Sunday, February 5, 2012

Sample Medical Coding Scenarios


1.     A patient was admitted with congestive heart failure and unstable angina. The unstable angina was treated with nitrates, and IV Lasix was administered to manage the heart failure. Both conditions improved, and the patient was discharged to be followed on an outpatient basis.

2.     A patient was admitted with occlusion of the carotid artery, and carotid endarterectomy was carried out with extracorporeal circulation used throughout the procedure.

3.     A patient was admitted with severe abdominal pain that began yesterday and progressed in severity.     Gastroscopy revealed an acute gastric ulcer, but no signs of hemorrhage or malignancy were noted.

4.     A patient with bilateral conductive sensorinueral hearing loss was admitted for right ear cochlear implantation. A multiple-channel implant was inserted, and the patient was discharged home.

5.     A patient was admitted with a diagnosis of significant atherosclerotic heart disease and the patient was advised to undergo bypass surgery. The surgery was carried out as follows: Reverse saphenous vein grafts were brought from the aorta to the obtuse marginal and the right coronary artery; the internal mammary artery was loosened and brought down to the left anterior descending artery to bypass the obstruction. The gastroepiploic artery was used to bypass the circumflex. Extracorporeal circulation and intraoperative pacemaker were used during the procedure.


Answers:
1. 428.0 and 411.1 (CHF is having higher DRG value.)
2. 433.10. 38.10 and 00.40 (need to code number of vessels treated along with endarterectomy code 38.10)
3. 433.10 and 44.13
4. 389.22 and 20.98
5. 414.01, 36.12, 36.16, 39.61 and 39.64.


Thursday, February 2, 2012

2012 MS DRGs


MS-DRG  TYPE MS-DRG Title Weights Geometric mean LOS Arithmetic mean LOS
001 SURG HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC 24.2794 28.6 37.4
002 SURG HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O MCC 13.9700 16.7 21.3
003 SURG ECMO OR TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R. 17.9927 29.1 35.3
004 SURG TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. 10.9251 21.4 26.0
005 SURG LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT 10.4814 15.9 20.9
006 SURG LIVER TRANSPLANT W/O MCC 5.1059 8.2 9.4
007 SURG LUNG TRANSPLANT 9.8710 15.4 18.9
008 SURG SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT 5.1176 10.1 12.0
010 SURG PANCREAS TRANSPLANT 3.8900 8.5 9.9
011 SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W MCC 4.9967 12.1 15.2
012 SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W CC 3.0957 8.5 10.0
013 SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W/O CC/MCC 1.8983 5.6 6.4
014 SURG ALLOGENEIC BONE MARROW TRANSPLANT 10.2792 18.0 24.8
016 SURG AUTOLOGOUS BONE MARROW TRANSPLANT W CC/MCC 6.3127 18.1 19.8
017 SURG AUTOLOGOUS BONE MARROW TRANSPLANT W/O CC/MCC 4.3224 11.6 14.6
020 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC 8.5033 13.4 16.8
021 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W CC 6.4369 12.6 14.3
022 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W/O CC/MCC 4.1500 5.6 7.6
023 SURG CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W MCC OR CHEMO IMPLANT 5.3625 8.4 11.7
024 SURG CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC 3.6327 5.4 7.5
025 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC 4.6927 8.5 10.9
026 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC 2.9770 5.5 7.0
027 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC 2.1317 2.9 3.7
