[Federal Register: August 1, 2003 (Volume 68, Number 148)] [Rules and Regulations] [Page 45645-45672] From the Federal Register Online via GPO Access [wais.access.gpo.gov] [DOCID:fr01au03-15] [[pp. 45645-45672]] Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2004 Rates [[Continued from page 45644]] [[Page 45641]] 170010.............................................. 17 8560 .................. 170012.............................................. 17 9040 .................. 170013.............................................. 17 9040 .................. 170014.............................................. 17 3760 .................. 170020.............................................. 17 9040 .................. 170022.............................................. 17 7000 .................. 170023.............................................. 17 9040 .................. 170025.............................................. 17 9040 .................. 170033.............................................. 17 9040 .................. 170045.............................................. 17 8440 .................. 170058.............................................. 17 3710 .................. 170060.............................................. 17 28 .................. 170089.............................................. 17 0320 .................. 170094.............................................. 17 8440 .................. 170120.............................................. 17 3710 .................. 170131.............................................. 17 8440 8440 170145.............................................. 17 8560 .................. 170166.............................................. 17 0320 .................. 170175.............................................. 17 9040 .................. 180005.............................................. 18 3400 .................. 180011.............................................. 18 4280 .................. 180012.............................................. 18 4520 .................. 180013.............................................. 18 5360 .................. 180016.............................................. 18 4520 .................. 180018.............................................. 18 4280 .................. 180027.............................................. 18 1660 .................. 180028.............................................. 18 3400 .................. 180029.............................................. 18 3660 .................. 180044.............................................. 18 3400 .................. 180048.............................................. 18 4280 .................. 180054.............................................. 18 1660 .................. 180066.............................................. 18 5360 .................. 180069.............................................. 18 3400 .................. 180078.............................................. 18 3400 .................. 180102.............................................. 18 1660 .................. 180104.............................................. 18 1660 .................. 180116.............................................. 18 1660 .................. 180124.............................................. 18 5360 .................. 180125.............................................. 18 3400 .................. 180127.............................................. 18 4520 .................. 180132.............................................. 18 4280 .................. 180139.............................................. 18 4280 .................. 190001.............................................. 19 .................. 5560 190003.............................................. 19 3880 .................. 190015.............................................. 19 5560 .................. 190025.............................................. 19 3880 .................. 190049.............................................. 19 .................. 5560 190054.............................................. 19 3880 .................. 190083.............................................. 19 5200 .................. 190086.............................................. 19 5200 .................. 190099.............................................. 19 3880 .................. 190106.............................................. 19 3880 .................. 190131.............................................. 19 5560 .................. 190218.............................................. 19 0220 .................. 200002.............................................. 20 6403 .................. 200020.............................................. 6403 1123 1123 200024.............................................. 4243 6403 .................. 200034.............................................. 4243 6403 .................. 200039.............................................. 20 6403 .................. 200040.............................................. 6403 .................. 1123 200050.............................................. 20 0733 .................. 200063.............................................. 20 6403 .................. 220060.............................................. 1123 0743 .................. 220077.............................................. 8003 3283 .................. 220123.............................................. 22 0743 .................. 230022.............................................. 23 0440 .................. 230027.............................................. 23 3000 3000 230030.............................................. 23 6960 .................. 230036.............................................. 23 6960 .................. 230037.............................................. 23 0440 .................. [[Page 45642]] 230040.............................................. 23 3720 3000 230054.............................................. 23 3080 .................. 230080.............................................. 23 6960 .................. 230096.............................................. 23 3720 .................. 230097.............................................. 23 3000 .................. 230105.............................................. 23 6960 .................. 230106.............................................. 23 3000 .................. 230121.............................................. 23 2640 2640 230188.............................................. 23 6960 6960 230199.............................................. 23 0870 0870 230235.............................................. 23 6960 6960 230253.............................................. 23 2160 .................. 240011.............................................. 24 5120 5120 240013.............................................. 24 5120 .................. 240014.............................................. 24 5120 .................. 240016.............................................. 24 2520 .................. 240018.............................................. 24 .................. 5120 240023.............................................. 24 5120 .................. 240045.............................................. 24 2240 .................. 240052.............................................. 24 2520 .................. 240064.............................................. 24 2240 .................. 240069.............................................. 24 6820 .................. 240071.............................................. 24 .................. 5120 240072.............................................. 24 2240 .................. 240075.............................................. 24 6980 .................. 240088.............................................. 24 6980 .................. 240089.............................................. 24 5120 .................. 240119.............................................. 24 2240 .................. 240121.............................................. 24 2240 .................. 240139.............................................. 24 5120 .................. 240142.............................................. 24 6980 .................. 240152.............................................. 24 5120 .................. 240187.............................................. 24 5120 .................. 250002.............................................. 25 2650 .................. 250004.............................................. 25 4920 .................. 250009.............................................. 25 3580 .................. 250030.............................................. 25 3560 .................. 250031.............................................. 25 3560 .................. 250034.............................................. 25 4920 .................. 250042.............................................. 25 4920 .................. 250069.............................................. 25 3560 .................. 250078.............................................. 3285 0920 .................. 250081.............................................. 25 3560 .................. 250082.............................................. 25 6420 .................. 250088.............................................. 25 0760 .................. 250094.............................................. 3285 0920 .................. 250097.............................................. 25 0760 .................. 250100.............................................. 25 8600 .................. 250101.............................................. 25 3560 .................. 250104.............................................. 25 3560 .................. 250122.............................................. 25 19 .................. 250126.............................................. 25 4920 .................. 260009.............................................. 26 3760 .................. 260011.............................................. 26 1740 .................. 260015.............................................. 26 3700 .................. 260017.............................................. 26 7040 .................. 260022.............................................. 26 1740 .................. 260025.............................................. 26 7040 .................. 260034.............................................. 26 3760 .................. 260047.............................................. 26 1740 .................. 260064.............................................. 