FY2020 STAC MS-DRG Table AHD.com DRG MDC Med Surg ...

FY2020 STAC MS-DRG Table AHD.com

DRG MDC

Med

Surg DRG Description

Relative

Weight

Geometric

Mean ALOS

Arithmetic

Mean ALOS

001 PRE SURG HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC 27.6339 28.5 37.4

002 PRE SURG HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O MCC 14.0137 16.8 20.6

003 PRE SURG ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R. 18.9539 22.9 30.4

004 PRE SURG TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. 11.5438 19.6 23.8

005 PRE SURG LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT 10.3127 14.5 19.5

006 PRE SURG LIVER TRANSPLANT W/O MCC 4.8719 7.6 8.2

007 PRE SURG LUNG TRANSPLANT 10.7863 17.2 20.2

008 PRE SURG SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT 5.6161 8.8 10.1

010 PRE SURG PANCREAS TRANSPLANT 3.9761 7.5 8.4

011 PRE SURG TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W MCC 4.9438 11 13.5

012 PRE SURG TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W CC 3.774 8.5 9.7

013 PRE SURG TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W/O CC/MCC 2.4253 6 6.7

014 PRE SURG ALLOGENEIC BONE MARROW TRANSPLANT 12.7548 25 28.5

016 PRE SURG AUTOLOGOUS BONE MARROW TRANSPLANT W CC/MCC OR T-CELL IMMUNOTHERAPY 6.8852 16.8 18.1

017 PRE SURG AUTOLOGOUS BONE MARROW TRANSPLANT W/O CC/MCC 4.4474 7.8 10.5

020 1 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC 10.821 13.5 16.9

021 1 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W CC 8.2737 11.9 13.8

022 1 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W/O CC/MCC 4.9318 5.1 7.2

023 1 SURG CRANIOTOMY W MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX W MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY W NEUROSTIMULATOR5.6171 7.1 9.9

024 1 SURG CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC 4.0165 4.2 5.3

025 1 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC 4.3945 6.6 8.8

026 1 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC 3.0458 4 5.5

027 1 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC 2.3967 1.9 2.6

028 1 SURG SPINAL PROCEDURES W MCC 5.5904 8.9 11.5

029 1 SURG SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS 3.207 4.4 5.8

030 1 SURG SPINAL PROCEDURES W/O CC/MCC 2.2721 2.4 3.2

031 1 SURG VENTRICULAR SHUNT PROCEDURES W MCC 4.3745 7.3 10.7

032 1 SURG VENTRICULAR SHUNT PROCEDURES W CC 2.1921 3 4.4

033 1 SURG VENTRICULAR SHUNT PROCEDURES W/O CC/MCC 1.7009 1.7 2.2

034 1 SURG CAROTID ARTERY STENT PROCEDURE W MCC 3.7537 4.7 6.8

035 1 SURG CAROTID ARTERY STENT PROCEDURE W CC 2.3022 2.1 3


036 1 SURG CAROTID ARTERY STENT PROCEDURE W/O CC/MCC 1.751 1.2 1.4

037 1 SURG EXTRACRANIAL PROCEDURES W MCC 3.2433 4.9 7.1

038 1 SURG EXTRACRANIAL PROCEDURES W CC 1.6752 2.1 3.1

039 1 SURG EXTRACRANIAL PROCEDURES W/O CC/MCC 1.1313 1.3 1.5

040 1 SURG PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC 3.9404 7.5 10.4

041 1 SURG PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM 2.3715 4.1 5.2

042 1 SURG PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC 1.8483 2.5 3

052 1 MED SPINAL DISORDERS & INJURIES W CC/MCC 1.6289 4.1 5.8

053 1 MED SPINAL DISORDERS & INJURIES W/O CC/MCC 0.9661 2.7 3.5

054 1 MED NERVOUS SYSTEM NEOPLASMS W MCC 1.3401 3.8 5.1

055 1 MED NERVOUS SYSTEM NEOPLASMS W/O MCC 0.986 3 4

056 1 MED DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC 2.1924 5.5 8.2

057 1 MED DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC 1.2108 3.8 5.6

058 1 MED MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC 1.9547 5.3 7.2

059 1 MED MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC 1.0905 3.6 4.4

060 1 MED MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC 0.8817 3 3.5

061 1 MED ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC2.7935 4.8 6.2

062 1 MED ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC2.0112 3.3 3.8

063 1 MED ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC1.6808 2.4 2.7

064 1 MED INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC 1.8748 4.3 6

065 1 MED INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS 1.0277 3 3.7

066 1 MED INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC 0.717 2 2.4

067 1 MED NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC 1.4645 3.5 4.8

068 1 MED NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC 0.9034 2.2 2.7

069 1 MED TRANSIENT ISCHEMIA W/O THROMBOLYTIC 0.7803 2 2.5

070 1 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC 1.6729 4.5 6.3

071 1 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W CC 0.9947 3.3 4.3

072 1 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC 0.7385 2.3 2.9

073 1 MED CRANIAL & PERIPHERAL NERVE DISORDERS W MCC 1.4156 3.6 5

074 1 MED CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC 0.9881 2.9 3.7

075 1 MED VIRAL MENINGITIS W CC/MCC 1.6082 4.8 6.1

076 1 MED VIRAL MENINGITIS W/O CC/MCC 0.9025 2.9 3.5

077 1 MED HYPERTENSIVE ENCEPHALOPATHY W MCC 1.5425 4.1 5.3

078 1 MED HYPERTENSIVE ENCEPHALOPATHY W CC 0.962 2.9 3.6


079 1 MED HYPERTENSIVE ENCEPHALOPATHY W/O CC/MCC 0.7411 2.2 2.6

080 1 MED NONTRAUMATIC STUPOR & COMA W MCC 1.9163 4.5 6.7

081 1 MED NONTRAUMATIC STUPOR & COMA W/O MCC 0.8791 2.7 3.7

082 1 MED TRAUMATIC STUPOR & COMA, COMA >1 HR W MCC 2.2518 4.1 6.3

083 1 MED TRAUMATIC STUPOR & COMA, COMA >1 HR W CC 1.3107 3.3 4.2

084 1 MED TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC 0.8973 2.1 2.6

085 1 MED TRAUMATIC STUPOR & COMA, COMA <1 HR W MCC 2.2458 4.6 6.4

086 1 MED TRAUMATIC STUPOR & COMA, COMA <1 HR W CC 1.2378 3.1 3.9

087 1 MED TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC 0.8392 2 2.5

088 1 MED CONCUSSION W MCC 1.3891 3.5 4.6

089 1 MED CONCUSSION W CC 0.9863 2.6 3.2

090 1 MED CONCUSSION W/O CC/MCC 0.8483 1.9 2.2

091 1 MED OTHER DISORDERS OF NERVOUS SYSTEM W MCC 1.5651 4 5.5

092 1 MED OTHER DISORDERS OF NERVOUS SYSTEM W CC 0.9661 3 3.9

093 1 MED OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC 0.7612 2.2 2.8

094 1 MED BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W MCC 3.5848 8 10.4

095 1 MED BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC 2.4071 5.7 7.3

096 1 MED BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W/O CC/MCC 2.2621 4.7 5.5

097 1 MED NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC 3.5759 8.3 11

098 1 MED NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC 1.955 5.4 7.1

099 1 MED NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/MCC 1.2824 3.6 4.5

