[Federal Register: May 5, 2000 (Volume 65, Number 88)] [Proposed Rules] [Page 26381-26430] From the Federal Register Online via GPO Access [wais.access.gpo.gov] [DOCID:fr05my00-33] [[pp. 26381-26430]] Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2001 Rates [[Continued from page 26380]] [[Page 26381]] 441............ 21 SURG HAND PROCEDURES FOR .9443 2.2 3.2 INJURIES. 442............ 21 SURG OTHER O.R. PROCEDURES FOR 2.3391 5.4 8.2 INJURIES W CC. 443............ 21 SURG OTHER O.R. PROCEDURES FOR .9979 2.5 3.4 INJURIES W/O CC. 444............ 21 MED TRAUMATIC INJURY AGE >17 W .7225 3.2 4.2 CC. 445............ 21 MED TRAUMATIC INJURY AGE >17 W/ .5054 2.4 3.0 O CC. 446............ 21 MED * TRAUMATIC INJURY AGE 0- .2955 2.4 2.4 17. 447............ 21 MED ALLERGIC REACTIONS AGE >17 .5160 1.9 2.5 448............ 21 MED * ALLERGIC REACTIONS AGE 0- .0972 2.9 2.9 17. 449............ 21 MED POISONING & TOXIC EFFECTS .8073 2.6 3.7 OF DRUGS AGE >17 W CC. 450............ 21 MED POISONING & TOXIC EFFECTS .4409 1.6 2.1 OF DRUGS AGE >17 W/O CC. 451............ 21 MED * POISONING & TOXIC .2625 2.1 2.1 EFFECTS OF DRUGS AGE 0-17. 452............ 21 MED COMPLICATIONS OF TREATMENT 1.0135 3.5 5.0 W CC. 453............ 21 MED COMPLICATIONS OF TREATMENT .4998 2.2 2.8 W/O CC. 454............ 21 MED OTHER INJURY, POISONING & .8586 3.2 4.6 TOXIC EFFECT DIAG W CC. 455............ 21 MED OTHER INJURY, POISONING & .4661 2.0 2.6 TOXIC EFFECT DIAG W/O CC. 456............ ................... NO LONGER VALID........... .0000 .0 .0 457............ ................... NO LONGER VALID........... .0000 .0 .0 458............ ................... NO LONGER VALID........... .0000 .0 .0 459............ ................... NO LONGER VALID........... .0000 .0 .0 460............ ................... NO LONGER VALID........... .0000 .0 .0 461............ 23 SURG O.R. PROC W DIAGNOSES OF 1.2045 2.4 4.6 OTHER CONTACT W HEALTH SERVICES. 462............ 23 MED REHABILITATION............ 1.2426 9.3 11.7 463............ 23 MED SIGNS & SYMPTOMS W CC..... .6922 3.3 4.3 464............ 23 MED SIGNS & SYMPTOMS W/O CC... .4771 2.4 3.1 465............ 23 MED AFTERCARE W HISTORY OF .5777 2.1 3.4 MALIGNANCY AS SECONDARY DIAGNOSIS. 466............ 23 MED AFTERCARE W/O HISTORY OF .6777 2.2 3.9 MALIGNANCY AS SECONDARY DIAGNOSIS. 467............ 23 MED OTHER FACTORS INFLUENCING .5112 2.3 4.1 HEALTH STATUS. 468............ ................... EXTENSIVE O.R. PROCEDURE 3.6423 9.2 13.0 UNRELATED TO PRINCIPAL DIAGNOSIS. 469............ ................... ** PRINCIPAL DIAGNOSIS .0000 .0 .0 INVALID AS DISCHARGE DIAGNOSIS. 470............ ................... ** UNGROUPABLE............ .0000 .0 .0 471............ 08 SURG BILATERAL OR MULTIPLE 3.1978 5.0 5.7 MAJOR JOINT PROCS OF LOWER EXTREMITY. 472............ ................... NO LONGER VALID........... .0000 .0 .0 473............ 17 SURG ACUTE LEUKEMIA W/O MAJOR 3.5861 7.6 13.1 O.R. PROCEDURE AGE >17. 474............ ................... NO LONGER VALID........... .0000 .0 .0 475............ 04 MED RESPIRATORY SYSTEM 3.6949 8.1 11.3 DIAGNOSIS WITH VENTILATOR SUPPORT. 476............ SURG PROSTATIC O.R. PROCEDURE 2.2633 8.4 11.6 UNRELATED TO PRINCIPAL DIAGNOSIS. 477............ SURG NON-EXTENSIVE O.R. 1.8270 5.4 8.2 PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS. 478............ 05 SURG OTHER VASCULAR PROCEDURES 2.3372 5.0 7.3 W CC. 479............ 05 SURG OTHER VASCULAR PROCEDURES 1.4333 2.8 3.6 W/O CC. 480............ PRE SURG LIVER TRANSPLANT.......... 9.5064 14.6 19.2 481............ PRE SURG BONE MARROW TRANSPLANT.... 8.7719 24.1 27.1 482............ PRE SURG TRACHEOSTOMY FOR FACE, 3.5738 9.9 12.8 MOUTH & NECK DIAGNOSES. 483............ PRE SURG TRACHEOSTOMY EXCEPT FOR 15.8415 33.4 40.7 FACE, MOUTH & NECK DIAGNOSES. 484............ 24 SURG CRANIOTOMY FOR MULTIPLE 5.6100 9.0 13.3 SIGNIFICANT TRAUMA. 485............ 24 SURG LIMB REATTACHMENT, HIP AND 3.0519 7.6 9.4 FEMUR PROC FOR MULTIPLE SIGNIFICANT TRA. 486............ 24 SURG OTHER O.R. PROCEDURES FOR 4.9156 8.1 12.2 MULTIPLE SIGNIFICANT TRAUMA. 487............ 24 MED OTHER MULTIPLE SIGNIFICANT 2.0199 5.5 7.7 TRAUMA. 488............ 25 SURG HIV W EXTENSIVE O.R. 4.5503 11.6 17.0 PROCEDURE. 489............ 25 MED HIV W MAJOR RELATED 1.7496 6.0 8.6 CONDITION. 490............ 25 MED HIV W OR W/O OTHER RELATED .9715 3.7 5.1 CONDITION. 491............ 08 SURG MAJOR JOINT & LIMB 1.6661 2.9 3.5 REATTACHMENT PROCEDURES OF UPPER EXTREMITY. 492............ 17 MED CHEMOTHERAPY W ACUTE 4.2524 10.9 16.1 LEUKEMIA AS SECONDARY DIAGNOSIS. 493............ 07 SURG LAPAROSCOPIC 1.8180 4.3 5.7 CHOLECYSTECTOMY W/O C.D.E. W CC. 494............ 07 SURG LAPAROSCOPIC 1.0374 2.0 2.5 CHOLECYSTECTOMY W/O C.D.E. W/O CC. 495............ PRE SURG LUNG TRANSPLANT........... 8.5947 13.1 20.3 496............ 08 SURG COMBINED ANTERIOR/ 5.5796 7.8 10.0 POSTERIOR SPINAL FUSION. 497............ 08 SURG SPINAL FUSION W CC........ 2.9469 4.9 6.2 [[Page 26382]] 498............ 08 SURG SPINAL FUSION W/O CC...... 1.9077 2.8 3.4 499............ 08 SURG BACK & NECK PROCEDURES 1.4590 3.6 4.8 EXCEPT SPINAL FUSION W CC. 500............ 08 SURG BACK & NECK PROCEDURES .9811 2.2 2.7 EXCEPT SPINAL FUSION W/O CC. 501............ 08 SURG KNEE PROCEDURES W PDX OF 2.6350 8.4 10.6 INFECTION W CC. 502............ 08 SURG KNEE PROCEDURES W PDX OF 1.4327 4.9 6.0 INFECTION W/O CC. 503............ 08 SURG KNEE PROCEDURES W/O PDX OF 1.2151 3.1 4.0 INFECTION. 504............ 22 SURG EXTENSIVE 3RD DEGREE BURNS 12.4664 23.9 30.1 W SKIN GRAFT. 505............ 22 MED EXTENSIVE 3RD DEGREE BURNS 2.0389 2.5 4.7 W/O SKIN GRAFT. 506............ 22 SURG FULL THICKNESS BURN W SKIN 4.4971 13.0 17.6 GRAFT OR INHAL INJ W CC OR SIG TRAUMA. 507............ 22 SURG FULL THICKNESS BURN W SKIN 1.8438 6.6 9.2 GRFT OR INHAL INJ W/O CC OR SIG TRAUMA. 508............ 22 MED FULL THICKNESS BURN W/O 1.3119 5.1 7.2 SKIN GRFT OR INHAL INJ W CC OR SIG TRAUMA. 509............ 22 MED FULL THICKNESS BURN W/O .8154 4.1 6.2 SKIN GRFT OR INH INJ W/O CC OR SIG TRAUMA. 510............ 22 MED NON-EXTENSIVE BURNS W CC 1.4130 5.2 7.9 OR SIGNIFICANT TRAUMA. 511............ 22 MED NON-EXTENSIVE BURNS W/O CC .6568 3.1 4.5 OR SIGNIFICANT TRAUMA. ---------------------------------------------------------------------------------------------------------------- * MEDICARE DATA HAVE BEEN SUPPLEMENTED BY DATA FROM 19 STATES FOR LOW VOLUME DRGS. ** DRGS 469 AND 470 CONTAIN CASES WHICH COULD NOT BE ASSIGNED TO VALID DRGS. NOTE: GEOMETRIC MEAN IS USED ONLY TO DETERMINE PAYMENT FOR TRANSFER CASES. NOTE: ARITHMETIC MEAN IS PRESENTED FOR INFORMATIONAL PURPOSES ONLY. NOTE: RELATIVE WEIGHTS ARE BASED ON MEDICARE PATIENT DATA AND MAY NOT BE APPROPRIATE FOR OTHER PATIENTS. Table 6A.--New Diagnosis Codes ---------------------------------------------------------------------------------------------------------------- Diagnosis code Description CC MDC DRG ---------------------------------------------------------------------------------------------------------------- 007.5 Cyclosporiasis.............. N 6 182, 183, 184 082.40 Unspecified ehrlichiosis.... N 18 423 082.41 Ehrlichiosis Chafiensis (E. N 18 423 Chafiensis). 082.49 Other ehrlichiosis.......... N 18 423 285.21 Anemia in end-stage renal N 16 395, 396 disease. 285.22 Anemia in neoplastic disease N 16 395, 396 285.29 Anemia of other chronic N 16 395, 396 illness. 294.10 Dementia in conditions N 19 429 classified elsewhere without behavioral disturbance. 