028 SURG SPINAL PROCEDURES W MCC 5.6476 10.1 13.0
029 SURG SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS 2.8308 4.5 6.2
030 SURG SPINAL PROCEDURES W/O CC/MCC 1.6924 2.4 3.1
031 SURG VENTRICULAR SHUNT PROCEDURES W MCC 4.4529 8.7 12.5
032 SURG VENTRICULAR SHUNT PROCEDURES W CC 1.9491 3.5 5.2
033 SURG VENTRICULAR SHUNT PROCEDURES W/O CC/MCC 1.4085 2.0 2.6
034 SURG CAROTID ARTERY STENT PROCEDURE W MCC 3.5003 4.5 6.9
035 SURG CAROTID ARTERY STENT PROCEDURE W CC 2.1459 2.1 3.1
036 SURG CAROTID ARTERY STENT PROCEDURE W/O CC/MCC 1.6550 1.3 1.5
037 SURG EXTRACRANIAL PROCEDURES W MCC 3.0845 5.6 8.0
038 SURG EXTRACRANIAL PROCEDURES W CC 1.5804 2.4 3.5
039 SURG EXTRACRANIAL PROCEDURES W/O CC/MCC 1.0305 1.4 1.7
040 SURG PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC 4.0331 8.9 12.0
041 SURG PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM 2.1775 5.1 6.6
042 SURG PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC 1.7442 2.5 3.3
052 MED SPINAL DISORDERS & INJURIES W CC/MCC 1.5390 4.3 5.7
053 MED SPINAL DISORDERS & INJURIES W/O CC/MCC 0.8554 2.7 3.3
054 MED NERVOUS SYSTEM NEOPLASMS W MCC 1.4680 4.4 6.0
055 MED NERVOUS SYSTEM NEOPLASMS W/O MCC 1.0760 3.3 4.5
056 MED DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC 1.7656 5.5 7.3
057 MED DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC 0.9652 3.8 4.9
058 MED MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC 1.5223 5.3 6.8
059 MED MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC 1.0181 4.0 4.8
060 MED MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC 0.7618 3.1 3.7
061 MED ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W MCC 2.8804 6.2 8.0
062 MED ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W CC 1.9506 4.6 5.4
063 MED ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W/O CC/MCC 1.5361 3.3 3.8
064 MED INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC 1.8555 4.9 6.8
065 MED INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC 1.1485 3.8 4.6
066 MED INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC 0.8105 2.6 3.1
067 MED NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC 1.4475 4.2 5.4
068 MED NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC 0.8901 2.6 3.2
069 MED TRANSIENT ISCHEMIA 0.7347 2.2 2.7
070 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC 1.8030 5.3 7.0
071 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W CC 1.0578 3.9 4.9
072 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC 0.7237 2.4 3.0
073 MED CRANIAL & PERIPHERAL NERVE DISORDERS W MCC 1.2955 4.1 5.4
074 MED CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC 0.8644 3.2 4.0
075 MED VIRAL MENINGITIS W CC/MCC 1.7196 5.4 6.8
076 MED VIRAL MENINGITIS W/O CC/MCC 0.8751 3.2 3.8
077 MED HYPERTENSIVE ENCEPHALOPATHY W MCC 1.6587 4.7 6.0
078 MED HYPERTENSIVE ENCEPHALOPATHY W CC 1.0200 3.5 4.2
079 MED HYPERTENSIVE ENCEPHALOPATHY W/O CC/MCC 0.7218 2.4 2.9
080 MED NONTRAUMATIC STUPOR & COMA W MCC 1.1865 3.6 4.9
081 MED NONTRAUMATIC STUPOR & COMA W/O MCC 0.7374 2.6 3.3
082 MED TRAUMATIC STUPOR & COMA, COMA >1 HR W MCC 2.0265 3.5 6.0
083 MED TRAUMATIC STUPOR & COMA, COMA >1 HR W CC 1.3567 3.5 4.6
084 MED TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC 0.8422 2.1 2.6
085 MED TRAUMATIC STUPOR & COMA, COMA <1 HR W MCC 2.1483 5.2 7.2
086 MED TRAUMATIC STUPOR & COMA, COMA <1 HR W CC 1.1759 3.5 4.4
087 MED TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC 0.7834 2.3 2.8
088 MED CONCUSSION W MCC 1.6177 4.1 5.4
089 MED CONCUSSION W CC 0.9809 2.8 3.6
090 MED CONCUSSION W/O CC/MCC 0.7297 1.9 2.3
091 MED OTHER DISORDERS OF NERVOUS SYSTEM W MCC 1.6238 4.3 5.9