100 1 MED SEIZURES W MCC 1.8202 4.3 5.9

101 1 MED SEIZURES W/O MCC 0.8829 2.7 3.4

102 1 MED HEADACHES W MCC 1.1926 3.1 4.1

103 1 MED HEADACHES W/O MCC 0.7995 2.3 3

113 2 SURG ORBITAL PROCEDURES W CC/MCC 2.1321 4.2 5.8

114 2 SURG ORBITAL PROCEDURES W/O CC/MCC 1.1908 2.2 2.7

115 2 SURG EXTRAOCULAR PROCEDURES EXCEPT ORBIT 1.486 3.6 4.7

116 2 SURG INTRAOCULAR PROCEDURES W CC/MCC 1.891 3.9 6

117 2 SURG INTRAOCULAR PROCEDURES W/O CC/MCC 1.0967 2.1 2.7

121 2 MED ACUTE MAJOR EYE INFECTIONS W CC/MCC 1.2678 4.3 5.7

122 2 MED ACUTE MAJOR EYE INFECTIONS W/O CC/MCC 0.7726 3.4 4.3

123 2 MED NEUROLOGICAL EYE DISORDERS 0.7808 2.1 2.7

124 2 MED OTHER DISORDERS OF THE EYE W MCC 1.3894 3.7 5.2


125 2 MED OTHER DISORDERS OF THE EYE W/O MCC 0.7894 2.5 3.2

129 3 SURG MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE 2.2893 3.7 5

130 3 SURG MAJOR HEAD & NECK PROCEDURES W/O CC/MCC 1.4456 2.2 2.8

131 3 SURG CRANIAL/FACIAL PROCEDURES W CC/MCC 2.6893 3.9 5.6

132 3 SURG CRANIAL/FACIAL PROCEDURES W/O CC/MCC 1.5895 1.9 2.4

133 3 SURG OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC 2.1469 3.8 5.8

134 3 SURG OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC 1.2091 1.9 2.4

135 3 SURG SINUS & MASTOID PROCEDURES W CC/MCC 2.2846 4.1 6.1

136 3 SURG SINUS & MASTOID PROCEDURES W/O CC/MCC 1.19 1.8 2.4

137 3 SURG MOUTH PROCEDURES W CC/MCC 1.3333 3.6 4.7

138 3 SURG MOUTH PROCEDURES W/O CC/MCC 0.8614 2 2.6

139 3 SURG SALIVARY GLAND PROCEDURES 1.2343 2.3 3.3

146 3 MED EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC 1.9286 5.4 7.5

147 3 MED EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC 1.2409 3.7 5.1

148 3 MED EAR, NOSE, MOUTH & THROAT MALIGNANCY W/O CC/MCC 0.7604 2.2 2.8

149 3 MED DYSEQUILIBRIUM 0.7305 2 2.4

150 3 MED EPISTAXIS W MCC 1.2915 3.4 4.5

151 3 MED EPISTAXIS W/O MCC 0.6991 2.2 2.7

152 3 MED OTITIS MEDIA & URI W MCC 1.039 3.2 4

153 3 MED OTITIS MEDIA & URI W/O MCC 0.7064 2.4 2.9

154 3 MED OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC 1.437 3.9 5.2

155 3 MED OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC 0.9011 2.9 3.6

156 3 MED OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC 0.6545 2.1 2.6

157 3 MED DENTAL & ORAL DISEASES W MCC 1.5629 4.3 5.8

158 3 MED DENTAL & ORAL DISEASES W CC 0.8666 2.8 3.5

159 3 MED DENTAL & ORAL DISEASES W/O CC/MCC 0.6729 2.1 2.6

163 4 SURG MAJOR CHEST PROCEDURES W MCC 4.8737 9.3 11.7

164 4 SURG MAJOR CHEST PROCEDURES W CC 2.5316 4.5 5.5

165 4 SURG MAJOR CHEST PROCEDURES W/O CC/MCC 1.8492 2.7 3.3

166 4 SURG OTHER RESP SYSTEM O.R. PROCEDURES W MCC 3.7307 7.9 10.2

167 4 SURG OTHER RESP SYSTEM O.R. PROCEDURES W CC 1.9144 3.9 5.1

168 4 SURG OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC 1.3267 2.1 2.6

175 4 MED PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE 1.4444 4.1 5.1

176 4 MED PULMONARY EMBOLISM W/O MCC 0.8484 2.6 3.2


177 4 MED RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC 1.8912 5.5 6.9

178 4 MED RESPIRATORY INFECTIONS & INFLAMMATIONS W CC 1.2433 4.2 5.1

179 4 MED RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC 0.8661 3.1 3.8

180 4 MED RESPIRATORY NEOPLASMS W MCC 1.7249 4.9 6.4

181 4 MED RESPIRATORY NEOPLASMS W CC 1.152 3.4 4.4

182 4 MED RESPIRATORY NEOPLASMS W/O CC/MCC 0.8428 2.3 2.8

183 4 MED MAJOR CHEST TRAUMA W MCC 1.5092 4.3 5.4

184 4 MED MAJOR CHEST TRAUMA W CC 1.0182 3.1 3.8

185 4 MED MAJOR CHEST TRAUMA W/O CC/MCC 0.734 2.3 2.7

186 4 MED PLEURAL EFFUSION W MCC 1.5429 4.4 5.7

187 4 MED PLEURAL EFFUSION W CC 1.0279 3.2 4

188 4 MED PLEURAL EFFUSION W/O CC/MCC 0.7309 2.4 3

189 4 MED PULMONARY EDEMA & RESPIRATORY FAILURE 1.2157 3.6 4.6

190 4 MED CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC 1.144 3.6 4.5

191 4 MED CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC 0.8928 3 3.6

192 4 MED CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC 0.7092 2.4 2.9

193 4 MED SIMPLE PNEUMONIA & PLEURISY W MCC 1.3335 4.2 5.2

194 4 MED SIMPLE PNEUMONIA & PLEURISY W CC 0.8886 3.2 3.8

195 4 MED SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC 0.6821 2.6 3

196 4 MED INTERSTITIAL LUNG DISEASE W MCC 1.6754 4.8 6.2

197 4 MED INTERSTITIAL LUNG DISEASE W CC 1.0215 3.2 4

198 4 MED INTERSTITIAL LUNG DISEASE W/O CC/MCC 0.755 2.4 2.9

199 4 MED PNEUMOTHORAX W MCC 1.7941 5.2 6.7

200 4 MED PNEUMOTHORAX W CC 1.0821 3.3 4.2

201 4 MED PNEUMOTHORAX W/O CC/MCC 0.718 2.4 3

202 4 MED BRONCHITIS & ASTHMA W CC/MCC 0.948 3 3.7

203 4 MED BRONCHITIS & ASTHMA W/O CC/MCC 0.6938 2.3 2.8

204 4 MED RESPIRATORY SIGNS & SYMPTOMS 0.8125 2.2 2.8

205 4 MED OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC 1.6342 4.1 5.6

206 4 MED OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC 0.8725 2.4 3.1

207 4 MED RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS 5.7356 12 14.1

208 4 MED RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS 2.4841 4.9 6.8

215 5 SURG OTHER HEART ASSIST SYSTEM IMPLANT 12.8861 4.9 8

216 5 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC 10.0424 13.7 16


217 5 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W CC 6.6516 8.5 9.5

218 5 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W/O CC/MCC 5.4014 5.9 6.9

219 5 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC 7.8401 9 10.9

220 5 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC 5.3059 6 6.6

221 5 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W/O CC/MCC 4.5962 4.1 4.7

222 5 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W MCC 8.3446 9.6 11.6

223 5 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W/O MCC 6.0029 5 6.1

224 5 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W MCC 7.3962 7.4 9.2

225 5 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W/O MCC 5.6488 4 4.7

226 5 SURG CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC 6.6877 6.3 8.2