26 1740 .................. 260074.............................................. 26 1740 .................. 260078.............................................. 26 7920 .................. 260094.............................................. 26 7920 .................. 260110.............................................. 26 7040 7040 260113.............................................. 26 14 .................. 260116.............................................. 26 7040 .................. 260119.............................................. 26 3700 .................. 260120.............................................. 26 3700 .................. 260127.............................................. 26 7040 .................. [[Page 45643]] 260131.............................................. 26 1740 .................. 260164.............................................. 26 .................. 7040 260183.............................................. 26 7040 .................. 260186.............................................. 26 1740 .................. 270002.............................................. 27 0880 .................. 270003.............................................. 27 3040 .................. 270011.............................................. 27 3040 .................. 270017.............................................. 27 5140 .................. 270051.............................................. 27 5140 .................. 270057.............................................. 27 0880 .................. 270082.............................................. 27 3040 .................. 280009.............................................. 28 4360 .................. 280023.............................................. 28 4360 .................. 280032.............................................. 28 4360 .................. 280054.............................................. 28 4360 .................. 280058.............................................. 28 4360 .................. 280061.............................................. 28 53 .................. 280065.............................................. 28 3060 .................. 280077.............................................. 28 5920 .................. 280111.............................................. 28 5920 .................. 280125.............................................. 28 7720 .................. 290006.............................................. 29 6720 .................. 290008.............................................. 29 4120 .................. 300003.............................................. 30 1123 .................. 300005.............................................. 30 1123 .................. 300019.............................................. 30 1123 1123 300024.............................................. 30 .................. 1123 310001.............................................. 0875 5600 .................. 310002.............................................. 5640 5600 .................. 310003.............................................. 3640 5600 .................. 310015.............................................. 5640 0875 .................. 310021.............................................. 8480 5190 .................. 310031.............................................. 6160 5190 .................. 310032.............................................. 8760 6160 6160 310038.............................................. 5015 5600 .................. 310045.............................................. 0875 5600 .................. 310047.............................................. 0560 6160 .................. 310048.............................................. 5015 5640 .................. 310064.............................................. 0560 6160 .................. 310070.............................................. 5015 5600 .................. 310076.............................................. 5640 5600 .................. 310087.............................................. 8760 6160 .................. 310088.............................................. 0560 6160 .................. 310119.............................................. 5640 5600 .................. 320005.............................................. 32 0200 .................. 320006.............................................. 32 7490 .................. 320011.............................................. 32 7490 .................. 320013.............................................. 32 7490 .................. 320063.............................................. 32 5800 .................. 320065.............................................. 32 5800 .................. 330001.............................................. 5660 0875 0875 330004.............................................. 33 5660 .................. 330023.............................................. 2281 5660 5600 330027.............................................. 5380 5600 .................. 330084.............................................. 33 1303 .................. 330085.............................................. 33 8160 .................. 330103.............................................. 33 .................. 1280 330106.............................................. 5380 5600 .................. 330126.............................................. 5660 0875 0875 330135.............................................. 5660 0875 0875 330136.............................................. 33 8160 .................. 330157.............................................. 33 8160 .................. 330181.............................................. 5380 5600 .................. 330182.............................................. 5380 5600 .................. 330205.............................................. 5660 0875 0875 330209.............................................. 5660 0875 0875 330224.............................................. 33 3283 .................. 330235.............................................. 8160 .................. 6840 330239.............................................. 3610 2360 .................. 330250.............................................. 33 1303 .................. [[Page 45644]] 330264.............................................. 5660 0875 0875 330307.............................................. 33 8160 .................. 330386.............................................. 33 5660 .................. 340003.............................................. 34 3120 .................. 340008.............................................. 34 2560 .................. 340010.............................................. 2980 6640 .................. 340013.............................................. 34 1520 .................. 340017.............................................. 34 0480 .................. 340021.............................................. 34 1520 .................. 340023.............................................. 34 0480 .................. 340027.............................................. 34 3150 .................. 340039.............................................. 34 .................. 1520 340050.............................................. 34 2560 .................. 340051.............................................. 34 3290 .................. 340052.............................................. 3120 1520 .................. 340064.............................................. 34 3120 .................. 340068.............................................. 34 9200 .................. 340071.............................................. 34 6640 6640 340088.............................................. 34 0480 .................. 340109.............................................. 34 .................. 5720 340115.............................................. 34 6640 6640 340124.............................................. 34 6640 6640 340126.............................................. 34 6640 6640 340143.............................................. 3290 1520 .................. 340147.............................................. 6895 6640 .................. 350003.............................................. 35 1010 .................. 350005.............................................. 35 2985 .................. 350006.............................................. 35 1010 .................. 350009.............................................. 35 2520 .................. 360002.............................................. 36 .................. 1680 360008.............................................. 36 3400 .................. 360010.............................................. 36 0080 .................. 360011.............................................. 36 1840 1840 360013.............................................. 36 2000 .................. 360014.............................................. 36 1840 .................. 360024.............................................. 36 1680 1680 360025.............................................. 36 1680 1680 360036.............................................. 36 0080 .................. 360039.............................................. 36 1840 1840 360046.............................................. 3200 .................. 1640 360054.............................................. 36 1480 .................. 360065.............................................. 36 1680 1680 360071.............................................. 36 4320 4320 360076.............................................. 3200 .................. 1640 360078.............................................. 0080 1680 1680 360081.............................................. 8400 .................. 2160 360084.............................................. 1320 0080 .................. 360088.............................................. 36 1840 .................. 360090.............................................. 8400 .................. 2160 360092.............................................. 36 1840 1840 360095.............................................. 36 8400 .................. 360107.............................................. 36 8400 .................. 360108.............................................. 36 4800 4800 360109.............................................. 36 1840 1840 360112.............................................. 8400 0440 .................. 360121.............................................. 36 0440 .................. 360132.............................................. 