092 MED OTHER DISORDERS OF NERVOUS SYSTEM W CC 0.9247 3.2 4.0
093 MED OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC 0.6751 2.2 2.8
094 MED BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W MCC 3.4244 8.7 11.5
095 MED BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC 2.3762 6.2 7.7
096 MED BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W/O CC/MCC 1.9069 4.5 5.6
097 MED NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC 3.2139 8.7 11.1
098 MED NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC 1.8279 6.0 7.6
099 MED NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/MCC 1.2299 4.0 5.1
100 MED SEIZURES W MCC 1.5254 4.3 5.8
101 MED SEIZURES W/O MCC 0.7620 2.7 3.3
102 MED HEADACHES W MCC 1.0129 3.1 4.3
103 MED HEADACHES W/O MCC 0.6677 2.3 2.9
113 SURG ORBITAL PROCEDURES W CC/MCC 1.8841 4.3 5.7
114 SURG ORBITAL PROCEDURES W/O CC/MCC 0.9275 2.0 2.6
115 SURG EXTRAOCULAR PROCEDURES EXCEPT ORBIT 1.2246 3.3 4.4
116 SURG INTRAOCULAR PROCEDURES W CC/MCC 1.2982 3.0 4.5
117 SURG INTRAOCULAR PROCEDURES W/O CC/MCC 0.7657 1.8 2.4
121 MED ACUTE MAJOR EYE INFECTIONS W CC/MCC 1.0440 4.1 5.3
122 MED ACUTE MAJOR EYE INFECTIONS W/O CC/MCC 0.6304 3.1 3.7
123 MED NEUROLOGICAL EYE DISORDERS 0.7135 2.1 2.6
124 MED OTHER DISORDERS OF THE EYE W MCC 1.1702 3.6 5.1
125 MED OTHER DISORDERS OF THE EYE W/O MCC 0.6918 2.5 3.2
129 SURG MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE 2.2143 3.7 5.4
130 SURG MAJOR HEAD & NECK PROCEDURES W/O CC/MCC 1.1858 2.3 2.8
131 SURG CRANIAL/FACIAL PROCEDURES W CC/MCC 2.2558 4.1 5.7
132 SURG CRANIAL/FACIAL PROCEDURES W/O CC/MCC 1.1974 2.1 2.7
133 SURG OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC 1.7241 3.7 5.4
134 SURG OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC 0.8722 1.7 2.1
135 SURG SINUS & MASTOID PROCEDURES W CC/MCC 1.9963 4.3 6.5
136 SURG SINUS & MASTOID PROCEDURES W/O CC/MCC 1.0114 1.7 2.3
137 SURG MOUTH PROCEDURES W CC/MCC 1.3160 3.8 5.0
138 SURG MOUTH PROCEDURES W/O CC/MCC 0.7784 1.8 2.4
139 SURG SALIVARY GLAND PROCEDURES 0.9009 1.4 1.7
146 MED EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC 2.0669 5.9 8.4
147 MED EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC 1.2268 4.1 5.6
148 MED EAR, NOSE, MOUTH & THROAT MALIGNANCY W/O CC/MCC 0.7521 2.2 3.2
149 MED DYSEQUILIBRIUM 0.6350 2.1 2.5
150 MED EPISTAXIS W MCC 1.3103 3.8 5.2
151 MED EPISTAXIS W/O MCC 0.6601 2.3 2.8
152 MED OTITIS MEDIA & URI W MCC 0.9570 3.2 4.1
153 MED OTITIS MEDIA & URI W/O MCC 0.6296 2.4 3.0
154 MED OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC 1.4235 4.2 5.6
155 MED OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC 0.8985 3.2 4.1
156 MED OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC 0.6192 2.3 2.8
157 MED DENTAL & ORAL DISEASES W MCC 1.6092 4.9 6.7
158 MED DENTAL & ORAL DISEASES W CC 0.8971 3.2 4.2
159 MED DENTAL & ORAL DISEASES W/O CC/MCC 0.5801 2.1 2.6
163 SURG MAJOR CHEST PROCEDURES W MCC 5.0910 11.4 13.9
164 SURG MAJOR CHEST PROCEDURES W CC 2.6029 5.9 7.1
165 SURG MAJOR CHEST PROCEDURES W/O CC/MCC 1.7854 3.6 4.3
166 SURG OTHER RESP SYSTEM O.R. PROCEDURES W MCC 3.7322 9.2 11.7
167 SURG OTHER RESP SYSTEM O.R. PROCEDURES W CC 2.0575 5.6 7.1
168 SURG OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC 1.2791 3.2 4.2
175 MED PULMONARY EMBOLISM W MCC 1.6212 5.6 6.7
176 MED PULMONARY EMBOLISM W/O MCC 1.0485 4.0 4.7
177 MED RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC 2.0653 6.7 8.3
178 MED RESPIRATORY INFECTIONS & INFLAMMATIONS W CC 1.4653 5.4 6.5
179 MED RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC 1.0025 4.0 4.8
180 MED RESPIRATORY NEOPLASMS W MCC 1.7403 5.6 7.3
