I R PInnovative Resources for Payors
                               
Medicare DRGs Effective 10/1/2006 - 9/30/2007
Source: Federal Register Friday, August 18, 2006
[[Page 48180]]
TABLE 5.--LIST OF DIAGNOSIS-RELATED GROUPS (DRGs), RELATIVE WEIGHTING FACTORS, AND GEOMETRIC AND ARTHIMETIC MEAN LENGTH OF STAY (LOS)
           
DRG MDC TYPE DRG TITLE RELATIVE WEIGHTS GEOMETRIC MEAN LOS ARITHMETIC MEAN LOS FY 07 final rule post -acute care DRG FY 07 final rule special pay DRG  
1 01 SURG CRANIOTOMY AGE >17 W CC 3.4651 7.3 9.8 Yes No
2 01 SURG CRANIOTOMY AGE >17 W/O CC 1.9525 3.4 4.4 Yes No
3 01 SURG * CRANIOTOMY AGE 0-17 2.0113 12.7 12.7 No No
4 01 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
5 01 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
6 01 SURG CARPAL TUNNEL RELEASE 0.7910 2.1 3.1 No No
7 01 SURG PERIPH & CRANIAL NERVE & OTHER NERV SYST PROC W CC 2.6609 6.5 9.4 Yes Yes
8 01 SURG PERIPH & CRANIAL NERVE & OTHER NERV SYST PROC W/O CC 1.5953 2.0 2.8 Yes Yes
9 01 MED SPINAL DISORDERS & INJURIES 1.3647 4.4 6.2 No No
10 01 MED NERVOUS SYSTEM NEOPLASMS W CC 1.2556 4.6 6.0 Yes No
11 01 MED NERVOUS SYSTEM NEOPLASMS W/O CC 0.8592 2.7 3.6 Yes No
12 01 MED DEGENERATIVE NERVOUS SYSTEM DISORDERS 0.9322 4.3 5.5 Yes No
13 01 MED MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA 0.8541 4.0 4.9 Yes No
14 01 MED INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION 1.2118 4.3 5.5 Yes No
15 01 MED NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT 0.9442 3.1 4.0 Yes No
16 01 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W CC 1.3579 5.0 6.5 Yes No
17 01 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC 0.7141 2.4 3.0 Yes No
18 01 MED CRANIAL & PERIPHERAL NERVE DISORDERS W CC 1.0038 4.1 5.2 Yes No
19 01 MED CRANIAL & PERIPHERAL NERVE DISORDERS W/O CC 0.7194 2.7 3.4 Yes No
20 01 MED NO LONGER VALID 0.0000 0.0 0.0 No No
21 01 MED VIRAL MENINGITIS 1.4130 4.7 6.2 No No
22 01 MED HYPERTENSIVE ENCEPHALOPATHY 1.1652 3.9 5.0 No No
23 01 MED NONTRAUMATIC STUPOR & COMA 0.8015 3.0 3.9 No No
24 01 MED NO LONGER VALID 0.0000 0.0 0.0 No No
25 01 MED NO LONGER VALID 0.0000 0.0 0.0 No No
26 01 MED SEIZURE & HEADACHE AGE 0-17 1.0076 2.7 3.8 No No
27 01 MED TRAUMATIC STUPOR & COMA, COMA >1 HR 1.3499 3.1 4.7 No No
28 01 MED TRAUMATIC STUPOR & COMA, COMA <1 HR AGE >17 W CC 1.3357 4.2 5.7 Yes No
29 01 MED TRAUMATIC STUPOR & COMA, COMA <1 HR AGE >17 W/O CC 0.7401 2.6 3.2 Yes No
30 01 MED * TRAUMATIC STUPOR & COMA, COMA <1 HR AGE 0-17 0.3402 * * No No
31 01 MED CONCUSSION AGE >17 W CC 0.9796 3.0 3.9 No No
32 01 MED CONCUSSION AGE >17 W/O CC 0.6408 1.9 2.3 No No
33 01 MED * CONCUSSION AGE 0-17 0.2136 * * No No
34 01 MED OTHER DISORDERS OF NERVOUS SYSTEM W CC 1.0175 3.6 4.8 Yes No
35 01 MED OTHER DISORDERS OF NERVOUS SYSTEM W/O CC 0.6587 2.5 3.1 Yes No
36 02 SURG RETINAL PROCEDURES 0.8056 1.4 1.9 No No
37 02 SURG ORBITAL PROCEDURES 1.2064 2.7 4.1 No No
38 02 SURG PRIMARY IRIS PROCEDURES 0.6195 2.2 2.8 No No
39 02 SURG LENS PROCEDURES WITH OR WITHOUT VITRECTOMY 0.6461 1.6 2.1 No No
40 02 SURG EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE >17 1.0309 3.1 4.2 No No
41 02 SURG * EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE 0-17 0.3462 * * No No
42 02 SURG INTRAOCULAR PROCEDURES EXCEPT RETINA, IRIS & LENS 0.7717 1.7 2.5 No No
43 02 MED HYPHEMA 0.6192 2.4 3.0 No No
44 02 MED ACUTE MAJOR EYE INFECTIONS 0.7186 3.8 4.8 No No
45 02 MED NEUROLOGICAL EYE DISORDERS 0.7434 2.5 3.0 No No
46 02 MED OTHER DISORDERS OF THE EYE AGE >17 W CC 0.7915 3.2 4.2 No No
47 02 MED OTHER DISORDERS OF THE EYE AGE >17 W/O CC 0.5520 2.4 3.0 No No
48 02 MED * OTHER DISORDERS OF THE EYE AGE 0-17 0.3050 * * No No
49 03 SURG MAJOR HEAD & NECK PROCEDURES 1.6684 3.2 4.5 No No
50 03 SURG SIALOADENECTOMY 0.8800 1.5 1.9 No No
51 03 SURG SALIVARY GLAND PROCEDURES EXCEPT SIALOADENECTOMY 0.8788 1.9 2.7 No No
52 03 SURG CLEFT LIP & PALATE REPAIR 0.6498 1.3 1.5 No No
53 03 SURG SINUS & MASTOID PROCEDURES AGE >17 1.3540 2.5 4.0 No No
54 03 SURG * SINUS & MASTOID PROCEDURES AGE 0-17 0.4944 * * No No
55 03 SURG MISCELLANEOUS EAR, NOSE, MOUTH & THROAT PROCEDURES 0.9652 1.9 2.9 No No
56 03 SURG RHINOPLASTY 0.8936 1.9 2.7 No No
57 03 SURG T&A PROC, EXCEPT TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE >17 0.9975 2.1 3.3 No No
58 03 SURG * T&A PROC, EXCEPT TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE 0-17 0.2807 * * No No
59 03 SURG TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE >17 0.6812 1.8 2.4 No No
60 03 SURG * TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE 0-17 0.2137 1.5 1.5 No No
61 03 SURG MYRINGOTOMY W TUBE INSERTION AGE >17 1.5987 3.7 6.1 No No
62 03 SURG * MYRINGOTOMY W TUBE INSERTION AGE 0-17 0.3027 1.3 1.3 No No
63 03 SURG OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES 1.3959 3.0 4.5 No No
64 03 MED EAR, NOSE, MOUTH & THROAT MALIGNANCY 1.2498 4.2 6.2 No No
65 03 MED DYSEQUILIBRIUM 0.6159 2.3 2.8 No No
66 03 MED EPISTAXIS 0.6280 2.4 3.1 No No
67 03 MED EPIGLOTTITIS 0.8242 2.8 3.7 No No
68 03 MED OTITIS MEDIA & URI AGE >17 W CC 0.6605 3.2 3.9 No No
69 03 MED OTITIS MEDIA & URI AGE >17 W/O CC 0.4910 2.5 3.0 No No
70 03 MED OTITIS MEDIA & URI AGE 0-17 0.3579 2.1 2.4 No No
71 03 MED LARYNGOTRACHEITIS 0.7758 3.4 4.4 No No
72 03 MED NASAL TRAUMA & DEFORMITY 0.7784 2.6 3.3 No No
73 03 MED OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES AGE >17 0.8500 3.3 4.3 Yes No
74 03 MED * OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES AGE 0-17 0.3441 2.1 2.1 No No