3200 .................. 1640 360142.............................................. 36 .................. 1640 360150.............................................. 0080 .................. 1680 360159.............................................. 36 1840 .................. 360175.............................................. 36 1840 .................. 360197.............................................. 36 1840 1840 360211.............................................. 8080 .................. 6280 370004.............................................. 37 3710 .................. 370006.............................................. 37 8560 .................. 370014.............................................. 37 7640 .................. 370015.............................................. 37 8560 .................. 370018.............................................. 37 8560 .................. 370022.............................................. 37 4200 .................. 370023.............................................. 37 4200 .................. [[Page 45645]] 370025.............................................. 37 8560 .................. 370034.............................................. 37 2720 .................. 370047.............................................. 37 7640 .................. 370048.............................................. 37 8360 .................. 370049.............................................. 37 5880 .................. 370054.............................................. 37 5880 .................. 370084.............................................. 37 2720 .................. 370103.............................................. 37 45 .................. 370153.............................................. 37 4200 .................. 370200.............................................. 37 5880 .................. 380001.............................................. 38 6440 .................. 380002.............................................. 38 4890 .................. 380006.............................................. 38 .................. 6440 380022.............................................. 38 1890 .................. 380027.............................................. 38 2400 .................. 380040.............................................. 38 2400 .................. 380047.............................................. 38 2400 .................. 380050.............................................. 38 4890 .................. 380051.............................................. 7080 .................. 6440 380065.............................................. 38 2400 .................. 380070.............................................. 38 6440 .................. 380084.............................................. 7080 6440 .................. 380090.............................................. 38 2400 .................. 390006.............................................. 39 3240 .................. 390008.............................................. 39 6280 6280 390013.............................................. 39 3240 .................. 390016.............................................. 39 6280 6280 390017.............................................. 39 6280 6280 390030.............................................. 39 0240 6680 390031.............................................. 39 6680 6680 390048.............................................. 39 3240 .................. 390052.............................................. 39 0280 .................. 390065.............................................. 39 8840 9280 390079.............................................. 39 0960 .................. 390091.............................................. 39 6280 .................. 390093.............................................. 39 6280 .................. 390110.............................................. 3680 6280 .................. 390113.............................................. 39 9320 .................. 390133.............................................. 0240 6160 .................. 390138.............................................. 39 8840 .................. 390150.............................................. 39 6280 .................. 390151.............................................. 39 8840 .................. 390163.............................................. 39 6280 .................. 390181.............................................. 39 6680 6680 390183.............................................. 39 6680 6680 390189.............................................. 39 3240 .................. 390197.............................................. 0240 6160 .................. 390201.............................................. 39 5660 5640 390263.............................................. 0240 6160 .................. 400018.............................................. 40 1310 .................. 410001.............................................. 6483 1123 1123 410004.............................................. 6483 1123 1123 410005.............................................. 6483 1123 1123 410006.............................................. 6483 1123 1123 410007.............................................. 6483 1123 1123 410008.............................................. 6483 1123 1123 410009.............................................. 6483 1123 1123 410010.............................................. 6483 1123 1123 410011.............................................. 6483 1123 1123 410012.............................................. 6483 1123 1123 410013.............................................. 6483 1123 1123 420020.............................................. 42 1440 .................. 420030.............................................. 42 1440 .................. 420036.............................................. 42 1520 .................. 420068.............................................. 42 0600 .................. 420070.............................................. 8140 1760 .................. 420071.............................................. 42 0600 .................. 420080.............................................. 42 7520 .................. 420085.............................................. 5330 9200 .................. 430004.............................................. 43 6660 .................. [[Page 45646]] 430008.............................................. 43 24 .................. 430012.............................................. 43 7760 .................. 430013.............................................. 43 7760 .................. 430014.............................................. 43 2520 .................. 430015.............................................. 43 6660 .................. 430047.............................................. 43 28 .................. 430048.............................................. 43 53 .................. 430089.............................................. 43 7720 .................. 440008.............................................. 44 3580 .................. 440020.............................................. 44 3440 .................. 440024.............................................. 44 1560 .................. 440050.............................................. 44 0480 .................. 440058.............................................. 44 1560 .................. 440059.............................................. 44 5360 .................. 440060.............................................. 44 3580 .................. 440067.............................................. 44 3840 .................. 440068.............................................. 44 3840 .................. 440072.............................................. 44 4920 .................. 440073.............................................. 44 5360 .................. 440148.............................................. 44 5360 .................. 440175.............................................. 44 3440 .................. 440180.............................................. 44 3840 .................. 440185.............................................. 44 1560 .................. 440186.............................................. 44 5360 .................. 440187.............................................. 44 18 .................. 440192.............................................. 44 5360 .................. 440200.............................................. 44 5360 .................. 440203.............................................. 44 1560 .................. 450007.............................................. 45 7240 .................. 450014.............................................. 45 8750 .................. 450080.............................................. 45 4420 .................. 450085.............................................. 45 9080 .................. 450098.............................................. 45 4420 .................. 450099.............................................. 45 0320 .................. 450140.............................................. 45 5800 .................. 450144.............................................. 45 5800 .................. 450146.............................................. 45 0320 .................. 450163.............................................. 45 1880 .................. 450178.............................................. 45 5800 .................. 450187.............................................. 45 3360 .................. 450192.............................................. 45 1920 .................. 450194.............................................. 45 1920 .................. 450196.............................................. 45 1920 .................. 450211.............................................. 45 3360 .................. 450214.............................................. 45 3360 .................. 450224.............................................. 45 8640 .................. 450347.............................................. 45 3360 .................. 450351.............................................. 45 2800 .................. 450353.............................................. 45 1880 .................. 450373.............................................. 45 4420 .................. 450395.............................................. 45 3360 .................. 450400.............................................. 45 8800 .................. 450438.............................................. 