181 MED RESPIRATORY NEOPLASMS W CC 1.2237 4.0 5.3
182 MED RESPIRATORY NEOPLASMS W/O CC/MCC 0.8446 2.7 3.6
183 MED MAJOR CHEST TRAUMA W MCC 1.4695 5.1 6.2
184 MED MAJOR CHEST TRAUMA W CC 1.0086 3.5 4.3
185 MED MAJOR CHEST TRAUMA W/O CC/MCC 0.7013 2.5 3.0
186 MED PLEURAL EFFUSION W MCC 1.5824 5.1 6.6
187 MED PLEURAL EFFUSION W CC 1.1123 3.7 4.8
188 MED PLEURAL EFFUSION W/O CC/MCC 0.7699 2.7 3.4
189 MED PULMONARY EDEMA & RESPIRATORY FAILURE 1.2694 4.2 5.3
190 MED CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC 1.1684 4.4 5.3
191 MED CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC 0.9628 3.7 4.5
192 MED CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC 0.7081 3.0 3.5
193 MED SIMPLE PNEUMONIA & PLEURISY W MCC 1.4948 5.2 6.4
194 MED SIMPLE PNEUMONIA & PLEURISY W CC 1.0026 4.0 4.8
195 MED SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC 0.7037 3.0 3.6
196 MED INTERSTITIAL LUNG DISEASE W MCC 1.6571 5.6 7.0
197 MED INTERSTITIAL LUNG DISEASE W CC 1.0943 4.0 4.9
198 MED INTERSTITIAL LUNG DISEASE W/O CC/MCC 0.7839 2.9 3.6
199 MED PNEUMOTHORAX W MCC 1.8145 6.1 7.8
200 MED PNEUMOTHORAX W CC 0.9892 3.5 4.5
201 MED PNEUMOTHORAX W/O CC/MCC 0.7121 2.7 3.5
202 MED BRONCHITIS & ASTHMA W CC/MCC 0.8519 3.3 4.1
203 MED BRONCHITIS & ASTHMA W/O CC/MCC 0.6133 2.6 3.1
204 MED RESPIRATORY SIGNS & SYMPTOMS 0.6564 2.1 2.6
205 MED OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC 1.3324 3.9 5.3
206 MED OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC 0.7565 2.5 3.2
207 MED RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 5.2933 12.6 14.7
208 MED RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <96 HOURS 2.2704 5.0 7.0
215 SURG OTHER HEART ASSIST SYSTEM IMPLANT 13.7629 7.5 13.4
216 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC 9.6922 14.1 16.7
217 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W CC 6.4987 9.4 10.6
218 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W/O CC/MCC 5.1734 7.0 7.8
219 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC 8.0815 10.4 12.8
220 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC 5.2602 6.9 7.6
221 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W/O CC/MCC 4.3663 5.2 5.7
222 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W MCC 8.6807 9.8 12.0
223 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W/O MCC 6.3309 4.5 6.2
224 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W MCC 7.7154 8.0 9.9
225 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W/O MCC 5.9511 4.1 5.1
226 SURG CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC 6.7895 6.0 8.7
227 SURG CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC 5.1500 2.1 3.1
228 SURG OTHER CARDIOTHORACIC PROCEDURES W MCC 7.3445 11.2 13.5
229 SURG OTHER CARDIOTHORACIC PROCEDURES W CC 4.6552 7.2 8.1
230 SURG OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC 3.6603 4.6 5.4
231 SURG CORONARY BYPASS W PTCA W MCC 7.9084 10.8 12.8
232 SURG CORONARY BYPASS W PTCA W/O MCC 5.6690 8.0 8.8
233 SURG CORONARY BYPASS W CARDIAC CATH W MCC 7.1418 11.8 13.3
234 SURG CORONARY BYPASS W CARDIAC CATH W/O MCC 4.8314 8.2 8.8
235 SURG CORONARY BYPASS W/O CARDIAC CATH W MCC 5.9063 9.3 10.8
236 SURG CORONARY BYPASS W/O CARDIAC CATH W/O MCC 3.7720 6.0 6.5
237 SURG MAJOR CARDIOVASC PROCEDURES W MCC 5.1221 7.1 10.2
238 SURG MAJOR CARDIOVASC PROCEDURES W/O MCC 3.0979 2.8 4.0
239 SURG AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC 4.7401 11.2 14.3
240 SURG AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC 2.6063 7.5 9.2
241 SURG AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC 1.4939 4.8 5.8