75 04 SURG MAJOR CHEST PROCEDURES 3.0350 7.4 9.7 Yes No
76 04 SURG OTHER RESP SYSTEM O.R. PROCEDURES W CC 2.8386 8.2 10.7 Yes No
77 04 SURG OTHER RESP SYSTEM O.R. PROCEDURES W/O CC 1.1886 3.3 4.5 Yes No
78 04 MED PULMONARY EMBOLISM 1.2357 5.3 6.2 Yes No
79 04 MED RESPIRATORY INFECTIONS & INFLAMMATIONS AGE >17 W CC 1.6268 6.7 8.3 Yes No
80 04 MED RESPIRATORY INFECTIONS & INFLAMMATIONS AGE >17 W/O CC 0.8943 4.3 5.3 Yes No
81 04 MED * RESPIRATORY INFECTIONS & INFLAMMATIONS AGE 0-17 1.5579 6.1 6.1 No No
82 04 MED RESPIRATORY NEOPLASMS 1.4121 5.1 6.8 Yes No
83 04 MED MAJOR CHEST TRAUMA W CC 1.0308 4.2 5.3 Yes No
84 04 MED MAJOR CHEST TRAUMA W/O CC 0.6028 2.6 3.1 Yes No
85 04 MED PLEURAL EFFUSION W CC 1.2459 4.7 6.2 Yes No
86 04 MED PLEURAL EFFUSION W/O CC 0.7132 2.7 3.5 Yes No
87 04 MED PULMONARY EDEMA & RESPIRATORY FAILURE 1.3838 4.9 6.4 No No
88 04 MED CHRONIC OBSTRUCTIVE PULMONARY DISEASE 0.8878 4.0 4.9 No No
89 04 MED SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 1.0376 4.6 5.6 Yes No
90 04 MED SIMPLE PNEUMONIA & PLEURISY AGE >17 W/O CC 0.6148 3.2 3.7 Yes No
91 04 MED SIMPLE PNEUMONIA & PLEURISY AGE 0-17 0.5598 2.5 3.4 No No
92 04 MED INTERSTITIAL LUNG DISEASE W CC 1.1979 4.8 6.0 Yes No
93 04 MED INTERSTITIAL LUNG DISEASE W/O CC 0.7437 3.0 3.8 Yes No
94 04 MED PNEUMOTHORAX W CC 1.1474 4.5 5.9 No No
95 04 MED PNEUMOTHORAX W/O CC 0.5871 2.7 3.4 No No
96 04 MED BRONCHITIS & ASTHMA AGE >17 W CC 0.7350 3.5 4.3 No No
97 04 MED BRONCHITIS & ASTHMA AGE >17 W/O CC 0.5429 2.8 3.4 No No
98 04 MED BRONCHITIS & ASTHMA AGE 0-17 0.5870 2.8 3.1 No No
99 04 MED RESPIRATORY SIGNS & SYMPTOMS W CC 0.7155 2.4 3.1 No No
100 04 MED RESPIRATORY SIGNS & SYMPTOMS W/O CC 0.5411 1.7 2.1 No No
101 04 MED OTHER RESPIRATORY SYSTEM DIAGNOSES W CC 0.8614 3.2 4.2 Yes No
102 04 MED OTHER RESPIRATORY SYSTEM DIAGNOSES W/O CC 0.5622 2.0 2.5 Yes No
103 PRE SURG HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM 18.8653 22.2 35.4 No No
104 05 SURG CARDIAC VALVE & OTH MAJOR CARDIOTHORACIC PROC W CARD CATH 8.2903 12.8 15.1 Yes No
105 05 SURG CARDIAC VALVE & OTH MAJOR CARDIOTHORACIC PROC W/O CARD CATH 6.0567 8.4 10.2 Yes No
106 05 SURG CORONARY BYPASS W PTCA 6.7383 9.3 10.9 No No
107 05 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
108 05 SURG OTHER CARDIOTHORACIC PROCEDURES 5.7544 8.8 10.9 Yes No
109 05 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
110 05 SURG MAJOR CARDIOVASCULAR PROCEDURES W CC 3.8064 5.4 8.1 No No
111 05 SURG MAJOR CARDIOVASCULAR PROCEDURES W/O CC 2.4879 2.3 3.1 No No
112 05 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
113 05 SURG AMPUTATION FOR CIRC SYSTEM DISORDERS EXCEPT UPPER LIMB & TOE 3.2646 10.8 13.7 Yes No
114 05 SURG UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS 1.7527 6.6 8.7 Yes No
115 05 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
116 05 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
117 05 SURG CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT 1.3713 2.6 4.3 No No
118 05 SURG CARDIAC PACEMAKER DEVICE REPLACEMENT 1.6687 2.0 3.0 No No
119 05 SURG VEIN LIGATION & STRIPPING 1.4554 3.3 5.4 No No
120 05 SURG OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 2.4173 6.0 9.2 Yes No
121 05 MED CIRCULATORY DISORDERS W AMI & MAJOR COMP, DISCHARGED ALIVE 1.6166 5.2 6.5 Yes No
122 05 MED CIRCULATORY DISORDERS W AMI W/O MAJOR COMP, DISCHARGED ALIVE 0.9621 2.7 3.4 No No
123 05 MED CIRCULATORY DISORDERS W AMI, EXPIRED 1.4902 2.9 4.7 No No
124 05 MED CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH & COMPLEX DIAG 1.4099 3.3 4.4 No No
125 05 MED CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O COMPLEX DIAG 1.0530 2.1 2.7 No No
126 05 MED ACUTE & SUBACUTE ENDOCARDITIS 2.6653 9.0 11.2 Yes No
127 05 MED HEART FAILURE & SHOCK 1.0490 4.1 5.2 Yes No
128 05 MED DEEP VEIN THROMBOPHLEBITIS 0.7499 4.4 5.2 No No
129 05 MED CARDIAC ARREST, UNEXPLAINED 1.0118 1.6 2.5 No No
130 05 MED PERIPHERAL VASCULAR DISORDERS W CC 0.9712 4.3 5.5 Yes No
131 05 MED PERIPHERAL VASCULAR DISORDERS W/O CC 0.5755 3.1 3.7 Yes No
132 05 MED ATHEROSCLEROSIS W CC 0.6318 2.2 2.8 No No
133 05 MED ATHEROSCLEROSIS W/O CC 0.5494 1.8 2.1 No No
134 05 MED HYPERTENSION 0.6189 2.5 3.1 No No
135 05 MED CARDIAC CONGENITAL & VALVULAR DISORDERS AGE >17 W CC 0.9405 3.3 4.3 No No
136 05 MED CARDIAC CONGENITAL & VALVULAR DISORDERS AGE >17 W/O CC 0.6580 2.1 2.7 No No
137 05 MED * CARDIAC CONGENITAL & VALVULAR DISORDERS AGE 0-17 0.8393 * * No No
138 05 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC 0.8365 3.0 3.9 No No
139 05 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC 0.5297 2.0 2.4 No No
140 05 MED ANGINA PECTORIS 0.5041 1.9 2.4 No No
141 05 MED SYNCOPE & COLLAPSE W CC 0.7633 2.7 3.4 No No
142 05 MED SYNCOPE & COLLAPSE W/O CC 0.6012 2.1 2.5 No No
143 05 MED CHEST PAIN 0.5637 1.7 2.1 No No
144 05 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W CC 1.3381 4.3 5.9 Yes No
145 05 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC 0.5834 2.0 2.6 Yes No
146 06 SURG RECTAL RESECTION W CC 2.7431 8.4 9.9 Yes No
147 06 SURG RECTAL RESECTION W/O CC 1.5124 4.9 5.6 Yes No
148 06 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
149 06 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC 1.4357 5.1 5.7 Yes No
150 06 SURG PERITONEAL ADHESIOLYSIS W CC 2.7871 8.7 10.8 Yes No
151 06 SURG PERITONEAL ADHESIOLYSIS W/O CC 1.2863 4.0 5.0 Yes No
152 06 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W CC 1.8859 6.5 7.9 No No