227 5 SURG CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC 5.2292 3.2 4.2

228 5 SURG OTHER CARDIOTHORACIC PROCEDURES W MCC 6.2863 8.4 10.8

229 5 SURG OTHER CARDIOTHORACIC PROCEDURES W/O MCC 4.1049 4.2 5.5

231 5 SURG CORONARY BYPASS W PTCA W MCC 8.2115 10.4 12

232 5 SURG CORONARY BYPASS W PTCA W/O MCC 5.9865 8 8.7

233 5 SURG CORONARY BYPASS W CARDIAC CATH W MCC 7.7689 11.5 12.8

234 5 SURG CORONARY BYPASS W CARDIAC CATH W/O MCC 5.2063 8.1 8.6

235 5 SURG CORONARY BYPASS W/O CARDIAC CATH W MCC 5.8846 8.6 9.8

236 5 SURG CORONARY BYPASS W/O CARDIAC CATH W/O MCC 4.0291 6 6.4

239 5 SURG AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC 4.6697 10.1 12.7

240 5 SURG AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC 2.76 6.9 8.4

241 5 SURG AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC 1.5163 4.3 5.3

242 5 SURG PERMANENT CARDIAC PACEMAKER IMPLANT W MCC 3.7111 5.3 6.8

243 5 SURG PERMANENT CARDIAC PACEMAKER IMPLANT W CC 2.5294 3.2 3.9

244 5 SURG PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC 2.0754 2.3 2.6

245 5 SURG AICD GENERATOR PROCEDURES 5.2078 4.5 6.5

246 5 SURG PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS3.1728 4 5.3

247 5 SURG PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC 2.0347 2.1 2.5

248 5 SURG PERCUTANEOUS CARDIOVASCULAR PROCEDURES W NON-DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS3.0965 4.5 6

249 5 SURG PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC 1.9166 2.4 2.9

250 5 SURG PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W MCC 2.5501 3.7 5

251 5 SURG PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC 1.683 2.2 2.6

252 5 SURG OTHER VASCULAR PROCEDURES W MCC 3.2804 5.2 7.5

253 5 SURG OTHER VASCULAR PROCEDURES W CC 2.6066 4.1 5.4


254 5 SURG OTHER VASCULAR PROCEDURES W/O CC/MCC 1.8201 2.2 2.7

255 5 SURG UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC 2.6496 6.5 8.3

256 5 SURG UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC 1.7165 5.1 6.1

257 5 SURG UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W/O CC/MCC 1.1344 3.6 4.6

258 5 SURG CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC 3.0587 4.9 6.3

259 5 SURG CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC 2.0826 2.7 3.3

260 5 SURG CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC 3.6996 6.6 9.2

261 5 SURG CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC 1.9485 3.2 4

262 5 SURG CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC 1.6776 2.2 2.6

263 5 SURG VEIN LIGATION & STRIPPING 2.3591 4.3 6.2

264 5 SURG OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 3.238 6.5 9.2

265 5 SURG AICD LEAD PROCEDURES 3.1213 3.8 5.4

266 5 SURG ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES W MCC 7.1214 3.5 5.7

267 5 SURG ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES W/O MCC 5.6756 1.9 2.4

268 5 SURG AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MCC 6.7826 6.3 9.3

269 5 SURG AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC 4.2664 1.7 2.3

270 5 SURG OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC 5.1102 6.6 9.5

271 5 SURG OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC 3.548 4.3 5.7

272 5 SURG OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC 2.6013 2.1 2.6

273 5 SURG PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC 3.7103 4.5 6.2

274 5 SURG PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC 3.1598 1.7 2.3

280 5 MED ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC 1.6309 4.2 5.4

281 5 MED ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC 0.9687 2.6 3.2

282 5 MED ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC 0.7379 1.8 2.1

283 5 MED ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC 1.7997 2.9 4.6

284 5 MED ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC 0.7253 1.6 2.1

285 5 MED ACUTE MYOCARDIAL INFARCTION, EXPIRED W/O CC/MCC 0.5178 1.2 1.3

286 5 MED CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC 2.1974 5.2 6.9

287 5 MED CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC 1.1522 2.3 3

288 5 MED ACUTE & SUBACUTE ENDOCARDITIS W MCC 2.6574 7.2 9.4

289 5 MED ACUTE & SUBACUTE ENDOCARDITIS W CC 1.6638 5.4 6.8

290 5 MED ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC 1.0006 3.2 4

291 5 MED HEART FAILURE & SHOCK W MCC 1.3458 4.1 5.1

292 5 MED HEART FAILURE & SHOCK W CC 0.9055 3.2 3.9


293 5 MED HEART FAILURE & SHOCK W/O CC/MCC 0.6553 2.3 2.8

294 5 MED DEEP VEIN THROMBOPHLEBITIS W CC/MCC 1.2719 4 5

295 5 MED DEEP VEIN THROMBOPHLEBITIS W/O CC/MCC 0.577 2.8 3.3

296 5 MED CARDIAC ARREST, UNEXPLAINED W MCC 1.5704 2 3.2

297 5 MED CARDIAC ARREST, UNEXPLAINED W CC 0.723 1.3 1.7

298 5 MED CARDIAC ARREST, UNEXPLAINED W/O CC/MCC 0.5032 1.1 1.2

299 5 MED PERIPHERAL VASCULAR DISORDERS W MCC 1.4497 3.8 5.1

300 5 MED PERIPHERAL VASCULAR DISORDERS W CC 1.0276 3.1 4

301 5 MED PERIPHERAL VASCULAR DISORDERS W/O CC/MCC 0.7258 2.2 2.7

302 5 MED ATHEROSCLEROSIS W MCC 1.1023 2.7 3.7

303 5 MED ATHEROSCLEROSIS W/O MCC 0.6757 1.9 2.3

304 5 MED HYPERTENSION W MCC 1.0915 2.9 3.8

305 5 MED HYPERTENSION W/O MCC 0.7315 2.2 2.7

306 5 MED CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC 1.4145 3.7 5.1

307 5 MED CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC 0.8822 2.4 3.1

308 5 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC 1.1877 3.5 4.5

309 5 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC 0.7563 2.4 2.9

310 5 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC 0.5593 1.9 2.2

311 5 MED ANGINA PECTORIS 0.685 1.9 2.4

312 5 MED SYNCOPE & COLLAPSE 0.8166 2.3 2.9

313 5 MED CHEST PAIN 0.7153 1.7 2.1

314 5 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC 2.0295 4.7 6.5

315 5 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W CC 0.9704 2.8 3.5

316 5 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC 0.7422 1.9 2.3

319 5 SURG OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES W MCC 4.1007 7.5 10.1

320 5 SURG OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES W/O MCC 2.3477 2.7 3.9

326 6 SURG STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC 5.2705 9.8 13.2

327 6 SURG STOMACH, ESOPHAGEAL & DUODENAL PROC W CC 2.5729 4.7 6.5

328 6 SURG STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC 1.575 2.2 2.9