45 0640 .................. 450447.............................................. 45 1920 .................. 450451.............................................. 45 2800 .................. 450484.............................................. 45 3360 .................. 450508.............................................. 45 8640 .................. 450534.............................................. 45 0320 .................. 450623.............................................. 45 1920 .................. 450626.............................................. 45 8750 .................. 450653.............................................. 45 5800 .................. 450656.............................................. 45 8640 .................. 450694.............................................. 45 3360 .................. 450747.............................................. 45 1920 .................. 450755.............................................. 45 4600 .................. 450763.............................................. 45 0320 .................. 450770.............................................. 45 0640 .................. 460011.............................................. 46 6520 .................. 460021.............................................. 46 4120 .................. 460027.............................................. 46 6520 .................. [[Page 45647]] 460032.............................................. 46 6520 .................. 460036.............................................. 46 6520 .................. 460039.............................................. 46 7160 .................. 470001.............................................. 47 30 .................. 470011.............................................. 47 1123 1123 470012.............................................. 47 6323 .................. 470018.............................................. 47 1123 1123 490001.............................................. 49 3660 .................. 490004.............................................. 49 1540 .................. 490005.............................................. 49 8840 .................. 490013.............................................. 49 4640 .................. 490018.............................................. 49 4640 .................. 490038.............................................. 49 3660 .................. 490047.............................................. 49 8840 .................. 490066.............................................. 5720 6760 .................. 490079.............................................. 49 3120 3120 490126.............................................. 49 6800 .................. 500002.............................................. 50 6740 .................. 500003.............................................. 50 0860 .................. 500007.............................................. 50 0860 .................. 500016.............................................. 50 7600 .................. 500031.............................................. 50 5910 .................. 500041.............................................. 50 6440 .................. 500059.............................................. 50 7600 .................. 500072.............................................. 50 7600 .................. 500079.............................................. 8200 .................. 7600 510001.............................................. 51 6280 .................. 510002.............................................. 51 6800 .................. 510006.............................................. 51 6280 .................. 510024.............................................. 51 6280 6280 510028.............................................. 51 1480 .................. 510046.............................................. 51 1480 .................. 510047.............................................. 51 6280 .................. 510048.............................................. 51 3400 .................. 510062.............................................. 51 1480 .................. 510070.............................................. 51 1480 .................. 510071.............................................. 51 1480 .................. 520002.............................................. 52 8940 .................. 520006.............................................. 52 8940 .................. 520018.............................................. 52 5120 .................. 520021.............................................. 3800 1600 1600 520028.............................................. 52 4720 .................. 520032.............................................. 52 4720 .................. 520037.............................................. 52 8940 .................. 520059.............................................. 6600 5080 5080 520066.............................................. 3620 4720 .................. 520071.............................................. 52 5080 5080 520076.............................................. 52 4720 .................. 520084.............................................. 52 4720 .................. 520088.............................................. 52 5080 .................. 520094.............................................. 6600 5080 5080 520096.............................................. 6600 5080 5080 520102.............................................. 52 5080 5080 520107.............................................. 52 3080 .................. 520113.............................................. 52 3080 .................. 520116.............................................. 52 5080 5080 520152.............................................. 52 3080 .................. 520173.............................................. 52 2240 .................. 520189.............................................. 3800 1600 1600 530002.............................................. 53 1350 .................. 530009.............................................. 53 1350 .................. 530015.............................................. 53 6340 .................. 530025.............................................. 53 2670 .................. 530032.............................................. 53 7160 .................. ---------------------------------------------------------------------------------------------------------------- [[Page 45648]] Table 10.--Mean and .75 Standard Deviation by Diagnosis-Related Group (DRG)--July 2003 ------------------------------------------------------------------------ Mean + .75 DRG Cases standard deviation ------------------------------------------------------------------------ 1............................................. 23,157 $71,862 2............................................. 11,535 $41,916 3............................................. 3 $57,168 6............................................. 350 $15,743 7............................................. 14,489 $55,309 8............................................. 4,031 $33,403 9............................................. 1,677 $27,210 10............................................ 18,339 $25,124 11............................................ 3,244 $17,654 12............................................ 51,660 $17,776 13............................................ 6,919 $16,312 14............................................ 233,816 $24,738 15............................................ 92,167 $19,059 16............................................ 9,810 $25,016 17............................................ 2,700 $13,796 18............................................ 29,250 $20,071 19............................................ 8,385 $14,298 20............................................ 6,112 $57,114 21............................................ 1,869 $30,726 22............................................ 2,746 $21,754 23............................................ 11,062 $16,410 24............................................ 58,122 $19,963 25............................................ 26,945 $12,212 26............................................ 18 $22,836 27............................................ 4,348 $27,026 28............................................ 13,770 $26,999 29............................................ 5,226 $14,276 30............................................ 2 $19,365 31............................................ 3,834 $18,092 32............................................ 1,866 $11,256 34............................................ 23,474 $19,760 35............................................ 7,325 $12,760 36............................................ 2,079 $11,821 37............................................ 1,351 $21,123 38............................................ 94 $9,781 39............................................ 547 $12,494 40............................................ 1,508 $17,526 42............................................ 1,553 $14,008 43............................................ 93 $11,353 44............................................ 1,185 $13,306 45............................................ 2,622 $14,326 46............................................ 3,418 $16,038 47............................................ 1,373 $10,908 49............................................ 2,341 $34,744 50............................................ 2,385 $15,810 51............................................ 241 $16,991 52............................................ 216 $15,789 53............................................ 2,435 $23,943 55............................................ 1,458 $18,384 56............................................ 458 $16,976 57............................................ 700 $21,430 59............................................ 113 $16,063 61............................................ 249 $24,772 62............................................ 2 $20,652 63............................................ 2,964 $28,015 64............................................ 3,064 $27,189 65............................................ 39,700 $11,389 66............................................ 7,690 $11,535 67............................................ 379 $15,758 68............................................ 11,373 $12,869 69............................................ 3,665 $9,805 70............................................ 29 $6,582 71............................................ 79 $13,057 72............................................ 