TABLE 13B. PROPOSED NO-VOLUME MS-LTC-DRG CROSSWALK FOR FY 2016,,
MS-LTC-DRG,MS-LTC-DRG Title,Proposed       FY 2016 Crosswalk
1,Heart transplant or implant of heart assist system w MCC,x
2,Heart transplant or implant of heart assist system w/o MCC,x
5,Liver transplant w MCC or intestinal transplant,x
6,Liver transplant w/o MCC,x
7,Lung transplant,x
8,Simultaneous pancreas/kidney transplant,x
10,Pancreas transplant,x
11,"Tracheostomy for face,mouth & neck diagnoses w MCC",154
12,"Tracheostomy for face,mouth & neck diagnoses w CC",155
13,"Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC",156
14,Allogeneic bone marrow transplant,812
16,Autologous bone marrow transplant w CC/MCC,812
17,Autologous bone marrow transplant w/o CC/MCC,812
20,Intracranial vascular procedures w PDX hemorrhage w MCC,64
21,Intracranial vascular procedures w PDX hemorrhage w CC,65
22,Intracranial vascular procedures w PDX hemorrhage w/o CC/MCC,66
24,Cranio w major dev impl/acute complex CNS PDX w/o MCC,23
26,Craniotomy & endovascular intracranial procedures w CC,25
27,Craniotomy & endovascular intracranial procedures w/o CC/MCC,25
29,Spinal procedures w CC or spinal neurostimulators,41
30,Spinal procedures w/o CC/MCC,74
32,Ventricular shunt procedures w CC,74
33,Ventricular shunt procedures w/o CC/MCC,74
34,Carotid artery stent procedure w MCC,239
35,Carotid artery stent procedure w CC,239
36,Carotid artery stent procedure w/o CC/MCC,239
39,Extracranial procedures w/o CC/MCC,72
42,Periph/cranial nerve & other nerv syst proc w/o CC/MCC,74
53,Spinal disorders & injuries w/o CC/MCC,74
59,Multiple sclerosis & cerebellar ataxia w CC,56
60,Multiple sclerosis & cerebellar ataxia w/o CC/MCC,57
61,Acute ischemic stroke w use of thrombolytic agent w MCC,70
62,Acute ischemic stroke w use of thrombolytic agent w CC,71
63,Acute ischemic stroke w use of thrombolytic agent w/o CC/MCC,72
67,Nonspecific cva & precerebral occlusion w/o infarct w MCC,69
68,Nonspecific cva & precerebral occlusion w/o infarct w/o MCC,69
76,Viral meningitis w/o CC/MCC,96
78,Hypertensive encephalopathy w CC,92
79,Hypertensive encephalopathy w/o CC/MCC,93
80,Nontraumatic stupor & coma w MCC,91
81,Nontraumatic stupor & coma w/o MCC,93
84,"Traumatic stupor & coma, coma >1 hr w/o CC/MCC",87
88,Concussion w MCC,85
89,Concussion w CC,86
90,Concussion w/o CC/MCC,87
99,Non-bacterial infect of nervous sys exc viral meningitis w/o CC/MCC,96
113,Orbital procedures w CC/MCC,155
114,Orbital procedures w/o CC/MCC,125
115,Extraocular procedures except orbit,125
116,Intraocular procedures w CC/MCC,155
117,Intraocular procedures w/o CC/MCC,125
122,Acute major eye infections w/o CC/MCC,125
123,Neurological eye disorders,125
124,Other disorders of the eye w MCC,155
129,Major head & neck procedures w CC/MCC or major device,146
130,Major head & neck procedures w/o CC/MCC,147
131,Cranial/facial procedures w CC/MCC,155
132,Cranial/facial procedures w/o CC/MCC,156
134,"Other ear, nose, mouth & throat O.R. procedures w/o CC/MCC",156
135,Sinus & mastoid procedures w CC/MCC,155
136,Sinus & mastoid procedures w/o CC/MCC,156
138,Mouth procedures w/o CC/MCC,156
139,Salivary gland procedures,158
148,"Ear, nose, mouth & throat malignancy w/o CC/MCC",156
150,Epistaxis w MCC,152
151,Epistaxis w/o MCC,153
165,Major chest procedures w/o CC/MCC,168
183,Major chest trauma w MCC,164
184,Major chest trauma w CC,164
185,Major chest trauma w/o CC/MCC,168
198,Interstitial lung disease w/o CC/MCC,192
203,Bronchitis & asthma w/o CC/MCC,192
215,Other heart assist system implant,216
217,Cardiac valve & oth maj cardiothoracic proc w card cath w CC,216
218,Cardiac valve & oth maj cardiothoracic proc w card cath w/o CC/MCC,216
219,Cardiac valve & oth maj cardiothoracic proc w/o card cath w MCC,216