294.11 Dementia in conditions N 19 429 classified elsewhere with behavioral disturbance. 372.81 Conjunctivochalasis......... N 2 46, 47, 48 372.89 Other disorders of N 2 46, 47, 48 conjunctiva. 477.1 Allergic rhinitis, due to N 3 68, 69, 70 food. 493.02 Extrinsic asthma, with acute Y 4 96, 97, 98 exacerbation. 493.12 Intrinsic asthma, with acute Y 4 96, 97, 98 exacerbation. 493.22 Chronic obstructive asthma, Y 4 88 with acute exacerbation. 493.92 Unspecified asthma, with Y 4 96, 97, 98 acute exacerbation. 494.0 Bronchiectasis without acute N 4 88 exacerbation. 494.1 Bronchiectasis with acute Y 4 88 exacerbation. 558.3 Allergic gastroenteritis and N 6 182, 183, 184 colitis. 600.0 Hypertrophy (benign) of N 12 348, 349 prostate. 600.1 Nodular prostate............ N 12 348, 349 600.2 Benign localized hyperplasia N 12 348, 349 of prostate. 600.3 Cyst of prostate............ N 12 348, 349 600.9 Unspecified hyperplasia of N 12 348, 349 prostate. 645.10 Post term pregnancy, N 14 469 unspecified as to episode of care or not applicable. 645.11 Post term pregnancy, N 14 370, 371, 372, 373, 374, 375 delivered, with or without mention of antepartum condition. 645.13 Post term pregnancy, N 14 383, 384 antepartum condition or complication. 645.20 Prolonged pregnancy, N 14 469 unspecified as to episode of care or not applicable. 645.21 Prolonged pregnancy, N 14 370, 371, 372, 373, 374, 375 delivered, with or without mention of antepartum condition. 645.23 Prolonged pregnancy, N 14 383, 384 antepartum condition or complication. 692.75 Disseminated superficial N 9 283, 284 actinic porokeratosis (DSAP). 707.10 Unspecified ulcer of lower Y 9 263, 264, 271 limb. 707.11 Ulcer of thigh.............. Y 9 263, 264, 271 707.12 Ulcer of calf............... Y 9 263, 264, 271 707.13 Ulcer of ankle.............. Y 9 263, 264, 271 707.14 Ulcer of heel and midfoot... Y 9 263, 264, 271 707.15 Ulcer of other part of foot. Y 9 263, 264, 271 707.19 Ulcer of other part of lower Y 9 263, 264, 271 limb. [[Page 26383]] 727.83 Plica syndrome.............. N 8 248 781.91 Loss of height.............. N 1 34, 35 781.92 Abnormal posture............ N 1 34, 35 781.99 Other symptoms involving N 1 34, 35 nervous and musculoskeletal systems. 783.21 Loss of weight.............. N 10 296, 297, 298 783.22 Underweight................. N 10 296, 297, 298 783.40 Unspecified lack of normal N 10 296, 297, 298 physiological development. 783.41 Failure to thrive........... N 10 296, 297, 298 783.42 Delayed milestones.......... N 10 296, 297, 298 783.43 Short stature............... N 10 296, 297, 298 783.7 Adult failure to thrive..... N 10 296, 297, 298 790.01 Precipitous drop in N 16 395, 396 hematocrit. 790.09 Other abnormality of red N 16 395, 396 blood cells. 792.5 Cloudy (hemodialysis) N 23 463, 464 (peritoneal) dialysis effluent. 995.7 Other adverse food N 21 454, 455 reactions, not elsewhere classified. 996.87 Complications of Y 21 452, 453 transplanted organ, intestine. V15.01 Allergy to peanuts.......... N 23 467 V15.02 Allergy to milk products.... N 23 467 V15.03 Allergy to eggs............. N 23 467 V15.04 Allergy to seafood.......... N 23 467 V15.05 Allergy to other foods...... N 23 467 V15.06 Allergy to insects.......... N 23 467 V15.07 Allergy to latex............ N 23 467 V15.08 Allergy to radiographic dye. N 23 467 V15.09 Other allergy, other than to N 23 467 medicinal agents. V21.30 Unspecified low birth weight N 23 467 status. V21.31 Low birth weight status, N 23 467 less than 500 grams. V21.32 Low birth weight status, 500- N 23 467 999 grams. V21.33 Low birth weight status, N 23 467 1000-1499 grams. V21.34 Low birth weight status, N 23 467 1500-1999 grams. V21.35 Low birth weight status, N 23 467 2000-2500 grams. V26.21 Fertility testing........... N 23 467 V26.22 Aftercare following N 23 467 sterilization reversal. V26.29 Other investigation and N 23 467 testing. V42.84 Organ or tissue replaced by Y 23 467 transplant, intestines. V45.74 Acquired absence of organ, N 23 467 other parts of urinary tract. V45.75 Acquired absence of organ, N 23 467 stomach. V45.76 Acquired absence of organ, N 23 467 lung. V45.77 Acquired absence of organ, N 23 467 genital organs. V45.78 Acquired absence of organ, N 23 467 eye. V45.79 Other acquired absence of N 23 467 organ. V49.81 Postmenopausal status (age- N 23 467 related) (natural). V49.89 Other specified conditions N 23 467 influencing health status. V56.31 Encounter for adequacy N 11 317 testing for hemodialysis. V56.32 Encounter for adequacy N 11 317 testing for peritoneal dialysis. V58.83 Encounter for therapeutic N 23 465, 466 drug monitoring. V67.00 Follow-up examination, N 23 465, 466 following unspecified surgery. V67.01 Following surgery, follow-up N 23 465, 466 vaginal pap smear. V67.09 Follow-up examination, N 23 465, 466 following other surgery. V71.81 Observation for suspected N 23 467 abuse and neglect. V71.89 Observation for other N 23 467 specified suspected conditions. V76.46 Special screening for N 23 467 malignant neoplasms, ovary. V76.47 Special screening for N 23 467 malignant neoplasms, Vagina. V76.50 Special screening for N 23 467 malignant neoplasms, unspecified intestine. V76.51 Special screening for N 23 467 malignant neoplasms, colon. V76.52 Special screening for N 23 467 malignant neoplasms, small intestine. V76.81 Special screening for N 23 467 malignant neoplasms, nervous system. V76.89 Special screening for other N 23 467 malignant neoplasm. V77.91 Screening for lipoid N 23 467 disorders. V77.99 Other and unspecified N 23 467 endocrine, nutritional, metabolic, and immunity disorders. V82.81 Special screening for N 23 467 osteoporosis. V82.89 Special screening for other N 23 467 specified conditions. ---------------------------------------------------------------------------------------------------------------- [[Page 26384]] Table 6B.--New Procedure Codes ---------------------------------------------------------------------------------------------------------------- Procedure code Description OR MDC DRG ---------------------------------------------------------------------------------------------------------------- 39.71 Endovascular implantation of Y 5 110, 111 graph in abdominal aorta. 11 315 21 442, 443 24 486 39.79 Other endovascular graft Y 1 1, 2, 3 repair of aneurysm. 5 110, 111 11 315 21 442, 443 24 486 41.07 Autologous hematopoietic Y PRE 481 stem cell transplant with purging. 41.08 Allogeneic hematopoietic Y PRE 481 stem cell transplant with purging. 41.09 Autologous bone marrow Y PRE 481 transplant with purging. 46.97 Transplant of intestine..... Y 6 148, 149 7 201 17 400, 406, 407 21 442, 443 24 486 60.96 Transurethral destruction of Y 11 306, 307 prostate tissue by 12 336, 337 microwave thermotherapy. UNR 476 60.97 Other transurethral Y 11 306, 307 destruction of prostate 12 336, 337 tissue by other UNR 476 thermotherapy. 99.75 Administration of N neuroprotective agent. ---------------------------------------------------------------------------------------------------------------- Table 6C.--Invalid Diagnosis Codes ---------------------------------------------------------------------------------------------------------------- Diagnosis code Description CC MDC DRG ---------------------------------------------------------------------------------------------------------------- 294.1 Dementia in conditions N 19 429 classified elsewhere. 372.8 Other disorders of N 2 46, 47, 48 conjunctiva. 