscopy/Coronary Artery, Single, [High Osmolar, Low Osmolar, Oth Contrast], None, None B211[0,1,Y] Fluoroscopy/Coronary Arteries, Multi, [High Osmolar, Low Osmolar, Oth Contrast], None, None B212[0,1,Y] Fluoroscopy/Coronary Artery Bypass Graft, Single, [High Osmolar, Low Osmolar, Oth Contrast], None, None B213[0,1,Y] Fluoroscopy/Coronary Artery Bypass Grafts, Multi, [High Osmolar, Low Osmolar, Oth Contrast], None, None B214* Fluoroscopy/Heart, Rt B215* Fluoroscopy/Heart, Lt B216* Fluoroscopy/Heart, Rt and Lt B217* Fluoroscopy/Int Mammary Bypass Graft, Rt B218* Fluoroscopy/Int Mammary Bypass Graft, Lt B21F* Fluoroscopy/Bypass Graft, Oth DRG 217 Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC GMLOS 8.5 AMLOS 9.7 RW t Select operating room procedures nonoperating room procedures listed under DRG 216 MDC 5: Diseases And Disorders Of The Circulatory System SURGICAL Surgical Medical CC Indicator MCC Indicator Procedure Proxy l PDx acts as own MCC m PDx acts as own CC 2017 Optum360, LLC MS-DRG Version

4 MDC 5: Diseases And Disorders Of The Circulatory System SURGICAL DRG 218 DRG 222 DRG 218 Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC GMLOS 6.5 AMLOS 7.2 RW t Select operating room procedures nonoperating room procedures listed under DRG 216 DRG 219 Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC GMLOS 9.6 AMLOS 11.5 RW t 027F0[4,D,] Dilation/Aortic Valve, Opn, [Drug-eluting Intralum Dev, 027G0[4,D,] Dilation/Mitral Valve, Opn, [Drug-eluting Intralum Dev, 027H0[4,D,] Dilation/Pulmn Valve, Opn, [Drug-eluting Intralum Dev, 027J0[4,D,] Dilation/Tricuspid Valve, Opn, [Drug-eluting Intralum Dev, 02NF0 Rls Aortic Valve, Opn Appr 02NG0 Rls Mitral Valve, Opn Appr 02NH0 Rls Pulmn Valve, Opn Appr 02NJ0 Rls Tricuspid Valve, Opn Appr 02QF* Repair/Aortic Valve 02QG* Repair/Mitral Valve 02QH* Repair/Pulmn Valve 02QJ* Repair/Tricuspid Valve 02RF07 Replace of Aortic Valve with Autol Sub, Opn Appr 02RF08 Replace of Aortic Valve with ooplastic, Opn Appr 02RF0J Replace of Aortic Valve with Synth Sub, Opn Appr 02RF0K Replace of Aortic Valve with Nonaut Sub, Opn Appr 02RF47 Replace of Aortic Valve with Autol Sub, Perc Endo Appr 02RF48 Replace of Aortic Valve with ooplastic, Perc Endo Appr 02RF4J Replace of Aortic Valve with Synth Sub, Perc Endo Appr 02RF4K Replace of Aortic Valve with Nonaut Sub, Perc Endo Appr 02RG[0,3,4][7,8,J,K] Replace/Mitral Valve, [Opn, Perc, Perc Endo], [Auto Tissue Sub, 02RH07 Replace of Pulmn Valve with Autol Sub, Opn Appr 02RH08 Replace