153 06 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC 1.0983 4.4 4.9 No No
154 06 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
155 06 SURG STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES AGE >17 W/O CC 1.2948 3.0 4.0 Yes No
156 06 SURG * STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES AGE 0-17 0.8644 6.0 6.0 No No
157 06 SURG ANAL & STOMAL PROCEDURES W CC 1.3430 4.1 5.8 Yes No
158 06 SURG ANAL & STOMAL PROCEDURES W/O CC 0.6577 2.1 2.7 Yes No
159 06 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W CC 1.4316 3.7 5.1 No No
160 06 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W/O CC 0.8675 2.2 2.7 No No
161 06 SURG INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W CC 1.2403 3.2 4.5 No No
162 06 SURG INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W/O CC 0.6916 1.7 2.1 No No
163 06 SURG * HERNIA PROCEDURES AGE 0-17 0.6809 2.1 2.1 No No
164 06 SURG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC 2.1474 6.4 7.7 No No
165 06 SURG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC 1.1843 3.4 4.0 No No
166 06 SURG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC 1.4035 3.2 4.3 No No
167 06 SURG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC 0.9001 1.8 2.1 No No
168 03 SURG MOUTH PROCEDURES W CC 1.2827 3.3 4.8 No No
169 03 SURG MOUTH PROCEDURES W/O CC 0.7679 1.8 2.3 No No
170 06 SURG OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC 2.9921 7.8 10.9 Yes No
171 06 SURG OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC 1.2242 3.1 4.2 Yes No
172 06 MED DIGESTIVE MALIGNANCY W CC 1.4293 5.1 6.9 Yes No
173 06 MED DIGESTIVE MALIGNANCY W/O CC 0.7645 2.7 3.6 Yes No
174 06 MED G.I. HEMORRHAGE W CC 1.0296 3.8 4.7 No No
175 06 MED G.I. HEMORRHAGE W/O CC 0.5808 2.4 2.9 No No
176 06 MED COMPLICATED PEPTIC ULCER 1.1275 4.0 5.1 Yes No
177 06 MED UNCOMPLICATED PEPTIC ULCER W CC 0.9333 3.6 4.4 No No
178 06 MED UNCOMPLICATED PEPTIC ULCER W/O CC 0.6900 2.6 3.1 No No
179 06 MED INFLAMMATORY BOWEL DISEASE 1.0804 4.5 5.8 No No
180 06 MED G.I. OBSTRUCTION W CC 0.9930 4.1 5.3 Yes No
181 06 MED G.I. OBSTRUCTION W/O CC 0.5784 2.8 3.3 Yes No
182 06 MED ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W CC 0.7853 3.2 4.1 No No
183 06 MED ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W/O CC 0.5841 2.3 2.8 No No
184 06 MED ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE 0-17 0.6192 2.5 3.7 No No
185 03 MED DENTAL & ORAL DIS EXCEPT EXTRACTIONS & RESTORATIONS, AGE >17 0.8886 3.3 4.5 No No
186 03 MED * DENTAL & ORAL DIS EXCEPT EXTRACTIONS & RESTORATIONS, AGE 0-17 0.3294 2.9 2.9 No No
187 03 MED DENTAL EXTRACTIONS & RESTORATIONS 0.8421 3.1 4.2 No No
188 06 MED OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W CC 1.0931 4.0 5.4 Yes No
189 06 MED OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W/O CC 0.5916 2.4 3.0 Yes No
190 06 MED OTHER DIGESTIVE SYSTEM DIAGNOSES AGE 0-17 0.6351 2.3 3.0 No No
191 07 SURG PANCREAS, LIVER & SHUNT PROCEDURES W CC 3.9384 8.8 12.5 Yes No
192 07 SURG PANCREAS, LIVER & SHUNT PROCEDURES W/O CC 1.6740 4.2 5.5 Yes No
193 07 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC 3.3831 10.1 12.6 No No
194 07 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CC 1.5879 5.4 6.3 No No
195 07 SURG CHOLECYSTECTOMY W C.D.E. W CC 3.0501 8.8 10.6 No No
196 07 SURG CHOLECYSTECTOMY W C.D.E. W/O CC 1.5412 4.5 5.3 No No
197 07 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC 2.5518 7.4 9.1 Yes No
198 07 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC 1.1781 3.7 4.3 Yes No
199 07 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR MALIGNANCY 2.2350 6.4 9.0 No No
200 07 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR NON-MALIGNANCY 2.8402 6.5 10.4 No No
201 07 SURG OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES 3.7905 10.0 13.6 No No
202 07 MED CIRRHOSIS & ALCOHOLIC HEPATITIS 1.3396 4.6 6.2 No No
203 07 MED MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS 1.3672 4.8 6.5 No No
204 07 MED DISORDERS OF PANCREAS EXCEPT MALIGNANCY 1.0989 4.1 5.4 No No
205 07 MED DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC 1.2013 4.4 5.9 Yes No
206 07 MED DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC 0.7287 3.0 3.8 Yes No
207 07 MED DISORDERS OF THE BILIARY TRACT W CC 1.1839 4.1 5.3 No No
208 07 MED DISORDERS OF THE BILIARY TRACT W/O CC 0.6890 2.4 3.0 No No
209 08 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
210 08 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE >17 W CC 1.9022 5.9 6.7 Yes Yes
211 08 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE >17 W/O CC 1.2939 4.3 4.6 Yes Yes
212 08 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 0.9164 2.2 2.5 No No
213 08 SURG AMPUTATION FOR MUSCULOSKELETAL SYSTEM & CONN TISSUE DISORDERS 2.1174 7.1 9.5 Yes No
214 08 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
215 08 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
216 08 SURG BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE 1.8744 3.1 5.4 Yes No
217 08 SURG WND DEBRID & SKN GRFT EXCEPT HAND,FOR MUSCSKELET & CONN TISS DIS 3.0499 9.0 12.9 Yes No
218 08 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR AGE >17 W CC 1.7053 4.4 5.5 Yes No
219 08 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR AGE >17 W/O CC 1.1033 2.7 3.2 Yes No
220 08 SURG * LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR AGE 0-17 0.5988 5.3 5.3 No No