329 6 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC 4.9072 10.4 13.1

330 6 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W CC 2.5268 5.9 7.1

331 6 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC 1.6892 3.5 4

332 6 SURG RECTAL RESECTION W MCC 3.4919 6.4 8.8

333 6 SURG RECTAL RESECTION W CC 2.2632 4.2 5.6


334 6 SURG RECTAL RESECTION W/O CC/MCC 1.5403 2.7 3.2

335 6 SURG PERITONEAL ADHESIOLYSIS W MCC 4.0451 9.6 11.8

336 6 SURG PERITONEAL ADHESIOLYSIS W CC 2.2662 6 7.4

337 6 SURG PERITONEAL ADHESIOLYSIS W/O CC/MCC 1.6397 3.8 4.7

338 6 SURG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC 2.9101 6.6 8.2

339 6 SURG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC 1.7161 4.2 5.2

340 6 SURG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC 1.2375 2.3 3.1

341 6 SURG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC 2.5581 5.3 7

342 6 SURG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC 1.6103 3.4 4.3

343 6 SURG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC 1.1516 2 2.4

344 6 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W MCC 2.9951 7.1 9.4

345 6 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W CC 1.6333 4.5 5.6

346 6 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC 1.2827 3.1 3.7

347 6 SURG ANAL & STOMAL PROCEDURES W MCC 2.6364 5.6 7.6

348 6 SURG ANAL & STOMAL PROCEDURES W CC 1.4093 3.5 4.4

349 6 SURG ANAL & STOMAL PROCEDURES W/O CC/MCC 0.9809 2 2.4

350 6 SURG INGUINAL & FEMORAL HERNIA PROCEDURES W MCC 2.4393 5.3 6.8

351 6 SURG INGUINAL & FEMORAL HERNIA PROCEDURES W CC 1.4583 3.2 4

352 6 SURG INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC 1.0768 2 2.4

353 6 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC 2.9669 5.8 7.7

354 6 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC 1.7221 3.7 4.5

355 6 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC 1.3724 2.5 2.9

356 6 SURG OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC 4.0772 7.6 10.1

357 6 SURG OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC 2.2504 4.7 5.9

358 6 SURG OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC 1.3717 2.8 3.5

368 6 MED MAJOR ESOPHAGEAL DISORDERS W MCC 1.9036 4.6 6

369 6 MED MAJOR ESOPHAGEAL DISORDERS W CC 1.0631 3.1 3.7

370 6 MED MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC 0.7473 2.1 2.6

371 6 MED MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC 1.7255 5.3 6.9

372 6 MED MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC 1.0225 3.9 4.8

373 6 MED MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC 0.7418 3 3.5

374 6 MED DIGESTIVE MALIGNANCY W MCC 1.9975 5.4 7.2

375 6 MED DIGESTIVE MALIGNANCY W CC 1.2073 3.6 4.6

376 6 MED DIGESTIVE MALIGNANCY W/O CC/MCC 1.0013 2.4 3


377 6 MED G.I. HEMORRHAGE W MCC 1.7699 4.4 5.6

378 6 MED G.I. HEMORRHAGE W CC 0.9881 3 3.5

379 6 MED G.I. HEMORRHAGE W/O CC/MCC 0.6457 2.1 2.4

380 6 MED COMPLICATED PEPTIC ULCER W MCC 1.8876 4.9 6.3

381 6 MED COMPLICATED PEPTIC ULCER W CC 1.0767 3.2 3.9

382 6 MED COMPLICATED PEPTIC ULCER W/O CC/MCC 0.7914 2.4 2.9

383 6 MED UNCOMPLICATED PEPTIC ULCER W MCC 1.3263 3.9 4.9

384 6 MED UNCOMPLICATED PEPTIC ULCER W/O MCC 0.8702 2.7 3.2

385 6 MED INFLAMMATORY BOWEL DISEASE W MCC 1.6103 5.1 6.7

386 6 MED INFLAMMATORY BOWEL DISEASE W CC 0.9852 3.5 4.3

387 6 MED INFLAMMATORY BOWEL DISEASE W/O CC/MCC 0.7007 2.7 3.2

388 6 MED G.I. OBSTRUCTION W MCC 1.5251 4.8 6.2

389 6 MED G.I. OBSTRUCTION W CC 0.8397 3.2 3.9

390 6 MED G.I. OBSTRUCTION W/O CC/MCC 0.5796 2.4 2.9

391 6 MED ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC 1.235 3.7 4.9

392 6 MED ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC 0.7615 2.6 3.2

393 6 MED OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC 1.6245 4.3 5.9

394 6 MED OTHER DIGESTIVE SYSTEM DIAGNOSES W CC 0.9381 3 3.8

395 6 MED OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC 0.6544 2.2 2.7

405 7 SURG PANCREAS, LIVER & SHUNT PROCEDURES W MCC 5.4272 9.4 12.6

406 7 SURG PANCREAS, LIVER & SHUNT PROCEDURES W CC 2.7909 5.2 6.5

407 7 SURG PANCREAS, LIVER & SHUNT PROCEDURES W/O CC/MCC 2.0863 3.8 4.5

408 7 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC 3.5636 8.1 10.6

409 7 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC 2.3938 5.4 6.6

410 7 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CC/MCC 1.66 3.7 4.4

411 7 SURG CHOLECYSTECTOMY W C.D.E. W MCC 3.8304 8.5 10.5

412 7 SURG CHOLECYSTECTOMY W C.D.E. W CC 2.377 5.3 6.4

413 7 SURG CHOLECYSTECTOMY W C.D.E. W/O CC/MCC 1.6173 3.2 4

414 7 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC 3.4164 7.6 9.4

415 7 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC 2.0517 5 5.9

416 7 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC 1.3503 3.1 3.6

417 7 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC 2.4107 5.2 6.5

418 7 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC 1.6689 3.6 4.3

419 7 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC 1.3068 2.4 2.8


420 7 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC 3.4348 7.4 10.1

421 7 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC 1.8412 4 5.1

422 7 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC 1.4045 2.7 3.4

423 7 SURG OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W MCC 4.2382 8.9 12.4

424 7 SURG OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W CC 2.2514 5.5 7.1

425 7 SURG OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W/O CC/MCC 1.4615 3.1 3.7

432 7 MED CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC 1.8234 4.7 6.3

433 7 MED CIRRHOSIS & ALCOHOLIC HEPATITIS W CC 1.032 3.3 4.2

434 7 MED CIRRHOSIS & ALCOHOLIC HEPATITIS W/O CC/MCC 0.6399 2.3 2.8

435 7 MED MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC 1.6971 4.7 6.1

436 7 MED MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC 1.1257 3.4 4.5

437 7 MED MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W/O CC/MCC 0.8779 2.4 3

438 7 MED DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC 1.6383 4.6 6.2

439 7 MED DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC 0.8472 3.1 3.8

440 7 MED DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC 0.6156 2.4 2.8

441 7 MED DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC 1.8505 4.7 6.4

442 7 MED DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC 0.9334 3.2 4

443 7 MED DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC 0.6803 2.5 3

444 7 MED DISORDERS OF THE BILIARY TRACT W MCC 1.6261 4.4 5.7

445 7 MED DISORDERS OF THE BILIARY TRACT W CC 1.0745 3.1 3.8

446 7 MED DISORDERS OF THE BILIARY TRACT W/O CC/MCC 0.8127 2.3 2.7

453 8 SURG COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC 9.407 7.7 9.6

454 8 SURG COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC 6.125 3.9 4.6

455 8 SURG COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC 4.8133 2.5 2.9

456 8 SURG SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W MCC 9.0812 9.7 12.1

457 8 SURG SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W CC 6.5133 5.3 6.2

458 8 SURG SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W/O CC/MCC 4.6939 2.9 3.4

459 8 SURG SPINAL FUSION EXCEPT CERVICAL W MCC 6.852 6.9 8.6

460 8 SURG SPINAL FUSION EXCEPT CERVICAL W/O MCC 3.9604 2.8 3.3

461 8 SURG BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC 5.3788 6.1 7.6

462 8 SURG BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC 3.1364 2.7 3

463 8 SURG WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC 5.2278 9.7 13

464 8 SURG WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC 2.9527 5.3 6.9