of Pulm Valve with ooplastic, Opn Appr 02RH0J Replace of Pulmn Valve with Synth Sub, Opn Appr 02RH0K Replace of Pulm Valve with Nonaut Sub, Opn Appr 02RH47 Replace of Pulm Valve with Autol Sub, Perc Endo Appr 02RH48 Replace of Pulm Valve with ooplastic, Perc Endo Appr 02RH4J Replace of Pulm Valve with Synth Sub, Perc Endo Appr 02RH4K Replace of Pulm Valve with Nonaut Sub, Perc Endo Appr 02RJ* Replace/Tricuspid Valve 02RP[0,4][7,8,J,K] Replace/Pulmn Trunk, [Opn, Perc Endo], [Auto Tissue Sub, 02RQ[0,4][7,8,J,K] Replace/Pulmn Artery, Rt, [Opn, Perc Endo], [Auto Tissue Sub, 02RR[0,4][7,8,J,K] Replace/Pulmn Artery, Lt, [Opn, Perc Endo], [Auto Tissue Sub, 02RS[0,4][7,8,J,K] Replace/Pulmn Vein, Rt, [Opn, Perc Endo], [Auto Tissue Sub, 02RT[0,4][7,8,J,K] Replace/Pulmn Vein, Lt, [Opn, Perc Endo], [Auto Tissue Sub, 02RV[0,4][7,8,J,K]Replace/Superior Vena Cava, [Opn, Perc Endo], [Auto Tissue Sub, 02RW[0,4][7,8,J,K]Replace/Thoracic Aorta, [Opn, Perc Endo], [Auto Tissue Sub, 02UF* Supl/Aortic Valve 02UG07 Supl Mitral Valve with Autol Sub, Opn Appr 02UG08 Supl Mitral Valve with ooplastic, Opn Appr 02UG0J Supl Mitral Valve with Synth Sub, Opn Appr 02UG0K Supl Mitral Valve with Nonaut Sub, Opn Appr 02UG37 Supl Mitral Valve with Autol Sub, Perc Appr 02UG38 Supl Mitral Valve with ooplastic, Perc Appr 02UG3K Supl Mitral Valve with Nonaut Sub, Perc Appr 02UG47 Supl Mitral Valve with Autol Sub, Perc Endo Appr 02UG48 Supl Mitral Valve with ooplastic, Perc Endo Appr 02UG4J Supl Mitral Valve with Synth Sub, Perc Endo Appr 02UG4K Supl Mitral Valve with Nonaut Sub, Perc Endo Appr 02UH* Supl/Pulmn Valve 02UJ* Supl/Tricuspid Valve 02UW[3,4]J 02VW[0,3,4]D Supl/Thoracic Aorta, [Perc, Perc Endo], Synth Sub, NQ Restrict/Thoracic Aorta, [Opn, Perc, Perc Endo], Intralum Dev, NQ DRG Expert 03R0[0,4][7,J,K] Replace/Int Mammary Artery, Rt, [Opn, Perc Endo], [Auto Tissue 03R1[0,4][7,J,K] Replace/Int Mammary Artery, Lt, [Opn, Perc Endo], [Auto Tissue 03R2[0,4][7,J,K] Replace/Innominate Artery, [Opn, Perc Endo], [Auto Tissue 03R3[0,4][7,J,K] Replace/Subclavian Artery, Rt, [Opn, Perc Endo], [Auto Tissue 03R4[0,4][7,J,K] Replace/Subclavian Artery, Lt, [Opn, Perc Endo], [Auto Tissue 05R0[0,4][7,J,K] Replace/Azygos Vein, [Opn, Perc Endo], [Auto Tissue Sub, 05R1[0,4][7,J,K] Replace/Hemiazygos Vein, [Opn, Perc Endo], [Auto Tissue Sub, 05R3[0,4][7,J,K] Replace/Innominate Vein, Rt, [Opn, Perc Endo], [Auto Tissue 05R4[0,4][7,J,K] Replace/Innominate Vein, Lt, [Opn, Perc Endo], [Auto Tissue 