220,Cardiac valve & oth maj cardiothoracic proc w/o card cath w CC,216
221,Cardiac valve & oth maj cardiothoracic proc w/o card cath w/o CC/MCC,216
222,Cardiac defib implant w cardiac cath w AMI/HF/shock w MCC,242
223,Cardiac defib implant w cardiac cath w AMI/HF/shock w/o MCC,243
224,Cardiac defib implant w cardiac cath w/o AMI/HF/shock w MCC,242
225,Cardiac defib implant w cardiac cath w/o AMI/HF/shock w/o MCC,243
228,Other cardiothoracic procedures w MCC,252
229,Other cardiothoracic procedures w CC,253
230,Other cardiothoracic procedures w/o CC/MCC,253
231,Coronary bypass w PTCA w MCC,216
232,Coronary bypass w PTCA w/o MCC,264
233,Coronary bypass w cardiac cath w MCC,216
234,Coronary bypass w cardiac cath w/o MCC,264
235,Coronary bypass w/o cardiac cath w MCC,216
236,Coronary bypass w/o cardiac cath w/o MCC,264
241,Amputation for circ sys disorders exc upper limb & toe w/o CC/MCC,475
244,Permanent cardiac pacemaker implant w/o CC/MCC,287
245,AICD generator procedures,287
246,Perc cardiovasc proc w drug-eluting stent w MCC or 4+ vessels/stents,286
247,Perc cardiovasc proc w drug-eluting stent w/o MCC,264
248,Perc cardiovasc proc w non-drug-eluting stent w MCC or 4+ ves/stents,286
249,Perc cardiovasc proc w non-drug-eluting stent w/o MCC,287
251,Perc cardiovasc proc w/o coronary artery stent w/o MCC,287
254,Other vascular procedures w/o CC/MCC,239
257,Upper limb & toe amputation for circ system disorders w/o CC/MCC,475
258,Cardiac pacemaker device replacement w MCC,260
259,Cardiac pacemaker device replacement w/o MCC,287
261,Cardiac pacemaker revision except device replacement w CC,260
262,Cardiac pacemaker revision except device replacement w/o CC/MCC,287
263,Vein ligation & stripping,287
265,AICD lead procedures,260
266,Endovascular cardiac valve replacement w MCC,216
267,Endovascular cardiac valve replacement w/o MCC,216
268,Aortic and heart assist procedures except pulsation balloon w MCC,216
269,Aortic and heart assist procedures except pulsation balloon w/o MCC,264
271,Other major cardiovascular procedures w CC,260
272,Other major cardiovascular procedures w/o CC/MCC,287
274,Percutaneous intracardiac procedures  w/o MCC,287
285,"Acute myocardial infarction, expired w/o CC/MCC",284
295,Deep vein thrombophlebitis w/o CC/MCC,294
296,"Cardiac arrest, unexplained w MCC",291
297,"Cardiac arrest, unexplained w CC",292
298,"Cardiac arrest, unexplained w/o CC/MCC",293
311,Angina pectoris,312
313,Chest pain,312
328,"Stomach, esophageal & duodenal proc w/o CC/MCC",373
330,Major small & large bowel procedures w CC,372
331,Major small & large bowel procedures w/o CC/MCC,373
332,Rectal resection w MCC,347
333,Rectal resection w CC,372
334,Rectal resection w/o CC/MCC,373
337,Peritoneal adhesiolysis w/o CC/MCC,373
338,Appendectomy w complicated principal diag w MCC,339
340,Appendectomy w complicated principal diag w/o CC/MCC,373
341,Appendectomy w/o complicated principal diag w MCC,371
342,Appendectomy w/o complicated principal diag w CC,372
343,Appendectomy w/o complicated principal diag w/o CC/MCC,373
344,Minor small & large bowel procedures w MCC,371
345,Minor small & large bowel procedures w CC,372
346,Minor small & large bowel procedures w/o CC/MCC,373
348,Anal & stomal procedures w CC,372
349,Anal & stomal procedures w/o CC/MCC,373
350,Inguinal & femoral hernia procedures w MCC,371
351,Inguinal & femoral hernia procedures w CC,372
352,Inguinal & femoral hernia procedures w/o CC/MCC,373
353,Hernia procedures except inguinal & femoral w MCC,354
355,Hernia procedures except inguinal & femoral w/o CC/MCC,354
358,Other digestive system O.R. procedures w/o CC/MCC,373
370,Major esophageal disorders w/o CC/MCC,369
376,Digestive malignancy w/o CC/MCC,392
379,G.I. hemorrhage w/o CC/MCC,395
