MDC 08 : Diseases & Disorders of the Musculoskeletal System & Connective Tissue


Combined Anterior/Posterior Spinal Fusion

DRG MCC CC
453 Yes n/a
454 No Yes
455 No No

Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions

DRG MCC CC
456 Yes n/a
457 No Yes
458 No No

Spinal Fusion Except Cervical

DRG MCC
459 Yes
460 No

Bilateral or Multiple Major Joint Procedures of Lower Extremity

DRG MCC
461 Yes
462 No

Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders

DRG MCC CC
463 Yes n/a
464 No Yes
465 No No

Revision of Hip or Knee Replacement

DRG MCC CC
466 Yes n/a
467 No Yes
468 No No

Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity

DRG MCC
469 Yes
470 No

Cervical Spinal Fusion

DRG MCC CC
471 Yes n/a
472 No Yes
473 No No

Amputation for Musculoskeletal System and Connective Tissue Disorders

DRG MCC CC
474 Yes n/a
475 No Yes
476 No No

Biopsies of Musculoskeletal System and Connective Tissue

DRG MCC CC
477 Yes n/a
478 No Yes
479 No No

Hip and Femur Procedures Except Major Joint

DRG MCC CC
480 Yes n/a
481 No Yes
482 No No

Major Joint and Limb Reattachment Procedures of Upper Extremity

DRG
483

Knee Procedures

DRG MCC CC PDX of Infection CC or MCC
485 Yes n/a Yes n/a
486 No Yes Yes n/a
487 No No Yes n/a
488 n/a n/a No Yes
489 n/a n/a No No

Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators

DRG MCC CC Back & Neck Except Disc Devices Disc Devices Neurostimulator Combinations
518 Yes n/a Yes n/a n/a
518 n/a n/a No Yes n/a
518 n/a n/a No No Yes
519 No Yes Yes No No
520 No No Yes No No

Lower Extremity and Humerus Procedures Except Hip,Foot,Femur

DRG MCC CC
492 Yes n/a
493 No Yes
494 No No

Local Excision and Removal Int Fix Devices Except Hip and Femur

DRG MCC CC
495 Yes n/a
496 No Yes
497 No No

Local Excision and Removal Int Fix Devices of Hip and Femur

DRG CC or MCC
498 Yes
499 No

Soft Tissue Procedures

DRG MCC CC
500 Yes n/a
501 No Yes
502 No No

Foot Procedures

DRG MCC CC
503 Yes n/a
504 No Yes
505 No No

Major Thumb or Joint Procedures

DRG
506

Major Shoulder or Elbow Joint Procedures

DRG CC or MCC
507 Yes
508 No

Arthoscopy

DRG
509

Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures

DRG MCC CC
510 Yes n/a
511 No Yes
512 No No

Hand or Wrist Procedures, Except Major Thumb or Joint Procedures

DRG CC or MCC
513 Yes
514 No

Other Musculoskeletal System and Connective Tissue O.R. Procedures

DRG MCC CC
515 Yes n/a
516 No Yes
517 No No

Fractures of Femur

DRG MCC
533 Yes
534 No

Fractures of Hip and Pelvis

DRG MCC
535 Yes
536 No

Sprains, Strains and Dislocations of Hip, Pelvis and Thigh

DRG CC or MCC
537 Yes
538 No

Osteomyelitis

DRG MCC CC
539 Yes n/a
540 No Yes
541 No No

Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy

DRG MCC CC
542 Yes n/a
543 No Yes
544 No No

Connective Tissue Disorders

DRG MCC CC
545 Yes n/a
546 No Yes
547 No No

Septic Arthritis

DRG MCC CC
548 Yes n/a
549 No Yes
550 No No

Medical Back Problems

DRG MCC
551 Yes
552 No

Bone Diseases and Arthropathies

DRG MCC
553 Yes
554 No

Signs and Symptoms of Musculoskeletal System and Connective Tissue

DRG MCC
555 Yes
556 No

Tendonitis, Myositis and Bursitis

DRG MCC
557 Yes
558 No

Aftercare, Musculoskeletal System and Connective Tissue

DRG MCC CC
559 Yes n/a
560 No Yes
561 No No

Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh

DRG MCC
562 Yes
563 No

Other Musculoskeletal System and Connective Tissue Diagnoses

DRG MCC CC
564 Yes n/a
565 No Yes
566 No No