I R PInnovative Resources for Payors

Medicare DRGs Effective 10/1/2004 - 9/30/2005

Source: Federal Register Thursday, August 11, 2004


[[Page 49592]]
TABLE 5.--LIST OF DIAGNOSIS-RELATED GROUPS (DRGs), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARTHIMETIC MEAN LENGTH OF STAY (LOS)




RELATIVE GEOMETRIC ARITHMETIC
DRG MDC TYPE DRG TITLE WEIGHTS MEAN LOS MEAN LOS
1 1 SURG CRANIOTOMY AGE >17 W CC 3.3344 7.5 10.0
2 1 SURG CRANIOTOMY AGE >17 W/O CC 1.9467 3.6 4.6
3 1 SURG CRANIOTOMY AGE 0-17 1.9767 12.7 12.7
4 1 SURG NO LONGER VALID 0.0000 0.0 0.0
5 1 SURG NO LONGER VALID 0.0000 0.0 0.0
6 1 SURG CARPAL TUNNEL RELEASE 0.7850 2.2 3.4
7 1 SURG PERIPH & CRANIAL NERVE & OTHER NERV SYST PROC W CC 2.6570 6.6 9.6
8 1 SURG PERIPH & CRANIAL NERVE & OTHER NERV SYST PROC W/O CC 1.5588 1.9 2.7
9 1 MED SPINAL DISORDERS & INJURIES 1.2435 4.3 5.9
10 1 MED NERVOUS SYSTEM NEOPLASMS W CC 1.2241 4.7 6.2
11 1 MED NERVOUS SYSTEM NEOPLASMS W/O CC 0.8771 2.9 3.9
12 1 MED DEGENERATIVE NERVOUS SYSTEM DISORDERS 0.9136 4.3 5.6
13 1 MED MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA 0.8171 4.0 4.9
14 1 MED INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION 1.2719 4.6 5.9
15 1 MED NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT 0.9482 3.7 4.7
16 1 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W CC 1.2454 4.7 6.2
17 1 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC 0.6996 2.5 3.2
18 1 MED CRANIAL & PERIPHERAL NERVE DISORDERS W CC 0.9919 4.1 5.4
19 1 MED CRANIAL & PERIPHERAL NERVE DISORDERS W/O CC 0.7048 2.8 3.5
20 1 MED NERVOUS SYSTEM INFECTION EXCEPT VIRAL MENINGITIS 2.8318 8.0 10.4
21 1 MED VIRAL MENINGITIS 1.5238 5.0 6.7
22 1 MED HYPERTENSIVE ENCEPHALOPATHY 1.1206 4.0 5.1
23 1 MED NONTRAUMATIC STUPOR & COMA 0.8365 3.2 4.2
24 1 MED SEIZURE & HEADACHE AGE >17 W CC 1.0130 3.6 4.9
25 1 MED SEIZURE & HEADACHE AGE >17 W/O CC 0.6143 2.5 3.2
26 1 MED SEIZURE & HEADACHE AGE 0-17 0.5680 2.4 3.2
27 1 MED TRAUMATIC STUPOR & COMA, COMA >1 HR 1.3496 3.2 5.1
28 1 MED TRAUMATIC STUPOR & COMA COMA <1 HR AGE > 17 W CC 1.3254 4.4 6.0
29 1 MED TRAUMATIC STUPOR & COMA, COMA <1 HR AGE > 17 W/O CC 0.7061 2.6 3.4
30 1 MED TRAUMATIC STUPOR & COMA COMA <1 HR AGE 0-17 0.3343 2.0 2.0
31 1 MED CONCUSSION AGE >17 W CC 0.9385 3.0 4.0
32 1 MED CONCUSSION AGE >17 W/O CC 0.5978 2.0 2.5
33 1 MED CONCUSSION AGE 0-17 0.2100 1.6 1.6
34 1 MED OTHER DISORDERS OF NERVOUS SYSTEM W CC 0.9827 3.6 4.8
35 1 MED OTHER DISORDERS OF NERVOUS SYSTEM W/O CC 0.6436 2.5 3.1
36 2 SURG RETINAL PROCEDURES 0.6746 1.3 1.6
37 2 SURG ORBITAL PROCEDURES 1.1542 2.7 3.9
38 2 SURG PRIMARY IRIS PROCEDURES 0.5268 1.7 2.3
39 2 SURG LENS PROCEDURES WITH OR WITHOUT VITRECTOMY 0.6282 1.6 2.2
40 2 SURG EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE >17 0.9621 2.9 4.1
41 2 SURG EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE 0-17 0.3403 1.6 1.6
42 2 SURG INTRAOCULAR PROCEDURES EXCEPT RETINA, IRIS & LENS 0.7373 2.0 2.8
43 2 MED HYPHEMA 0.6451 2.7 3.5
44 2 MED ACUTE MAJOR EYE INFECTIONS 0.6594 4.0 4.9
45 2 MED NEUROLOGICAL EYE DISORDERS 0.7268 2.6 3.2
46 2 MED OTHER DISORDERS OF THE EYE AGE >17 W CC 0.7758 3.3 4.3
47 2 MED OTHER DISORDERS OF THE EYE AGE >17 W/O CC 0.5502 2.5 3.2
48 2 MED OTHER DISORDERS OF THE EYE AGE 0-17 0.2998 2.9 2.9
49 3 SURG MAJOR HEAD & NECK PROCEDURES 1.7480 3.3 4.6
50 3 SURG SIALOADENECTOMY 0.8708 1.5 1.9
51 3 SURG SALIVARY GLAND PROCEDURES EXCEPT SIALOADENECTOMY 0.7958 1.8 2.9
52 3 SURG CLEFT LIP & PALATE REPAIR 0.7882 1.6 2.2
53 3 SURG SINUS & MASTOID PROCEDURES AGE >17 1.2103 2.2 3.6
54 3 SURG SINUS & MASTOID PROCEDURES AGE 0-17 0.4860 3.2 3.2
55 3 SURG MISCELLANEOUS EAR, NOSE, MOUTH & THROAT PROCEDURES 0.9111 1.9 2.9
56 3 SURG RHINOPLASTY 0.9082 1.9 2.8
57 3 SURG T&A PROC, EXCEPT TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE >17 1.0275 2.5 3.9
58 3 SURG T&A PROC, EXCEPT TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE 0-17 0.2759 1.5 1.5
59 3 SURG TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE >17 0.6420 1.8 2.5
60 3 SURG TONSILLECTOMY &IOR ADENOIDECTOMY ONLY, AGE 0-17 0.2101 1.5 1.5
61 3 SURG MYRINGOTOMY W TUBE INSERTION AGE >17 1.5317 3.3 5.8
62 3 SURG MYRINGOTOMY W TUBE INSERTION AGE 0-17 0.2975 1.3 1.3
63 3 SURG OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES 1.3887 3.0 4.4
64 3 MED EAR, NOSE, MOUTH & THROAT MALIGNANCY 1.3117 4.2 6.6
65 3 MED DYSEQUILIBRIUM 0.5959 2.3 2.8
66 3 MED EPISTAXIS 0.5861 2.4 3.1
67 3 MED EPIGLOTTITIS 0.8402 2.8 3.6
68 3 MED OTITIS MEDIA & URI AGE >17 W CC 0.6655 3.0 3.7
69 3 MED OTITIS MEDIA & URI AGE >17 W/O CC 0.4960 2.4 2.9