382,Complicated peptic ulcer w/o CC/MCC,392
384,Uncomplicated peptic ulcer w/o MCC,395
387,Inflammatory bowel disease w/o CC/MCC,395
390,G.I. obstruction w/o CC/MCC,392
406,"Pancreas, liver & shunt procedures w CC",418
407,"Pancreas, liver & shunt procedures w/o CC/MCC",418
409,Biliary tract proc except only cholecyst w or w/o c.d.e. w CC,418
410,Biliary tract proc except only cholecyst w or w/o c.d.e. w/o CC/MCC,418
411,Cholecystectomy w c.d.e. w MCC,417
412,Cholecystectomy w c.d.e. w CC,418
413,Cholecystectomy w c.d.e. w/o CC/MCC,418
414,Cholecystectomy except by laparoscope w/o c.d.e. w MCC,415
416,Cholecystectomy except by laparoscope w/o c.d.e. w/o CC/MCC,418
419,Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC,418
420,Hepatobiliary diagnostic procedures w MCC,415
421,Hepatobiliary diagnostic procedures w CC,415
422,Hepatobiliary diagnostic procedures w/o CC/MCC,418
424,Other hepatobiliary or pancreas O.R. procedures w CC,418
425,Other hepatobiliary or pancreas O.R. procedures w/o CC/MCC,433
434,Cirrhosis & alcoholic hepatitis w/o CC/MCC,433
437,Malignancy of hepatobiliary system or pancreas w/o CC/MCC,392
453,Combined anterior/posterior spinal fusion w MCC,559
454,Combined anterior/posterior spinal fusion w CC,560
455,Combined anterior/posterior spinal fusion w/o CC/MCC,561
456,Spinal fus exc cerv w spinal curv/malig/infec or 9+ fus w MCC,548
457,Spinal fus exc cerv w spinal curv/malig/infec or 9+ fus w CC,549
458,Spinal fus exc cerv w spinal curv/malig/infec or 9+ fus w/o CC/MCC,550
459,Spinal fusion except cervical w MCC,551
460,Spinal fusion except cervical w/o MCC,552
461,Bilateral or multiple major joint procs of lower extremity w MCC,480
462,Bilateral or multiple major joint procs of lower extremity w/o MCC,481
465,"Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w/o CC/MCC",572
467,Revision of hip or knee replacement w CC,565
468,Revision of hip or knee replacement w/o CC/MCC,566
469,Major joint replacement or reattachment of lower extremity w MCC,564
470,Major joint replacement or reattachment of lower extremity w/o MCC,566
471,Cervical spinal fusion w MCC,548
472,Cervical spinal fusion w CC,549
473,Cervical spinal fusion w/o CC/MCC,550
476,Amputation for musculoskeletal sys & conn tissue dis w/o CC/MCC,475
479,Biopsies of musculoskeletal system & connective tissue w/o CC/MCC,475
482,Hip & femur procedures except major joint w/o CC/MCC,475
483,Major joint/limb reattachment procedure of upper extremities,564
487,Knee procedures w pdx of infection w/o CC/MCC,539
488,Knee procedures w/o pdx of infection w CC/MCC,540
489,Knee procedures w/o pdx of infection w/o CC/MCC,541
494,"Lower extrem & humer proc except hip,foot,femur w/o CC/MCC",475
497,Local excision & removal int fix devices exc hip & femur w/o CC/MCC,475
499,Local excision & removal int fix devices of hip & femur w/o CC/MCC,475
502,Soft tissue procedures w/o CC/MCC,475
504,Foot procedures w CC,475
505,Foot procedures w/o CC/MCC,475
506,Major thumb or joint procedures,507
508,Major shoulder or elbow joint procedures w/o CC/MCC,507
509,Arthroscopy,562
511,"Shoulder,elbow or forearm proc,exc major joint proc w CC",510
512,"Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC",507
513,"Hand or wrist proc, except major thumb or joint proc w CC/MCC",507
514,"Hand or wrist proc, except major thumb or joint proc w/o CC/MCC",507
517,Other musculoskelet sys & conn tiss O.R. proc w/o CC/MCC,516
519,Back & neck proc exc spinal fusion w CC,549
520,Back & neck proc exc spinal fusion w/o CC/MCC,550
533,Fractures of femur w MCC,542
534,Fractures of femur w/o MCC,543
535,Fractures of hip & pelvis w MCC,542
536,Fractures of hip & pelvis w/o MCC,543
537,"Sprains, strains, & dislocations of hip, pelvis & thigh w CC/MCC",562