494 Bronchiectasis.............. Y 4 88 600 Hyperplasia of prostate..... N 12 348, 349 645.00 Prolonged pregnancy, N 14 469 unspecified as to episode of care or not applicable. 645.01 Prolonged pregnancy, N 14 370, 371, 372, 373, 374, 375 delivered, with or without mention of antepartum condition. 645.03 Prolonged pregnancy, N 14 383, 384 antepartum condition or complication. 707.1 Ulcer of lower limb, except Y 9 263, 264, 271 decubitus. 781.9 Other symptoms involving N 1 34, 35 nervous and musculoskeletal systems. 783.2 Abnormal loss of weight..... N 10 296, 297, 298 783.4 Lack of expected normal N 10 296, 297, 298 physiological development. 790.0 Abnormality of red blood N 16 395, 396 cells. V15.0 Allergy, other than to N 23 467 medicinal agents. V26.2 Investigation and testing... N 23 467 V49.8 Other specified problems N 23 467 influencing health status. V67.0 Follow-up examination N 23 465, 466 following surgery. V71.8 Observation for other N 23 467 specified suspected conditions. V76.8 Special screening for N 23 467 malignant neoplasms, other neoplasm. V77.9 Other and unspecified N 23 467 endocrine, nutritional, metabolic, and immunity disorders. V82.8 Special screening for other N 23 467 specified conditions. ---------------------------------------------------------------------------------------------------------------- [[Page 26385]] Table 6D.--Revised Diagnosis Code Titles ---------------------------------------------------------------------------------------------------------------- Diagnosis code Description CC MDC DRG ---------------------------------------------------------------------------------------------------------------- 564.1 Irritable bowel syndrome.... N 6 182, 183, 184 V26.3 Genetic counseling and N 23 467 testing. V76.49 Special screening for N 23 467 malignant, other sites. ---------------------------------------------------------------------------------------------------------------- Table 6E.--Revised Procedure Codes ---------------------------------------------------------------------------------------------------------------- Procedure code Description OR MDC DRG ---------------------------------------------------------------------------------------------------------------- 41.01 Autologous bone marrow Y PRE 481 transplant without purging. 41.04 Autologous hematopoietic Y PRE 481 stem cell transplant without purging. 41.05 Allogeneic hematopoietic Y PRE 481 stem cell transplant without purging. 86.59 Closure of skin and N subcutaneous tissue other sites. ---------------------------------------------------------------------------------------------------------------- [[Page 26386]] Table 6F.--Additions to the CC Exclusions List CCs that are added to the list are in Table 6F--Additions to the CC Exclusions List. Each of the principal diagnoses is shown with an asterisk, and the revisions to the CC Exclusions List are provided in an indented column immediately following the affected principal diagnosis. ------------------------------------------------------------------------ ------------------------------------------------------------------------ *0075 2818 70713 49312 01170 4870 01152 4829 00841 2824 70714 49322 01171 4950 01153 4830 00842 28260 70715 49392 01172 4951 01154 4831 00843 28261 70719 *49391 01173 4952 01155 4838 00844 28262 *4871 49302 01174 4953 01156 4841 00845 28263 4941 49312 01175 4954 01160 4843 00846 28269 *49300 49322 01176 4955 01161 4845 00847 2830 49302 49392 01180 4956 01162 4846 00849 28310 49312 *49392 01181 4957 01163 4847 *01790 28311 49322 49301 01182 4958 01164 4848 4941 28319 49392 49302 01183 4959 01165 485 *01791 2832 *49301 49311 01184 496 01166 486 4941 2839 49302 49312 01185 5060 01170 4870 *01792 2840 49312 49320 01186 5061 01171 4941 4941 2848 49322 49321 01190 5070 01172 4950 *01793 2849 49392 49322 01191 5071 01173 4951 4941 2850 *49302 49391 01192 5078 01174 4952 *01794 2851 49301 49392 01193 5080 01175 4953 4941 *29410 49302 *4940 01194 5081 01176 4954 *01795 2910 49311 01100 01195 515 01180 4955 4941 2911 49312 01101 01196 5160 01181 4956 *01796 2912 49320 01102 01200 5161 01182 4957 4941 2913 49321 01103 01201 5162 01183 4958 *28521 2914 49322 01104 01202 5163 01184 4959 2800 29181 49391 01105 01203 5168 01185 496 2814 29189 49392 01106 01204 5169 01186 5060 2818 2919 *49310 01110 01205 5171 01190 5061 2824 2920 49302 01111 01206 5172 01191 5070 28260 29211 49312 01112 01210 5178 01192 5071 28261 29212 49322 01113 01211 74861 01193 5078 28262 2922 49392 01114 01212 *4941 01194 5080 28263 29281 *49311 01115 01213 01100 01195 5081 28269 29282 49302 01116 01214 01101 01196 515 2830 29283 49312 01120 01215 01102 01200 5160 28310 29284 49322 01121 01216 01103 01201 5161 28311 29289 49392 01122 0310 01104 01202 5162 28319 2929 *49312 01123 11505 01105 01203 5163 2832 29381 49301 01124 11515 01106 01204 5168 2839 29382 49302 01125 1304 01110 01205 5169 2840 29383 49311 01126 1363 01111 01206 5171 2848 29384 49312 01130 481 01112 01210 5172 2849 *29411 49320 01131 4820 01113 01211 5178 2850 2910 49321 01132 4821 01114 01212 74861 2851 2911 49322 01133 4822 01115 01213 *496 *28522 2912 49391 01134 48230 01116 01214 4941 2800 2913 49392 01135 48231 01120 01215 *5061 2814 2914 *49320 01136 48232 01121 01216 4941 2818 29181 49302 01140 48239 01122 0310 *5064 2824 29189 49312 01141 48240 01123 11505 4941 28260 2919 49322 01142 48241 01124 11515 *5069 28261 2920 49392 01143 48249 01125 1304 4941 28262 29211 *49321 01144 48281 01126 1363 *5178 28263 29212 49302 01145 48282 01130 481 49302 28269 2922 49312 01146 48283 01131 4820 49312 2830 29281 49322 01150 48284 01132 4821 49322 28310 29282 49392 01151 48289 01133 4822 49392 28311 29283 *49322 01152 4829 01134 48230 *51889 28319 29284 49301 01153 4830 01135 48231 49302 2832 29289 49302 01154 4831 01136 48232 49312 2839 2929 49311 01155 4838 01140 48239 49322 2840 29381 49312 01156 4841 01141 48240 49392 2848 29382 49320 01160 4843 01142 48241 *5198 2849 29383 49321 01161 4845 01143 48249 49302 2850 29384 49322 01162 4846 01144 48281 49312 2851 *44023 49391 01163 4847 01145 48282 49322 *28529 70710 49392 01164 4848 01146 48283 49392 2800 70711 *49390 01165 485 01150 48284 *5199 2814 70712 49302 01166 486 01151 48289 49302 ------------------------------------------------------------------------ [[Page 26387]] Table 6F.--Additions to the CC Exclusions List--Continued CCs that are added to the list are in Table 6F--Additions to the CC Exclusions List. Each of the principal diagnoses is shown with an asterisk, and the revisions to the CC Exclusions List are provided in an indented column immediately following the affected principal diagnosis. ------------------------------------------------------------------------ ------------------------------------------------------------------------ 49312 *70712 V421 49322 70710 V426 49392 70711 V427 *5583 70712 V4281 00841 70713 V4282 00842 70714 V4283 00843 70715 V4289 00844 70719 V432 00845 *70713 *99689 00846 70710 V4284 00847 70711 *99791 00849 70712 99687 *6000 70713 *99799 5960 70714 99687 5996 70715 *V4284 6010 70719 V4284 6012 *70714 *V4289 6013 70710 V4284 6021 70711 *V429 78820 70712 V4284 78829 70713 *6001 70714 5960 70715 5996 70719 6010 *70715 6012 70710 6013 70711 6021 70712 78820 70713 78829 70714 *6002 70715 5960 70719 5996 *70719 6010 70710 6012 70711 6013 70712 6021 70713 78820 70714 78829 70715 *6003 70719 5960 *7078 5996 70710 6010 70711 6012 70712 6013 70713 6021 70714 78820 70715 78829 70719 *6009 *7079 5960 70710 5996 70711 6010 70712 6012 70713 6013 70714 6021 70715 78820 70719 78829 *7098 *70710 70710 70710 70711 70711 70712 70712 70713 70713 70714 70714 70715 70715 70719 70719 *74861 *70711 4941 70710 *99680 70711 99687 70712 V4284 70713 *99687 70714 99680 70715 99687 70719 V420 ------------------------------------------------------------------------ [[Page 26388]] Table 6G.