949 $13,674 73............................................ 7,561 $16,376 75............................................ 42,731 $60,129 76............................................ 43,909 $56,525 77............................................ 2,427 $23,987 78............................................ 38,870 $24,907 79............................................ 165,957 $32,680 80............................................ 7,866 $16,846 81............................................ 5 $20,229 82............................................ 63,317 $28,781 83............................................ 6,565 $19,177 84............................................ 1,552 $10,644 85............................................ 21,981 $24,242 86............................................ 2,201 $13,781 87............................................ 60,101 $27,456 88............................................ 396,200 $17,702 89............................................ 523,048 $20,511 90............................................ 47,344 $11,871 91............................................ 44 $14,737 92............................................ 15,549 $24,280 93............................................ 1,738 $14,448 94............................................ 12,597 $22,970 95............................................ 1,622 $12,263 96............................................ 55,628 $14,761 97............................................ 28,174 $10,803 98............................................ 9 $14,090 99............................................ 20,984 $13,983 100........................................... 8,129 $10,369 101........................................... 21,861 $17,290 102........................................... 5,503 $10,797 103........................................... 484 $378,244 104........................................... 20,223 $150,559 105........................................... 28,716 $108,046 106........................................... 3,432 $136,812 107........................................... 81,816 $99,133 108........................................... 6,341 $109,106 109........................................... 56,282 $73,253 110........................................... 53,777 $81,343 111........................................... 9,323 $49,746 113........................................... 39,244 $56,405 114........................................... 8,198 $33,220 115........................................... 19,499 $69,161 116........................................... 114,338 $44,903 117........................................... 4,622 $27,878 118........................................... 8,168 $31,457 119........................................... 1,211 $27,147 120........................................... 37,745 $46,550 121........................................... 161,616 $30,683 122........................................... 75,737 $19,715 123........................................... 38,021 $32,143 124........................................... 133,344 $27,371 125........................................... 90,371 $20,832 126........................................... 5,309 $51,405 127........................................... 663,251 $20,085 128........................................... 7,042 $14,239 129........................................... 3,774 $20,775 130........................................... 87,289 $18,660 131........................................... 26,583 $11,113 132........................................... 140,158 $12,462 133........................................... 8,475 $10,723 134........................................... 40,649 $11,970 135........................................... 7,697 $17,958 136........................................... 1,166 $11,432 138........................................... 204,872 $16,521 139........................................... 86,072 $10,173 140........................................... 54,193 $10,288 141........................................... 107,180 $14,813 142........................................... 51,782 $11,382 143........................................... 245,795 $10,741 144........................................... 93,108 $24,851 145........................................... 7,201 $11,714 146........................................... 10,627 $52,920 147........................................... 2,602 $29,373 148........................................... 132,078 $67,116 149........................................... 19,892 $27,061 150........................................... 20,888 $57,096 151........................................... 5,067 $25,243 152........................................... 4,490 $37,305 153........................................... 2,025 $21,509 154........................................... 27,969 $82,200 155........................................... 6,498 $25,001 156........................................... 4 $16,997 157........................................... 8,150 $25,875 158........................................... 4,273 $12,709 159........................................... 17,842 $26,972 160........................................... 11,973 $15,839 161........................................... 10,620 $22,659 162........................................... 6,290 $12,519 163........................................... 8 $9,397 164........................................... 5,322 $45,313 165........................................... 2,297 $22,967 166........................................... 4,142 $27,527 167........................................... 4,013 $16,618 168........................................... 1,406 $26,010 169........................................... 802 $14,782 170........................................... 15,473 $57,315 171........................................... 1,495 $23,568 172........................................... 30,878 $28,013 173........................................... 2,414 $15,971 174........................................... 247,933 $19,856 175........................................... 34,337 $11,032 176........................................... 13,301 $21,548 177........................................... 8,939 $18,108 178........................................... 3,315 $13,584 179........................................... 12,973 $21,773 180........................................... 88,999 $19,227 181........................................... 26,699 $10,651 182........................................... 268,140 $16,395 183........................................... 89,558 $11,492 184........................................... 69 $9,542 185........................................... 5,256 $17,532 186........................................... 6 $17,504 187........................................... 609 $15,462 188........................................... 82,829 $22,197 189........................................... 12,856 $12,176 190........................................... 75 $16,578 191........................................... 9,340 $88,382 192........................................... 1,299 $36,558 193........................................... 4,733 $68,254 194........................................... 638 $31,775 195........................................... 3,957 $59,356 196........................................... 969 $30,122 197........................................... 17,996 $50,435 198........................................... 5,289 $23,379 199........................................... 1,609 $48,963 200........................................... 1,069 $62,346 201........................................... 2,100 $75,551 202........................................... 26,307 $26,667 203........................................... 29,543 $28,095 204........................................... 64,510 $22,991 205........................................... 27,001 $24,271 206........................................... 2,015 $14,280 207........................................... 32,214 $22,980 208........................................... 9,967 $13,150 209........................................... 394,702 $35,979 210........................................... 121,348 $33,587 211........................................... 29,657 $22,493 212........................................... 9 $31,925 213........................................... 9,818 $37,689 [[Page 45649]] 216........................................... 8,691 $41,935 217........................................... 17,092 $61,011 218........................................... 23,524 $30,313 219........................................... 19,672 $19,359 223........................................... 13,125 $20,384 224........................................... 11,574 $14,926 225........................................... 6,390 $22,849 226........................................... 5,793 $30,350 227........................................... 4,783 $15,628 228........................................... 2,495 $22,908 229........................................... 1,245 $13,667 230........................................... 2,430 $25,765 232........................................... 809 $18,306 233........................................... 9,829 $40,036 234........................................... 5,300 $24,173 235........................................... 5,032 $14,695 236........................................... 39,468 $13,922 237........................................... 1,748 $11,857 238........................................... 8,729 $27,480 239........................................... 45,525 $20,661 240........................................... 11,846 $26,301 241........................................... 3,110 $12,646 242........................................... 2,542 $23,380 243........................................... 94,969 $15,031 244........................................... 14,423 $14,330 245........................................... 5,746 $9,757 246........................................... 1,473 $11,896 247........................................... 20,113 $11,410 248........................................... 13,674 $17,154 249........................................... 12,784 $13,336 250........................................... 3,727 $14,018 251........................................... 2,332 $9,097 253........................................... 21,753 $14,893 254........................................... 10,593 $8,759 256........................................... 6,586 $16,469 257........................................... 