242 SURG PERMANENT CARDIAC PACEMAKER IMPLANT W MCC 3.6835 6.1 7.8
243 SURG PERMANENT CARDIAC PACEMAKER IMPLANT W CC 2.6363 3.8 4.8
244 SURG PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC 2.0538 2.3 2.8
245 SURG AICD GENERATOR PROCEDURES 4.1967 2.7 3.9
246 SURG PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTS 3.1727 3.6 5.1
247 SURG PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC 1.9828 1.9 2.4
248 SURG PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W MCC OR 4+ VES/STENTS 2.9396 4.5 6.1
249 SURG PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC 1.8132 2.3 2.9
250 SURG PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W MCC 2.8921 5.0 6.8
251 SURG PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC 1.8447 2.2 2.9
252 SURG OTHER VASCULAR PROCEDURES W MCC 2.9865 5.1 7.7
253 SURG OTHER VASCULAR PROCEDURES W CC 2.4432 4.4 6.0
254 SURG OTHER VASCULAR PROCEDURES W/O CC/MCC 1.6521 2.1 2.7
255 SURG UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC 2.5192 6.7 9.0
256 SURG UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC 1.6035 5.6 6.9
257 SURG UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W/O CC/MCC 0.9071 3.1 4.1
258 SURG CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC 2.9714 5.3 7.0
259 SURG CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC 1.8217 2.5 3.3
260 SURG CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC 3.6297 7.6 10.5
261 SURG CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC 1.6750 3.2 4.3
262 SURG CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC 1.1756 2.1 2.6
263 SURG VEIN LIGATION & STRIPPING 1.6226 3.2 4.8
264 SURG OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 2.5580 5.4 8.0
265 SURG AICD LEAD PROCEDURES 2.3133 2.4 3.5
280 MED ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC 1.7901 5.0 6.3
281 MED ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC 1.1478 3.4 4.2
282 MED ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC 0.7856 2.2 2.7
283 MED ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC 1.7118 3.2 5.0
284 MED ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC 0.8400 2.0 2.8
285 MED ACUTE MYOCARDIAL INFARCTION, EXPIRED W/O CC/MCC 0.5401 1.4 1.7
286 MED CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC 2.0360 4.9 6.5
287 MED CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC 1.0743 2.4 3.1
288 MED ACUTE & SUBACUTE ENDOCARDITIS W MCC 2.8654 8.3 10.3
289 MED ACUTE & SUBACUTE ENDOCARDITIS W CC 1.8502 6.1 7.4
290 MED ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC 1.1141 4.1 5.0
291 MED HEART FAILURE & SHOCK W MCC 1.5010 4.7 6.1
292 MED HEART FAILURE & SHOCK W CC 1.0214 3.9 4.7
293 MED HEART FAILURE & SHOCK W/O CC/MCC 0.6756 2.7 3.2
294 MED DEEP VEIN THROMBOPHLEBITIS W CC/MCC 0.9916 4.4 5.3
295 MED DEEP VEIN THROMBOPHLEBITIS W/O CC/MCC 0.6992 3.5 4.1
296 MED CARDIAC ARREST, UNEXPLAINED W MCC 1.2895 1.9 3.0
297 MED CARDIAC ARREST, UNEXPLAINED W CC 0.6574 1.3 1.6
298 MED CARDIAC ARREST, UNEXPLAINED W/O CC/MCC 0.4048 1.1 1.1
299 MED PERIPHERAL VASCULAR DISORDERS W MCC 1.3719 4.6 5.8
300 MED PERIPHERAL VASCULAR DISORDERS W CC 0.9697 3.8 4.7
301 MED PERIPHERAL VASCULAR DISORDERS W/O CC/MCC 0.6646 2.8 3.4
302 MED ATHEROSCLEROSIS W MCC 1.0029 3.0 4.0
303 MED ATHEROSCLEROSIS W/O MCC 0.5737 1.9 2.4
304 MED HYPERTENSION W MCC 0.9797 3.2 4.2
305 MED HYPERTENSION W/O MCC 0.6130 2.1 2.6
306 MED CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC 1.3321 4.0 5.3
307 MED CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC 0.7732 2.6 3.2
308 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC 1.2283 4.0 5.1