--Delections to the CC Exclusions List CCs that are deleted from the list are in Table 6G--Deletions to the CC Exclusions List. Each of the principal diagnoses is shown with an asterisk, and the revisions to the CC Exclusions List are provided in an indented column immediately following the affected principal diagnosis. ------------------------------------------------------------------------ ------------------------------------------------------------------------ *01790 01135 48231 6021 494 01136 48232 78820 *01791 01140 48239 78829 494 01141 48240 *7071 *01792 01142 48241 7071 494 01143 48249 *7078 *01793 01144 48281 7071 494 01145 48282 *7079 *01794 01146 48283 7071 494 01150 48284 *7098 01795 01151 48289 7071 494 01152 4829 *74861 *01796 01153 4830 494 494 01154 4831 *2941 01155 4838 2910 01156 4841 2911 01160 4843 2912 01161 4845 2913 01162 4846 2914 01163 4847 29181 01164 4848 29189 01165 485 2919 01166 486 2920 01170 4870 29211 01171 494 29212 01172 4950 2922 01173 4951 29281 01174 4952 29282 01175 4953 29283 01176 4954 29284 01180 4955 29289 01181 4956 2929 01182 4957 29381 01183 4958 29382 01184 4959 29383 01185 496 29384 01186 5060 *44023 01190 5061 7071 01191 5070 *4871 01192 5071 494 01193 5078 *494 01194 5080 01100 01195 5081 01101 01196 515 01102 01200 5160 01103 01201 5161 01104 01202 5162 01105 01203 5163 01106 01204 5168 01110 01205 5169 01111 01206 5171 01112 01210 5172 01113 01211 5178 01114 01212 74861 01115 01213 *496 01116 01214 494 01120 01215 *5061 01121 01216 494 01122 0310 *5064 01123 11505 494 01124 11515 *5069 01125 1304 494 01126 1363 *600 01130 481 5960 01131 4820 5996 01132 4821 6010 01133 4822 6012 01134 48230 6013 ------------------------------------------------------------------------ [[Page 26389]] Table 7A.--Medicare Prospective Payment System, Selected Percentile Lengths of Stay [FY99 MEDPAR Update 12/99 Grouper V17.0] -------------------------------------------------------------------------------------------------------------------------------------------------------- Number Arithmetic 10th 25th 50th 75th 90th DRG discharges mean LOS percentile percentile percentile percentile percentile -------------------------------------------------------------------------------------------------------------------------------------------------------- 1....................................... 35069 9.0962 2 4 6 12 19 2....................................... 7064 9.6692 3 5 7 12 19 4....................................... 6022 7.3316 1 2 5 9 16 5....................................... 95151 3.2852 1 1 2 3 7 6....................................... 340 3.2412 1 1 2 4 7 7....................................... 12054 10.2745 2 4 7 13 21 8....................................... 3662 3.0145 1 1 2 4 7 9....................................... 1623 6.4898 1 3 5 8 12 10...................................... 18297 6.5874 2 3 5 8 13 11...................................... 3300 4.1488 1 2 3 5 8 12...................................... 44849 6.0417 2 3 4 7 11 13...................................... 6185 5.0928 2 3 4 6 9 14...................................... 330036 5.9583 2 3 5 7 11 15...................................... 139608 3.6293 1 2 3 5 7 16...................................... 11101 6.1222 2 3 5 7 12 17...................................... 3437 3.3750 1 2 3 4 6 18...................................... 25899 5.5415 2 3 4 7 10 19...................................... 7951 3.7393 1 2 3 5 7 20...................................... 5735 10.2382 3 5 8 13 20 21...................................... 1356 6.8754 2 3 5 9 13 22...................................... 2501 4.9384 2 2 4 6 9 23...................................... 8311 4.2224 1 2 3 5 8 24...................................... 52472 5.0144 1 2 4 6 10 25...................................... 24380 3.3056 1 2 3 4 6 26...................................... 20 3.2000 1 1 2 3 7 27...................................... 3567 5.0962 1 1 3 6 11 28...................................... 10686 6.2281 1 3 5 8 13 29...................................... 3910 3.7133 1 2 3 5 7 31...................................... 3209 4.2312 1 2 3 5 8 32...................................... 1545 2.7398 1 1 2 3 5 34...................................... 19531 5.1937 1 2 4 6 10 35...................................... 5177 3.4199 1 2 3 4 6 36...................................... 4223 1.3640 1 1 1 1 2 37...................................... 1476 3.6917 1 1 3 5 8 38...................................... 115 2.5304 1 1 1 3 5 39...................................... 1152 1.9106 1 1 1 2 4 40...................................... 1755 3.5801 1 1 2 4 8 41...................................... 1 4.0000 4 4 4 4 4 42...................................... 2698 2.2279 1 1 1 3 5 43...................................... 83 3.3012 1 2 3 4 7 44...................................... 1226 4.9625 2 3 4 6 9 45...................................... 2490 3.2743 1 2 3 4 6 46...................................... 2940 4.5871 1 2 4 6 9 47...................................... 1183 3.2975 1 1 3 4 6 49...................................... 2228 4.9677 1 2 4 6 9 50...................................... 2569 1.9844 1 1 1 2 3 51...................................... 264 2.5606 1 1 1 3 6 52...................................... 196 2.1276 1 1 1 2 5 53...................................... 2569 3.6734 1 1 2 4 8 54...................................... 4 1.5000 1 1 1 1 3 55...................................... 1560 2.8865 1 1 1 3 6 56...................................... 526 3.0646 1 1 2 4 6 57...................................... 579 3.9862 1 1 2 4 8 59...................................... 111 2.4414 1 1 2 2 5 60...................................... 2 1.0000 1 1 1 1 1 61...................................... 208 4.8894 1 1 2 6 13 62...................................... 2 3.5000 2 2 5 5 5 63...................................... 3168 4.2601 1 2 3 5 9 64...................................... 3162 6.4756 1 2 4 8 14 65...................................... 31728 2.8963 1 1 2 4 5 66...................................... 6938 3.1721 1 1 3 4 6 67...................................... 477 3.5241 1 2 3 4 7 68...................................... 13401 4.1595 1 2 3 5 8 69...................................... 4228 3.2774 1 2 3 4 6 70...................................... 33 2.9091 1 2 3 4 5 71...................................... 105 3.8667 1 2 3 6 7 72...................................... 812 3.3017 1 2 3 4 6 73...................................... 6402 4.3380 1 2 3 5 8 75...................................... 39147 9.9967 3 5 8 12 20 76...................................... 39851 11.2556 3 5 9 14 21 [[Page 26390]] 77...................................... 2375 4.8880 1 2 4 7 10 78...................................... 30492 6.9444 3 5 6 8 11 79...................................... 183121 8.4551 3 4 7 11 16 80...................................... 8291 5.6652 2 3 5 7 10 81...................................... 