15,517 $16,712 258........................................... 15,055 $13,056 259........................................... 3,486 $17,996 260........................................... 4,160 $12,825 261........................................... 1,747 $17,565 262........................................... 653 $18,615 263........................................... 22,868 $41,675 264........................................... 3,819 $21,268 265........................................... 4,031 $31,156 266........................................... 2,516 $17,172 267........................................... 238 $20,021 268........................................... 895 $23,309 269........................................... 9,688 $35,630 270........................................... 2,743 $16,079 271........................................... 18,989 $20,610 272........................................... 5,658 $20,167 273........................................... 1,313 $12,601 274........................................... 2,264 $24,353 275........................................... 223 $12,616 276........................................... 1,304 $13,267 277........................................... 98,858 $17,235 278........................................... 31,750 $10,661 279........................................... 10 $15,979 280........................................... 17,551 $13,991 281........................................... 7,377 $9,589 283........................................... 5,976 $14,555 284........................................... 1,992 $8,504 285........................................... 6,869 $41,732 286........................................... 2,477 $39,318 287........................................... 6,166 $37,798 288........................................... 5,471 $41,746 289........................................... 6,830 $18,048 290........................................... 9,803 $16,847 291........................................... 58 $13,308 292........................................... 6,420 $55,995 293........................................... 356 $28,741 294........................................... 96,631 $15,356 295........................................... 3,475 $16,050 296........................................... 275,298 $17,000 297........................................... 47,552 $9,995 298........................................... 109 $9,503 299........................................... 1,253 $18,904 300........................................... 18,462 $22,372 301........................................... 3,554 $12,547 302........................................... 8,653 $61,825 303........................................... 21,521 $46,383 304........................................... 12,430 $47,807 305........................................... 3,009 $23,106 306........................................... 6,967 $24,014 307........................................... 1,983 $11,422 308........................................... 7,203 $31,717 309........................................... 4,094 $17,613 310........................................... 24,593 $22,507 311........................................... 7,407 $11,963 312........................................... 1,502 $21,429 313........................................... 547 $13,534 314........................................... 2 $815,660 315........................................... 33,535 $41,732 316........................................... 117,415 $26,424 317........................................... 1,994 $16,978 318........................................... 5,685 $24,541 319........................................... 403 $14,083 320........................................... 184,548 $17,149 321........................................... 30,606 $11,011 322........................................... 49 $9,127 323........................................... 19,641 $16,239 324........................................... 6,874 $9,611 325........................................... 9,136 $13,204 326........................................... 2,696 $8,569 327........................................... 7 $7,111 328........................................... 732 $15,295 329........................................... 93 $10,358 331........................................... 50,553 $21,469 332........................................... 4,905 $12,274 333........................................... 254 $19,142 334........................................... 10,300 $27,789 335........................................... 12,490 $19,981 336........................................... 35,495 $16,280 337........................................... 29,140 $10,776 338........................................... 929 $23,997 339........................................... 1,460 $22,362 341........................................... 3,545 $25,849 342........................................... 686 $14,916 344........................................... 3,549 $26,710 345........................................... 1,354 $22,352 346........................................... 4,775 $21,343 347........................................... 308 $11,845 348........................................... 3,361 $15,104 349........................................... 604 $9,831 350........................................... 6,602 $14,657 352........................................... 945 $14,499 353........................................... 2,491 $35,744 354........................................... 7,324 $28,230 355........................................... 5,481 $16,312 356........................................... 25,562 $14,230 357........................................... 5,570 $44,892 358........................................... 21,321 $22,339 359........................................... 31,420 $14,957 360........................................... 15,538 $16,445 361........................................... 339 $21,352 362........................................... 5 $16,578 363........................................... 2,471 $18,875 364........................................... 1,610 $18,054 365........................................... 1,815 $42,185 366........................................... 4,504 $25,764 367........................................... 477 $11,799 368........................................... 3,503 $23,599 369........................................... 3,419 $12,532 370........................................... 1,327 $18,299 371........................................... 1,662 $11,458 372........................................... 927 $10,237 373........................................... 4,076 $6,914 374........................................... 89 $13,913 376........................................... 316 $11,055 377........................................... 47 $21,747 378........................................... 171 $14,743 379........................................... 349 $7,238 380........................................... 98 $8,554 381........................................... 188 $10,611 382........................................... 48 $4,333 383........................................... 1,956 $10,030 384........................................... 129 $7,214 385........................................... 3 $34,210 389........................................... 12 $23,975 392........................................... 2,248 $66,268 394........................................... 2,567 $38,588 395........................................... 105,976 $16,486 396........................................... 17 $16,006 397........................................... 18,727 $25,519 398........................................... 17,860 $24,884 399........................................... 1,671 $13,548 401........................................... 5,768 $59,903 402........................................... 1,454 $22,863 403........................................... 31,365 $37,680 404........................................... 4,277 $18,437 406........................................... 2,391 $53,929 407........................................... 634 $24,003 408........................................... 2,081 $44,985 409........................................... 2,127 $25,574 410........................................... 28,001 $21,908 411........................................... 7 $7,483 412........................................... 15 $11,456 413........................................... 5,253 $27,415 414........................................... 622 $15,291 415........................................... 42,746 $75,112 416........................................... 189,451 $32,070 417........................................... 38 $22,076 418........................................... 25,456 $21,447 419........................................... 16,128 $17,016 420........................................... 3,139 $12,214 421........................................... 10,563 $14,503 422........................................... 66 $12,891 423........................................... 7,972 $36,726 424........................................... 1,224 $49,024 425........................................... 15,914 $13,506 426........................................... 4,462 $10,410 427........................................... 1,557 $10,483 428........................................... 782 $14,266 429........................................... 26,797 $15,953 430........................................... 64,123 $13,703 431........................................... 310 $12,670 432........................................... 443 $12,980 433........................................... 5,479 $5,805 439........................................... 1,493 $34,068 440........................................... 5,673 $36,892 441........................................... 668 $18,081 [[Page 45650]] 442........................................... 17,291 $48,763 443........................................... 3,848 $19,622 444........................................... 5,629 $14,813 445........................................... 2,485 $9,965 447........................................... 6,390 $10,119 449........................................... 32,589 $16,465 450........................................... 7,304 $8,328 452........................................... 25,308 $20,911 453........................................... 5,591 $10,522 454........................................... 