465 8 SURG WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC 1.9152 2.7 3.5


466 8 SURG REVISION OF HIP OR KNEE REPLACEMENT W MCC 5.0991 6.4 8.1

467 8 SURG REVISION OF HIP OR KNEE REPLACEMENT W CC 3.5121 3.3 4

468 8 SURG REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC 2.8121 2 2.3

469 8 SURG MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT3.1399 4.7 6

470 8 SURG MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC1.9684 2.1 2.4

471 8 SURG CERVICAL SPINAL FUSION W MCC 4.9944 6.4 8.6

472 8 SURG CERVICAL SPINAL FUSION W CC 3.0415 2.5 3.4

473 8 SURG CERVICAL SPINAL FUSION W/O CC/MCC 2.5124 1.6 2

474 8 SURG AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC 3.8749 8.9 11.3

475 8 SURG AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC 2.101 5.6 7

476 8 SURG AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC 1.1647 2.9 3.6

477 8 SURG BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC 3.2553 8.2 10.3

478 8 SURG BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC 2.3171 5.3 6.5

479 8 SURG BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC 1.7822 3.4 4.2

480 8 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC 3.0185 6.2 7.3

481 8 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC 2.0878 4.4 4.8

482 8 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC 1.6453 3.3 3.6

483 8 SURG MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES 2.3921 1.5 1.8

485 8 SURG KNEE PROCEDURES W PDX OF INFECTION W MCC 3.279 8 9.7

486 8 SURG KNEE PROCEDURES W PDX OF INFECTION W CC 2.1506 5.1 6

487 8 SURG KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC 1.6072 3.7 4.2

488 8 SURG KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC 1.9692 3.2 4.3

489 8 SURG KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC 1.259 1.8 2.2

492 8 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC 3.4453 6.2 7.7

493 8 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC 2.302 4 4.8

494 8 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC 1.8114 2.7 3.2

495 8 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W MCC 3.4326 6.6 8.8

496 8 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC 2.0405 3.6 4.8

497 8 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC 1.4693 1.9 2.4

498 8 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W CC/MCC 2.4481 5.5 7.2

499 8 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W/O CC/MCC 1.1509 2.1 2.6

500 8 SURG SOFT TISSUE PROCEDURES W MCC 3.0152 7.2 9.5

501 8 SURG SOFT TISSUE PROCEDURES W CC 1.678 4.1 5.1

502 8 SURG SOFT TISSUE PROCEDURES W/O CC/MCC 1.3207 2.4 2.9


503 8 SURG FOOT PROCEDURES W MCC 2.7166 6.7 8.3

504 8 SURG FOOT PROCEDURES W CC 1.7365 4.7 5.6

505 8 SURG FOOT PROCEDURES W/O CC/MCC 1.6815 2.8 3.3

506 8 SURG MAJOR THUMB OR JOINT PROCEDURES 1.3386 3.6 4.5

507 8 SURG MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC 2.1 4.6 6

508 8 SURG MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W/O CC/MCC 1.5584 2.3 2.8

509 8 SURG ARTHROSCOPY 1.3917 3.8 4.7

510 8 SURG SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W MCC 2.788 5 6.3

511 8 SURG SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC 1.8842 3.3 3.9

512 8 SURG SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC 1.5138 2.2 2.5

513 8 SURG HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC 1.5771 4.1 5.3

514 8 SURG HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC 1.0668 2.3 2.7

515 8 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC 3.154 6.5 8.3

516 8 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC 1.9391 3.7 4.6

517 8 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC 1.4153 2.2 2.7

518 8 SURG BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM 3.4086 4 6.1

519 8 SURG BACK & NECK PROC EXC SPINAL FUSION W CC 1.9087 3.1 4

520 8 SURG BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC 1.338 1.9 2.3

533 8 MED FRACTURES OF FEMUR W MCC 1.4594 4.2 5.5

534 8 MED FRACTURES OF FEMUR W/O MCC 0.7778 2.9 3.4

535 8 MED FRACTURES OF HIP & PELVIS W MCC 1.2271 3.7 4.7

536 8 MED FRACTURES OF HIP & PELVIS W/O MCC 0.7585 2.9 3.4

537 8 MED SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W CC/MCC 0.9109 3.3 4

538 8 MED SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W/O CC/MCC 0.721 2.5 2.9

539 8 MED OSTEOMYELITIS W MCC 1.8852 5.8 7.9

540 8 MED OSTEOMYELITIS W CC 1.3 4.4 5.6

541 8 MED OSTEOMYELITIS W/O CC/MCC 0.9067 3.2 4.1

542 8 MED PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC 1.8248 5.1 6.7

543 8 MED PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC 1.0563 3.6 4.4

544 8 MED PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC 0.7584 2.8 3.2

545 8 MED CONNECTIVE TISSUE DISORDERS W MCC 2.528 5.7 8

546 8 MED CONNECTIVE TISSUE DISORDERS W CC 1.2034 3.4 4.4

547 8 MED CONNECTIVE TISSUE DISORDERS W/O CC/MCC 0.8101 2.5 3

548 8 MED SEPTIC ARTHRITIS W MCC 1.9833 6 8.1


549 8 MED SEPTIC ARTHRITIS W CC 1.1931 4.1 5

550 8 MED SEPTIC ARTHRITIS W/O CC/MCC 0.864 2.8 3.4

551 8 MED MEDICAL BACK PROBLEMS W MCC 1.5894 4.4 5.6

552 8 MED MEDICAL BACK PROBLEMS W/O MCC 0.9119 2.9 3.5

553 8 MED BONE DISEASES & ARTHROPATHIES W MCC 1.2855 3.8 4.9

554 8 MED BONE DISEASES & ARTHROPATHIES W/O MCC 0.7872 2.8 3.3

555 8 MED SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC 1.3153 3.7 5

556 8 MED SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC 0.7918 2.6 3.3

557 8 MED TENDONITIS, MYOSITIS & BURSITIS W MCC 1.4582 4.6 5.9

558 8 MED TENDONITIS, MYOSITIS & BURSITIS W/O MCC 0.8614 3.2 3.8

559 8 MED AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC 1.8018 4.7 6.5

560 8 MED AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC 1.0435 3.7 4.8

561 8 MED AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC 0.7474 2.6 3.4

562 8 MED FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC 1.3471 4 5

563 8 MED FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC 0.854 3 3.5

564 8 MED OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC 1.512 4.6 5.8

565 8 MED OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC 0.9805 3.3 4

566 8 MED OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC 0.7577 2.5 3

570 9 SURG SKIN DEBRIDEMENT W MCC 2.8732 7.4 9.7

571 9 SURG SKIN DEBRIDEMENT W CC 1.6723 5 6.3

572 9 SURG SKIN DEBRIDEMENT W/O CC/MCC 1.1217 3.2 3.9

573 9 SURG SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W MCC 5.3153 10.4 15.2

574 9 SURG SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC 3.1218 7.3 9.8

575 9 SURG SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W/O CC/MCC 1.757 4.3 5.4

576 9 SURG SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W MCC 4.8492 8.5 12.3

577 9 SURG SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC 2.4156 4.4 6.5

578 9 SURG SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W/O CC/MCC 1.6274 2.8 3.8

579 9 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC 2.9861 6.9 9.5

580 9 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W CC 1.6087 4.1 5.3

581 9 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC 1.2548 2.4 3

582 9 SURG MASTECTOMY FOR MALIGNANCY W CC/MCC 1.5787 2.5 3.5

583 9 SURG MASTECTOMY FOR MALIGNANCY W/O CC/MCC 1.4614 1.7 2.1

584 9 SURG BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W CC/MCC 1.8284 3.7 4.8