05R5[0,4][7,J,K] Replace/Subclavian Vein, Rt, [Opn, Perc Endo], [Auto Tissue 05R6[0,4][7,J,K] Replace/Subclavian Vein, Lt, [Opn, Perc Endo], [Auto Tissue 5A02116 Assist with Cardiac Output using Oth Pump, Intermittent 5A0211D Assist with Cardiac Output using Impeller Pump, Intermittent 5A02216 Assistance with Cardiac Output using Oth Pump, Continuous 5A0221D Assist with Cardiac Output using Impeller Pump, Continuous DRG 220 Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC GMLOS 6.5 AMLOS 7.1 RW t Select operating room procedures listed under DRG 219 DRG 221 Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization without CC/MCC GMLOS 4.8 AMLOS 5.4 RW t Select operating room procedures listed under DRG 219 DRG 222 Cardiac Defibrillator Implant with Cardiac Catheterization with Acute Myocardial Infarction/Heart Failure/Shock with MCC GMLOS 10.2 AMLOS 12.1 RW Principal Diagnosis I09.81 Rheumatic heart failure I11.0 Hypertensive heart dz with heart failure I13.0 Hyp hrt & chr kdny dis w hrt fail and stg 1-4/unsp chr kdny I13.2 Hyp hrt & chr kdny dis w hrt fail and w stg 5 chr kdny/esrd I21* STEMI & NSTEMI mocard infrc I22* Subsq STEMI & NSTEMI mocard infrc I50* Heart failure R57.0 Cardiogenic shock R57.9 Shock, unsp 0JH6[0,3]9 Insert/SQ Tissue & Fascia, Chest, [Opn, Perc], Cardiac Resynchronization Defibrillator Pulse Generator, NQ 0JH8[0,3]9 Insert/SQ Tissue & Fascia, Abd, [Opn, Perc], Cardiac Resynchronization Defibrillator Pulse Generator, NQ 02HK[0,3,4]K Insert/Ventricle, Rt, [Opn, Perc, Perc Endo], Cardiac Lead, Defibrillator, NQ 02HL[0,3,4]K Insert/Ventricle, Lt, [Opn, Perc, Perc Endo], Cardiac Lead, Defibrillator, NQ OR 0JH6[0,3]A 0JH8[0,3]A 02HL[0,3,4]M OR 0JH6[0,3]8 Insert/SQ Tissue & Fascia, Chest, [Opn, Perc], Contractility Modulation Dev, NQ Insert/SQ Tissue & Fascia, Abd, [Opn, Perc], Contractility Modulation Dev, NQ Insert/Ventricle, Lt, [Opn, Perc, Perc Endo], Cardiac Lead, NQ Insert/SQ Tissue & Fascia, Chest, [Opn, Perc], Defibrillator Generator, NQ T Transfer DRG t Special Payment * Code Range 72 6th and 7th Character of = No Device, No Qualifier X = No Device, Diagnostic MS-DRG Version Optum360, LLC