4,691 $16,299 455........................................... 1,043 $9,576 461........................................... 5,133 $24,128 462........................................... 9,531 $19,503 463........................................... 26,512 $13,669 464........................................... 7,075 $9,864 465........................................... 192 $13,169 466........................................... 1,684 $14,122 467........................................... 1,106 $10,115 468........................................... 51,680 $77,692 470........................................... 52 $504,684 471........................................... 13,167 $54,184 473........................................... 7,976 $72,650 475........................................... 108,084 $75,747 476........................................... 3,608 $46,392 477........................................... 25,103 $37,665 478........................................... 106,238 $48,149 479........................................... 23,387 $27,938 480........................................... 610 $193,008 481........................................... 819 $122,102 482........................................... 5,175 $70,600 483........................................... 44,784 $328,441 484........................................... 334 $110,056 485........................................... 3,178 $61,849 486........................................... 2,077 $99,908 487........................................... 3,701 $40,225 488........................................... 760 $99,624 489........................................... 13,168 $37,620 490........................................... 5,356 $21,486 491........................................... 15,098 $31,213 492........................................... 3,052 $82,667 493........................................... 58,870 $35,610 494........................................... 28,431 $18,981 495........................................... 191 $165,379 496........................................... 2,444 $112,012 497........................................... 21,734 $66,414 498........................................... 15,556 $49,426 499........................................... 34,350 $27,633 500........................................... 49,302 $17,736 501........................................... 2,580 $51,260 502........................................... 761 $27,677 503........................................... 5,883 $24,011 504........................................... 125 $257,167 505........................................... 134 $36,044 506........................................... 916 $87,492 507........................................... 337 $37,309 508........................................... 612 $27,746 509........................................... 155 $13,241 510........................................... 1,625 $23,313 511........................................... 571 $13,248 512........................................... 481 $101,931 513........................................... 206 $107,611 515........................................... 8,028 $105,722 516........................................... 33,015 $45,394 517........................................... 68,536 $35,730 518........................................... 55,225 $36,574 519........................................... 8,892 $47,738 520........................................... 12,823 $29,760 521........................................... 30,454 $14,130 522........................................... 6,008 $10,049 523........................................... 15,103 $7,817 524........................................... 130,318 $14,293 525........................................... 562 $247,370 526........................................... 51,533 $42,080 527........................................... 135,957 $33,802 528........................................... 1,343 $140,528 529........................................... 4,633 $63,385 530........................................... 2,807 $24,282 531........................................... 3,766 $64,237 532........................................... 2,888 $30,290 533........................................... 42,601 $32,675 534........................................... 51,346 $20,340 535........................................... 5,896 $156,207 536........................................... 20,103 $118,567 537........................................... 6,765 $36,526 538........................................... 6,350 $19,355 539........................................... 4,388 $69,606 540........................................... 1,866 $25,633 ------------------------------------------------------------------------ Table 11.--FY 2004 LTC-DRGs, Relative Weights, Geometric Average Length of Stay, and 5/6th of the Average Length of Stay ---------------------------------------------------------------------------------------------------------------- Geometric 5/6th of the LTC-DRG Description Relative average length average length weight of stay of stay ---------------------------------------------------------------------------------------------------------------- 1 \5\ CRANIOTOMY AGE17 W CC 2.0841 40.0 33.3 2 \8\ CRANIOTOMY AGE 17 W/O 2.0841 40.0 33.3 CC. 3 \8\ CRANIOTOMY AGE 0-17.............. 2.0841 40.0 33.3 6 \8\ CARPAL TUNNEL RELEASE............ 0.4964 18.5 15.4 7 \7\ PERIPH & CRANIAL NERVE & OTHER 1.5754 41.0 34.1 NERV SYST PROC W CC. 8 \7\ PERIPH & CRANIAL NERVE & OTHER 1.5754 41.0 34.1 NERV SYST PROC W/O CC. 9 SPINAL DISORDERS & INJURIES.......... 1.5025 32.9 27.4 10 NERVOUS SYSTEM NEOPLASMS W CC........ 0.7549 23.4 19.5 11 NERVOUS SYSTEM NEOPLASMS W/O CC...... 0.7281 22.0 18.3 12 DEGENERATIVE NERVOUS SYSTEM DISORDERS 0.7485 25.8 21.5 13 MULTIPLE SCLEROSIS & CEREBELLAR 0.7530 25.9 21.5 ATAXIA. 14 INTERCRANIAL HEMORRHAGE & STROKE W 0.9196 27.4 22.8 INFARCT. 15 NONSPECIFIC CVA & PRECEREBRAL 0.8714 28.8 24.0 OCCULUSION W/O INFARCT. 16 NONSPECIFIC CEREBROVASCULAR DISORDERS 0.9125 23.9 19.9 W CC. 17 NONSPECIFIC CEREBROVASCULAR DISORDERS 0.5262 20.4 17.0 W/O CC. 18 CRANIAL & PERIPHERAL NERVE DISORDERS 0.8225 23.9 19.9 W CC. 19 CRANIAL & PERIPHERAL NERVE DISORDERS 0.6236 22.7 18.9 W/O CC. 20 NERVOUS SYSTEM INFECTION EXCEPT VIRAL 1.0097 24.8 20.6 MENINGITIS. 21 \2\ VIRAL MENINGITIS................. 0.7372 23.5 19.5 22 \2\ HYPERTENSIVE ENCEPHALOPATHY...... 0.7372 23.5 19.5 23 NONTRAUMATIC STUPOR & COMA........... 0.9033 28.8 24.0 24 SEIZURE & HEADACHE AGE 17 0.8527 26.2 21.8 W CC. 25 SEIZURE & HEADACHE AGE 17 0.7727 24.1 20.0 W/O CC. 26 \8\ SEIZURE & HEADACHE AGE 0-17...... 0.7372 23.5 19.5 27 TRAUMATIC STUPOR & COMA, COMA 1 HR. 28 TRAUMATIC STUPOR & COMA, COMA 1 HR AGE 17 W CC. 29 TRAUMATIC STUPOR & COMA, COMA 1 HR AGE 17 W/O CC. 30 \8\ TRAUMATIC STUPOR & COMA, COMA <1 0.9562 26.1 21.7 HR AGE 0-17. 31 \7\ CONCUSSION AGE 17 W CC 0.9562 26.1 21.7 [[Page 45651]] 32 \7\ CONCUSSION AGE 17 W/O 0.9562 26.1 21.7 CC. 33 \8\ CONCUSSION AGE 0-17.............. 0.7372 23.5 19.5 34 OTHER DISORDERS OF NERVOUS SYSTEM W 0.9140 27.8 23.1 CC. 35 OTHER DISORDERS OF NERVOUS SYSTEM W/O 0.6651 24.5 20.4 CC. 36 \8\ RETINAL PROCEDURES............... 0.4964 18.5 15.4 37 \8\ ORBITAL PROCEDURES............... 0.4964 18.5 15.4 38 \8\ PRIMARY IRIS PROCEDURES.......... 0.4964 18.5 15.4 39 \8\ LENS PROCEDURES WITH OR WITHOUT 0.4964 18.5 15.4 VITRECTOMY. 40 \5\ EXTRAOCULAR PROCEDURES EXCEPT 2.0841 40.0 33.3 ORBIT AGE 17. 41 \8\ EXTRAOCULAR PROCEDURES EXCEPT 0.4964 18.5 15.4 ORBIT AGE 0-17. 42 \8\ INTRAOCULAR PROCEDURES EXCEPT 0.4964 18.5 15.4 RETINA, IRIS & LENS. 43 \8\ HYPHEMA.......................... 0.4964 18.5 15.4 44 \1\ ACUTE MAJOR EYE INFECTIONS....... 0.4964 18.5 15.4 45 \8\ NEUROLOGICAL EYE DISORDERS....... 0.4964 18.5 15.4 46 \1\ OTHER DISORDERS OF THE EYE AGE 0.4964 18.5 15.4 17 W CC. 47 \1\ OTHER DISORDERS OF THE EYE AGE 0.4964 18.5 15.4 17 W/O CC. 48 \8\ OTHER DISORDERS OF THE EYE AGE 0- 0.4964 18.5 15.4 17. 49 \8\ MAJOR HEAD & NECK PROCEDURES..... 1.3569 32.5 27.0 50 \8\ SIALOADENECTOMY.................. 0.9562 26.1 21.7 51 \8\ SALIVARY GLAND PROCEDURES EXCEPT 0.9562 26.1 21.7 SIALOADENECTOMY. 52 \8\ CLEFT LIP & PALATE REPAIR........ 0.9562 26.1 21.7 53 \2\ SINUS & MASTOID PROCEDURES AGE 0.7372 23.5 19.5 17. 54 \8\ SINUS & MASTOID PROCEDURES AGE 0- 0.9562 26.1 21.7 17. 55 \8\ MISCELLANEOUS EAR, NOSE, MOUTH & 0.9562 26.1 21.7 THROAT PROCEDURES. 56 \8\ RHINOPLASTY...................... 0.7372 23.5 19.5 57 \8\ T&A PROC, EXCEPT TONSILLECTOMY &/ 0.9562 26.1 21.7 OR ADENOIDECTOMY ONLY, AGE 17. 58 \8\ T&A PROC, EXCEPT TONSILLECTOMY &/ 0.9562 26.1 21.7 OR ADENOIDECTOMY ONLY, AGE 0-17. 59 \8\ TONSILLECTOMY &/OR ADENOIDECTOMY 0.9562 26.1 21.7 ONLY, AGE 17. 60 \8\ TONSILLECTOMY &/OR ADENOIDECTOMY 0.9562 26.1 21.7 ONLY, AGE 0-17. 61 \2\ MYRINGOTOMY W TUBE INSERTION AGE 0.7372 23.5 19.5 17. 62 \8\ MYRINGOTOMY W TUBE INSERTION AGE 0.9562 26.1 21.7 0-17. 63 \3\ OTHER EAR, NOSE, MOUTH & THROAT 0.9562 26.1 21.7 O.R. PROCEDURES. 64 EAR, NOSE, MOUTH & THROAT MALIGNANCY. 1.2540 27.5 22.9 65 \1\ DYSEQUILIBRIUM................... 0.4964 18.5 15.4 66 \1\ EPISTAXIS........................ 0.4964 18.5 15.4 67 \8\ EPIGLOTTITIS..................... 0.9562 26.1 21.7 68 OTITIS MEDIA & URI AGE >17 W CC... 0.8243 21.9 18.2 69 \1\ OTITIS MEDIA & URI AGE >17 W/O 0.4964 18.5 15.4 CC. 70 \8\ OTITIS MEDIA & URI AGE 0-17...... 0.4964 18.5 15.4 71 \8\ LARYNGOTRACHEITIS................ 0.4964 18.5 15.4 72 \2\ NASAL TRAUMA & DEFORMITY......... 0.7372 23.5 19.5 73 OTHER EAR, NOSE, MOUTH & THROAT 0.7215 20.3 16.9 DIAGNOSES AGE 17. 74 \8\ OTHER EAR, NOSE, MOUTH & THROAT 0.4964 18.5 15.4 DIAGNOSES AGE 0-17. 75 \5\ MAJOR CHEST PROCEDURES........... 2.0841 40.0 33.3 76 OTHER RESP SYSTEM O.R. PROCEDURES W 2.4382 43.9 36.5 CC. 77 \5\ OTHER RESP SYSTEM O.R. PROCEDURES 2.0841 40.0 33.3 W/O CC. 78 PULMONARY EMBOLISM................... 0.8896 24.2 20.1 79 RESPIRATORY INFECTIONS & 0.8985 22.6 18.8 INFLAMMATIONS AGE 17 W CC. 80 RESPIRATORY INFECTIONS & 0.7645 22.3 18.5 INFLAMMATIONS AGE 17 W/O CC. 81 \8\ RESPIRATORY INFECTIONS & 0.4964 18.5 15.4 INFLAMMATIONS AGE 0-17. 82 RESPIRATORY NEOPLASMS................ 0.7480 20.3 16.9 83 \3\ MAJOR CHEST TRAUMA W CC.......... 0.9562 26.1 21.7 84 \2\ MAJOR CHEST TRAUMA W/O CC........ 0.7372 23.5 19.5 85 PLEURAL EFFUSION W CC................ 0.8514 23.5 19.5 86 PLEURAL EFFUSION W/O CC.............. 0.6540 22.4 18.6 87 PULMONARY EDEMA & RESPIRATORY FAILURE 1.6513 31.9 26.5 88 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 0.7653 20.7 17.2 89 SIMPLE PNEUMONIA & PLEURISY AGE 17 W CC. 90 SIMPLE PNEUMONIA & PLEURISY AGE 17 W/O CC. 91 \8\ SIMPLE PNEUMONIA & PLEURISY AGE 0- 0.7372 23.5 19.5 17. 