70 3 MED OTITIS MEDIA & URI AGE 0-17 0.4652 2.4 2.9
71 3 MED LARYNGOTRACHEITIS 0.5215 3.0 3.6
72 3 MED NASAL TRAUMA & DEFORMITY 0.7378 2.7 3.6
73 3 MED OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES AGE >17 0.8347 3.3 4.5
74 3 MED OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES AGE 0-17 0.3382 2.1 2.1
75 4 SURG MAJOR CHEST PROCEDURES 3.0337 7.6 9.9
76 4 SURG OTHER RESP SYSTEM O.R. PROCEDURES W CC 2.8240 8.3 11.0
77 4 SURG OTHER RESP SYSTEM O.R. PROCEDURES W/O CC 1.2231 3.5 4.7
78 4 MED PULMONARY EMBOLISM 1.2478 5.5 6.5
79 4 MED RESPIRATORY INFECTIONS & INFLAMMATIONS AGE >17 W CC 1.5872 6.6 8.4
80 4 MED RESPIRATORY INFECTIONS & INFLAMMATIONS AGE >17 W/O CC 0.8497 4.3 5.4
81 4 MED RESPIRATORY INFECTIONS & INFLAMMATIONS AGE 0-17 1.5311 6.1 6.1
82 4 MED RESPIRATORY NEOPLASMS 1.3717 5.1 6.8
83 4 MED MAJOR CHEST TRAUMA W CC 0.9806 4.3 5.3
84 4 MED MAJOR CHEST TRAUMA W/O CC 0.5539 2.6 3.2
85 4 MED PLEURAL EFFUSION W CC 1.2309 4.8 6.4
86 4 MED PLEURAL EFFUSION W/O CC 0.6976 2.8 3.6
87 4 MED PULMONARY EDEMA & RESPIRATORY FAILURE 1.3542 4.9 6.4
88 4 MED CHRONIC OBSTRUCTIVE PULMONARY DISEASE 0.9089 4.1 5.0
89 4 MED SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 1.0479 4.8 5.8
90 4 MED SIMPLE PNEUMONIA & PLEURISY AGE >17 W/O CC 0.6172 3.3 3.9
91 4 MED SIMPLE PNEUMONIA & PLEURISY AGE 0-17 0.6271 2.9 3.4
92 4 MED INTERSTITIAL LUNG DISEASE W CC 1.1930 4.9 6.2
93 4 MED INTERSTITIAL LUNG DISEASE W/O CC 0.7123 3.2 4.0
94 4 MED PNEUMOTHORAX W CC 1.1476 4.6 6.2
95 4 MED PNEUMOTHORAX W/O CC 0.6013 3.0 3.7
96 4 MED BRONCHITIS & ASTHMA AGE >17 W CC 0.7439 3.6 4.4
97 4 MED BRONCHITIS & ASTHMA AGE >17 W/O CC 0.5428 2.8 3.4
98 4 MED BRONCHITIS & ASTHMA AGE 0-17 0.5534 2.7 3.1
99 4 MED RESPIRATORY SIGNS & SYMPTOMS W CC 0.7178 2.4 3.2
100 4 MED RESPIRATORY SIGNS & SYMPTOMS W/O CC 0.5445 1.8 2.1
101 4 MED OTHER RESPIRATORY SYSTEM DIAGNOSES W CC 0.8711 3.3 4.3
102 4 MED OTHER RESPIRATORY SYSTEM DIAGNOSES W/O CC 0.5473 2.0 2.5
103 PRE SURG HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM 19.5514 25.7 42.2
104 5 SURG CARDIAC VALVE & OTH MAJOR CARDIOTHORACIC PROC W CARD CATH 7.9180 12.4 14.6
105 5 SURG CARDIAC VALVE & OTH MAJOR CARDIOTHORACIC PROC W/O CARD CATH 5.7937 8.3 10.0
106 5 SURG CORONARY BYPASS W PTCA 7.3062 9.6 11.3
107 5 SURG CORONARY BYPASS W CARDIAC CATH 5.3757 9.3 10.6
108 5 SURG OTHER CARDIOTHORACIC PROCEDURES 5.1702 6.9 9.6
109 5 SURG CORONARY BYPASS W/O PTCA OR CARDIAC CATH 3.9450 6.8 7.8
110 5 SURG MAJOR CARDIOVASCULAR PROCEDURES W CC 3.9587 6.1 8.7
111 5 SURG MAJOR CARDIOVASCULAR PROCEDURES W/O CC 2.4488 2.8 3.7
112 5 SURG NO LONGER VALID 0.0000 0.0 0.0
113 5 SURG AMPUTATION FOR CIRC SYSTEM DISORDERS EXCEPT UPPER LIMB & TOE 3.1063 10.7 13.6
114 5 SURG UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS 1.6955 6.3 8.7
115 5 SURG PRM CARD PACEM IMPL W AMI/HR/SHOCK OR AICD LEAD OR GNRTR 3.5928 4.6 7.0
116 5 SURG OTHER PERMANENT CARDIAC PACEMAKER IMPLANT 2.3561 3.0 4.3
117 5 SURG CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT 1.3529 2.6 4.3
118 5 SURG CARDIAC PACEMAKER DEVICE REPLACEMENT 1.6751 2.0 3.0
119 5 SURG VEIN LIGATION & STRIPPING 1.4322 3.2 5.4
120 5 SURG OTHER CIRCULATORY SYSTEM OR PROCEDURES 2.3051 5.6 8.9
121 5 MED CIRCULATORY DISORDERS W AMI & MAJOR COMP, DISCHARGED ALIVE 1.6200 5.3 6.6
122 5 MED CIRCULATORY DISORDERS W AMI W/O MAJOR COMP, DISCHARGED ALIVE 1.0127 2.9 3.6
123 5 MED CIRCULATORY DISORDERS W AMI, EXPIRED 1.5421 2.9 4.7
124 5 MED CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH & COMPLEX DIAG 1.4564 3.3 4.5
125 5 MED CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O COMPLEX DIAG 1.1146 2.2 2.8
126 5 MED ACUTE & SUBACUTE ENDOCARDITIS 2.6051 9.0 11.5
127 5 MED HEART FAILURE & SHOCK 1.0390 4.1 5.2
128 5 MED DEEP VEIN THROMBOPHLEBITIS 0.7475 4.6 5.5
129 5 MED CARDIAC ARREST, UNEXPLAINED 1.0346 1.7 2.7
130 5 MED PERIPHERAL VASCULAR DISORDERS W CC 0.9566 4.5 5.6
131 5 MED PERIPHERAL VASCULAR DISORDERS W/O CC 0.5655 3.3 4.0
132 5 MED ATHEROSCLEROSIS W CC 0.6428 2.3 2.9
133 5 MED ATHEROSCLEROSIS W/O CC 0.5411 1.8 2.2
134 5 MED HYPERTENSION 0.6091 2.5 3.2
135 5 MED CARDIAC CONGENITAL & VALVULAR DISORDERS AGE >17 W CC 0.9264 3.4 4.5
136 5 MED CARDIAC CONGENITAL & VALVULAR DISORDERS AGE >17 W/O CC 0.5902 2.1 2.6
137 5 MED CARDIAC CONGENITAL & VALVULAR DISORDERS AGE 0-17 0.8249 3.3 3.3
138 5 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC 0.8413 3.1 4.0
139 5 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC 0.5234 2.0 2.5
140 5 MED ANGINA PECTORIS 0.5275 2.0 2.5
141 5 MED SYNCOPE & COLLAPSE W CC 0.7617 2.8 3.5