538,"Sprains, strains, & dislocations of hip, pelvis & thigh w/o CC/MCC",562
544,Pathological fractures & musculoskelet & conn tiss malig w/o CC/MCC,543
547,Connective tissue disorders w/o CC/MCC,562
554,Bone diseases & arthropathies w/o MCC,562
563,"Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC",562
575,Skin graft for skin ulcer or cellulitis w/o CC/MCC,572
578,Skin graft exc for skin ulcer or cellulitis w/o CC/MCC,572
581,"Other skin, subcut tiss & breast proc w/o CC/MCC",572
582,Mastectomy for malignancy w CC/MCC,580
583,Mastectomy for malignancy w/o CC/MCC,572
585,"Breast biopsy, local excision & other breast procedures w/o CC/MCC",596
599,Malignant breast disorders w/o CC/MCC,598
601,Non-malignant breast disorders w/o CC/MCC,596
614,Adrenal & pituitary procedures w CC/MCC,629
615,Adrenal & pituitary procedures w/o CC/MCC,629
618,"Amputat of lower limb for endocrine,nutrit,& metabol dis w/o CC/MCC",475
619,O.R. procedures for obesity w MCC,356
620,O.R. procedures for obesity w CC,357
621,O.R. procedures for obesity w/o CC/MCC,373
625,"Thyroid, parathyroid & thyroglossal procedures w MCC",628
627,"Thyroid, parathyroid & thyroglossal procedures w/o CC/MCC",626
630,"Other endocrine, nutrit & metab O.R. proc w/o CC/MCC",373
639,Diabetes w/o CC/MCC,641
642,Inborn and other disorders of metabolism,638
645,Endocrine disorders w/o CC/MCC,644
652,Kidney transplant,x
653,Major bladder procedures w MCC,669
654,Major bladder procedures w CC,660
655,Major bladder procedures w/o CC/MCC,686
656,Kidney & ureter procedures for neoplasm w MCC,686
657,Kidney & ureter procedures for neoplasm w CC,687
658,Kidney & ureter procedures for neoplasm w/o CC/MCC,687
661,Kidney & ureter procedures for non-neoplasm w/o CC/MCC,660
662,Minor bladder procedures w MCC,698
663,Minor bladder procedures w CC,699
664,Minor bladder procedures w/o CC/MCC,700
666,Prostatectomy w CC,669
667,Prostatectomy w/o CC/MCC,669
670,Transurethral procedures w/o CC/MCC,669
671,Urethral procedures w CC/MCC,673
672,Urethral procedures w/o CC/MCC,700
675,Other kidney & urinary tract procedures w/o CC/MCC,700
688,Kidney & urinary tract neoplasms w/o CC/MCC,700
691,Urinary stones w esw lithotripsy w CC/MCC,673
692,Urinary stones w esw lithotripsy w/o CC/MCC,694
696,Kidney & urinary tract signs & symptoms w/o MCC,700
697,Urethral stricture,700
707,Major male pelvic procedures w CC/MCC,674
708,Major male pelvic procedures w/o CC/MCC,674
710,Penis procedures w/o CC/MCC,709
712,Testes procedures w/o CC/MCC,709
713,Transurethral prostatectomy w CC/MCC,669
714,Transurethral prostatectomy w/o CC/MCC,669
715,Other male reproductive system O.R. proc for malignancy w CC/MCC,687
716,Other male reproductive system O.R. proc for malignancy w/o CC/MCC,700
718,Other male reproductive system O.R. proc exc malignancy w/o CC/MCC,700
723,"Malignancy, male reproductive system w CC",722
724,"Malignancy, male reproductive system w/o CC/MCC",722
725,Benign prostatic hypertrophy w MCC,722
726,Benign prostatic hypertrophy w/o MCC,722
734,"Pelvic evisceration, rad hysterectomy & rad vulvectomy w CC/MCC",749
735,"Pelvic evisceration, rad hysterectomy & rad vulvectomy w/o CC/MCC",749
736,Uterine & adnexa proc for ovarian or adnexal malignancy w MCC,749
737,Uterine & adnexa proc for ovarian or adnexal malignancy w CC,755
738,Uterine & adnexa proc for ovarian or adnexal malignancy w/o CC/MCC,755
739,"Uterine,adnexa proc for non-ovarian/adnexal malig w MCC",628
740,"Uterine,adnexa proc for non-ovarian/adnexal malig w CC",629
741,"Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC",373
742,Uterine & adnexa proc for non-malignancy w CC/MCC,749
743,Uterine & adnexa proc for non-malignancy w/o CC/MCC,749
744,"D&C, conization, laparoscopy & tubal interruption w CC/MCC",754