221 08 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
222 08 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
223 08 SURG MAJOR SHOULDER/ELBOW PROC, OR OTHER UPPER EXTREMITY PROC W CC 1.1726 2.4 3.3 No No
224 08 SURG SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC, W/O CC 0.8574 1.6 1.9 No No
225 08 SURG FOOT PROCEDURES 1.2775 3.8 5.4 Yes No
226 08 SURG SOFT TISSUE PROCEDURES W CC 1.6340 4.6 6.5 Yes No
227 08 SURG SOFT TISSUE PROCEDURES W/O CC 0.8618 2.1 2.6 Yes No
228 08 SURG MAJOR THUMB OR JOINT PROC,OR OTH HAND OR WRIST PROC W CC 1.1528 2.9 4.2 No No
229 08 SURG HAND OR WRIST PROC, EXCEPT MAJOR JOINT PROC, W/O CC 0.7208 2.0 2.5 No No
230 08 SURG LOCAL EXCISION & REMOVAL OF INT FIX DEVICES OF HIP & FEMUR 1.3385 3.6 5.4 No No
231 08 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
232 08 SURG ARTHROSCOPY 0.9732 1.9 2.7 No No
233 08 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC 1.9033 4.3 6.4 Yes Yes
234 08 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC 1.2565 1.9 2.7 Yes Yes
235 08 MED FRACTURES OF FEMUR 0.8226 3.8 4.8 Yes No
236 08 MED FRACTURES OF HIP & PELVIS 0.7688 3.8 4.5 Yes No
237 08 MED SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH 0.6573 3.0 3.8 No No
238 08 MED OSTEOMYELITIS 1.4100 6.5 8.3 Yes No
239 08 MED PATHOLOGICAL FRACTURES & MUSCULOSKELETAL & CONN TISS MALIGNANCY 1.1203 4.9 6.2 Yes No
240 08 MED CONNECTIVE TISSUE DISORDERS W CC 1.3807 4.9 6.5 Yes No
241 08 MED CONNECTIVE TISSUE DISORDERS W/O CC 0.6637 3.0 3.7 Yes No
242 08 MED SEPTIC ARTHRITIS 1.1045 5.1 6.5 No No
243 08 MED MEDICAL BACK PROBLEMS 0.7970 3.6 4.5 No No
244 08 MED BONE DISEASES & SPECIFIC ARTHROPATHIES W CC 0.7394 3.6 4.5 Yes No
245 08 MED BONE DISEASES & SPECIFIC ARTHROPATHIES W/O CC 0.4943 2.5 3.1 Yes No
246 08 MED NON-SPECIFIC ARTHROPATHIES 0.6311 2.8 3.6 No No
247 08 MED SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE 0.5934 2.6 3.3 No No
248 08 MED TENDONITIS, MYOSITIS & BURSITIS 0.8876 3.8 4.8 No No
249 08 MED AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE 0.7506 2.8 4.0 No No
250 08 MED FX, SPRN, STRN & DISL OF FOREARM, HAND, FOOT AGE >17 W CC 0.7230 3.2 3.9 Yes No
251 08 MED FX, SPRN, STRN & DISL OF FOREARM, HAND, FOOT AGE >17 W/O CC 0.5122 2.3 2.8 Yes No
252 08 MED * FX, SPRN, STRN & DISL OF FOREARM, HAND, FOOT AGE 0-17 0.2600 * * No No
253 08 MED FX, SPRN, STRN & DISL OF UPARM,LOWLEG EX FOOT AGE >17 W CC 0.8180 3.8 4.6 Yes No
254 08 MED FX, SPRN, STRN & DISL OF UPARM,LOWLEG EX FOOT AGE >17 W/O CC 0.4978 2.6 3.1 Yes No
255 08 MED * FX, SPRN, STRN & DISL OF UPARM,LOWLEG EX FOOT AGE 0-17 0.3028 * * No No
256 08 MED OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES 0.8714 3.9 5.0 Yes No
257 09 SURG TOTAL MASTECTOMY FOR MALIGNANCY W CC 0.9123 2.0 2.6 No No
258 09 SURG TOTAL MASTECTOMY FOR MALIGNANCY W/O CC 0.7130 1.5 1.7 No No
259 09 SURG SUBTOTAL MASTECTOMY FOR MALIGNANCY W CC 1.0060 1.8 2.8 No No
260 09 SURG SUBTOTAL MASTECTOMY FOR MALIGNANCY W/O CC 0.6819 1.2 1.4 No No
261 09 SURG BREAST PROC FOR NON-MALIGNANCY EXCEPT BIOPSY & LOCAL EXCISION 0.9535 1.6 2.2 No No
262 09 SURG BREAST BIOPSY & LOCAL EXCISION FOR NON-MALIGNANCY 0.9621 3.3 4.7 No No
263 09 SURG SKIN GRAFT &/OR DEBRID FOR SKN ULCER OR CELLULITIS W CC 2.1230 8.3 11.1 Yes No
264 09 SURG SKIN GRAFT &/OR DEBRID FOR SKN ULCER OR CELLULITIS W/O CC 1.0980 4.9 6.4 Yes No
265 09 SURG SKIN GRAFT &/OR DEBRID EXCEPT FOR SKIN ULCER OR CELLULITIS W CC 1.6951 4.2 6.7 Yes No
266 09 SURG SKIN GRAFT &/OR DEBRID EXCEPT FOR SKIN ULCER OR CELLULITIS W/O CC 0.9136 2.3 3.0 Yes No
267 09 SURG PERIANAL & PILONIDAL PROCEDURES 0.9444 2.9 4.2 No No
268 09 SURG SKIN, SUBCUTANEOUS TISSUE & BREAST PLASTIC PROCEDURES 1.2219 2.4 3.6 No No
269 09 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W CC 1.7920 6.0 8.3 Yes No
270 09 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC 0.8209 2.7 3.6 Yes No
271 09 MED SKIN ULCERS 1.0763 5.6 7.1 Yes No
272 09 MED MAJOR SKIN DISORDERS W CC 1.0356 4.5 5.9 Yes No
273 09 MED MAJOR SKIN DISORDERS W/O CC 0.5853 2.9 3.7 Yes No
274 09 MED MALIGNANT BREAST DISORDERS W CC 1.1315 4.5 6.2 No No
275 09 MED MALIGNANT BREAST DISORDERS W/O CC 0.5954 2.4 3.3 No No
276 09 MED NON-MALIGANT BREAST DISORDERS 0.7430 3.6 4.6 No No
277 09 MED CELLULITIS AGE >17 W CC 0.8958 4.5 5.5 Yes No
278 09 MED CELLULITIS AGE >17 W/O CC 0.5649 3.4 4.0 Yes No
279 09 MED * CELLULITIS AGE 0-17 0.7922 4.2 4.2 No No
280 09 MED TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE >17 W CC 0.7716 3.2 4.0 Yes No
281 09 MED TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE >17 W/O CC 0.5207 2.3 2.8 Yes No
282 09 MED * TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE 0-17 0.2633 * * No No
283 09 MED MINOR SKIN DISORDERS W CC 0.7605 3.4 4.6 Yes No
284 09 MED MINOR SKIN DISORDERS W/O CC 0.4584 2.3 2.9 Yes No
285 10 SURG AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DISORDERS 2.1774 8.1 10.3 Yes No
286 10 SURG ADRENAL & PITUITARY PROCEDURES 1.9098 3.8 5.2 No No
287 10 SURG SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DISORDERS 1.9507 7.6 9.9 Yes No
288 10 SURG O.R. PROCEDURES FOR OBESITY 1.9130 2.9 3.7 No No
289 10 SURG PARATHYROID PROCEDURES 0.9245 1.6 2.4 No No
290 10 SURG THYROID PROCEDURES 0.8806 1.5 2.0 No No
291 10 SURG THYROGLOSSAL PROCEDURES 0.5849 1.3 1.5 No No
292 10 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC 2.6985 7.3 10.2 Yes No
293 10 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC 1.3912 3.5 4.8 Yes No