142 5 MED SYNCOPE & COLLAPSE W/O CC 0.5929 2.1 2.5
143 5 MED CHEST PAIN 0.5643 1.7 2.1
144 5 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W CC 1.2502 4.0 5.7
145 5 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC 0.5850 2.0 2.6
146 6 SURG RECTAL RESECTION W CC 2.6435 8.6 10.1
147 6 SURG RECTAL RESECTION W/O CC 1.5194 5.4 6.0
148 6 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W CC 3.3871 10.0 12.2
149 6 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC 1.4352 5.6 6.1
150 6 SURG PERITONEAL ADHESIOL YSIS W CC 2.7489 8.9 11.0
151 6 SURG PERITONEAL ADHESIOL YSIS W/O CC 1.2960 4.3 5.4
152 6 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W CC 1.8812 6.6 8.0
153 6 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC 1.1129 4.6 5.1
154 6 SURG STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES AGE >17 W CC 4.0524 9.9 13.3
155 6 SURG STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES AGE >17 W/O CC 1.2708 3.1 4.1
156 6 SURG STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES AGE 0-17 0.8495 6.0 6.0
157 6 SURG ANAL & STOMAL PROCEDURES W CC 1.2914 4.0 5.6
158 6 SURG ANAL & STOMAL PROCEDURES W/O CC 0.6564 2.1 2.6
159 6 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W CC 1.3836 3.8 5.1
160 6 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W/O CC 0.8225 2.2 2.7
161 6 SURG INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W CC 1.1824 3.0 4.4
162 6 SURG INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W/O CC 0.6643 1.6 2.0
163 6 SURG HERNIA PROCEDURES AGE 0-17 1.0030 3.5 3.7
164 6 SURG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC 2.2921 6.9 8.3
165 6 SURG APPENDECTOMYW COMPLICATED PRINCIPAL DIAG W/O CC 1.1878 3.7 4.3
166 6 SURG APPENDECTOMYW/O COMPLICATED PRINCIPAL DIAG W CC 1.4723 3.5 4.7
167 6 SURG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC 0.8956 1.9 2.3
168 3 SURG MOUTH PROCEDURES W CC 1.2425 3.2 4.7
169 3 SURG MOUTH PROCEDURES W/O CC 0.7482 1.9 2.5
170 6 SURG OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC 2.8628 7.5 10.8
171 6 SURG OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC 1.1843 3.2 4.3
172 6 MED DIGESTIVE MALIGNANCY W CC 1.3968 5.1 7.0
173 6 MED DIGESTIVE MALIGNANCY W/O CC 0.7437 2.7 3.7
174 6 MED G.I. HEMORRHAGE W CC 1.0109 3.8 4.8
175 6 MED G.I. HEMORRHAGE W/O CC 0.5704 2.5 2.9
176 6 MED COMPLICATED PEPTIC ULCER 1.1149 4.1 5.3
177 6 MED UNCOMPLICATED PEPTIC ULCER W CC 0.9339 3.7 4.6
178 6 MED UNCOMPLICATED PEPTIC ULCER W/O CC 0.6791 2.6 3.1
179 6 MED INFLAMMATORY BOWEL DISEASE 1.1059 4.6 5.9
180 6 MED G.I. OBSTRUCTION W CC 0.9753 4.2 5.4
181 6 MED G.I. OBSTRUCTION W/O CC 0.5539 2.8 3.4
182 6 MED ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W CC 0.8255 3.4 4.4
183 6 MED ESOPHAGITIS. GASTROENT & MISC DIGEST DISORDERS AGE >17 W/O CC 0.5844 2.3 2.9
184 6 MED ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE 0-17 0.4851 2.5 3.3
185 3 MED DENTAL & ORAL DIS EXCEPT EXTRACTIONS & RESTORATIONS, AGE >17 0.9124 3.4 4.7
186 3 MED DENTAL & ORAL DIS EXCEPT EXTRACTIONS & RESTORATIONS, AGE 0-17 0.3238 2.9 2.9
187 3 MED DENTAL EXTRACTIONS & RESTORATIONS 0.8167 3.1 4.3
188 6 MED OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W CC 1.1137 4.1 5.6
189 6 MED OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W/O CC 0.5918 2.4 3.1
190 6 MED OTHER DIGESTIVE SYSTEM DIAGNOSES AGE 0-17 0.5210 3.3 4.3
191 7 SURG PANCREAS, LIVER & SHUNT PROCEDURES W CC 4.0497 9.3 13.3
192 7 SURG PANCREAS, LIVER & SHUNT PROCEDURES W/O CC 1.6269 4.2 5.6
193 7 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC 3.4161 10.3 12.7
194 7 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CC 1.5689 5.4 6.6
195 7 SURG CHOLECYSTECTOMY W C.D.E. W CC 2.8886 8.5 10.2
196 7 SURG CHOLECYSTECTOMY W C.D.E. W/O CC 1.5850 4.6 5.5
197 7 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC 2.5179 7.4 9.1
198 7 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC 1.1761 3.8 4.4
199 7 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR MALIGNANCY 2.3380 6.8 9.5
200 7 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR NON-MALIGNANCY 2.9603 6.4 10.3
201 7 SURG OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES 3.7522 10.2 14.1
202 7 MED CIRRHOSIS & ALCOHOLIC HEPATITIS 1.3386 4.7 6.3
203 7 MED MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS 1.3825 5.0 6.7
204 7 MED DISORDERS OF PANCREAS EXCEPT MALIGNANCY 1.1440 4.3 5.7
205 7 MED DISORDERS OF LIVER EXCEPT MALlG,CIRR, ALC HEPA W CC 1.2122 4.5 6.1
206 Of MED DISORDERS OF LIVER EXCEPT MALlG,CIRR ,ALC HEPA W/O CC 0.7271 3.0 3.8