585 9 SURG BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC 1.6973 2.2 2.6


592 9 MED SKIN ULCERS W MCC 1.7843 5.5 7.4

593 9 MED SKIN ULCERS W CC 1.1478 4.2 5.3

594 9 MED SKIN ULCERS W/O CC/MCC 0.8097 3.2 4

595 9 MED MAJOR SKIN DISORDERS W MCC 2.0326 5.4 7.5

596 9 MED MAJOR SKIN DISORDERS W/O MCC 0.9741 3.4 4.3

597 9 MED MALIGNANT BREAST DISORDERS W MCC 1.6929 4.8 6.6

598 9 MED MALIGNANT BREAST DISORDERS W CC 1.0886 3.4 4.4

599 9 MED MALIGNANT BREAST DISORDERS W/O CC/MCC 0.6954 2.5 3.1

600 9 MED NON-MALIGNANT BREAST DISORDERS W CC/MCC 0.9592 3.4 4.2

601 9 MED NON-MALIGNANT BREAST DISORDERS W/O CC/MCC 0.6188 2.5 3

602 9 MED CELLULITIS W MCC 1.4298 4.6 5.8

603 9 MED CELLULITIS W/O MCC 0.8435 3.2 3.8

604 9 MED TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC 1.4645 3.9 5.1

605 9 MED TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC 0.8757 2.6 3.2

606 9 MED MINOR SKIN DISORDERS W MCC 1.4955 4.3 5.9

607 9 MED MINOR SKIN DISORDERS W/O MCC 0.8261 2.9 3.6

614 10 SURG ADRENAL & PITUITARY PROCEDURES W CC/MCC 2.4333 3.4 4.8

615 10 SURG ADRENAL & PITUITARY PROCEDURES W/O CC/MCC 1.4841 1.9 2.2

616 10 SURG AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC 4.0008 9.8 12.3

617 10 SURG AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC 2.0513 5.9 7

618 10 SURG AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W/O CC/MCC 1.2545 3.4 4.1

619 10 SURG O.R. PROCEDURES FOR OBESITY W MCC 3.0785 3.1 5.1

620 10 SURG O.R. PROCEDURES FOR OBESITY W CC 1.7946 1.9 2.3

621 10 SURG O.R. PROCEDURES FOR OBESITY W/O CC/MCC 1.572 1.5 1.6

622 10 SURG SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC 3.7755 8.6 11.6

623 10 SURG SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC 1.9526 5.5 6.7

624 10 SURG SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/MCC 1.102 3.1 3.8

625 10 SURG THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W MCC 2.9251 5 7.2

626 10 SURG THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W CC 1.6828 2.4 3.5

627 10 SURG THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC 1.1417 1.4 1.7

628 10 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC 3.6893 7.3 10.1

629 10 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC 2.3228 6 7.1

630 10 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC/MCC 1.4488 2.6 3.2

637 10 MED DIABETES W MCC 1.3857 3.8 5


638 10 MED DIABETES W CC 0.8841 2.9 3.6

639 10 MED DIABETES W/O CC/MCC 0.6132 2.1 2.5

640 10 MED MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC 1.2142 3.3 4.5

641 10 MED MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC 0.7566 2.6 3.2

642 10 MED INBORN AND OTHER DISORDERS OF METABOLISM 1.2158 3.1 4.1

643 10 MED ENDOCRINE DISORDERS W MCC 1.6255 5 6.3

644 10 MED ENDOCRINE DISORDERS W CC 1.0281 3.5 4.3

645 10 MED ENDOCRINE DISORDERS W/O CC/MCC 0.7652 2.7 3.2

652 11 SURG KIDNEY TRANSPLANT 3.3849 5.3 6.1

653 11 SURG MAJOR BLADDER PROCEDURES W MCC 5.5365 10.4 13.3

654 11 SURG MAJOR BLADDER PROCEDURES W CC 2.8122 5.8 6.8

655 11 SURG MAJOR BLADDER PROCEDURES W/O CC/MCC 2.0624 3.6 4.3

656 11 SURG KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC 3.2606 5.6 7.5

657 11 SURG KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC 1.9342 3.4 4.1

658 11 SURG KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC 1.5699 2.2 2.5

659 11 SURG KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC 2.6798 6 8.1

660 11 SURG KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC 1.4207 3.1 4

661 11 SURG KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC 1.0901 1.9 2.3

662 11 SURG MINOR BLADDER PROCEDURES W MCC 3.1647 7.5 10.2

663 11 SURG MINOR BLADDER PROCEDURES W CC 1.5234 3.7 4.9

664 11 SURG MINOR BLADDER PROCEDURES W/O CC/MCC 1.1066 1.9 2.3

665 11 SURG PROSTATECTOMY W MCC 2.9685 7.5 9.6

666 11 SURG PROSTATECTOMY W CC 1.7691 4.1 5.5

667 11 SURG PROSTATECTOMY W/O CC/MCC 0.9387 2 2.4

668 11 SURG TRANSURETHRAL PROCEDURES W MCC 2.7883 6.9 9

669 11 SURG TRANSURETHRAL PROCEDURES W CC 1.5457 3.8 4.9

670 11 SURG TRANSURETHRAL PROCEDURES W/O CC/MCC 0.9787 2.1 2.5

671 11 SURG URETHRAL PROCEDURES W CC/MCC 1.8276 4.3 6.3

672 11 SURG URETHRAL PROCEDURES W/O CC/MCC 1.0332 1.7 2.1

673 11 SURG OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC 3.5746 8.1 10.9

674 11 SURG OTHER KIDNEY & URINARY TRACT PROCEDURES W CC 2.4442 5.7 7.4

675 11 SURG OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC 1.632 2.6 3.8

682 11 MED RENAL FAILURE W MCC 1.478 4.3 5.7

683 11 MED RENAL FAILURE W CC 0.8973 3.1 3.9


684 11 MED RENAL FAILURE W/O CC/MCC 0.6153 2.2 2.7

686 11 MED KIDNEY & URINARY TRACT NEOPLASMS W MCC 1.7561 5 6.8

687 11 MED KIDNEY & URINARY TRACT NEOPLASMS W CC 1.0526 3.3 4.3

688 11 MED KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC 0.7713 2 2.5

689 11 MED KIDNEY & URINARY TRACT INFECTIONS W MCC 1.1186 3.8 4.8

690 11 MED KIDNEY & URINARY TRACT INFECTIONS W/O MCC 0.7908 2.9 3.5

693 11 MED URINARY STONES W MCC 1.3533 3.8 5.1

694 11 MED URINARY STONES W/O MCC 0.7404 2.1 2.7

695 11 MED KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W MCC 1.1723 3.5 4.7

696 11 MED KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC 0.6794 2.4 2.9

697 11 MED URETHRAL STRICTURE 0.9739 2.6 3.5

698 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC 1.6186 4.8 6.1

699 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC 1.0327 3.3 4.2

700 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC 0.7417 2.4 2.9

707 12 SURG MAJOR MALE PELVIC PROCEDURES W CC/MCC 1.8699 2.4 3.3

708 12 SURG MAJOR MALE PELVIC PROCEDURES W/O CC/MCC 1.452 1.4 1.5

709 12 SURG PENIS PROCEDURES W CC/MCC 2.4056 4.1 6.5

710 12 SURG PENIS PROCEDURES W/O CC/MCC 1.5358 1.9 2.6

711 12 SURG TESTES PROCEDURES W CC/MCC 2.1432 5.2 7.6

712 12 SURG TESTES PROCEDURES W/O CC/MCC 1.0202 2.5 3.2

713 12 SURG TRANSURETHRAL PROSTATECTOMY W CC/MCC 1.462 2.8 4

714 12 SURG TRANSURETHRAL PROSTATECTOMY W/O CC/MCC 0.9154 1.7 2

715 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W CC/MCC 2.1365 4.7 6.6

716 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W/O CC/MCC 1.4655 1.4 1.6

