Clinical Category - Orthopedic Surgery (Major)


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The "Major Orthopedic Surgery" clinical category consists of major surgeries such as spinal fusion, hip or knee replacements, major shoulder replacements, and major joint replacements. Major Orthopedic Surgery includes the following MS-DRGs:

Major Surgeries

  • 453: Combined Anterior/Posterior Spinal Fusion w MCC
  • 454: Combined Anterior/Posterior Spinal Fusion w CC
  • 455: Combined Anterior/Posterior Spinal Fusion w/o CC/MCC
  • 456: Spinal Fusion Exc Cervical w Spinal Curve, Malig or 9+ Fusions w MCC
  • 457: Spinal Fusion Exc Cervical w Spinal Curve, Malig or 9+ Fusions w CC
  • 458: Spinal Fusion Exc Cervical w Spinal Curve, Malig or 9+ Fusions w/o CC/MCC
  • 459: Spinal Fusion Except Cervical w MCC
  • 460: Spinal Fusion Except Cervical w/o MCC
  • 461: Bilateral or Multiple Major Joint Procs of Lower Extremity w MCC
  • 462: Bilateral or Multiple Major Joint Procs of Lower Extremity w/o MCC
  • 466: Revision of Hip or Knee Replacement w MCC
  • 467: Revision of Hip or Knee Replacement w CC
  • 468: Revision of Hip or Knee Replacement w/o CC/MCC
  • 471: Cervical Spinal Fusion w MCC
  • 472: Cervical Spinal Fusion w CC
  • 473: Cervical Spinal Fusion w/o CC/MCC
  • 474: Amputation for Musculoskeletal System & Conn Tissue Disorders w MCC
  • 475: Amputation for Musculoskeletal System & Conn Tissue Disorders w CC
  • 476: Amputation for Musculoskeletal System & Conn Tissue Disorders w/o CC/MCC
  • 469: Major Joint Replacement or Reattachment of Lower Extremity w MCC
  • 470: Major Joint Replacement or Reattachment of Lower Extremity w/o MCC
  • 483: Major Joint & Limb Reattachment Procedures of Upper Extremity
  • 506: Major Thumb or Joint Procedures
  • 507: Major Shoulder or Elbow Joint Procedures w CC/MCC
  • 508: Major Shoulder or Elbow Joint Procedures w/o CC/MCC

CC = complication or comorbidity; MCC = major complication or comorbidity