207 7 MED DISORDERS OF THE BILIARY TRACT W CC 1.1870 4.1 5.3
208 7 MED DISORDERS OF THE BILIARY TRACT W/O CC 0.6917 2.3 2.9
209 8 SURG MAJOR JOINT & LIMB REATTACHMENT PROCEDURES OF LOWER EXTREMITY 2.0332 4.3 4.8
210 8 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE >17 W CC 1.8817 6.1 7.0
211 8 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE >17 W/O CC 1.2675 4.4 4.8
212 8 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 1.4162 11.1 11.1
213 8 SURG AMPUTATION FOR MUSCULOSKELETAL SYSTEM & CONN TISSUE DISORDERS 1.8952 6.6 9.1
214 8 SURG NO LONGER VALID 0.0000 0.0 0.0
215 8 SURG NO LONGER VALID 0.0000 0.0 0.0
216 8 SURG BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE 1.8966 3.8 6.6
217 8 SURG WND DEB RID & SKN GRFT EXCEPT HAND, FOR MUSCSKELET & CONN TISS DIS 2.9339 9.0 13.0
218 8 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP. FOOT, FEMUR AGE >17 W CC 1.5762 4.3 5.5
219 8 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR AGE >17 W/O CC 1.0191 2.7 3.2
220 8 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR AGE 0-17 0.5885 5.3 5.3
221 8 SURG NO LONGER VALID 0.0000 0.0 0.0
222 8 SURG NO LONGER VALID 0.0000 0.0 0.0
223 8 SURG MAJOR SHOULDER/ELBOW PROC, OR OTHER UPPER EXTREMITY PROC W CC 1.0764 2.2 3.1
224 8 SURG SHOULDER, ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC, W/O CC 0.7972 1.6 1.9
225 8 SURG FOOT PROCEDURES 1.1979 3.7 5.2
226 8 SURG SOFT TISSUE PROCEDURES W CC 1.5306 4.4 6.5
227 8 SURG SOFT TISSUE PROCEDURES W/O CC 0.8339 2.1 2.7
228 8 SURG MAJOR THUMB OR JOINT PROC, OR OTH HAND OR WRIST PROC W CC 1.1649 2.8 4.2
229 8 SURG HAND OR WRIST PROC, EXCEPT MAJOR JOINT PROC, W/O CC 0.7353 1.9 2.5
230 8 SURG LOCAL EXCISION & REMOVAL OF INT FIX DEVICES OF HIP & FEMUR 1.3454 3.7 5.7
231 8 SURG NO LONGER VALID 0.0000 0.0 0.0
232 8 SURG ARTHROSCOPY 0.9964 1.8 2.8
233 8 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC 1.9542 5.4 7.6
234 8 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC 1.1643 2.5 3.4
235 8 MED FRACTURES OF FEMUR 0.7512 3.7 4.8
236 8 MED FRACTURES OF HIP & PELVIS 0.7544 3.9 4.7
237 8 MED SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH 0.6063 3.0 3.8
238 8 MED OSTEOMYELITIS 1.3708 6.5 8.6
239 8 MED PATHOLOGICAL FRACTURES & MUSCULOSKELETAL & CONN TISS MALIGNANCY 1.0811 5.0 6.3
240 8 MED CONNECTIVE TISSUE DISORDERS W CC 1.3500 4.9 6.7
241 8 MED CONNECTIVE TISSUE DISORDERS W/O CC 0.6679 3.0 3.7
242 8 MED SEPTIC ARTHRITIS 1.1618 5.3 7.0
243 8 MED MEDICAL BACK PROBLEMS 0.7712 3.7 4.6
244 8 MED BONE DISEASES & SPECIFIC ARTHROPATHIES W CC 0.7137 3.6 4.6
245 8 MED BONE DISEASES & SPECIFIC ARTHROPATHIES W/O CC 0.4741 2.6 3.3
246 8 MED NON-SPECIFIC ARTHROPATHIES 0.5977 2.9 3.6
247 8 MED SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE 0.5825 2.6 3.3
248 8 MED TENDONITIS, MYOSITIS & BURSITIS 0.8417 3.8 4.8
249 8 MED AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE 0.7006 2.6 3.8
250 8 MED FX, SPRN, STRN & DISL OF FOREARM, HAND, FOOT AGE >17 W CC 0.6908 3.1 3.9
251 8 MED FX, SPRN, STRN & DISL OF FOREARM HAND, FOOT AGE >17 W/O CC 0.4830 2.3 2.8
252 8 MED FX, SPRN, STRN & DISL OF FOREARM, HAND, FOOT AGE 0-17 0.2555 1.8 1.8
253 8 MED FX, SPRN, STRN & DISL OF UPARM, LOW LEG EX FOOT AGE >17 W CC 0.7664 3.7 4.6
254 8 MED FX, SPRN STRN & DISL OF UPARM, LOW LEG EX FOOT AGE >17 W/O CC 0.4555 2.5 3.1
255 8 MED FX, SPRN, STRN & DISL OF UPARM, LOW LEG EX FOOT AGE 0-17 0.2976 2.9 2.9
256 8 MED OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES 0.8218 3.9 5.1
257 9 SURG OTAL MASTECTOMY FOR MALIGNANCYW CC 0.9117 2.1 2.7
258 9 SURG OTAL MASTECTOMY FOR MALIGNANCYW/O CC 0.7155 1.6 1.8
259 9 SURG SUBTOTAL MASTECTOMY FOR MALIGNANCY W CC 0.9816 1.8 2.8
260 9 SURG SUBTOTAL MASTECTOMY FOR MALIGNANCY W/O CC 0.6982 1.2 1.4
261 9 SURG BREAST PROC FOR NON-MALIGNANCY EXCEPT BIOPSY & LOCAL EXCISION 0.9725 1.6 2.1
262 9 SURG BREAST BIOPSY & LOCAL EXCISION FOR NON-MALIGNANCY 0.9711 3.2 4.7
263 9 SURG SKIN GRAFT &/OR DEBRID FOR SKN ULCER OR CELLULITIS W CC 2.0413 8.3 11.3
264 9 SURG SKIN GRAFT &/OR DEBRID FOR SKN ULCER OR CELLULITIS W/O CC 1.0679 4.9 6.5
265 9 SURG SKIN GRAFT &/OR DEBRID EXCEPT FOR SKIN ULCER OR CELLULITIS W CC 1.5980 4.2 6.8
266 9 SURG SKIN GRAFT &/OR DEB RID EXCEPT FOR SKIN ULCER OR CELLULITIS W/O CC 0.8616 2.3 3.2
267 9 SURG PERIANAL & PILONIDAL PROCEDURES 0.9036 2.8 4.5
268 9 SURG SKIN, SUBCUTANEOUS TISSUE & BREAST PLASTIC PROCEDURES 1.2052 2.4 3.7
269 9 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W CC 1.7560 6.1 8.6
270 9 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC 0.8173 2.6 3.7