5 DRG Expert Alphabetic Index to Procedures 0DWV[0,3,4][7,J,K] Rev/Mesentery, [Opn, Perc, Perc Endo], [Auto Tissue Sub, 112 0PWQ[0,3,4] Rev/Metacarpal, Lt, [Opn, Perc, Perc Endo], [Int Fix Dev, Ext Fix Dev, Auto Tissue 150 0PWP[0,3,4] Rev/Metacarpal, Rt, [Opn, Perc, Perc Endo], [Int Fix Dev, Ext Fix Dev, Auto Tissue 150 0RWT[0,3,4] Rev/Metacarpocarpal Jt, Lt, [Opn, Perc, Perc Endo], [Drain Dev, [0,3,4,5,7,8,K] Inf Dev, Int Fix Dev, Ext Fix Dev, Auto Tissue Sub, Spacer, 0RWT[0,3,4]J Rev/Metacarpocarpal Jt, Lt, [Opn, Perc, Perc Endo], Synth Sub, NQ 157, 351 0RWS[0,3,4] Rev/Metacarpocarpal Jt, Rt, [Opn, Perc, Perc Endo], [Drain Dev, [0,3,4,5,7,8,K] Inf Dev, Int Fix Dev, Ext Fix Dev, Auto Tissue Sub, Spacer, 0RWS[0,3,4]J Rev/Metacarpocarpal Jt, Rt, [Opn, Perc, Perc Endo], Synth Sub, NQ 157, 351 0RWV[0,3,4] Rev/Metacarpophalangeal Jt, Lt, [Opn, Perc, Perc Endo], [Drain [0,3,4,5,7,8,K] Dev, Inf Dev, Int Fix Dev, Ext Fix Dev, Auto Tissue Sub, Spacer, 0RWV[0,3,4]J Rev/Metacarpophalangeal Jt, Lt, [Opn, Perc, Perc Endo], Synth Sub, NQ 157, 351 0RWU[0,3,4] Rev/Metacarpophalangeal Jt, Rt, [Opn, Perc, Perc Endo], [0,3,4,5,7,8,K] [Drain Dev, Inf Dev, Int Fix Dev, Ext Fix Dev, Auto Tissue Sub, Spacer, 0RWU[0,3,4]J Rev/Metacarpophalangeal Jt, Rt, [Opn, Perc, Perc Endo], Synth Sub, NQ 157, 351 0SWN[0,3,4] Rev/Metatarsal-Phalangeal Jt, Lt, [Opn, Perc, Perc Endo], [0,3,4,5,7,8,K] [Drain Dev, Inf Dev, Int Fix Dev, Ext Fix Dev, Auto Tissue Sub, Spacer, Nonauto Tissue Sub], NQ 146, 458 0SWN[0,3,4] Rev/Metatarsal-Phalangeal Jt, Lt, [Opn, Perc, Perc Endo], [0,3,4,5,7,8,J,K] [Drain Dev, Inf Dev, Int Fix Dev, Ext Fix Dev, Auto Tissue Sub, Spacer, 353 0SWN[0,3,4]J Rev/Metatarsal-Phalangeal Jt, Lt, [Opn, Perc, Perc Endo], Synth Sub, NQ 158 0SWM[0,3,4] Rev/Metatarsal-Phalangeal Jt, Rt, [Opn, Perc, Perc Endo], [0,3,4,5,7,8,K] [Drain Dev, Inf Dev, Int Fix Dev, Ext Fix Dev, Auto Tissue Sub, Spacer, Nonauto Tissue Sub], NQ 146, 458 0SWM[0,3,4] Rev/Metatarsal-Phalangeal Jt, Rt, [Opn, Perc, Perc Endo], [0,3,4,5,7,8,J,K] [Drain Dev, Inf Dev, Int Fix Dev, Ext Fix Dev, Auto Tissue Sub, Spacer, 353 0SWM[0,3,4]J Rev/Metatarsal-Phalangeal Jt, Rt, [Opn, Perc, Perc Endo], Synth Sub, NQ 158 0SWL[0,3,4] Rev/Metatarsal-Tarsal Jt, Lt, [Opn, Perc, Perc Endo], [Drain Dev, [0,3,4,5,7,8,K] Inf Dev, Int Fix Dev, Ext Fix Dev, Auto Tissue Sub, Spacer, Nonauto Tissue Sub], NQ 146, 458 0SWL[0,3,4] Rev/Metatarsal-Tarsal Jt, Lt, [Opn, Perc, Perc Endo], [Drain Dev, [0,3,4,5,7,8,J,K] Inf Dev, Int Fix Dev, Ext Fix Dev, Auto Tissue Sub, Spacer, Synth Sub, Nonauto Tissue Sub], NQ 353 0SWL[0,3,4]J Rev/Metatarsal-Tarsal Jt, Lt, [Opn, Perc, Perc Endo], Synth Sub, NQ 158 0SWK[0,3,4] Rev/Metatarsal-Tarsal Jt, Rt, [Opn, Perc, Perc Endo], [Drain [0,3,4,5,7,8,K] Dev, Inf Dev, Int Fix Dev, Ext Fix Dev, Auto Tissue Sub, Spacer, Nonauto Tissue Sub], NQ 146, 458 