5 9.2000 2 2 10 10 19 82...................................... 63683 6.9428 2 3 5 9 14 83...................................... 6462 5.5305 2 3 4 7 10 84...................................... 1494 3.3681 1 2 3 4 6 85...................................... 20066 6.3638 2 3 5 8 12 86...................................... 1923 3.7889 1 2 3 5 7 87...................................... 62959 6.2450 1 3 5 8 12 88...................................... 403808 5.2212 2 3 4 7 9 89...................................... 524107 6.0245 2 3 5 7 11 90...................................... 51271 4.2271 2 3 4 5 7 91...................................... 49 3.3061 1 2 3 4 5 92...................................... 13763 6.2465 2 3 5 8 12 93...................................... 1543 3.9942 1 2 3 5 7 94...................................... 12332 6.3027 2 3 5 8 12 95...................................... 1561 3.6887 1 2 3 5 7 96...................................... 64893 4.7277 2 3 4 6 8 97...................................... 31521 3.6879 1 2 3 5 7 98...................................... 18 4.6667 1 1 3 6 7 99...................................... 18166 3.2204 1 1 2 4 6 100..................................... 7230 2.2047 1 1 2 3 4 101..................................... 19700 4.4248 1 2 3 5 8 102..................................... 4970 2.7360 1 1 2 3 5 103..................................... 442 48.6041 9 12 29 64 112 104..................................... 33069 11.6306 3 6 10 15 22 105..................................... 29348 9.2675 4 5 7 11 17 106..................................... 3800 11.2111 5 7 9 13 20 107..................................... 90499 10.3531 5 7 9 12 17 108..................................... 5234 10.5728 3 5 8 13 20 109..................................... 61584 7.7338 4 5 6 9 13 110..................................... 54902 9.4567 2 5 8 11 18 111..................................... 7109 5.4788 2 4 5 7 8 112..................................... 60796 3.7594 1 1 3 5 8 113..................................... 44201 12.0562 3 6 9 15 24 114..................................... 8478 8.2536 2 4 7 10 16 115..................................... 14032 8.4152 1 4 7 11 16 116..................................... 308071 3.7287 1 1 3 5 8 117..................................... 3404 4.0523 1 1 2 5 9 118..................................... 6649 2.8117 1 1 1 3 6 119..................................... 1445 4.8374 1 1 3 6 12 120..................................... 36651 8.1192 1 2 5 10 18 121..................................... 163449 6.4387 2 3 5 8 12 122..................................... 80682 3.8317 1 2 3 5 7 123..................................... 40870 4.5742 1 1 3 6 11 124..................................... 134743 4.3708 1 2 3 6 8 125..................................... 74923 2.7862 1 1 2 4 5 126..................................... 5131 11.6936 3 6 9 14 22 127..................................... 680654 5.3354 2 3 4 7 10 128..................................... 11526 5.8044 3 4 5 7 9 129..................................... 4173 2.8447 1 1 1 3 7 130..................................... 89048 5.8037 2 3 5 7 10 131..................................... 26830 4.3785 1 3 4 6 7 132..................................... 152932 3.0474 1 1 2 4 6 133..................................... 7573 2.3956 1 1 2 3 4 134..................................... 32813 3.2987 1 2 3 4 6 135..................................... 7100 4.4668 1 2 3 5 9 136..................................... 1170 2.9120 1 1 2 4 6 138..................................... 191436 4.0071 1 2 3 5 8 139..................................... 77194 2.5069 1 1 2 3 5 140..................................... 76478 2.7136 1 1 2 3 5 141..................................... 85791 3.7068 1 2 3 5 7 142..................................... 42652 2.6766 1 1 2 3 5 143..................................... 185700 2.1667 1 1 2 3 4 144..................................... 78800 5.3171 1 2 4 7 11 145..................................... 6884 2.8117 1 1 2 4 6 146..................................... 11215 10.1815 5 7 9 12 17 147..................................... 2418 6.6208 3 5 6 8 10 [[Page 26391]] 148..................................... 134272 12.1101 5 7 10 14 22 149..................................... 17551 6.6488 4 5 6 8 10 150..................................... 20300 11.1450 4 7 9 14 20 151..................................... 4479 5.9272 2 3 5 8 10 152..................................... 4441 8.1743 3 5 7 10 14 153..................................... 1914 5.4713 3 4 5 7 8 154..................................... 29346 13.2615 4 7 10 16 25 155..................................... 6052 4.3354 1 2 3 6 8 156..................................... 2 28.0000 28 28 28 28 28 157..................................... 8196 5.4926 1 2 4 7 11 158..................................... 4393 2.6271 1 1 2 3 5 159..................................... 16421 5.0258 1 2 4 6 10 160..................................... 10974 2.7204 1 1 2 4 5 161..................................... 11483 4.1695 1 2 3 5 9 162..................................... 7018 1.9577 1 1 1 2 4 163..................................... 8 2.7500 1 1 3 3 3 164..................................... 4720 8.4019 4 5 7 10 15 165..................................... 1942 4.8553 2 3 5 6 8 166..................................... 3307 5.0889 2 3 4 6 9 167..................................... 2896 2.7099 1 2 2 3 5 168..................................... 1511 4.5963 1 2 3 6 9 169..................................... 802 2.4214 1 1 2 3 5 170..................................... 11287 11.1669 2 5 8 14 23 171..................................... 1125 4.7911 1 2 4 6 9 172..................................... 30485 6.9710 2 3 5 9 14 173..................................... 2492 3.8435 1 1 3 5 8 174..................................... 236408 4.8222 2 3 4 6 9 175..................................... 28026 2.9414 1 2 3 4 5 176..................................... 15607 5.2668 2 3 4 6 10 177..................................... 9489 4.5521 2 2 4 6 8 178..................................... 3568 3.1373 1 2 3 4 6 179..................................... 12177 6.0139 2 3 5 7 11 180..................................... 85083 5.3978 2 3 4 7 10 181..................................... 24320 3.4134 1 2 3 4 6 182..................................... 232501 4.3626 1 2 3 5 8 183..................................... 78432 2.9618 1 1 2 4 6 184..................................... 98 3.2449 1 2 2 4 5 185..................................... 4300 4.4963 1 2 3 6 9 186..................................... 2 4.5000 2 2 7 7 7 187..................................... 722 3.8130 1 2 3 5 8 188..................................... 74594 5.5723 1 2 4 7 11 189..................................... 11097 3.1388 1 1 2 4 6 190..................................... 69 6.0290 2 3 4 6 11 191..................................... 9367 14.0878 4 7 10 18 28 192..................................... 974 6.5842 2 4 6 8 11 193..................................... 5669 12.5490 5 7 10 15 23 194..................................... 755 6.7497 2 4 6 8 12 195..................................... 4869 9.9029 4 6 8 12 17 196..................................... 1190 5.6832 2 4 5 7 9 197..................................... 20225 8.7363 3 5 7 11 16 198..................................... 