309 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC 0.8155 2.9 3.6
310 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC 0.5608 2.0 2.4
311 MED ANGINA PECTORIS 0.5067 1.8 2.2
312 MED SYNCOPE & COLLAPSE 0.7139 2.3 2.9
313 MED CHEST PAIN 0.5434 1.7 2.0
314 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC 1.8386 5.0 6.8
315 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W CC 0.9612 3.2 4.1
316 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC 0.6068 2.1 2.5
326 SURG STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC 5.6803 12.2 15.5
327 SURG STOMACH, ESOPHAGEAL & DUODENAL PROC W CC 2.7470 6.7 8.6
328 SURG STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC 1.3848 2.6 3.5
329 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC 5.3215 12.3 15.1
330 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W CC 2.5911 7.6 8.9
331 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC 1.6254 4.6 5.1
332 SURG RECTAL RESECTION W MCC 4.8691 11.2 13.7
333 SURG RECTAL RESECTION W CC 2.4758 6.8 7.9
334 SURG RECTAL RESECTION W/O CC/MCC 1.6038 4.1 4.8
335 SURG PERITONEAL ADHESIOLYSIS W MCC 4.2876 11.3 13.6
336 SURG PERITONEAL ADHESIOLYSIS W CC 2.3392 7.1 8.6
337 SURG PERITONEAL ADHESIOLYSIS W/O CC/MCC 1.4956 4.0 5.0
338 SURG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC 3.2639 8.3 10.1
339 SURG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC 1.8484 5.4 6.3
340 SURG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC 1.2308 3.2 3.7
341 SURG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC 2.3570 5.0 6.8
342 SURG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC 1.3477 2.9 3.7
343 SURG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC 0.9587 1.7 1.9
344 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W MCC 3.2740 8.8 11.2
345 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W CC 1.6986 5.7 6.7
346 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC 1.1679 4.0 4.5
347 SURG ANAL & STOMAL PROCEDURES W MCC 2.5330 6.4 8.8
348 SURG ANAL & STOMAL PROCEDURES W CC 1.4031 4.1 5.4
349 SURG ANAL & STOMAL PROCEDURES W/O CC/MCC 0.8075 2.2 2.8
350 SURG INGUINAL & FEMORAL HERNIA PROCEDURES W MCC 2.5207 5.9 7.9
351 SURG INGUINAL & FEMORAL HERNIA PROCEDURES W CC 1.3837 3.5 4.5
352 SURG INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC 0.8625 1.9 2.3
353 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC 2.8433 6.3 8.3
354 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC 1.5691 3.9 4.9
355 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC 1.0743 2.3 2.8
356 SURG OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC 3.9628 9.0 12.0
357 SURG OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC 2.1838 5.6 7.2
358 SURG OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC 1.3062 3.0 3.9
368 MED MAJOR ESOPHAGEAL DISORDERS W MCC 1.8526 5.1 6.6
369 MED MAJOR ESOPHAGEAL DISORDERS W CC 1.0882 3.6 4.4
370 MED MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC 0.7469 2.5 3.1
371 MED MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC 2.0364 6.6 8.5
372 MED MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC 1.2811 5.1 6.2
373 MED MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC 0.8437 3.7 4.4
374 MED DIGESTIVE MALIGNANCY W MCC 2.0951 6.2 8.4
375 MED DIGESTIVE MALIGNANCY W CC 1.2851 4.3 5.6
376 MED DIGESTIVE MALIGNANCY W/O CC/MCC 0.8715 2.8 3.6
377 MED G.I. HEMORRHAGE W MCC 1.7640 4.9 6.3
378 MED G.I. HEMORRHAGE W CC 1.0238 3.4 4.1
379 MED G.I. HEMORRHAGE W/O CC/MCC 0.7067 2.5 2.9
380 MED COMPLICATED PEPTIC ULCER W MCC 1.8855 5.5 7.1
381 MED COMPLICATED PEPTIC ULCER W CC 1.1311 3.8 4.6