294 10 MED DIABETES AGE >35 0.7869 3.3 4.3 Yes No
295 10 MED DIABETES AGE 0-35 0.7655 2.8 3.7 No No
296 10 MED NUTRITIONAL & MISC METABOLIC DISORDERS AGE >17 W CC 0.8334 3.6 4.7 Yes No
297 10 MED NUTRITIONAL & MISC METABOLIC DISORDERS AGE >17 W/O CC 0.5090 2.5 3.0 Yes No
298 10 MED NUTRITIONAL & MISC METABOLIC DISORDERS AGE 0-17 0.5753 2.5 3.5 No No
299 10 MED INBORN ERRORS OF METABOLISM 1.0490 3.7 5.1 No No
300 10 MED ENDOCRINE DISORDERS W CC 1.1193 4.6 5.9 Yes No
301 10 MED ENDOCRINE DISORDERS W/O CC 0.6209 2.7 3.4 Yes No
302 11 SURG KIDNEY TRANSPLANT 3.1152 6.7 7.9 No No
303 11 SURG KIDNEY AND URETER PROCEDURES FOR NEOPLASM 1.9776 5.0 6.3 No No
304 11 SURG KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM W CC 2.3473 5.8 8.3 Yes No
305 11 SURG KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM W/O CC 1.1520 2.5 3.0 Yes No
306 11 SURG PROSTATECTOMY W CC 1.3390 3.6 5.6 No No
307 11 SURG PROSTATECTOMY W/O CC 0.6411 1.7 2.0 No No
308 11 SURG MINOR BLADDER PROCEDURES W CC 1.4594 3.3 5.3 No No
309 11 SURG MINOR BLADDER PROCEDURES W/O CC 0.9022 1.4 1.7 No No
310 11 SURG TRANSURETHRAL PROCEDURES W CC 1.2131 3.1 4.5 No No
311 11 SURG TRANSURETHRAL PROCEDURES W/O CC 0.6552 1.5 1.9 No No
312 11 SURG URETHRAL PROCEDURES, AGE >17 W CC 1.1767 3.3 4.9 No No
313 11 SURG URETHRAL PROCEDURES, AGE >17 W/O CC 0.7465 1.8 2.4 No No
314 11 SURG * URETHRAL PROCEDURES, AGE 0-17 0.5076 2.3 2.3 No No
315 11 SURG OTHER KIDNEY & URINARY TRACT O.R. PROCEDURES 2.1173 3.7 6.8 No No
316 11 MED RENAL FAILURE 1.2602 4.8 6.3 Yes No
317 11 MED ADMIT FOR RENAL DIALYSIS 0.8067 2.4 3.5 No No
318 11 MED KIDNEY & URINARY TRACT NEOPLASMS W CC 1.2376 4.4 6.0 No No
319 11 MED KIDNEY & URINARY TRACT NEOPLASMS W/O CC 0.6084 1.9 2.6 No No
320 11 MED KIDNEY & URINARY TRACT INFECTIONS AGE >17 W CC 0.8769 4.1 5.1 Yes No
321 11 MED KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC 0.5793 3.0 3.6 Yes No
322 11 MED KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 0.6160 3.1 3.6 No No
323 11 MED URINARY STONES W CC, &/OR ESW LITHOTRIPSY 0.8259 2.3 3.1 No No
324 11 MED URINARY STONES W/O CC 0.5049 1.6 1.8 No No
325 11 MED KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE >17 W CC 0.6904 2.9 3.7 No No
326 11 MED KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE >17 W/O CC 0.4544 2.1 2.6 No No
327 11 MED KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE 0-17 0.2109 1.8 2.0 No No
328 11 MED URETHRAL STRICTURE AGE >17 W CC 0.7294 2.6 3.4 No No
329 11 MED URETHRAL STRICTURE AGE >17 W/O CC 0.5198 1.4 1.7 No No
330 11 MED * URETHRAL STRICTURE AGE 0-17 0.3268 * * No No
331 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE >17 W CC 1.0960 4.2 5.5 Yes No
332 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE >17 W/O CC 0.6255 2.4 3.1 Yes No
333 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE 0-17 1.0170 3.7 5.4 No No
334 12 SURG MAJOR MALE PELVIC PROCEDURES W CC 1.4202 3.3 4.0 No No
335 12 SURG MAJOR MALE PELVIC PROCEDURES W/O CC 1.1174 2.2 2.5 No No
336 12 SURG TRANSURETHRAL PROSTATECTOMY W CC 0.8576 2.4 3.2 No No
337 12 SURG TRANSURETHRAL PROSTATECTOMY W/O CC 0.5877 1.6 1.8 No No
338 12 SURG TESTES PROCEDURES, FOR MALIGNANCY 1.3797 3.8 5.8 No No
339 12 SURG TESTES PROCEDURES, NON-MALIGNANCY AGE >17 1.2553 3.3 5.2 No No
340 12 SURG * TESTES PROCEDURES, NON-MALIGNANCY AGE 0-17 0.2904 * * No No
341 12 SURG PENIS PROCEDURES 1.3419 1.9 3.2 No No
342 12 SURG CIRCUMCISION AGE >17 0.8103 2.3 3.0 No No
343 12 SURG * CIRCUMCISION AGE 0-17 0.1579 * * No No
344 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY 1.2124 1.7 2.7 No No
345 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXCEPT FOR MALIGNANCY 1.2987 3.4 5.4 No No
346 12 MED MALIGNANCY, MALE REPRODUCTIVE SYSTEM, W CC 1.0716 4.5 5.9 No No
347 12 MED MALIGNANCY, MALE REPRODUCTIVE SYSTEM, W/O CC 0.5385 2.0 2.7 No No
348 12 MED BENIGN PROSTATIC HYPERTROPHY W CC 0.7429 3.1 4.0 No No
349 12 MED BENIGN PROSTATIC HYPERTROPHY W/O CC 0.4615 2.1 2.6 No No
350 12 MED INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM 0.7748 3.6 4.5 No No
351 12 MED * STERILIZATION, MALE 0.2422 * * No No
352 12 MED OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES 0.7819 3.0 4.2 No No
353 13 SURG PELVIC EVISCERATION, RADICAL HYSTERECTOMY & RADICAL VULVECTOMY 1.8192 4.5 6.0 No No
354 13 SURG UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC 1.4966 4.5 5.6 No No
355 13 SURG UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC 0.9074 2.8 3.0 No No
356 13 SURG FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 0.7571 1.6 1.9 No No
357 13 SURG UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY 2.2250 6.4 8.0 No No
358 13 SURG UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC 1.1418 3.1 3.9 No No
359 13 SURG UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC 0.8053 2.1 2.3 No No
360 13 SURG VAGINA, CERVIX & VULVA PROCEDURES 0.8811 2.0 2.5 No No
361 13 SURG LAPAROSCOPY & INCISIONAL TUBAL INTERRUPTION 1.0626 2.1 2.9 No No
362 13 SURG * ENDOSCOPIC TUBAL INTERRUPTION 0.3096 1.4 1.4 No No
363 13 SURG D&C, CONIZATION & RADIO-IMPLANT, FOR MALIGNANCY 1.1028 2.9 4.2 No No
364 13 SURG D&C, CONIZATION EXCEPT FOR MALIGNANCY 0.8936 2.7 3.8 No No
365 13 SURG OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES 2.0508 5.3 7.9 No No
366 13 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC 1.2466 4.6 6.3 No No
367 13 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC 0.5865 2.3 3.0 No No