6079 4.4996 2 3 4 6 8 199..................................... 1724 9.6456 3 4 8 12 19 200..................................... 1071 10.7404 2 4 8 14 22 201..................................... 1465 13.8314 3 6 11 18 27 202..................................... 25595 6.5031 2 3 5 8 13 203..................................... 28958 6.6940 2 3 5 9 13 204..................................... 54818 5.8581 2 3 4 7 11 205..................................... 22519 6.2964 2 3 5 8 12 206..................................... 1778 3.8335 1 2 3 5 7 207..................................... 30768 5.1176 1 2 4 6 10 208..................................... 9616 2.8974 1 1 2 4 6 209..................................... 342301 5.1232 3 3 4 6 8 210..................................... 126555 6.8082 3 4 6 8 11 211..................................... 31227 4.9152 3 4 4 6 7 212..................................... 7 3.0000 2 2 2 3 4 213..................................... 8882 8.7299 2 4 7 11 17 216..................................... 5822 9.7583 2 4 7 12 19 217..................................... 17573 13.0833 3 5 9 16 28 218..................................... 21344 5.3594 2 3 4 6 10 219..................................... 19125 3.2444 1 2 3 4 5 [[Page 26392]] 220..................................... 2 2.5000 1 1 4 4 4 223..................................... 17434 2.5812 1 1 2 3 5 224..................................... 7953 2.0448 1 1 2 3 4 225..................................... 5575 4.7146 1 2 3 6 10 226..................................... 4985 6.2828 1 2 4 8 13 227..................................... 4416 2.6594 1 1 2 3 5 228..................................... 2437 3.5568 1 1 2 4 8 229..................................... 1080 2.3944 1 1 2 3 5 230..................................... 2102 5.1237 1 2 3 6 10 231..................................... 10618 4.8282 1 2 3 6 10 232..................................... 565 3.5894 1 1 2 4 9 233..................................... 4542 7.6797 2 3 5 9 16 234..................................... 2666 3.5709 1 2 3 4 7 235..................................... 5334 5.1245 1 2 4 6 10 236..................................... 38564 4.8516 1 3 4 6 9 237..................................... 1576 3.7386 1 2 3 5 7 238..................................... 7594 8.4664 3 4 6 10 16 239..................................... 51719 6.2172 2 3 5 8 12 240..................................... 11850 6.5754 2 3 5 8 13 241..................................... 2953 3.9401 1 2 3 5 7 242..................................... 2477 6.5268 2 3 5 8 12 243..................................... 84831 4.7022 1 3 4 6 9 244..................................... 11891 4.7802 1 2 4 6 9 245..................................... 4929 3.7206 1 2 3 4 7 246..................................... 1342 3.6461 1 2 3 4 7 247..................................... 15047 3.4443 1 1 3 4 7 248..................................... 9336 4.7321 1 2 4 6 9 249..................................... 10719 3.7768 1 1 3 5 8 250..................................... 3509 4.2485 1 2 3 5 8 251..................................... 2351 2.9872 1 1 3 4 5 252..................................... 1 2.0000 2 2 2 2 2 253..................................... 18878 4.6841 1 3 4 6 9 254..................................... 10341 3.2080 1 2 3 4 6 255..................................... 1 1.0000 1 1 1 1 1 256..................................... 5803 5.1260 1 2 4 6 10 257..................................... 16795 2.8263 1 2 2 3 5 258..................................... 15710 2.0006 1 1 2 2 3 259..................................... 3717 2.7896 1 1 1 3 6 260..................................... 4780 1.4749 1 1 1 2 2 261..................................... 1730 2.1624 1 1 1 2 4 262..................................... 673 3.8098 1 1 3 5 7 263..................................... 24527 11.5534 3 5 8 14 23 264..................................... 3877 6.9010 2 3 5 8 14 265..................................... 3868 6.6099 1 2 4 8 14 266..................................... 2527 3.3174 1 1 2 4 7 267..................................... 255 5.2353 1 1 3 6 12 268..................................... 896 3.6953 1 1 2 4 8 269..................................... 8856 8.2516 2 3 6 10 16 270..................................... 2734 3.2579 1 1 2 4 7 271..................................... 21090 7.1019 2 4 6 8 13 272..................................... 5465 6.3420 2 3 5 8 12 273..................................... 1341 4.2118 1 2 3 5 8 274..................................... 2368 6.9548 2 3 5 9 14 275..................................... 224 3.3125 1 1 2 4 7 276..................................... 1076 4.6515 1 2 4 6 9 277..................................... 83707 5.7178 2 3 5 7 10 278..................................... 28524 4.3359 2 3 4 5 7 279..................................... 4 4.0000 2 2 4 5 5 280..................................... 15047 4.1980 1 2 3 5 8 281..................................... 6682 3.0805 1 1 3 4 6 283..................................... 5322 4.5569 1 2 3 6 9 284..................................... 1852 3.1960 1 1 2 4 6 285..................................... 6125 10.4263 3 5 8 13 20 286..................................... 1995 6.2000 2 3 5 7 11 287..................................... 5974 10.5387 3 5 8 13 20 288..................................... 2252 5.7234 2 3 4 6 9 289..................................... 4326 3.1248 1 1 2 3 7 290..................................... 8214 2.4329 1 1 2 2 4 291..................................... 57 1.6316 1 1 1 2 2 292..................................... 4945 9.9610 2 4 7 13 21 [[Page 26393]] 293..................................... 321 4.9346 1 2 4 7 10 294..................................... 83924 4.7128 1 2 4 6 9 295..................................... 3464 3.8467 1 2 3 5 7 296..................................... 232274 5.2398 2 3 4 6 10 297..................................... 40842 3.4744 1 2 3 4 6 298..................................... 106 3.1887 1 2 2 4 6 299..................................... 1052 5.5542 1 2 4 6 11 300..................................... 15582 6.1317 2 3 5 8 12 301..................................... 3101 3.7004 1 2 3 5 7 302..................................... 7525 9.4141 4 5 7 11 16 303..................................... 19405 8.4850 4 5 7 10 15 304..................................... 11967 8.8979 2 4 7 11 18 305..................................... 2852 3.8443 1 2 3 5 7 306..................................... 7925 5.4829 1 2 3 7 12 307..................................... 2226 2.2668 1 1 2 3 4 308..................................... 7673 6.3836 1 2 4 8 14 309..................................... 3947 2.4880 1 1 2 3 5 310..................................... 23701 4.3591 1 2 3 5 9 311..................................... 8200 1.8902 1 1 1 2 3 312..................................... 1570 4.5166 1 1 3 6 10 313..................................... 633 2.1153 1 1 1 3 4 314..................................... 2 1.0000 1 1 1 1 1 315..................................... 28524 7.4721 1 1 5 10 17 316..................................... 96406 6.6791 2 3 5 8 13 317..................................... 1230 3.2114 1 1 2 3 6 318..................................... 5544 5.9975 1 3 4 7 12 319..................................... 460 2.8630 1 1 2 4 6 320..................................... 