717 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC 1.7643 3.7 5.1

718 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC 1.2194 2.2 2.6

722 12 MED MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MCC 1.8049 5.2 7

723 12 MED MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC 1.1074 3.4 4.4

724 12 MED MALIGNANCY, MALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.5904 1.7 2.2

725 12 MED BENIGN PROSTATIC HYPERTROPHY W MCC 1.2554 4.2 5.3

726 12 MED BENIGN PROSTATIC HYPERTROPHY W/O MCC 0.7647 2.6 3.3

727 12 MED INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC 1.4273 4.4 5.7

728 12 MED INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC 0.8025 3 3.6

729 12 MED OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC/MCC 1.0739 3.1 4.2


730 12 MED OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W/O CC/MCC 0.6316 2 2.5

734 13 SURG PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W CC/MCC 2.1919 3.4 4.9

735 13 SURG PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC 1.3742 1.7 2

736 13 SURG UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC 4.3209 8.4 11.1

737 13 SURG UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC 1.9871 4.2 5

738 13 SURG UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC 1.3789 2.7 3.1

739 13 SURG UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC 3.7445 6.6 9.6

740 13 SURG UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC 1.7849 2.9 3.9

741 13 SURG UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC 1.3295 1.6 2

742 13 SURG UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC 1.6895 2.9 3.8

743 13 SURG UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC 1.1485 1.7 1.9

744 13 SURG D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC 1.7405 4.2 5.8

745 13 SURG D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W/O CC/MCC 1.0653 2 2.4

746 13 SURG VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC 1.631 3.3 5

747 13 SURG VAGINA, CERVIX & VULVA PROCEDURES W/O CC/MCC 0.9322 1.6 1.9

748 13 SURG FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 1.3217 1.6 2

749 13 SURG OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W CC/MCC 2.5922 5.5 7.6

750 13 SURG OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC 1.3312 2.3 2.8

754 13 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC 1.7619 5.2 6.9

755 13 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC 1.0238 3.2 4.1

756 13 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.8768 2.1 2.5

757 13 MED INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC 1.4203 4.7 6.1

758 13 MED INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC 0.9654 3.6 4.4

759 13 MED INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.6603 2.7 3.2

760 13 MED MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC 0.9025 2.6 3.4

761 13 MED MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC 0.5654 1.8 2.2

768 14 SURG VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C 1.0075 2.8 3.4

769 14 SURG POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE 1.443 3 4.2

770 14 SURG ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 0.7863 1.7 2.1

776 14 MED POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE 0.7099 2.4 3.1

779 14 MED ABORTION W/O D&C 1.1418 1.9 2.9

783 14 SURG CESAREAN SECTION W STERILIZATION W MCC 2.1448 5 8.5

784 14 SURG CESAREAN SECTION W STERILIZATION W CC 1.0452 3.3 4

785 14 SURG CESAREAN SECTION W STERILIZATION W/O CC/MCC 0.8584 2.7 2.9


786 14 SURG CESAREAN SECTION W/O STERILIZATION W MCC 1.7145 4.5 6.3

787 14 SURG CESAREAN SECTION W/O STERILIZATION W CC 1.0455 3.5 4

788 14 SURG CESAREAN SECTION W/O STERILIZATION W/O CC/MCC 0.9062 2.9 3.1

789 15 MED NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY 1.69 1.8 1.8

790 15 MED EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE 5.573 17.9 17.9

791 15 MED PREMATURITY W MAJOR PROBLEMS 3.8062 13.3 13.3

792 15 MED PREMATURITY W/O MAJOR PROBLEMS 2.2965 8.6 8.6

793 15 MED FULL TERM NEONATE W MAJOR PROBLEMS 3.9097 4.7 4.7

794 15 MED NEONATE W OTHER SIGNIFICANT PROBLEMS 1.3838 3.4 3.4

795 15 MED NORMAL NEWBORN 0.1873 3.1 3.1

796 14 SURG VAGINAL DELIVERY W STERILIZATION/D&C W MCC 1.9723 3.7 6.8

797 14 SURG VAGINAL DELIVERY W STERILIZATION/D&C W CC 0.8628 2.3 2.5

798 14 SURG VAGINAL DELIVERY W STERILIZATION/D&C W/O CC/MCC 0.8628 2.3 2.5

799 16 SURG SPLENECTOMY W MCC 4.9443 8.3 10.7

800 16 SURG SPLENECTOMY W CC 2.842 4.7 6.2

801 16 SURG SPLENECTOMY W/O CC/MCC 1.8732 2.7 3.5

802 16 SURG OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC 3.1524 7.1 9.7

803 16 SURG OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC 1.7816 4 5.2

804 16 SURG OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W/O CC/MCC 1.3626 2.1 2.6

805 14 MED VAGINAL DELIVERY W/O STERILIZATION/D&C W MCC 1.0407 3 4

806 14 MED VAGINAL DELIVERY W/O STERILIZATION/D&C W CC 0.7092 2.4 2.7

807 14 MED VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC 0.6268 2.1 2.2

808 16 MED MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC 2.1296 5.3 7.1

809 16 MED MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC 1.2159 3.5 4.5

810 16 MED MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC 0.9354 2.6 3.2

811 16 MED RED BLOOD CELL DISORDERS W MCC 1.3403 3.6 4.8

812 16 MED RED BLOOD CELL DISORDERS W/O MCC 0.8707 2.7 3.4

813 16 MED COAGULATION DISORDERS 1.5852 3.7 4.8

814 16 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC 1.7491 4.6 6.4

815 16 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC 1.0128 3 3.8

816 16 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC 0.7159 2.2 2.6

817 14 SURG OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC 2.5162 4 6.8

818 14 SURG OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W CC 1.2739 2.9 4

819 14 SURG OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC 0.7979 1.9 2.2


820 17 SURG LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC 5.7167 11 15.3

821 17 SURG LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC 2.2323 3.8 5.5

822 17 SURG LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W/O CC/MCC 1.2644 1.9 2.4

823 17 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W MCC 4.2302 10.2 13.3

824 17 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W CC 2.3251 5.2 7

825 17 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W/O CC/MCC 1.3545 2.6 3.5

826 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC 5.015 10.2 13.2

827 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W CC 2.3162 4.6 5.9

828 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W/O CC/MCC 1.6512 2.8 3.5

829 17 SURG MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W CC/MCC3.1399 6 8.9

830 17 SURG MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W/O CC/MCC1.3788 2.5 3.1

831 14 MED OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC 1.0785 3.3 4.8

832 14 MED OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC 0.7155 2.5 3.6

833 14 MED OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC 0.5321 1.9 2.6

834 17 MED ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC 5.8425 10.1 16.7

835 17 MED ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W CC 2.0282 4.3 6.7

836 17 MED ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W/O CC/MCC 1.3176 2.7 4.1

837 17 MED CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC 5.9908 12.9 19.1

838 17 MED CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT 2.1879 5.6 7.5

839 17 MED CHEMO W ACUTE LEUKEMIA AS SDX W/O CC/MCC 1.2762 4.3 4.9

840 17 MED LYMPHOMA & NON-ACUTE LEUKEMIA W MCC 3.1952 6.7 9.5

841 17 MED LYMPHOMA & NON-ACUTE LEUKEMIA W CC 1.6117 4.1 5.5

842 17 MED LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC 1.1466 2.9 3.7