271 9 MED SKIN ULCERS 1.0233 5.5 7.1
272 9 MED MAJOR SKIN DISORDERS W CC 1.0219 4.5 5.9
273 9 MED MAJOR SKIN DISORDERS W/O CC 0.5968 2.9 3.7
274 9 MED MALIGNANT BREAST DISORDERS W CC 1.1249 4.6 6.3
275 9 MED MALIGNANT BREAST DISORDERS W/O CC 0.5735 2.2 3.0
276 9 MED NON-MALIGANT BREAST DISORDERS 0.7233 3.7 4.7
277 9 MED CELLULITIS AGE >17 W CC 0.8877 4.7 5.7
278 9 MED CELLULITIS AGE >17 W/O CC 0.5531 3.5 4.2
279 9 MED CELLULITIS AGE 0-17 0.7785 4.2 4.2
280 9 MED TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE >17 W CC 0.7259 3.2 4.1
281 9 MED TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE >17 W/O CC 0.4944 2.3 2.9
282 9 MED TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE 0-17 0.2588 2.2 2.2
283 9 MED MINOR SKIN DISORDERS W CC 0.7570 3.5 4.7
284 9 MED MINOR SKIN DISORDERS W/O CC 0.4291 2.3 3.0
285 10 SURG AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DISORDERS 2.0637 7.9 10.4
286 10 SURG ADRENAL & PITUITARY PROCEDURES 1.9324 4.2 5.6
287 10 SURG SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DISORDERS 1.9092 7.5 10.1
288 10 SURG O.R. PROCEDURES FOR OBESITY 2.1291 3.5 4.5
289 10 SURG PARATHYROID PROCEDURES 0.9629 1.7 2.6
290 10 SURG HYROID PROCEDURES 0.9022 1.6 2.2
291 10 SURG HYROGLOSSALPROCEDURES 0.6948 1.3 1.5
292 10 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC 2.7222 7.1 10.3
293 10 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC 1.4162 3.3 4.7
294 10 MED DIABETES AGE >35 0.7809 3.4 4.5
295 10 MED DIABETES AGE 0-35 0.7686 2.9 3.8
296 10 MED NUTRITIONAL & MISC METABOLIC DISORDERS AGE >17 W CC 0.8420 3.8 4.9
297 10 MED NUTRITIONAL & MISC METABOLIC DISORDERS AGE >17W/0 CC 0.4992 2.6 3.2
298 10 MED NUTRITIONAL & MISC METABOLIC DISORDERS AGE 0-17 0.5883 2.7 3.8
299 10 MED INBORN ERRORS OF METABOLISM 0.9355 3.8 5.3
300 10 MED ENDOCRINE DISORDERS W CC 1.0955 4.6 6.0
301 10 MED ENDOCRINE DISORDERS W/O CC 0.6440 2.8 3.5
302 11 SURG KIDNEY TRANSPLANT 3.1515 7.0 8.2
303 11 SURG KIDNEY, URETER & MAJOR BLADDER PROCEDURES FOR NEOPLASM 2.3212 6.1 7.7
304 11 SURG KIDNEY, URETER & MAJOR BLADDER PROC FOR NON-NEOPL W CC 2.3479 6.0 8.6
305 11 SURG KIDNEY, URETER & MAJOR BLADDER PROC FOR NON-NEOPL W/O CC 1.1662 2.7 3.3
306 11 SURG PROSTATECTOMY W CC 1.2609 3.4 5.4
307 11 SURG PROSTATECTOMY W/O CC 0.6143 1.7 2.0
308 11 SURG MINOR BLADDER PROCEDURES W CC 1.5905 3.8 6.0
309 11 SURG MINOR BLADDER PROCEDURES W/O CC 0.8995 1.6 2.0
310 11 SURG RANSURETHRAL PROCEDURES W CC 1.1659 3.0 4.4
311 11 SURG TRANSURETHRAL PROCEDURES W/O CC 0.6287 1.5 1.8
312 11 SURG URETHRAL PROCEDURES, AGE >17 W CC 1.0704 3.1 4.6
313 11 SURG URETHRAL PROCEDURES, AGE >17 W/O CC 0.6575 1.7 2.2
314 11 SURG URETHRAL PROCEDURES, AGE 0-17 0.4988 2.3 2.3
315 11 SURG OTHER KIDNEY & URINARY TRACT O.R. PROCEDURES 2.0861 3.6 6.8
316 11 MED RENAL FAILURE 1.2823 4.9 6.5
317 11 MED ADMIT FOR RENAL DIALYSIS 0.8093 2.3 3.3
318 11 MED KIDNEY & URINARY TRACT NEOPLASMS W CC 1.1486 4.2 5.8
319 11 MED KIDNEY & URINARY TRACT NEOPLASMS W/O CC 0.6161 2.1 2.7
320 11 MED KIDNEY & URINARY TRACT INFECTIONS AGE >17 W CC 0.8776 4.3 5.3
321 11 MED KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC 0.5681 3.1 3.7
322 11 MED KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 0.5257 3.0 3.7
323 11 MED URINARY STONES W CC, &/OR ESW LITHOTRIPSY 0.8331 2.4 3.2
324 11 MED URINARY STONES W/O CC 0.4924 1.6 1.9
325 11 MED KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE >17 W CC 0.6630 2.9 3.8
326 11 MED KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE >17 W/O CC 0.4374 2.1 2.6
327 11 MED KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE 0-17 0.3730 3.1 3.1
328 11 MED URETHRAL STRICTURE AGE >17 W CC 0.6783 2.5 3.4
329 11 MED URETHRAL STRICTURE AGE >17 W/O CC 0.4551 1.6 2.2
330 11 MED URETHRAL STRICTURE AGE 0-17 0.3212 1.6 1.6
331 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE >17 W CC 1.0595 4.1 5.6
332 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE >17 W/O CC 0.6032 2.4 3.2
333 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE 0-17 0.9336 3.7 5.3
334 12 SURG MAJOR MALE PELVIC PROCEDURES W CC 1.4275 3.7 4.5
335 12 SURG MAJOR MALE PELVIC PROCEDURES W/O CC 1.0871 2.6 2.9
336 12 SURG TRANSURETHRAL PROSTATECTOMY W CC 0.8542 2.5 3.3
337 12 SURG TRANSURETHRAL PROSTATECTOMYW/O CC 0.5821 1.7 2.0
338 12 SURG TESTES PROCEDURES, FOR MALIGNANCY 1.2137 3.4 5.7
339 12 SURG TESTES PROCEDURES, NON-MALIGNANCY AGE >17 1.2121 3.2 5.3
340 12 SURG TESTES PROCEDURES, NON-MALIGNANCY AGE 0-17 0.2855 2.4 2.4
341 12 SURG PENIS PROCEDURES 1.2688 1.9 2.9
342 12 SURG CIRCUMCISION AGE >17 0.7945 2.4 3.2