0SWK[0,3,4] Rev/Metatarsal-Tarsal Jt, Rt, [Opn, Perc, Perc Endo], [Drain [0,3,4,5,7,8,J,K] Dev, Inf Dev, Int Fix Dev, Ext Fix Dev, Auto Tissue Sub, Spacer, 353 0SWK[0,3,4]J Rev/Metatarsal-Tarsal Jt, Rt, [Opn, Perc, Perc Endo], Synth Sub, NQ 158 0QWP[0,3,4] Rev/Metatarsal, Lt, [Opn, Perc, Perc Endo], [Int Fix Dev, Ext Fix Dev, Auto Tissue 145 0QWN[0,3,4] Rev/Metatarsal, Rt, [Opn, Perc, Perc Endo], [Int Fix Dev, Ext Fix Dev, Auto Tissue WG[0,4][7,8,J,K] Rev/Mitral Valve, [Opn, Perc Endo], [Auto Tissue Sub, 75 0CWY[0,3,7,8] [0,1,D,J,K] 0CWY[0,3][0,1,D,J,K] 0CWY[3,7,8]7 0CWY[7,8] [0,1,7,D,J,K] Rev/Mouth and Throat, [Opn, Perc, Via Natrl or Artfcl Opng, Via Natrl or Artfcl Opng Endo], [Drain Dev, Radioact Elmt, Intralum Dev, 332 Rev/Mouth and Throat, [Opn, Perc], [Drain Dev, Radioact Elmt, Intralum Dev, 56, 211, 448 Rev/Mouth and Throat, [Perc, Via Natrl or Artfcl Opng, Via Natrl or Artfcl Opng Endo], Auto Tissue Sub, NQ 332 Rev/Mouth and Throat, [Via Natrl or Artfcl Opng, Via Natrl or Artfcl Opng Endo], [Drain Dev, Radioact Elmt, Auto Tissue Sub, Intralum Dev, 53 0WW6[0,3,4] [0,1,3,7,J,K,Y] 0RW0[0,3,4] [0,3,4,7,8,A,J,K] 0RW0[0,3,4][4,J] 0DWU[0,3,4][7,J,K] 0UW3[0,3,4][0,3] 0FWG[0,3,4][0,2,3,D] 0FWD[0,3,4,7,8] [0,2,3,7,C,D,J,K] 0GWR[0,3,4]0 0QWF[0,3,4] 0QWD[0,3,4] 0QW3[0,3,4] 0QW2[0,3,4] 0WWJ[0,3,4] [0,1,3,J,Y] 0VWS[0,3,4,7,8] [0,3,7,J,K] 0WWD[0,3,4] [0,1,3,Y] 0WWN[0,3,4] [0,1,3,7,J,K,Y] 0WWM[0,3,4][7,K] Rev/Neck, [Opn, Perc, Perc Endo], [Drain Dev, Radioact Elmt, Inf Dev, Auto Tissue Sub, Synth Sub, Nonauto Tissue Sub, Oth Dev], NQ 220 Rev/Occipital-cervical Jt, [Opn, Perc, Perc Endo], [Drain Dev, Inf Dev, Int Fix Dev, Auto Tissue Sub, Spacer, Interbody Fusion Dev, 157 Rev/Occipital-cervical Jt, [Opn, Perc, Perc Endo], [Int Fix Dev, Synth Sub], NQ 350 Rev/Omentum, [Opn, Perc, Perc Endo], [Auto Tissue Sub, 112 Rev/Ovary, [Opn, Perc, Perc Endo], [Drain Dev, Inf Dev], NQ 263, 264, 266 Rev/Pancreas, [Opn, Perc, Perc Endo], [Drain Dev, Monitoring Dev, Inf Dev, Intralum Dev], NQ 119 Rev/Pancreatic Duct, [Opn, Perc, Perc Endo, Via Natrl or Artfcl Opng, Via Natrl or Artfcl Opng Endo], [Drain Dev, Monitoring Dev, Inf Dev, Auto Tissue Sub, Extralum Dev, Intralum Dev, 119 Rev/Parathyroid Gland, [Opn, Perc, Perc Endo], Drain Dev, NQ 53, 211, 238, 336 Rev/Patella, Lt, [Opn, Perc, Perc Endo], [Int Fix Dev, Ext Fix Dev, Auto Tissue 136, 349 Rev/Patella, Rt, [Opn, Perc, Perc Endo], [Int Fix Dev, Ext Fix Dev, Auto Tissue 136, 349 Rev/Pelvic Bone, Lt, [Opn, Perc, Perc Endo], [Int Fix