382 MED COMPLICATED PEPTIC ULCER W/O CC/MCC 0.8023 2.7 3.3
383 MED UNCOMPLICATED PEPTIC ULCER W MCC 1.2509 4.2 5.2
384 MED UNCOMPLICATED PEPTIC ULCER W/O MCC 0.8474 3.0 3.6
385 MED INFLAMMATORY BOWEL DISEASE W MCC 1.8525 6.1 8.0
386 MED INFLAMMATORY BOWEL DISEASE W CC 1.0598 4.1 5.2
387 MED INFLAMMATORY BOWEL DISEASE W/O CC/MCC 0.7747 3.2 3.9
388 MED G.I. OBSTRUCTION W MCC 1.6603 5.4 7.1
389 MED G.I. OBSTRUCTION W CC 0.9345 3.8 4.7
390 MED G.I. OBSTRUCTION W/O CC/MCC 0.6399 2.8 3.3
391 MED ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC 1.1844 3.9 5.1
392 MED ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC 0.7241 2.7 3.4
393 MED OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC 1.6750 4.8 6.7
394 MED OTHER DIGESTIVE SYSTEM DIAGNOSES W CC 0.9898 3.6 4.5
395 MED OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC 0.6643 2.5 3.0
405 SURG PANCREAS, LIVER & SHUNT PROCEDURES W MCC 5.7167 11.6 15.5
406 SURG PANCREAS, LIVER & SHUNT PROCEDURES W CC 2.6577 6.2 7.9
407 SURG PANCREAS, LIVER & SHUNT PROCEDURES W/O CC/MCC 1.8557 4.0 5.1
408 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC 4.0197 10.5 13.1
409 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC 2.3120 6.8 8.2
410 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CC/MCC 1.5243 4.6 5.5
411 SURG CHOLECYSTECTOMY W C.D.E. W MCC 3.5821 9.7 11.7
412 SURG CHOLECYSTECTOMY W C.D.E. W CC 2.3985 6.7 7.8
413 SURG CHOLECYSTECTOMY W C.D.E. W/O CC/MCC 1.7409 4.3 5.1
414 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC 3.6689 9.1 11.0
415 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC 2.0637 6.1 7.0
416 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC 1.3588 3.7 4.4
417 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC 2.5319 6.2 7.8
418 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC 1.6909 4.3 5.2
419 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC 1.1814 2.5 3.0
420 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC 3.8108 8.6 11.7
421 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC 1.9081 4.9 6.6
422 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC 1.2324 2.9 3.7
423 SURG OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W MCC 4.1992 10.3 13.7
424 SURG OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W CC 2.4411 6.9 8.9
425 SURG OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W/O CC/MCC 1.7024 3.7 5.0
432 MED CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC 1.6737 4.8 6.4
433 MED CIRRHOSIS & ALCOHOLIC HEPATITIS W CC 0.9424 3.5 4.4
434 MED CIRRHOSIS & ALCOHOLIC HEPATITIS W/O CC/MCC 0.6084 2.4 2.9
435 MED MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC 1.7950 5.5 7.1
436 MED MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC 1.1965 4.1 5.2
437 MED MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W/O CC/MCC 0.9309 2.7 3.6
438 MED DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC 1.7781 5.3 7.3
439 MED DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC 0.9864 3.9 4.8
440 MED DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC 0.6772 2.8 3.4
441 MED DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC 1.8873 5.2 7.1
442 MED DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC 0.9596 3.6 4.6
443 MED DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC 0.6543 2.6 3.3
444 MED DISORDERS OF THE BILIARY TRACT W MCC 1.6083 4.7 6.2
445 MED DISORDERS OF THE BILIARY TRACT W CC 1.0678 3.5 4.4
446 MED DISORDERS OF THE BILIARY TRACT W/O CC/MCC 0.7222 2.4 2.9
453 SURG COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC 10.9193 10.5 13.2
454 SURG COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC 7.3268 5.3 6.3