843 17 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC 1.9078 5.4 7.3

844 17 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC 1.208 3.7 4.9

845 17 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC/MCC 0.8659 2.7 3.3

846 17 MED CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC 2.6266 6 8.2

847 17 MED CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC 1.3159 3.6 4.1

848 17 MED CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W/O CC/MCC 0.9814 2.9 3.4

849 17 MED RADIOTHERAPY 2.1258 5.5 7.3

853 18 SURG INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC 5.0986 9.8 12.7

854 18 SURG INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC 2.1612 5.5 6.8

855 18 SURG INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W/O CC/MCC 1.6033 3.3 4.3

856 18 SURG POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC 4.4257 9 11.9


857 18 SURG POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC 2.0333 5.2 6.6

858 18 SURG POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC 1.3764 3.4 4.2

862 18 MED POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC 1.8506 5 6.6

863 18 MED POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC 0.988 3.5 4.2

864 18 MED FEVER AND INFLAMMATORY CONDITIONS 0.8474 2.7 3.3

865 18 MED VIRAL ILLNESS W MCC 1.3933 3.9 5.3

866 18 MED VIRAL ILLNESS W/O MCC 0.8187 2.7 3.4

867 18 MED OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC 2.1852 5.5 7.6

868 18 MED OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC 1.097 3.6 4.6

869 18 MED OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O CC/MCC 0.7425 2.6 3.1

870 18 MED SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS 6.3243 12.3 14.3

871 18 MED SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC 1.8663 4.8 6.2

872 18 MED SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC 1.0393 3.6 4.3

876 19 SURG O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS 3.64 7.5 15.9

880 19 MED ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION 0.8569 2.6 3.6

881 19 MED DEPRESSIVE NEUROSES 0.8193 4 5.4

882 19 MED NEUROSES EXCEPT DEPRESSIVE 0.7898 3.2 4.4

883 19 MED DISORDERS OF PERSONALITY & IMPULSE CONTROL 1.3366 4.7 8.2

884 19 MED ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY 1.438 4.5 7.4

885 19 MED PSYCHOSES 1.2154 5.8 8.4

886 19 MED BEHAVIORAL & DEVELOPMENTAL DISORDERS 1.3456 4.1 8.6

887 19 MED OTHER MENTAL DISORDER DIAGNOSES 1.0881 3.1 4.9

894 20 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA 0.5804 2.1 2.9

895 20 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY 1.6269 9.3 12.4

896 20 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC 1.7197 4.8 6.7

897 20 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC 0.8218 3.4 4.3

901 21 SURG WOUND DEBRIDEMENTS FOR INJURIES W MCC 4.3272 8.7 13.1

902 21 SURG WOUND DEBRIDEMENTS FOR INJURIES W CC 1.9669 4.8 6.4

903 21 SURG WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC 1.144 2.8 3.5

904 21 SURG SKIN GRAFTS FOR INJURIES W CC/MCC 3.5374 7 10.6

905 21 SURG SKIN GRAFTS FOR INJURIES W/O CC/MCC 1.6644 3.6 4.9

906 21 SURG HAND PROCEDURES FOR INJURIES 1.7409 2.9 4.4

907 21 SURG OTHER O.R. PROCEDURES FOR INJURIES W MCC 3.9896 7.1 9.8

908 21 SURG OTHER O.R. PROCEDURES FOR INJURIES W CC 2.0631 4 5.3


909 21 SURG OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC 1.3187 2.4 3

913 21 MED TRAUMATIC INJURY W MCC 1.4763 3.5 4.7

914 21 MED TRAUMATIC INJURY W/O MCC 0.8617 2.5 3.2

915 21 MED ALLERGIC REACTIONS W MCC 1.6991 3.7 4.9

916 21 MED ALLERGIC REACTIONS W/O MCC 0.6332 1.8 2.2

917 21 MED POISONING & TOXIC EFFECTS OF DRUGS W MCC 1.4632 3.5 4.8

918 21 MED POISONING & TOXIC EFFECTS OF DRUGS W/O MCC 0.784 2.3 3.1

919 21 MED COMPLICATIONS OF TREATMENT W MCC 1.8253 4.3 6

920 21 MED COMPLICATIONS OF TREATMENT W CC 1.0075 2.9 3.7

921 21 MED COMPLICATIONS OF TREATMENT W/O CC/MCC 0.6906 2.1 2.6

922 21 MED OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC 1.6036 4.1 6.3

923 21 MED OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC 0.8655 2.7 3.8

927 22 SURG EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV >96 HRS W SKIN GRAFT 19.9435 23.9 30.7

928 22 SURG FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W CC/MCC 6.1949 11.4 15.6

929 22 SURG FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W/O CC/MCC 2.9415 5.9 7.9

933 22 MED EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV >96 HRS W/O SKIN GRAFT 3.1402 2.4 6

934 22 MED FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ 1.8098 4.3 6.6

935 22 MED NON-EXTENSIVE BURNS 1.9323 3.6 5.2

939 23 SURG O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W MCC 3.6544 6.5 10.1

940 23 SURG O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC 2.2718 3.6 5

941 23 SURG O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC 1.9307 2.2 2.8

945 23 MED REHABILITATION W CC/MCC 1.4553 6.6 9.1

946 23 MED REHABILITATION W/O CC/MCC 1.087 3.8 5.2

947 23 MED SIGNS & SYMPTOMS W MCC 1.1973 3.5 4.8

948 23 MED SIGNS & SYMPTOMS W/O MCC 0.7796 2.6 3.3

949 23 MED AFTERCARE W CC/MCC 1.0889 4 6

950 23 MED AFTERCARE W/O CC/MCC 0.7409 3 4.6

951 23 MED OTHER FACTORS INFLUENCING HEALTH STATUS 0.5865 1.9 2.7

955 24 SURG CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 6.0805 7.9 11

956 24 SURG LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA 3.9233 6.1 7.5

957 24 SURG OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC 7.5337 9.5 13.1

958 24 SURG OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC 4.1909 6.8 8.3

959 24 SURG OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC 2.8005 4.5 5.4

963 24 MED OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC 2.7251 5.2 7.6


964 24 MED OTHER MULTIPLE SIGNIFICANT TRAUMA W CC 1.4935 3.9 4.9

965 24 MED OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC 0.9171 2.7 3.3

969 25 SURG HIV W EXTENSIVE O.R. PROCEDURE W MCC 5.8027 11.8 15.6

970 25 SURG HIV W EXTENSIVE O.R. PROCEDURE W/O MCC 2.917 6.7 8.9

974 25 MED HIV W MAJOR RELATED CONDITION W MCC 2.6739 6.3 8.7

975 25 MED HIV W MAJOR RELATED CONDITION W CC 1.342 4.1 5.5

976 25 MED HIV W MAJOR RELATED CONDITION W/O CC/MCC 0.9142 3 3.9

977 25 MED HIV W OR W/O OTHER RELATED CONDITION 1.3005 3.5 4.8

981 SURG EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC 4.4907 8.4 11.5

982 SURG EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC 2.4381 4.6 6.2

983 SURG EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC 1.6371 2.4 3.1

987 SURG NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC 3.3337 7.8 10.5

988 SURG NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC 1.7183 4.4 5.7

989 SURG NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC 1.1524 2.3 3.2

998 ** PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS NULL NULL NULL

999 ** UNGROUPABLE NULL NULL NULL

FY2020 STAC MS-DRG Table AHD.com DRG MDC Med Surg ...

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