368 13 MED INFECTIONS, FEMALE REPRODUCTIVE SYSTEM 1.1697 5.0 6.4 No No
369 13 MED MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 0.6598 2.5 3.3 No No
370 14 SURG CESAREAN SECTION W CC 0.9002 4.1 5.0 No No
371 14 SURG CESAREAN SECTION W/O CC 0.6565 3.1 3.4 No No
372 14 MED VAGINAL DELIVERY W COMPLICATING DIAGNOSES 0.5660 2.6 3.4 No No
373 14 MED VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES 0.3911 2.1 2.2 No No
374 14 SURG VAGINAL DELIVERY W STERILIZATION &/OR D&C 0.6505 2.4 3.0 No No
375 14 SURG VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C 1.1252 4.1 6.5 No No
376 14 MED POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE 0.6150 2.5 3.3 No No
377 14 SURG POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE 1.2457 3.2 4.5 No No
378 14 MED ECTOPIC PREGNANCY 0.7163 1.8 2.2 No No
379 14 MED THREATENED ABORTION 0.4138 2.2 3.3 No No
380 14 MED ABORTION W/O D&C 0.4430 1.5 2.0 No No
381 14 SURG ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 0.7070 1.7 2.5 No No
382 14 MED FALSE LABOR 0.1817 1.3 1.5 No No
383 14 MED OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS 0.5103 2.6 3.7 No No
384 14 MED OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS 0.3790 1.7 2.6 No No
385 15 MED * NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY 1.4107 * * No No
386 15 MED * EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE 4.6519 * * No No
387 15 MED * PREMATURITY W MAJOR PROBLEMS 3.1771 * * No No
388 15 MED * PREMATURITY W/O MAJOR PROBLEMS 1.9170 * * No No
389 15 MED * FULL TERM NEONATE W MAJOR PROBLEMS 3.2636 4.7 4.7 No No
390 15 MED * NEONATE W OTHER SIGNIFICANT PROBLEMS 1.1551 * * No No
391 15 MED * NORMAL NEWBORN 0.1564 * * No No
392 16 SURG SPLENECTOMY AGE >17 3.0202 6.3 8.9 No No
393 16 SURG * SPLENECTOMY AGE 0-17 1.3819 * * No No
394 16 SURG OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS 1.9299 4.5 7.3 No No
395 16 MED RED BLOOD CELL DISORDERS AGE >17 0.7992 3.1 4.1 Yes No
396 16 MED RED BLOOD CELL DISORDERS AGE 0-17 0.6654 2.6 3.1 No No
397 16 MED COAGULATION DISORDERS 1.3267 3.7 5.1 No No
398 16 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC 1.1269 4.1 5.5 Yes No
399 16 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC 0.6720 2.6 3.2 Yes No
400 17 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
401 17 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W CC 2.9652 8.1 11.3 Yes No
402 17 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W/O CC 1.1612 2.8 3.9 Yes No
403 17 MED LYMPHOMA & NON-ACUTE LEUKEMIA W CC 1.8625 5.7 8.0 Yes No
404 17 MED LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC 0.9224 3.0 4.1 Yes No
405 17 MED * ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE 0-17 1.9592 * * No No
406 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R.PROC W CC 2.7201 6.7 9.4 No No
407 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R.PROC W/O CC 1.1545 2.8 3.5 No No
408 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R.PROC 2.1651 5.1 8.2 No No
409 17 MED RADIOTHERAPY 1.2948 4.5 6.0 No No
410 17 MED CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS 1.0908 2.9 3.8 No No
411 17 MED * HISTORY OF MALIGNANCY W/O ENDOSCOPY 0.3681 4.7 4.7 No No
412 17 MED * HISTORY OF MALIGNANCY W ENDOSCOPY 0.8559 2.0 2.0 No No
413 17 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC 1.3347 5.0 6.7 No No
414 17 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC 0.7678 3.0 4.1 No No
415 18 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
416 18 MED NO LONGER VALID 0.0000 0.0 0.0 No No
417 18 MED SEPTICEMIA AGE 0-17 1.8841 5.2 6.5 No No
418 18 MED POSTOPERATIVE & POST-TRAUMATIC INFECTIONS 1.0993 4.7 6.1 Yes No
419 18 MED FEVER OF UNKNOWN ORIGIN AGE >17 W CC 0.8614 3.4 4.4 No No
420 18 MED FEVER OF UNKNOWN ORIGIN AGE >17 W/O CC 0.5957 2.6 3.2 No No
421 18 MED VIRAL ILLNESS AGE >17 0.7747 3.1 4.0 No No
422 18 MED VIRAL ILLNESS & FEVER OF UNKNOWN ORIGIN AGE 0-17 0.6176 2.6 3.7 No No
423 18 MED OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES 1.8379 6.0 8.2 Yes No
424 19 SURG O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS 2.2487 7.4 11.5 No No
425 19 MED ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION 0.6299 2.6 3.5 No No
426 19 MED DEPRESSIVE NEUROSES 0.5122 3.1 4.3 No No
427 19 MED NEUROSES EXCEPT DEPRESSIVE 0.5580 3.1 4.6 No No
428 19 MED DISORDERS OF PERSONALITY & IMPULSE CONTROL 0.7797 4.5 7.3 No No
429 19 MED ORGANIC DISTURBANCES & MENTAL RETARDATION 0.8388 4.3 5.6 Yes No
430 19 MED PSYCHOSES 0.7261 5.8 7.9 Yes No
431 19 MED CHILDHOOD MENTAL DISORDERS 0.6729 4.2 6.7 No No
432 19 MED OTHER MENTAL DISORDER DIAGNOSES 0.6611 2.7 4.0 No No
433 20 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA 0.3284 2.1 2.8 No No
434 20 MED NO LONGER VALID 0.0000 0.0 0.0 No No
435 20 MED NO LONGER VALID 0.0000 0.0 0.0 No No
436 20 MED NO LONGER VALID 0.0000 0.0 0.0 No No
437 20 MED NO LONGER VALID 0.0000 0.0 0.0 No No
438 20 MED NO LONGER VALID 0.0000 0.0 0.0 No No
439 21 SURG SKIN GRAFTS FOR INJURIES 1.9071 5.4 8.3 No No
440 21 SURG WOUND DEBRIDEMENTS FOR INJURIES 1.9291 5.6 8.5 Yes No
441 21 SURG HAND PROCEDURES FOR INJURIES 0.9920 2.3 3.4 No No
442 21 SURG OTHER O.R. PROCEDURES FOR INJURIES W CC 2.5533 6.0 8.9 Yes No
443 21 SURG OTHER O.R. PROCEDURES FOR INJURIES W/O CC 1.0498 2.7 3.5 Yes No
444 21 MED TRAUMATIC INJURY AGE >17 W CC 0.7795 3.2 4.1 Yes No
445 21 MED TRAUMATIC INJURY AGE >17 W/O CC 0.5301 2.3 2.8 Yes No