745,"D&C, conization, laparoscopy & tubal interruption w/o CC/MCC",755
746,"Vagina, cervix & vulva procedures w CC/MCC",754
747,"Vagina, cervix & vulva procedures w/o CC/MCC",755
748,Female reproductive system reconstructive procedures,749
750,Other female reproductive system O.R. procedures w/o CC/MCC,755
756,"Malignancy, female reproductive system w/o CC/MCC",755
759,"Infections, female reproductive system w/o CC/MCC",758
761,Menstrual & other female reproductive system disorders w/o CC/MCC,755
765,Cesarean section w CC/MCC,754
766,Cesarean section w/o CC/MCC,755
767,Vaginal delivery w sterilization &/or D&C,754
768,Vaginal delivery w O.R. proc except steril &/or D&C,754
769,Postpartum & post abortion diagnoses w O.R. procedure,754
770,"Abortion w D&C, aspiration curettage or hysterotomy",757
774,Vaginal delivery w complicating diagnoses,754
775,Vaginal delivery w/o complicating diagnoses,755
776,Postpartum & post abortion diagnoses w/o O.R. procedure,755
777,Ectopic pregnancy,754
778,Threatened abortion,755
779,Abortion w/o D&C,755
780,False labor,755
782,Other antepartum diagnoses w/o medical complications,755
789,"Neonates, died or transferred to another acute care facility",755
790,"Extreme immaturity or respiratory distress syndrome, neonate",754
791,Prematurity w major problems,754
792,Prematurity w/o major problems,755
793,Full term neonate w major problems,755
794,Neonate w other significant problems,755
795,Normal newborn,755
799,Splenectomy w MCC,356
800,Splenectomy w CC,357
801,Splenectomy w/o CC/MCC,357
804,Other O.R. proc of the blood & blood forming organs w/o CC/MCC,803
810,Major hematol/immun diag exc sickle cell crisis & coagul w/o CC/MCC,812
820,Lymphoma & leukemia w major O.R. procedure w MCC,803
821,Lymphoma & leukemia w major O.R. procedure w CC,803
822,Lymphoma & leukemia w major O.R. procedure w/o CC/MCC,803
824,Lymphoma & non-acute leukemia w other O.R. proc w CC,803
825,Lymphoma & non-acute leukemia w other O.R. proc w/o CC/MCC,803
826,Myeloprolif disord or poorly diff neopl w maj O.R. proc w MCC,802
827,Myeloprolif disord or poorly diff neopl w maj O.R. proc w CC,803
828,Myeloprolif disord or poorly diff neopl w maj O.R. proc w/o CC/MCC,803
830,Myeloprolif disord or poorly diff neopl w other O.R. proc w/o CC/MCC,829
835,Acute leukemia w/o major O.R. procedure w CC,834
836,Acute leukemia w/o major O.R. procedure w/o CC/MCC,834
837,Chemo w acute leukemia as sdx or w high dose chemo agent w MCC,840
838,Chemo w acute leukemia as sdx w CC or high dose chemo agent,841
839,Chemo w acute leukemia as sdx w/o CC/MCC,842
844,Other myeloprolif dis or poorly diff neopl diag w CC,841
845,Other myeloprolif dis or poorly diff neopl diag w/o CC/MCC,842
848,Chemotherapy w/o acute leukemia as secondary diagnosis w/o CC/MCC,847
855,Infectious & parasitic diseases w O.R. procedure w/o CC/MCC,858
903,Wound debridements for injuries w/o CC/MCC,572
905,Skin grafts for injuries w/o CC/MCC,572
906,Hand procedures for injuries,913
909,Other O.R. procedures for injuries w/o CC/MCC,914
916,Allergic reactions w/o MCC,918
927,Extensive burns or full thickness burns w MV 96+ hrs w skin graft,928
929,Full thickness burn w skin graft or inhal inj w/o CC/MCC,928
955,Craniotomy for multiple significant trauma,25
956,"Limb reattachment, hip & femur proc for multiple significant trauma",564
958,Other O.R. procedures for multiple significant trauma w CC,964
959,Other O.R. procedures for multiple significant trauma w/o CC/MCC,964
965,Other multiple significant trauma w/o CC/MCC,964
976,HIV w major related condition w/o CC/MCC,970
986,Prostatic O.R. procedure unrelated to principal diagnosis w/o CC/MCC,989
998,Principal diagnosis invalid as discharge diagnosis,x
999,Ungroupable,x