Dev, Ext Fix Dev, Auto Tissue 136 Rev/Pelvic Bone, Rt, [Opn, Perc, Perc Endo], [Int Fix Dev, Ext Fix Dev, Auto Tissue 135 Rev/Pelvic Cavity, [Opn, Perc, Perc Endo], [Drain Dev, Radioact Elmt, Inf Dev, Synth Sub, Oth Dev], NQ 114 Rev/Penis, [Opn, Perc, Perc Endo, Via Natrl or Artfcl Opng, Via Natrl or Artfcl Opng Endo], [Drain Dev, Inf Dev, Auto Tissue 257, 459 Rev/Pericardial Cavity, [Opn, Perc, Perc Endo], [Drain Dev, Radioact Elmt, Inf Dev, Oth Dev], NQ 62, 98, 303, 356 Rev/Perineum, Female, [Opn, Perc, Perc Endo], [Drain Dev, Radioact Elmt, Inf Dev, Auto Tissue Sub, Synth Sub, Nonauto Tissue Sub, Oth Dev], NQ 218, 267, 275, 460 Rev/Perineum, Male, [Opn, Perc, Perc Endo], [Auto Tissue Sub, Nonauto Tissue Sub], NQ 257, 460 Rev/Perineum, Male, [Opn, Perc, Perc Endo], [Drain Dev, Radioact Elmt, Inf Dev, Synth Sub, Oth Dev], NQ 220 0WWM[0,3,4] [0,1,3,J,Y] 01WY[0,3,4][0,2,7,M] Rev/Peripheral Nerve, [Opn, Perc, Perc Endo], [Drain Dev, Monitoring Dev, Auto Tissue Sub, Neurostimulator Lead], NQ 24 0WWG[0,3,4] Rev/Peritoneal Cavity, [Opn, Perc, Perc Endo], [Drain Dev, [0,1,3,J,Y] Radioact Elmt, Inf Dev, Synth Sub, Oth Dev], NQ 114 0DWW[0,3,4][7,J,K] Rev/Peritoneum, [Opn, Perc, Perc Endo], [Auto Tissue Sub, 112 0DWW[0,3,4]J Rev/Peritoneum, [Opn, Perc, Perc Endo], Synth Sub, NQ 25, 90, 123, 253, 335 0GW1[0,3,4]0 Rev/Pineal Body, [Opn, Perc, Perc Endo], Drain Dev, NQ 9, 13, 17, 235 0GW0[0,3,4]0 Rev/Pituitary Gland, [Opn, Perc, Perc Endo], Drain Dev, NQ 9, 13, 17, 211, 235 0VW4[0,3,4,7,8] [0,3,7,J,K] 02WH[0,4][7,8,J,K] 0PWJ[0,3,4] 0PWH[0,3,4] 0WWQ[3,4,7,8][1,3,Y] Rev/Prostate and Seminal Vesicles, [Opn, Perc, Perc Endo, Via Natrl or Artfcl Opng, Via Natrl or Artfcl Opng Endo], [Drain Dev, Inf Dev, Auto Tissue 260 Rev/Pulmn Valve, [Opn, Perc Endo], [Auto Tissue Sub, 75 Rev/Radius, Lt, [Opn, Perc, Perc Endo], [Int Fix Dev, Ext Fix Dev, Auto Tissue 135 Rev/Radius, Rt, [Opn, Perc, Perc Endo], [Int Fix Dev, Ext Fix Dev, Auto Tissue 135 Rev/Respiratory Tract, [Perc, Perc Endo, Via Natrl or Artfcl Opng, Via Natrl or Artfcl Opng Endo], [Radioact Elmt, Inf Dev, Oth Dev], NQ 66, 356 Rev/Retroperitoneum, [Opn, Perc, Perc Endo], [Drain Dev, Radioact Elmt, Inf Dev, Oth Dev], NQ 114 0WWH[0,3,4][0,1,3,Y] 0PW2[0,3,4][4,7,J,K]Rev/Rib, Lt, [Opn, Perc, Perc Endo], [Int Fix Dev, Auto Tissue 135 0PW1[0,3,4][4,7,J,K]Rev/Rib, Rt, [Opn, Perc, Perc Endo], [Int Fix Dev, Auto Tissue 135 Alphabetic Index to Procedures 2017Optum360, LLC 805

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