181708 5.3834 2 3 4 7 10 321..................................... 28174 3.8452 1 2 3 5 7 322..................................... 69 4.0580 1 2 3 5 7 323..................................... 16353 3.2183 1 1 2 4 7 324..................................... 7365 1.8789 1 1 1 2 3 325..................................... 7788 3.8947 1 2 3 5 7 326..................................... 2414 2.6582 1 1 2 3 5 327..................................... 7 9.2857 1 1 2 4 13 328..................................... 718 3.9053 1 1 3 5 8 329..................................... 104 2.0481 1 1 1 3 4 331..................................... 43233 5.5300 1 2 4 7 11 332..................................... 4795 3.2715 1 1 2 4 7 333..................................... 296 5.0507 1 2 3 6 10 334..................................... 12132 4.8938 2 3 4 6 8 335..................................... 11393 3.4104 2 3 3 4 5 336..................................... 40525 3.5229 1 2 3 4 7 337..................................... 30540 2.1759 1 1 2 3 3 338..................................... 1641 5.2956 1 2 3 7 12 339..................................... 1503 4.5269 1 1 3 6 10 340..................................... 1 1.0000 1 1 1 1 1 341..................................... 3836 3.2018 1 1 2 3 7 342..................................... 775 3.1174 1 2 2 4 6 344..................................... 3934 2.2567 1 1 1 2 4 345..................................... 1272 3.7673 1 1 2 5 8 346..................................... 4622 5.8090 1 3 4 7 11 347..................................... 396 3.3712 1 1 2 4 7 348..................................... 3105 4.2029 1 2 3 5 8 349..................................... 589 2.6027 1 1 2 3 5 350..................................... 6157 4.3937 2 2 4 5 8 352..................................... 646 3.8498 1 2 3 5 8 353..................................... 2631 6.7081 3 3 5 8 13 354..................................... 8209 5.8725 3 3 4 7 10 355..................................... 5698 3.3243 2 3 3 4 5 356..................................... 25961 2.4179 1 1 2 3 4 357..................................... 5767 8.4947 3 4 7 10 16 358..................................... 21628 4.3926 2 3 3 5 7 359..................................... 29103 2.8141 2 2 3 3 4 360..................................... 16133 2.9634 1 2 2 3 5 361..................................... 420 3.4524 1 1 2 4 7 362..................................... 1 1.0000 1 1 1 1 1 363..................................... 3079 3.4784 1 2 2 3 7 364..................................... 1611 3.5847 1 1 2 5 7 365..................................... 1917 7.3005 2 3 5 9 16 [[Page 26394]] 366..................................... 4226 6.7283 1 3 5 8 14 367..................................... 472 3.1462 1 1 2 4 7 368..................................... 2861 6.7113 2 3 5 8 13 369..................................... 2832 3.1963 1 1 2 4 6 370..................................... 1141 5.7160 3 3 4 5 9 371..................................... 1174 3.6567 2 3 3 4 5 372..................................... 916 3.4509 2 2 2 3 5 373..................................... 3916 2.2829 1 2 2 2 3 374..................................... 125 3.4880 2 2 2 3 5 375..................................... 6 2.6667 2 2 2 3 3 376..................................... 254 3.4803 1 2 2 4 7 377..................................... 53 3.8679 1 1 2 5 8 378..................................... 151 2.3444 1 1 2 3 4 379..................................... 355 3.1127 1 1 2 3 7 380..................................... 74 2.1622 1 1 2 2 4 381..................................... 176 1.9545 1 1 1 2 3 382..................................... 39 1.3077 1 1 1 1 2 383..................................... 1545 3.8913 1 1 3 5 8 384..................................... 123 2.3415 1 1 1 2 4 389..................................... 8 5.8750 3 3 4 8 10 390..................................... 19 3.7368 1 1 3 5 7 392..................................... 2508 9.4769 3 4 7 12 19 393..................................... 1 8.0000 8 8 8 8 8 394..................................... 1724 6.6810 1 2 4 8 15 395..................................... 80464 4.5303 1 2 3 6 9 396..................................... 17 3.7059 1 1 2 5 6 397..................................... 18071 5.2277 1 2 4 7 10 398..................................... 18051 5.9638 2 3 5 7 11 399..................................... 1614 3.5520 1 2 3 4 7 400..................................... 6845 9.0488 1 3 6 12 20 401..................................... 5827 11.1903 2 5 8 14 23 402..................................... 1483 3.9400 1 1 3 5 8 403..................................... 33277 8.0524 2 3 6 10 17 404..................................... 4491 4.2224 1 2 3 6 9 406..................................... 2546 10.2859 3 4 7 13 21 407..................................... 695 4.4086 1 2 4 6 8 408..................................... 2246 7.7061 1 2 5 10 18 409..................................... 3281 5.9113 2 3 4 6 11 410..................................... 40863 3.7201 1 2 3 5 6 411..................................... 13 2.3077 1 1 2 4 4 412..................................... 29 2.7241 1 1 2 3 6 413..................................... 6149 7.2477 2 3 6 9 14 414..................................... 712 4.0941 1 2 3 5 9 415..................................... 39856 14.1713 4 6 11 18 28 416..................................... 195783 7.3483 2 4 6 9 14 417..................................... 32 6.1875 1 2 4 7 13 418..................................... 22097 6.1239 2 3 5 7 11 419..................................... 15859 4.8212 2 2 4 6 9 420..................................... 3091 3.5642 1 2 3 4 6 421..................................... 12242 3.8638 1 2 3 5 7 422..................................... 96 5.2708 1 2 2 5 7 423..................................... 8073 8.1416 2 3 6 10 17 424..................................... 1354 13.3936 2 5 9 16 28 425..................................... 15006 4.0716 1 2 3 5 8 426..................................... 4313 4.5613 1 2 3 6 9 427..................................... 1660 5.0283 1 2 3 6 10 428..................................... 839 7.1025 1 2 4 8 15 429..................................... 27480 6.4737 2 3 5 8 12 430..................................... 58011 8.2066 2 3 6 10 16 431..................................... 295 6.5864 2 3 5 8 13 432..................................... 389 4.7506 1 2 3 5 9 433..................................... 5781 3.0073 1 1 2 4 6 434..................................... 21835 5.0844 1 2 4 6 9 435..................................... 14486 4.2925 1 2 4 5 8 436..................................... 3499 12.8337 4 7 11 17 25 437..................................... 9750 8.9544 3 5 8 11 15 439..................................... 1287 8.1756 1 3 5 10 17 440..................................... 5017 8.8433 2 3 6 10 19 441..................................... 579 3.2383 1 1 2 4 7 442..................................... 15896 8.2292 1 3 6 10 17 [[Page 26395]] 443..................................... 3547 3.3941 1 1 2 4 7 444..................................... 5150 4.2252 1 2 3 5 8 445..................................... 2223 3.0031 1 1 2 4 5 447..................................... 4854 2.5117 1 1 2 3 5 448..................................... 1 4.0000 4 4 4 4 4 449..................................... 