343 12 SURG CIRCUMCISION AGE 0-17 0.1552 1.7 1.7
344 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY 1.2980 1.6 2.5
345 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXCEPT FOR MALIGNANCY 1.1932 3.1 4.9
346 12 MED MALIGNANCY, MALE REPRODUCTIVE SYSTEM, W CC 1.0888 4.5 6.0
347 12 MED MALIGNANCY MALE REPRODUCTIVE SYSTEM, W/O CC 0.5268 2.0 2.7
348 12 MED BENIGN PROSTATIC HYPERTROPHY W CC 0.7290 3.2 4.1
349 12 MED BENIGN PROSTATIC HYPERTROPHYW/O CC 0.4479 2.0 2.5
350 12 MED INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM 0.7478 3.6 4.5
351 12 MED STERILIZATION, MALE 0.2381 1.3 1.3
352 12 MED OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES 0.7615 3.0 4.1
353 13 SURG PELVIC EVISCERATION, RADICAL HYSTERECTOMY & RADICAL VULVECTOMY 1.8936 4.8 6.4
354 13 SURG UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC 1.5316 4.7 5.8
355 13 SURG UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC 0.8959 2.9 3.1
356 13 SURG FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 0.7411 1.7 2.0
357 13 SURG UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY 2.2302 6.6 8.3
358 13 SURG UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC 1.1696 3.3 4.1
359 13 SURG UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC 0.8029 2.3 2.5
360 13 SURG VAGINA, CERVIX & VULVA PROCEDURES 0.8674 2.1 2.7
361 13 SURG LAPAROSCOPY & INCISIONAL TUBAL INTERRUPTION 1.1250 2.3 3.6
362 13 SURG ENDOSCOPIC TUBAL INTERRUPTION 0.3043 1.4 1.4
363 13 SURG D&C, CONIZATION & RADIO-IMPLANT. FOR MALIGNANCY 0.9725 2.7 3.8
364 13 SURG D&C, CONIZATION EXCEPT FOR MALIGNANCY 0.9850 3.1 4.4
365 13 SURG OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES 2.0636 5.2 7.9
366 13 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC 1.2628 4.9 6.7
367 13 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC 0.5495 2.3 3.2
368 13 MED INFECTIONS FEMALE REPRODUCTIVE SYSTEM 1.1972 5.2 6.8
369 13 MED MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 0.6213 2.4 3.3
370 14 SURG CESAREAN SECTION W CC 0.8981 4.2 5.4
371 14 SURG CESAREAN SECTION W/O CC 0.6221 3.2 3.5
372 14 MED VAGINAL DELIVERY W COMPLICATING DIAGNOSES 0.5460 2.7 3.5
373 14 MED VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES 0.3601 2.0 2.2
374 14 SURG VAGINAL DELIVERYW STERILIZATION &/OR D&C 0.6642 2.7 3.3
375 14 SURG VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C 0.5810 4.4 4.4
376 14 MED POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE 0.5400 2.6 3.6
377 14 SURG POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE 1.1199 3.2 4.8
378 14 MED ECTOPIC PREGNANCY 0.7809 1.9 2.2
379 14 MED THREATENED ABORTION 0.3757 2.0 3.0
380 14 MED ABORTION W/O D&C 0.3539 1.5 1.9
381 14 SURG ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 0.6633 1.5 2.1
382 14 MED FALSE LABOR 0.2345 1.5 2.0
383 14 MED OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS 0.5070 2.7 3.8
384 14 MED OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS 0.2913 1.6 2.0
385 15 MED NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY 1.3865 1.8 1.8
386 15 MED EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE 4.5721 17.9 17.9
387 15 MED PREMATURITYW MAJOR PROBLEMS 3.1226 13.3 13.3
388 15 MED PREMATURITYW/O MAJOR PROBLEMS 1.8841 8.6 8.6
389 15 MED FULL TERM NEONATE W MAJOR PROBLEMS 3.2076 4.7 4.7
390 15 MED NEONATE W OTHER SIGNIFICANT PROBLEMS 1.1352 3.4 3.4
391 15 MED NORMAL NEWBORN 0.1537 3.1 3.1
392 16 SURG SPLENECTOMY AGE >17 3.2387 6.7 9.4
393 16 SURG SPLENECTOMY AGE 0-17 1.3581 9.1 9.1
394 16 SURG OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS 1.8868 4.4 7.2
395 16 MED RED BLOOD CELL DISORDERS AGE >17 0.8399 3.2 4.4
396 16 MED RED BLOOD CELL DISORDERS AGE 0-17 2.5293 5.3 10.9
397 16 MED COAGULATION DISORDERS 1.2284 3.7 5.1
398 16 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC 1.2347 4.6 5.9
399 16 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC 0.6583 2.6 3.3
400 17 SURG NO LONGER VALID 0.0000 0.0 0.0
401 17 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W CC 2.9598 8.0 11.5
402 17 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W/O CC 1.1533 2.8 4.1
403 17 MED LYMPHOMA & NON-ACUTE LEUKEMIA W CC 1.8172 5.7 8.0
404 17 MED LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC 0.8923 3.0 4.1
405 17 MED ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE 0-17 1.9255 4.9 4.9
406 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R.PROC W CC 2.7644 6.8 9.7
407 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R.PROC W/O CC 1.2158 3.3 4.0