92 INTERSTITIAL LUNG DISEASE W CC....... 0.7702 20.4 17.0 93 \1\ INTERSTITIAL LUNG DISEASE W/O CC. 0.4964 18.5 15.4 94 PNEUMOTHORAX W CC.................... 0.6571 18.9 15.7 95 \1\ PNEUMOTHORAX W/O CC.............. 0.4964 18.5 15.4 96 BRONCHITIS & ASTHMA AGE 17 0.7381 20.5 17.0 W CC. 97 BRONCHITIS & ASTHMA AGE 17 0.5296 18.7 15.5 W/O CC. 98 \8\ BRONCHITIS & ASTHMA AGE 0-17..... 0.4964 18.5 15.4 [[Page 45652]] 99 RESPIRATORY SIGNS & SYMPTOMS W CC.... 1.0622 26.6 22.1 100 RESPIRATORY SIGNS & SYMPTOMS W/O CC.. 1.0579 26.1 21.7 101 OTHER RESPIRATORY SYSTEM DIAGNOSES W 0.9009 22.6 18.8 CC. 102 OTHER RESPIRATORY SYSTEM DIAGNOSES W/ 0.7011 21.0 17.5 O CC. 103 \6\ HEART TRANSPLANT................. 0.0000 0.0 0.0 104 \8\ CARDIAC VALVE & OTHER MAJOR 2.0841 40.0 33.3 CARDIOTHORACIC PROC W CARDIAC CATH. 105 \8\ CARDIAC VALVE & OTHER MAJOR 2.0841 40.0 33.3 CARDIOTHORACIC PROC W/O CARDIAC CATH. 106 \8\ CORONARY BYPASS W PTCA........... 2.0841 40.0 33.3 107 \8\ CORONARY BYPASS W CARDIAC CATH... 2.0841 40.0 33.3 108 \5\ OTHER CARDIOTHORACIC PROCEDURES.. 2.0841 40.0 33.3 109 \8\ CORONARY BYPASS W/O PTCA OR 2.0841 40.0 33.3 CARDIAC CATH. 110 \5\ MAJOR CARDIOVASCULAR PROCEDURES W 2.0841 40.0 33.3 CC. 111 \8\ MAJOR CARDIOVASCULAR PROCEDURES W/ 2.0841 40.0 33.3 O CC. 113 AMPUTATION FOR CIRC SYSTEM DISORDERS 1.5629 38.7 32.2 EXCEPT UPPER LIMB & TOE. 114 UPPER LIMB & TOE AMPUTATION FOR CIRC 1.3604 38.3 31.9 SYSTEM DISORDERS. 115 \5\ PRM CARD PACEM IMPL W AMI,HRT 2.0841 40.0 33.3 FAIL OR SHK,OR AICD LEAD OR GNRTR P. 116 \5\ OTH PERM CARD PACEMAK IMPL OR 2.0841 40.0 33.3 PTCA W CORONARY ARTERY STENT IMPLNT. 117 \3\ CARDIAC PACEMAKER REVISION EXCEPT 0.9562 26.1 21.7 DEVICE REPLACEMENT. 118 \5\ CARDIAC PACEMAKER DEVICE 2.0841 40.0 33.3 REPLACEMENT. 119 \4\ VEIN LIGATION & STRIPPING........ 1.3569 32.5 27.0 120 OTHER CIRCULATORY SYSTEM O.R. 1.2435 34.4 28.6 PROCEDURES. 121 CIRCULATORY DISORDERS W AMI & MAJOR 0.7467 22.1 18.4 COMP, DISCHARGED ALIVE. 122 CIRCULATORY DISORDERS W AMI W/O MAJOR 0.6440 18.8 15.6 COMP, DISCHARGED ALIVE. 123 CIRCULATORY DISORDERS W AMI, EXPIRED. 0.8527 18.8 15.6 124 \4\ CIRCULATORY DISORDERS EXCEPT AMI, 1.3569 32.5 27.0 W CARD CATH & COMPLEX DIAG. 125 \4\ CIRCULATORY DISORDERS EXCEPT AMI, 1.3569 32.5 27.0 W CARD CATH W/O COMPLEX DIAG. 126 ACUTE & SUBACUTE ENDOCARDITIS........ 0.8706 25.6 21.3 127 HEART FAILURE & SHOCK................ 0.7719 22.1 18.4 128 \2\ DEEP VEIN THROMBOPHLEBITIS....... 0.7372 23.5 19.5 129 \3\ CARDIAC ARREST, UNEXPLAINED...... 0.9562 26.1 21.7 130 PERIPHERAL VASCULAR DISORDERS W CC... 0.7712 24.4 20.3 131 PERIPHERAL VASCULAR DISORDERS W/O CC. 0.6398 23.1 19.2 132 ATHEROSCLEROSIS W CC................. 0.8092 22.4 18.6 133 ATHEROSCLEROSIS W/O CC............... 0.7044 21.9 18.2 134 HYPERTENSION......................... 0.9154 27.9 23.2 135 CARDIAC CONGENITAL & VALVULAR 0.9039 23.1 19.2 DISORDERS AGE 17 W CC. 136 CARDIAC CONGENITAL & VALVULAR 0.7186 22.4 18.6 DISORDERS AGE 17 W/O CC. 137 \8\ CARDIAC CONGENITAL & VALVULAR 0.7372 23.5 19.5 DISORDERS AGE 0-17. 138 CARDIAC ARRHYTHMIA & CONDUCTION 0.7430 22.7 18.9 DISORDERS W CC. 139 CARDIAC ARRHYTHMIA & CONDUCTION 0.6032 20.3 16.9 DISORDERS W/O CC. 140 ANGINA PECTORIS...................... 0.6094 19.3 16.0 141 SYNCOPE & COLLAPSE W CC.............. 0.6453 22.9 19.0 142 SYNCOPE & COLLAPSE W/O CC............ 0.5041 20.3 16.9 143 CHEST PAIN........................... 0.7314 21.8 18.1 144 OTHER CIRCULATORY SYSTEM DIAGNOSES W 0.7921 22.2 18.5 CC. 145 OTHER CIRCULATORY SYSTEM DIAGNOSES W/ 0.6983 20.7 17.2 O CC. 146 \8\ RECTAL RESECTION W CC............ 2.0841 40.0 33.3 147 \8\ RECTAL RESECTION W/O CC.......... 2.0841 40.0 33.3 148 \5\ MAJOR SMALL & LARGE BOWEL 2.0841 40.0 33.3 PROCEDURES W CC. 149 \1\ MAJOR SMALL & LARGE BOWEL 0.4964 18.5 15.4 PROCEDURES W/O CC. 150 \4\ PERITONEAL ADHESIOLYSIS W CC..... 1.3569 32.5 27.0 151 \8\ PERITONEAL ADHESIOLYSIS W/O CC... 1.3569 32.5 27.0 152 \4\ MINOR SMALL & LARGE BOWEL 1.3569 32.5 27.0 PROCEDURES W CC. 153 \8\ MINOR SMALL & LARGE BOWEL 1.3569 32.5 27.0 PROCEDURES W/O CC. 154 \5\ STOMACH, ESOPHAGEAL & DUODENAL 2.0841 40.0 33.3 PROCEDURES AGE 17 W CC. 155 \8\ STOMACH, ESOPHAGEAL & DUODENAL 1.3569 32.5 27.0 PROCEDURES AGE 17 W/O CC. 156 \8\ STOMACH, ESOPHAGEAL & DUODENAL 1.3569 32.5 27.0 PROCEDURES AGE 0-17. 157 \4\ ANAL & STOMAL PROCEDURES W CC.... 1.3569 32.5 27.0 158 \3\ ANAL & STOMAL PROCEDURES W/O CC.. 0.9562 26.1 21.7 159 \8\ HERNIA PROCEDURES EXCEPT INGUINAL 1.3569 32.5 27.0 & FEMORAL AGE 17 W CC. 160 \8\ HERNIA PROCEDURES EXCEPT INGUINAL 1.3569 32.5 27.0 & FEMORAL AGE 17 W/O CC. 161 \4\ INGUINAL & FEMORAL HERNIA 1.3569 32.5 27.0 PROCEDURES AGE 17 W CC. 162 \8\ INGUINAL & FEMORAL HERNIA 0.4964 18.5 15.4 PROCEDURES AGE 17 W/O CC. 163 \8\ HERNIA PROCEDURES AGE 0-17....... 0.4964 18.5 15.4 [[Page 45653]] 164 \8\ APPENDECTOMY W COMPLICATED 2.0841 40.0 33.3 PRINCIPAL DIAG W CC. 165 \8\ APPENDECTOMY W COMPLICATED 0.4964 18.5 15.4 PRINCIPAL DIAG W/O CC. 166 \8\ APPENDECTOMY W/O COMPLICATED 2.0841 40.0 33.3 PRINCIPAL DIAG W CC. 167 \8\ APPENDECTOMY W/O COMPLICATED 0.4964 18.5 15.4 PRINCIPAL DIAG W/O CC. 168 \5\ MOUTH PROCEDURES W CC............ 2.0841 40.0 33.3 169 \8\ MOUTH PROCEDURES W/O CC.......... 0.7372 23.5 19.5 170 OTHER DIGESTIVE SYSTEM O.R. 1.7006 40.3 33.5 PROCEDURES W CC. 171 \4\ OTHER DIGESTIVE SYSTEM O.R. 1.3569 32.5 27.0 PROCEDURES W/O CC. 172 DIGESTIVE MALIGNANCY W CC............ 0.8702 22.5 18.7 173 DIGESTIVE MALIGNANCY W/O CC.......... 0.7092 20.2 16.8 174 G.I. HEMORRHAGE W CC................. 0.7874 23.7 19.7 175 G.I. HEMORRHAGE W/O CC............... 0.6345 21.1 17.5 176 COMPLICATED PEPTIC ULCER............. 0.7728 21.2 17.6 177 \2\ UNCOMPLICATED PEPTIC ULCER W CC.. 0.7372 23.5 19.5 178 \1\ UNCOMPLICATED PEPTIC ULCER W/O CC 0.4964 18.5 15.4 179 INFLAMMATORY BOWEL DISEASE........... 1.0023 25.2 21.0 180 \7\ G.I. OBSTRUCTION W CC............ 0.8222 22.9 19.0 181 \7\ G.I. OBSTRUCTION W/O CC.......... 0.8222 22.9 19.0 182 ESOPHAGITIS, GASTROENT & MISC DIGEST 0.8449 23.5 19.5 DISORDERS AGE 17 W CC. 183 ESOPHAGITIS, GASTROENT & MISC DIGEST 0.6362 20.3 16.9 DISORDERS AGE 17 W/O CC. 184 \8\ ESOPHAGITIS, GASTROENT & MISC 0.7372 23.5 19.5 DIGEST DISORDERS AGE 0-17. 185 \2\ DENTAL & ORAL DIS EXCEPT 0.7372 23.5 19.5 EXTRACTIONS & RESTORATIONS, AGE 17. 186 \8\ DENTAL & ORAL DIS EXCEPT 0.7372 23.5 19.5 EXTRACTIONS & RESTORATIONS, AGE 0-17. 187 \8\ DENTAL EXTRACTIONS & RESTORATIONS 0.7372 23.5 19.5 188 OTHER DIGESTIVE SYSTEM DIAGNOSES AGE 1.0308 25.3 21.0 17 W CC. 189 OTHER DIGESTIVE SYSTEM DIAGNOSES AGE 0.7826 21.8 18.1 17 W/O CC. 190 \8\ OTHER DIGESTIVE SYSTEM DIAGNOSES 0.7372 23.5 19.5 AGE 0-17. 191 \4\ PANCREAS, LIVER & SHUNT 1.3569 32.5 27.0 PROCEDURES W CC. 192 \1\ PANCREAS, LIVER & SHUNT 0.4964 18.5 15.4 PROCEDURES W/O CC. 193 \2\ BILIARY TRACT PROC EXCEPT ONLY 0.7372 23.5 19.5 CHOLECYST W OR W/O C.D.E. W CC. 194 \3\ BILIARY TRACT PROC EXCEPT ONLY 0.7372 23.5 19.5 CHOLECYST W OR W/O C.D.E. W/O CC. 195 \4\ CHOLECYSTECTOMY W C.D.E. W CC.... 1.3569 32.5 27.0 196 \8\ CHOLECYSTECTOMY W C.D.E. W/O CC.. 0.9562 26.1 21.7 197 \3\ CHOLECYSTECTOMY EXCEPT BY 0.9562 26.1 21.7 LAPAROSCOPE W/O C.D.E. W CC. 198 \8\ CHOLECYSTECTOMY EXCEPT BY 0.9562 26.1 21.7 LAPAROSCOPE W/O C.D.E. W/O CC. 199 \8\ HEPATOBILIARY DIAGNOSTIC 0.7372 23.5 19.5 PROCEDURE FOR MALIGNANCY. 200 \2\ HEPATOBILIARY DIAGNOSTIC 0.7372 23.5 19.5 PROCEDURE FOR NON-MALIGNANCY. 201 \5\ OTHER HEPATOBILIARY OR PANCREAS 2.0841 40.0 33.3 O.R. PROCEDURES. 202 CIRRHOSIS & ALCOHOLIC HEPATITIS...... 0.7254 22.3 18.5 203 MALIGNANCY OF HEPATOBILIARY SYSTEM OR 0.6758 18.9 15.7 PANCREAS. 204 DISORDERS OF PANCREAS EXCEPT 0.9986 23.4 19.5 MALIGNANCY. 205 \7\ DISORDERS OF LIVER EXCEPT 0.7029 22.1 18.4 MALIG,CIRR,ALC HEPA W CC. 206 \7\ DISORDERS OF LIVER EXCEPT 0.7029 22.1 18.4 MALIG,CIRR,ALC HEPA W/O CC. 207 \7\ DISORDERS OF THE BILIARY TRACT W 0.6671 20.5 17.0 CC. 208 \7\ DISORDERS OF THE BILIARY TRACT W/ 0.6671 20.5 17.0 O CC. 209 \4\ MAJOR JOINT & LIMB REATTACHMENT 1.3569 32.5 27.0 PROCEDURES OF LOWER EXTREMITY. 210 \4\ HIP & FEMUR PROCEDURES EXCEPT 1.3569 32.5 27.0 MAJOR JOINT AGE 17 W CC. 211 \2\ HIP & FEMUR PROCEDURES EXCEPT 0.7372 23.5 19.5 MAJOR JOINT AGE 17 W/O CC. 212 \8\ HIP & FEMUR PROCEDURES EXCEPT 0.7372 23.5 19.5 MAJOR JOINT AGE 0-17. 213 AMPUTATION FOR MUSCULOSKELETAL SYSTEM 1.3851 33.8 28.1 & CONN TISSUE DISORDERS. 216 \4\ BIOPSIES OF MUSCULOSKELETAL 1.3569 32.5 27.0 SYSTEM & CONNECTIVE TISSUE. 217 WND DEBRID & SKN GRFT EXCEPT HAND,FOR 1.4038 39.3 32.7 MUSCSKELET & CONN TISS DIS. 218 \3\ LOWER EXTREM & HUMER PROC EXCEPT 0.9562 26.1 21.7 HIP,FOOT,FEMUR AGE 17 W CC. 219 \8\ LOWER EXTREM & HUMER PROC EXCEPT 0.9562 26.1 21.7 HIP,FOOT,FEMUR AGE 17 W/O CC. 220 \8\ LOWER EXTREM & HUMER PROC EXCEPT 0.9562 26.1 21.7 HIP,FOOT,FEMUR AGE 0-17. 223 \3\ MAJOR SHOULDER/ELBOW PROC, OR 0.9562 26.1 21.7 OTHER UPPER EXTREMITY PROC W CC. 224 \8\ SHOULDER,ELBOW OR FOREARM 0.9562 26.1 21.7 PROC,EXC MAJOR JOINT PROC, W/O CC. 225 \3\ FOOT PROCEDURES.................. 0.9562 26.1 21.7 226 \7\ SOFT TISSUE PROCEDURES W CC...... 1.3569 32.5 27.0 227 \7\ SOFT TISSUE PROCEDURES W/O CC.... 1.3569 32.5 27.0 228 \4\ MAJOR THUMB OR JOINT PROC,OR OTH 1.3569 32.5 27.0 HAND OR WRIST PROC W CC. 229 \8\ HAND OR WRIST PROC, EXCEPT MAJOR 0.9562 26.1 21.7 JOINT PROC, W/O CC. [[Page 45654]] 230 \4\ LOCAL EXCISION & REMOVAL OF INT 1.3569 32.5 27.0 FIX DEVICES OF HIP & FEMUR. 232 \2\ ARTHROSCOPY...................... 0.7372 23.5 19.5 233 \3\ OTHER MUSCULOSKELET SYS & CONN 0.9562 26.1 21.7 TISS O.R. PROC W CC. 234 \3\ OTHER MUSCULOSKELET SYS & CONN 0.9562 26.1 21.7 TISS O.R. PROC W/O CC. 235 FRACTURES OF FEMUR................... 0.8396 29.6 24.6 236 FRACTURES OF HIP & PELVIS............ 0.7368 27.1 22.5 237 \2\ SPRAINS, STRAINS, & DISLOCATIONS 0.7372 23.5 19.5 OF HIP, PELVIS & THIGH. 238 OSTEOMYELITIS........................ 0.8432 27.9 23.2 239 PATHOLOGICAL FRACTURES & 0.6610 22.0 18.3 MUSCULOSKELETAL & CONN TISS MALIGNANCY. 240 CONNECTIVE TISSUE DISORDERS W CC..... 0.6685 21.2 17.6 241 CONNECTIVE TISSUE DISORDERS W/O CC... 0.4538 18.7 15.5 242 SEPTIC ARTHRITIS..................... 0.7721 26.4 22.0 243 MEDICAL BACK PROBLEMS................ 0.6616 23.2 19.3 244 BONE DISEASES & SPECIFIC 0.5563 20.0 16.6 ARTHROPATHIES W CC. 245 BONE DISEASES & SPECIFIC 0.4721 18.5 15.4 ARTHROPATHIES W/O CC. 246 NON-SPECIFIC ARTHROPATHIES........... 0.5128 22.2 18.5 247 SIGNS & SYMPTOMS OF MUSCULOSKELETAL 0.5536 20.2 16.8 SYSTEM & CONN TISSUE. 248 TENDONITIS, MYOSITIS & BURSITIS...... 0.7274 24.5 20.4 249 AFTERCARE, MUSCULOSKELETAL SYSTEM & 0.7829 27.0 22.5 CONNECTIVE TISSUE. 250 FX, SPRN
