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Tier 1classification_manualIn reviewev-us-msdrg-v43-469-470

ICD-10-CM/PCS MS-DRG v43.0 Definitions Manual, DRG 469 and DRG 470

Centers for Medicare & Medicaid Services (CMS)

Summary

The operating room procedure list that assigns a case to DRG 469 or 470 was searched for the strings robot and computer assisted and returned zero matches. Assignment turns on the joint replacement ICD-10-PCS codes and on whether a major complication or comorbidity is present. Nothing in the classification recognises the instrument used. This is the v43.0 manual published with the FY2026 proposed rule; CMS had not posted an equivalent final-rule HTML manual at this address at access.

Supporting location MDC 08, operating room procedures list for DRG 469 and 470

Open source

Published

Applicable from

1 Oct 2025

Accessed

2 Sep 2026

Answers depending on this record

No current answer cites this record.