446 21 MED * TRAUMATIC INJURY AGE 0-17 0.3037 * * No No
447 21 MED ALLERGIC REACTIONS AGE >17 0.5738 1.9 2.6 No No
448 21 MED * ALLERGIC REACTIONS AGE 0-17 0.1000 * * No No
449 21 MED POISONING & TOXIC EFFECTS OF DRUGS AGE >17 W CC 0.8732 2.7 3.7 No No
450 21 MED POISONING & TOXIC EFFECTS OF DRUGS AGE >17 W/O CC 0.4420 1.6 2.0 No No
451 21 MED * POISONING & TOXIC EFFECTS OF DRUGS AGE 0-17 0.2697 2.1 2.1 No No
452 21 MED COMPLICATIONS OF TREATMENT W CC 1.0686 3.5 5.0 No No
453 21 MED COMPLICATIONS OF TREATMENT W/O CC 0.5297 2.2 2.8 No No
454 21 MED OTHER INJURY, POISONING & TOXIC EFFECT DIAG W CC 0.8616 3.0 4.1 No No
455 21 MED OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O CC 0.4864 1.8 2.3 No No
456 22 MED NO LONGER VALID 0.0000 0.0 0.0 No No
457 22 MED NO LONGER VALID 0.0000 0.0 0.0 No No
458 22 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
459 22 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
460 22 MED NO LONGER VALID 0.0000 0.0 0.0 No No
461 23 SURG O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES 1.5707 3.3 5.6 No No
462 23 MED REHABILITATION 0.9460 8.4 10.0 Yes No
463 23 MED SIGNS & SYMPTOMS W CC 0.7158 3.1 3.9 Yes No
464 23 MED SIGNS & SYMPTOMS W/O CC 0.5271 2.4 2.9 Yes No
465 23 MED AFTERCARE W HISTORY OF MALIGNANCY AS SECONDARY DIAGNOSIS 0.5954 2.4 3.5 No No
466 23 MED AFTERCARE W/O HISTORY OF MALIGNANCY AS SECONDARY DIAGNOSIS 0.7634 2.7 4.9 No No
467 23 MED OTHER FACTORS INFLUENCING HEALTH STATUS 0.4759 1.9 2.7 No No
468 SURG EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 3.9925 9.6 13.0 Yes No
469 ** PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS 0.0000 0.0 0.0 No No
470 ** UNGROUPABLE 0.0000 0.0 0.0 No No
471 08 SURG BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY 3.0424 4.1 4.6 Yes Yes
472 22 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
473 17 MED ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE >17 3.3623 7.3 12.7 No No
474 04 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
475 04 MED NO LONGER VALID 0.0000 0.0 0.0 No No
476 SURG PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 2.1654 6.9 9.9 No No
477 SURG NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 2.0910 5.9 8.7 Yes No
478 05 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
479 05 SURG OTHER VASCULAR PROCEDURES W/O CC 1.4401 1.9 2.6 No No
480 PRE SURG LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT 9.4096 14.0 19.1 No No
481 PRE SURG BONE MARROW TRANSPLANT 6.3929 18.7 22.0 No No
482 PRE SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES 3.3490 9.4 11.8 Yes No
483 PRE SURG NO LONGER VALID 0.0000 0.0 0.0 No No
484 24 SURG CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 5.0967 8.5 12.8 No No
485 24 SURG LIMB REATTACHMENT, HIP AND FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA 3.5048 8.1 10.0 Yes No
486 24 SURG OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 4.8346 8.5 12.3 No No
487 24 MED OTHER MULTIPLE SIGNIFICANT TRAUMA 1.8930 5.2 7.0 Yes No
488 25 SURG HIV W EXTENSIVE O.R. PROCEDURE 5.1298 12.2 17.7 No No
489 25 MED HIV W MAJOR RELATED CONDITION 1.7921 5.8 8.2 No No
490 25 MED HIV W OR W/O OTHER RELATED CONDITION 1.0408 3.9 5.3 No No
491 08 SURG MAJOR JOINT & LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITY 1.7203 2.5 3.0 No No
492 17 MED CHEMOTHERAPY W ACUTE LEUKEMIA OR W USE OF HI DOSE CHEMOAGENT 3.4892 8.9 13.8 No No
493 07 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC 1.8280 4.6 6.0 No No
494 07 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC 1.0320 2.1 2.7 No No
495 PRE SURG LUNG TRANSPLANT 8.4182 14.2 17.3 No No
496 08 SURG COMBINED ANTERIOR/POSTERIOR SPINAL FUSION 6.3782 6.4 8.8 No No
497 08 SURG SPINAL FUSION EXCEPT CERVICAL W CC 3.8192 4.8 5.7 Yes Yes
498 08 SURG SPINAL FUSION EXCEPT CERVICAL W/O CC 2.9896 3.3 3.7 Yes Yes
499 08 SURG BACK & NECK PROCEDURES EXCEPT SPINAL FUSION W CC 1.3887 3.0 4.2 No No
500 08 SURG BACK & NECK PROCEDURES EXCEPT SPINAL FUSION W/O CC 0.9223 1.8 2.2 No No
501 08 SURG KNEE PROCEDURES W PDX OF INFECTION W CC 2.6427 8.4 10.4 Yes No
502 08 SURG KNEE PROCEDURES W PDX OF INFECTION W/O CC 1.4274 4.9 5.8 Yes No
503 08 SURG KNEE PROCEDURES W/O PDX OF INFECTION 1.2450 3.1 3.9 No No
504 22 SURG EXTEN. BURNS OR FULL THICKNESS BURN W/MV 96+HRS W/SKIN GFT 11.2524 20.7 28.0 No No
505 22 MED EXTEN. BURNS OR FULL THICKNESS BURN W/MV 96+HRS W/O SKIN GFT 2.6330 2.8 6.9 No No
506 22 SURG FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W CC OR SIG TRAUMA 3.7856 10.8 15.2 No No
507 22 SURG FULL THICKNESS BURN W SKIN GRFT OR INHAL INJ W/O CC OR SIG TRAUMA 1.9328 5.4 7.7 No No
508 22 MED FULL THICKNESS BURN W/O SKIN GRFT OR INHAL INJ W CC OR SIG TRAUMA 1.4157 5.3 7.4 No No
509 22 MED FULL THICKNESS BURN W/O SKIN GRFT OR INH INJ W/O CC OR SIG TRAUMA 0.8347 3.7 5.3 No No
510 22 MED NON-EXTENSIVE BURNS W CC OR SIGNIFICANT TRAUMA 1.2477 4.1 6.1 No No
511 22 MED NON-EXTENSIVE BURNS W/O CC OR SIGNIFICANT TRAUMA 0.6819 2.6 3.6 No No
512 PRE SURG SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT 6.2588 11.1 13.6 No No
513 PRE SURG PANCREAS TRANSPLANT 3.9771 8.9 10.6 No No
514 05 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
515 05 SURG CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH 5.2293 2.2 3.8 No No
516 05 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
517 05 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
518 05 SURG PERC CARDIO PROC W/O CORONARY ARTERY STENT OR AMI 1.6388 1.8 2.5 No No
