464 MS-DRG: WOUND DEBRIDEMENT OR SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC

Defining Codes (FY2027)

426 procedure codes appear in its surgical logic (Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders: 426): 0HR0X72, 0HR0X73, 0HR0X74, 0HR0XJ3, 0HR0XJ4, 0HR0XJZ, 0HR0XK3, 0HR0XK4, 0HR1X72, 0HR1X73, 0HR1X74, 0HR1XJ3 and 414 more.

From the CMS MS-DRG Definitions Manual (Appendices B and E). Assignment also depends on severity, discharge status and the rest of the claim.

Surgical Precedence (FY2027)

Within MDC 08, this DRG ranks 11 of 31 in CMS's surgical-class precedence order. When a claim qualifies for more than one surgical DRG in this MDC, the highest-ranked class applies.

• 1. Extensive or Complex Spinal Fusion Procedures Except Cervical (DRGs 523-525)
• 2. Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical (DRGs 426-428)
• 3. Combined Anterior and Posterior Cervical Spinal Fusion (DRGs 429-430)
• 4. Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection (DRGs 456-458)
• 5. Multiple Level Spinal Fusion Except Cervical (DRGs 447-448)
• 6. Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical (DRGs 402)
• 7. Revision of Hip or Knee Prosthesis (DRGs 449)
• 8. Hip or Knee Procedures with Principal Diagnosis of Periprosthetic Joint Infection (DRGs 403-404)
• 9. Single Level Spinal Fusion Except Cervical (DRGs 450-451)
• 10. Cervical Spinal Fusion (DRGs 471-473)
• 11. Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders (DRGs 463-465) — this DRG
• 12. Bilateral or Multiple Major Joint Procedures of Lower Extremity (DRGs 461-462)
• 13. Local Excision and Removal of Internal Fixation Devices of Hip and Femur (DRGs 498-499)
• 14. Major Joint or Limb Reattachment Procedures of Upper Extremities (DRGs 483)
• 15. Amputation for Musculoskeletal System and Connective Tissue Disorders (DRGs 474-476)
• 16. Biopsies of Musculoskeletal System and Connective Tissue (DRGs 477-479)
• 17. Lower Extremity and Humerus Procedures Except Hip, Foot and Femur (DRGs 492-494)
• 18. Hip Replacement with Principal Diagnosis of Hip Fracture (DRGs 521-522)
• 19. Hip and Femur Procedures Except Major Joint (DRGs 480-482)
• 20. Back and Neck Procedures Except Spinal Fusion or Disc Device or Neurostimulator (DRGs 518-520)
• 21. Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures (DRGs 510-512)
• 22. Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity or Total Ankle Replacement (DRGs 469-470)
• 23. Soft Tissue Procedures (DRGs 500-502)
• 24. Knee Procedures with Principal Diagnosis of Infection (DRGs 400)
• 25. Foot Procedures (DRGs 503-505)
• 26. Knee Procedures without Principal Diagnosis of Infection (DRGs 488-489)
• 27. Local Excision and Removal of Internal Fixation Devices Except Hip and Femur (DRGs 495-497)
• 28. Major Shoulder or Elbow Joint Procedures (DRGs 507-508)
• 29. Hand or Wrist Procedures, Except Major Thumb or Joint Procedures (DRGs 513-514)
• 30. Major Thumb or Joint Procedures (DRGs 506)
• 31. Other Musculoskeletal System and Connective Tissue O.R. Procedures (DRGs 515-517)

From the CMS MS-DRG Definitions Manual, Appendix D. Actual DRG assignment depends on the complete claim.