408 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R.PROC 2.1980 4.9 8.3
409 17 MED RADIOTHERAPY 1.3093 4.4 6.0
410 17 MED CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS 1.1163 3.1 4.0
411 17 MED HISTORY OF MALIGNANCY W/O ENDOSCOPY 0.3951 4.7 4.7
412 17 MED HISTORY OF MALIGNANCY W ENDOSCOPY 0.6424 1.2 1.6
413 17 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC 1.3974 5.4 7.3
414 17 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC 0.6494 2.9 3.8
415 18 SURG O.R. PROCEDURE FOR INFECTIOUS & PARASITIC DISEASES 3.6291 10.2 14.1
416 18 MED SEPTICEMIA AGE >17 1.5982 5.5 7.4
417 18 MED SEPTICEMIA AGE 0-17 1.4132 3.8 5.4
418 18 MED POSTOPERATIVE & POST-TRAUMATIC INFECTIONS 1.0726 4.8 6.2
419 18 MED FEVER OF UNKNOWN ORIGIN AGE >17 W CC 0.8898 3.6 4.6
420 18 MED FEVER OF UNKNOWN ORIGIN AGE >17 W/O CC 0.6021 2.7 3.3
421 18 MED VIRAL ILLNESS AGE >17 0.8107 3.2 4.2
422 18 MED VIRAL ILLNESS & FEVER OF UNKNOWN ORIGIN AGE 0-17 0.5944 2.6 3.3
423 18 MED OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES 1.7834 5.8 8.1
424 19 SURG O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS 2.4327 7.6 13.0
425 19 MED ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION 0.6839 2.8 3.8
426 19 MED DEPRESSIVE NEUROSES 0.4845 3.1 4.2
427 19 MED NEUROSES EXCEPT DEPRESSIVE 0.5124 3.2 4.7
428 19 MED DISORDERS OF PERSONALITY & IMPULSE CONTROL 0.7762 4.8 7.5
429 19 MED ORGANIC DISTURBANCES & MENTAL RETARDATION 0.8248 4.4 5.9
430 19 MED PSYCHOSES 0.6608 5.6 7.8
431 19 MED CHILDHOOD MENTAL DISORDERS 0.4825 3.9 5.6
432 19 MED OTHER MENTAL DISORDER DIAGNOSES 0.6486 3.1 4.5
433 20 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA 0.2836 2.2 2.9
434 20 MED NO LONGER VALID 0.0000 0.0 0.0
435 20 MED NO LONGER VALID 0.0000 0.0 0.0
436 20 MED NO LONGER VALID 0.0000 0.0 0.0
437 20 MED NO LONGER VALID 0.0000 0.0 0.0
438 20
NO LONGER VALID 0.0000 0.0 0.0
439 21 SURG SKIN GRAFTS FOR INJURIES 1.8778 5.2 8.6
440 21 SURG WOUND DEBRIDEMENTS FOR INJURIES 1.8415 5.7 8.8
441 21 SURG HAND PROCEDURES FOR INJURIES 0.8694 2.1 3.1
442 21 SURG OTHER O.R. PROCEDURES FOR INJURIES W CC 2.4839 5.8 8.8
443 21 SURG OTHER O.R. PROCEDURES FOR INJURIES W/O CC 1.0074 2.6 3.4
444 21 MED TRAUMATIC INJURY AGE >17 W CC 0.7705 3.1 4.1
445 21 MED TRAUMATIC INJURY AGE >17 W/O CC 0.5121 2.2 2.8
446 21 MED TRAUMATIC INJURY AGE 0-17 0.2985 2.4 2.4
447 21 MED ALLERGIC REACTIONS AGE >17 0.5431 1.9 2.6
448 21 MED ALLERGIC REACTIONS AGE 0-17 0.0982 2.9 2.9
449 21 MED POISONING & TOXIC EFFECTS OF DRUGS AGE >17 W CC 0.8515 2.6 3.7
450 21 MED POISONING & TOXIC EFFECTS OF DRUGS AGE >17 W/O CC 0.4314 1.6 2.0
451 21 MED POISONING & TOXIC EFFECTS OF DRUGS AGE 0-17 0.2650 2.1 2.1
452 21 MED COMPLICATIONS OF TREATMENT W CC 1.0418 3.5 5.0
453 21 MED COMPLICATIONS OF TREATMENT W/O CC 0.5226 2.2 2.8
454 21 MED OTHER INJURY, POISONING & TOXIC EFFECT DIAG W CC 0.8494 3.0 4.3
455 21 MED OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O CC 0.4804 1.8 2.4
456 22
NO LONGER VALID 0.0000 0.0 0.0
457 22 MED NO LONGER VALID 0.0000 0.0 0.0
458 22 SURG NO LONGER VALID 0.0000 0.0 0.0
459 22 SURG NO LONGER VALID 0.0000 0.0 0.0
460 22 MED NO LONGER VALID 0.0000 0.0 0.0
461 23 SURG O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES 1.2114 2.2 3.6
462 23 MED REHABILITATION 0.8865 8.9 11.0
463 23 MED SIGNS & SYMPTOMS W CC 0.7073 3.1 4.0
464 23 MED SIGNS & SYMPTOMS W/O CC 0.5123 2.4 3.0
465 23 MED AFTERCARE W HISTORY OF MALIGNANCY AS SECONDARY DIAGNOSIS 0.5976 2.0 2.9
466 23 MED AFTERCARE W/O HISTORY OF MALIGNANCY AS SECONDARY DIAGNOSIS 0.6416 2.4 4.1
467 23 MED OTHER FACTORS INFLUENCING HEALTH STATUS 0.5604 2.0 3.2
468

EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 3.9472 9.6 13.2
469

PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS 0.0000 0.0 0.0
470

UNGROUPABLE 0.0000 0.0 0.0
471 8 SURG BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY 3.0523 4.6 5.3
472 22 SURG NO LONGER VALID 0.0000 0.0 0.0
473 17 MED ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE >17 3.5386 7.6 13.1
474 4 SURG NO LONGER VALID 0.0000 0.0 0.0
475 4 MED RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT 3.6166 8.0 11.3
476
SURG PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 2.2487 7.8 10.8
477
SURG NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 2.0181 5.6 8.4
478 5 SURG OTHER VASCULAR PROCEDURES W CC 2.3989 4.8 7.3
479 5 SURG OTHER VASCULAR PROCEDURES W/O CC 1.4402 2.3 3.0
480 PRE SURG LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT 9.8696 13.2 18.9
481 PRE SURG BONE MARROW TRANSPLANT 6.4851 19.1 22.5