26543 3.6722 1 1 3 4 7 450..................................... 6363 2.0525 1 1 1 2 4 451..................................... 1 1.0000 1 1 1 1 1 452..................................... 21656 4.9536 1 2 3 6 10 453..................................... 4464 2.8156 1 1 2 3 5 454..................................... 4930 4.5554 1 2 3 6 9 455..................................... 1070 2.6262 1 1 2 3 5 461..................................... 3356 4.5584 1 1 2 5 11 462..................................... 12630 11.5264 4 6 9 15 21 463..................................... 18895 4.2653 1 2 3 5 8 464..................................... 5456 3.0770 1 1 2 4 6 465..................................... 227 3.3612 1 1 2 3 7 466..................................... 1719 3.8674 1 1 2 4 8 467..................................... 1301 4.0638 1 1 2 4 7 468..................................... 58386 12.9325 3 6 10 17 26 471..................................... 11423 5.7339 3 4 5 6 9 473..................................... 7615 12.8411 2 3 7 19 32 475..................................... 109114 11.1765 2 5 9 15 22 476..................................... 4448 11.6369 2 5 10 15 21 477..................................... 25690 8.1425 1 3 6 10 17 478..................................... 111192 7.3159 1 3 5 9 15 479..................................... 22375 3.6220 1 2 3 5 7 480..................................... 460 19.1848 7 9 14 23 38 481..................................... 229 27.1485 16 19 23 32 43 482..................................... 6119 12.7756 4 7 10 15 24 483..................................... 43070 38.8321 14 21 32 49 70 484..................................... 323 13.3065 2 5 10 18 28 485..................................... 2932 9.3905 4 5 7 11 17 486..................................... 2012 12.1511 1 5 9 16 24 487..................................... 3491 7.5408 1 3 6 10 15 488..................................... 767 16.9465 4 7 12 21 34 489..................................... 14253 8.5597 2 3 6 10 18 490..................................... 5283 5.1333 1 2 4 6 10 491..................................... 11332 3.4896 2 2 3 4 6 492..................................... 2667 16.1234 4 5 9 26 34 493..................................... 54030 5.7170 1 3 5 7 11 494..................................... 27254 2.4838 1 1 2 3 5 495..................................... 145 20.2552 6 8 12 18 33 496..................................... 1270 9.9843 4 5 7 12 18 497..................................... 22593 6.2173 2 3 5 7 11 498..................................... 19133 3.4179 1 2 3 4 6 499..................................... 30738 4.7687 1 2 4 6 9 500..................................... 42090 2.6897 1 1 2 3 5 501..................................... 1943 10.5713 4 5 8 13 20 502..................................... 612 5.9379 2 3 5 7 10 503..................................... 5563 3.9730 1 2 3 5 7 504..................................... 122 30.0984 10 15 25 40 60 505..................................... 153 4.7190 1 1 2 6 12 506..................................... 962 17.6258 4 8 14 24 37 507..................................... 280 9.1857 2 4 7 13 18 508..................................... 637 7.1350 2 3 5 9 15 509..................................... 165 6.1333 1 2 4 8 12 510..................................... 1653 7.8506 2 3 5 9 17 511..................................... 594 4.4646 1 1 3 6 10 ---------------- 10930692 -------------------------------------------------------------------------------------------------------------------------------------------------------- Table 7B.--Medicare Prospective Payment System, Selected Percentile Lengths of Stay [FY99 MEDPAR Update 12/99 Grouper V18.0] -------------------------------------------------------------------------------------------------------------------------------------------------------- Number Arithmetic 10th 25th 50th 75th 90th DRG discharges mean LOS percentile percentile percentile percentile percentile -------------------------------------------------------------------------------------------------------------------------------------------------------- 1....................................... 35069 9.0962 2 4 6 12 19 [[Page 26396]] 2....................................... 7064 9.6692 3 5 7 12 19 4....................................... 6022 7.3316 1 2 5 9 16 5....................................... 95151 3.2852 1 1 2 3 7 6....................................... 340 3.2412 1 1 2 4 7 7....................................... 12054 10.2745 2 4 7 13 21 8....................................... 3662 3.0145 1 1 2 4 7 9....................................... 1623 6.4898 1 3 5 8 12 10...................................... 18297 6.5874 2 3 5 8 13 11...................................... 3300 4.1488 1 2 3 5 8 12...................................... 44849 6.0417 2 3 4 7 11 13...................................... 6185 5.0928 2 3 4 6 9 14...................................... 362463 6.0528 2 3 5 7 11 15...................................... 139608 3.6293 1 2 3 5 7 16...................................... 11101 6.1222 2 3 5 7 12 17...................................... 3437 3.3750 1 2 3 4 6 18...................................... 25899 5.5415 2 3 4 7 10 19...................................... 7951 3.7393 1 2 3 5 7 20...................................... 5735 10.2382 3 5 8 13 20 21...................................... 1356 6.8754 2 3 5 9 13 22...................................... 2501 4.9384 2 2 4 6 9 23...................................... 8311 4.2224 1 2 3 5 8 24...................................... 52472 5.0144 1 2 4 6 10 25...................................... 24380 3.3056 1 2 3 4 6 26...................................... 20 3.2000 1 1 2 3 7 27...................................... 3567 5.0962 1 1 3 6 11 28...................................... 10685 6.2270 1 3 5 8 13 29...................................... 3910 3.7133 1 2 3 5 7 31...................................... 3209 4.2312 1 2 3 5 8 32...................................... 1545 2.7398 1 1 2 3 5 34...................................... 19531 5.1937 1 2 4 6 10 35...................................... 5177 3.4199 1 2 3 4 6 36...................................... 4223 1.3640 1 1 1 1 2 37...................................... 1476 3.6917 1 1 3 5 8 38...................................... 115 2.5304 1 1 1 3 5 39...................................... 1152 1.9106 1 1 1 2 4 40...................................... 1755 3.5801 1 1 2 4 8 41...................................... 1 4.0000 4 4 4 4 4 42...................................... 2698 2.2279 1 1 1 3 5 43...................................... 83 3.3012 1 2 3 4 7 44...................................... 1226 4.9625 2 3 4 6 9 45...................................... 2490 3.2743 1 2 3 4 6 46...................................... 2940 4.5871 1 2 4 6 9 47...................................... 1183 3.2975 1 1 3 4 6 49...................................... 2228 4.9677 1 2 4 6 9 50...................................... 2569 1.9844 1 1 1 2 3 51...................................... 264 2.5606 1 1 1 3 6 52...................................... 196 2.1276 1 1 1 2 5 53...................................... 2569 3.6734 1 1 2 4 8 54...................................... 4 1.5000 1 1 1 1 3 55...................................... 1560 2.8865 1 1 1 3 6 56..