519 08 SURG CERVICAL SPINAL FUSION W CC 2.5439 2.9 4.7 No No
520 08 SURG CERVICAL SPINAL FUSION W/O CC 1.7569 1.6 1.9 No No
521 20 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE W CC 0.7338 4.0 5.3 Yes No
522 20 MED ALC/DRUG ABUSE OR DEPEND W REHABILITATION THERAPY W/O CC 0.5993 8.0 10.4 Yes No
523 20 MED ALC/DRUG ABUSE OR DEPEND W/O REHABILITATION THERAPY W/O CC 0.4196 3.1 3.8 No No
524 01 MED TRANSIENT ISCHEMIA 0.7373 2.6 3.1 No No
525 05 SURG OTHER HEART ASSIST SYSTEM IMPLANT 12.2268 7.7 14.3 No No
526 05 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
527 05 SURG NO LONGER VALID 0.0000 0.0 0.0 No No
528 01 SURG INTRACRANIAL VASCULAR PROC W PDX HEMORRHAGE 7.0626 13.3 16.4 No No
529 01 SURG VENTRICULAR SHUNT PROCEDURES W CC 2.1737 4.6 7.4 Yes No
530 01 SURG VENTRICULAR SHUNT PROCEDURES W/O CC 1.2186 2.3 2.9 Yes No
531 01 SURG SPINAL PROCEDURES W CC 3.1169 6.4 9.3 Yes No
532 01 SURG SPINAL PROCEDURES W/O CC 1.4577 2.8 3.7 Yes No
533 01 SURG EXTRACRANIAL PROCEDURES W CC 1.5463 2.4 3.7 No No
534 01 SURG EXTRACRANIAL PROCEDURES W/O CC 0.9926 1.4 1.7 No No
535 05 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK 7.3741 6.9 9.3 No No
536 05 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK 6.6043 5.5 7.3 No No
537 08 SURG LOCAL EXCIS & REMOV OF INT FIX DEV EXCEPT HIP & FEMUR W CC 1.8360 4.7 6.6 Yes No
538 08 SURG LOCAL EXCIS & REMOV OF INT FIX DEV EXCEPT HIP & FEMUR W/O CC 1.0282 2.2 2.9 Yes No
539 17 SURG LYMPHOMA & LEUKEMIA W MAJOR OR PROCEDURE W CC 3.1907 6.8 10.6 No No
540 17 SURG LYMPHOMA & LEUKEMIA W MAJOR OR PROCEDURE W/O CC 1.1759 2.6 3.5 No No
541 PRE SURG ECMO OR TRACH W MV 96+HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R. 19.2551 37.0 44.3 Yes No
542 PRE SURG TRACH W MV 96+HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. 11.6440 27.2 32.6 Yes No
543 01 SURG CRANIOTOMY W MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS 4.3557 7.9 11.6 Yes No
544 08 SURG MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY 1.9878 4.0 4.4 Yes No
545 08 SURG REVISION OF HIP OR KNEE REPLACEMENT 2.5337 4.4 5.2 Yes Yes
546 08 SURG SPINAL FUSION EXC CERV WITH CURVATURE OF THE SPINE OR MALIG 5.3812 7.0 8.8 No No
547 05 SURG CORONARY BYPASS W CARDIAC CATH W MAJOR CV DX 6.1390 10.9 12.4 Yes No
548 05 SURG CORONARY BYPASS W CARDIAC CATH W/O MAJOR CV DX 4.6440 8.1 8.9 Yes No
549 05 SURG CORONARY BYPASS W/O CARDIAC CATH W MAJOR CV DX 5.0246 8.6 10.2 Yes Yes
550 05 SURG CORONARY BYPASS W/O CARDIAC CATH W/O MAJOR CV DX 3.5904 6.2 6.8 Yes Yes
551 05 SURG PERMANENT CARDIAC PACEMAKER IMPL W MAJ CV DX OR AICD LEAD OR GNRTR 3.0364 4.2 6.1 No No
552 05 SURG OTHER PERMANENT CARDIAC PACEMAKER IMPLANT W/O MAJOR CV DX 2.0860 2.5 3.5 No No
553 05 SURG OTHER VASCULAR PROCEDURES W CC W MAJOR CV DX 3.0124 6.2 9.2 Yes No
554 05 SURG OTHER VASCULAR PROCEDURES W CC W/O MAJOR CV DX 2.0773 3.7 5.6 Yes No
555 05 SURG PERCUTANEOUS CARDIOVASCULAR PROC W MAJOR CV DX 2.3066 3.4 4.8 No No
556 05 SURG PERCUTANEOUS CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MAJ CV DX 1.7747 1.6 2.0 No No
557 05 SURG PERCUTANEOUS CARDIOVASCULAR PROC W DRUG-ELUTING STENT W MAJOR CV DX 2.7616 3.0 4.1 No No
558 05 SURG PERCUTANEOUS CARDIOVASCULAR PROC W DRUG-ELUTING STENT W/O MAJ CV DX 2.0814 1.5 1.8 No No
559 01 MED ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT 2.2524 5.4 6.9 No No
560 01 MED BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM 2.9066 8.2 10.6 No No
561 01 MED NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS 2.2187 7.4 9.5 No No
562 01 MED SEIZURE AGE > 17 W CC 1.0586 3.7 4.9 Yes No
563 01 MED SEIZURE AGE > 17 W/O CC 0.6440 2.6 3.2 Yes No
564 01 MED HEADACHES AGE >17 0.6931 2.6 3.4 No No
565 04 MED RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT 96+ HOURS 5.2430 13.4 15.8 Yes No
566 04 MED RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT < 96 HOURS 2.3355 5.6 7.8 Yes No
567 06 SURG STOMACH, ESOPHAGEAL & DUODENAL PROC AGE > 17 W CC W MAJOR GI DX 5.2210 12.7 16.0 Yes No
568 06 SURG STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES PROC AGE > 17 W CC W/O MAJOR GI DX 3.3666 8.3 11.5 Yes No
569 06 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W CC W MAJOR GI DX 4.3427 11.9 14.6 Yes No
570 06 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W CC W/O MAJOR GI DX 2.6997 8.4 10.1 Yes No
571 06 MED MAJOR ESOPHAGEAL DISORDERS 1.1109 3.8 4.8 No No
572 08 MED MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS 1.3378 5.6 7.1 Yes No
573 11 SURG MAJOR BLADDER PROCEDURES 3.3489 9.1 11.1 Yes No
574 16 MED MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL 1.2703 4.3 5.7 No No
575 18 MED SEPTICEMIA W MV96+ HOURS AGE >17 5.9714 13.2 16.0 Yes No
576 18 MED SEPTICEMIA W/O MV96+ HOURS AGE >17 1.5996 5.5 7.3 Yes No
577 01 SURG CAROTID ARTERY STENT PROCEDURE 1.7859 1.6 2.3 No No
578 18 SURG INFECTIOUS & PARASITIC DISEASES W OR PROCEDURE 4.8650 12.7 16.6 Yes No
579 18 SURG POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W OR PROCEDURE 2.8408 8.4 11.5 Yes No
DRGS 469 AND 470 CONTAIN CASES WHICH COULD NOT BE ASSIGNED TO VALID DRGS.
NOTE: AN ASTERISK IN THE GMLOS OR AMLOS COLUMN INDICATES THERE IS NO DATA TO COMPUTE.
NOTE: ARITHMETIC MEAN IS PRESENTED FOR INFORMATIONAL PURPOSES ONLY.
NOTE: GEOMETRIC MEAN IS USED ONLY TO DETERMINE PAYMENT FOR TRANSFER CASES.
NOTE: RELATIVE WEIGHTS ARE BASED ON MEDICARE PATIENT DATA AND MAY NOT BE APPROPRIATE FOR OTHER PATIENTS.

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