482 PRE SURG TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES 3.1977 9.3 11.8
483 PRE SURG NO LONGER VALID 0.0000 0.0 0.0
484 24 SURG CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 5.0869 8.8 12.9
485 24 SURG LIMB REATTACHMENT, HIP AND FEMUR PROC FOR MULTIPLE SIGNIFICANT TRA 3.1808 7.9 9.8
486 24 SURG OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 4.7311 8.7 12.7
487 24 MED OTHER MULTIPLE SIGNIFICANT TRAUMA 1.9715 5.3 7.4
488 25 SURG HIV W EXTENSIVE O.R. PROCEDURE 4.8891 11.9 17.0
489 25 MED HIV W MAJOR RELATED CONDITION 1.7764 5.9 8.3
490 25 MED HIV W OR W 10 OTHER RELATED CONDITION 1.0543 3.8 5.3
491 8 SURG MAJOR JOINT & LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITY 1.7028 2.7 3.3
492 17 MED CHEMOTHERAPY W ACUTE LEUKEMIA OR W USE OF HI DOSE CHEMOAGENT 3.8509 9.4 15.0
493 7 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC 1.8368 4.5 6.1
494 7 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC 1.0218 2.1 2.7
495 PRE SURG LUNG TRANSPLANT 8.8440 13.9 16.9
496 8 SURG COMBINED ANTERIOR/POSTERIOR SPINAL FUSION 5.8072 6.6 8.9
497 8 SURG SPINAL FUSION EXCEPT CERVICAL W CC 3.5251 5.2 6.3
498 8 SURG SPINAL FUSION EXCEPT CERVICAL W/O CC 2.6527 3.6 3.9
499 8 SURG BACK & NECK PROCEDURES EXCEPT SPINAL FUSION W CC 1.4409 3.2 4.4
500 8 SURG BACK & NECK PROCEDURES EXCEPT SPINAL FUSION W/O CC 0.9436 1.9 2.3
501 8 SURG KNEE PROCEDURES W PDX OF INFECTION W CC 2.4285 8.0 10.1
502 8 SURG KNEE PROCEDURES W PDX OF INFECTION W/O CC 1.4275 5.1 6.0
503 8 SURG KNEE PROCEDURES W/O PDX OF INFECTION 1.2167 2.9 3.8
504 22 SURG EXTEN. BURNS OR FULL THICKNESS BURN W/MV 96+HRS W/SKIN GFT 13.0063 23.1 29.3
505 22 MED EXTEN. BURNS OR FULL THICKNESS BURN W/MV 96+HRS W/O SKIN GFT 1.8727 2.3 4.4
506 22 SURG FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W CC OR SIG TRAUMA 4.0604 11.6 16.2
507 22 SURG FULL THICKNESS BURN W SKIN GRFT OR IN HAL INJ W/O CC OR SIG TRAUMA 1.8618 6.6 9.1
508 22 MED FULL THICKNESS BURN W/O SKIN GRFT OR INHAL INJ W CC OR SIG TRAUMA 1.3358 5.1 7.3
509 22 MED FULL THICKNESS BURN W/O SKIN GRFT OR INH INJ W/O CC OR SIG TRAUMA 0.6859 3.4 4.7
510 22 MED NON-EXTENSIVE BURNS W CC OR SIGNIFICANT TRAUMA 1.2739 4.5 6.8
511 22 MED NON-EXTENSIVE BURNS W/O CC OR SIGNIFICANT TRAUMA 0.7058 2.9 4.1
512 PRE SURG SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT 6.0202 11.4 13.9
513 PRE SURG PANCREAS TRANSPLANT 6.3212 8.9 10.0
514 5 SURG NO LONGER VALID 0.0000 0.0 0.0
515 5 SURG CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH 5.4339 2.7 4.7
516 5 SURG PERCUTANEOUS CARDIOVASC PROC W AMI 2.6457 3.7 4.6
517 5 SURG PERC CARDIO PROC W NON-DRUG ELUTING STENT W/O AMI 2.1106 1.8 2.5
518 5 SURG PERC CARDIO PROC W/O CORONARY ARTERY STENT OR AMI 1.7509 2.3 3.5
519 8 SURG CERVICAL SPINAL FUSION W CC 2.4146 3.1 4.9
520 8 SURG CERVICAL SPINAL FUSION W/O CC 1.6300 1.6 2.1
521 20 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE W CC 0.6988 4.2 5.6
522 20 MED ALC/DRUG ABUSE OR DEPEND W REHABILITATION THERAPY W/O CC 0.4947 7.6 9.5
523 20 MED ALC/DRUG ABUSE OR DEPEND W/O REHABILITATION THERAPY W/O CC 0.3885 3.2 3.9
524 1 MED TRANSIENT ISCHEMIA 0.7414 2.6 3.3
525 5 SURG OTHER HEART ASSIST SYSTEM IMPLANT 11.3749 8.2 15.8
526 5 SURG PERCUTNEOUS CARDIOVASULAR PROC W DRUG ELUTING STENT W AMI 2.9741 3.3 4.3
527 5 SURG PERCUTNEOUS CARDIOVASULAR PROC W DRUG ELUTING STENT W/O AMI 2.3282 1.6 2.1
528 1 SURG INTRACRANIAL VASCULAR PROC W PDX HEMORRHAGE 6.8481 13.8 17.0
529 1 SURG VENTRICULAR SHUNT PROCEDURES W CC 2.2165 5.2 8.2
530 1 SURG VENTRICULAR SHUNT PROCEDURES W/O CC 1.1945 2.5 3.3
531 1 SURG SPINAL PROCEDURES W CC 3.0980 6.5 9.7
532 1 SURG SPINAL PROCEDURES W/O CC 1.4676 2.9 3.9
533 1 SURG EXTRACRANIAL PROCEDURES W CC 1.6498 2.6 4.0
534 1 SURG EXTRACRANIAL PROCEDURES W/O CC 1.0515 1.6 1.9
535 5 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK 7.6973 6.2 9.2
536 5 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK 6.2417 3.5 5.4
537 8 SURG LOCAL EXCIS & REMOV OF INT FIX DEV EXCEPT HIP & FEMUR W CC 1.7961 4.7 6.9
538 8 SURG LOCAL EXCIS & REMOV OF INT FIX DEV EXCEPT HIP & FEMUR W/O CC 0.9940 2.1 2.9
539 17 SURG LYMPHOMA & LEUKEMIA W MAJOR OR PROCEDURE W CC 3.3809 7.4 11.4
540 17 SURG LYMPHOMA & LEUKEMIA W MAJOR OR PROCEDURE W/O CC 1 .2864 2.9 4.0
541 17 SURG TRACH W MV 96+HRS OR PDX EXC FACE, MOUTH, & NECK DX W/MAJ OR 20.0414 38.7 45.9
542 17 SURG RACH W MV 96+HRS OR PDX EXC FACE, MOUTH, & NECK DX W/O MJ OR 12.0286 27.5 34.0
543 1 SURG CRANIOTOMY WIIMPLANT OF CHEMO AGENT OR ACUTE COMPLEX CNS PDX 4.4579 8.7 12.4
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