455 SURG COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC 5.6449 3.1 3.6
456 SURG SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS W MCC 9.8152 10.6 13.3
457 SURG SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS W CC 6.3425 5.8 6.7
458 SURG SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS W/O CC/MCC 5.0565 3.4 3.9
459 SURG SPINAL FUSION EXCEPT CERVICAL W MCC 6.4920 7.2 8.9
460 SURG SPINAL FUSION EXCEPT CERVICAL W/O MCC 3.8580 3.2 3.8
461 SURG BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC 5.3985 6.7 8.6
462 SURG BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC 3.3359 3.6 3.9
463 SURG WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC 5.0438 11.0 14.7
464 SURG WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC 2.9658 6.7 8.5
465 SURG WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC 1.7406 3.9 4.8
466 SURG REVISION OF HIP OR KNEE REPLACEMENT W MCC 4.9812 7.2 8.8
467 SURG REVISION OF HIP OR KNEE REPLACEMENT W CC 3.2437 4.2 4.8
468 SURG REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC 2.5700 3.2 3.4
469 SURG MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC 3.4418 6.5 7.7
470 SURG MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC 2.0866 3.3 3.6
471 SURG CERVICAL SPINAL FUSION W MCC 4.5444 6.4 8.9
472 SURG CERVICAL SPINAL FUSION W CC 2.7906 2.6 3.8
473 SURG CERVICAL SPINAL FUSION W/O CC/MCC 2.0812 1.5 1.8
474 SURG AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC 3.6088 8.9 11.8
475 SURG AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC 1.9728 5.8 7.4
476 SURG AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC 1.0558 3.2 4.0
477 SURG BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC 3.4596 9.0 11.2
478 SURG BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC 2.2781 5.4 6.9
479 SURG BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC 1.6827 2.9 3.8
480 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC 3.0557 7.4 8.8
481 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC 1.9093 5.0 5.4
482 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC 1.5498 4.0 4.4
483 SURG MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W CC/MCC 2.4012 2.9 3.6
484 SURG MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC 1.9939 1.9 2.1
485 SURG KNEE PROCEDURES W PDX OF INFECTION W MCC 3.1425 8.7 10.7
486 SURG KNEE PROCEDURES W PDX OF INFECTION W CC 2.0641 6.0 7.0
487 SURG KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC 1.4925 4.4 5.0
488 SURG KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC 1.7184 3.7 4.5
489 SURG KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC 1.2284 2.4 2.8
490 SURG BACK & NECK PROC EXC SPINAL FUSION W CC/MCC OR DISC DEVICE/NEUROSTIM 1.7987 3.0 4.2
491 SURG BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC 1.0067 1.7 2.1
492 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC 3.0498 6.7 8.3
493 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC 1.8771 4.0 4.8
494 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC 1.3518 2.6 3.1
495 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W MCC 2.8991 7.5 9.9
496 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC 1.6403 4.0 5.2
497 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC 1.0908 1.9 2.5
498 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W CC/MCC 2.0297 5.2 7.1
499 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W/O CC/MCC 0.9412 2.1 2.7
500 SURG SOFT TISSUE PROCEDURES W MCC 3.1696 8.0 10.8
501 SURG SOFT TISSUE PROCEDURES W CC 1.5704 4.5 5.8
502 SURG SOFT TISSUE PROCEDURES W/O CC/MCC 1.0373 2.3 2.8
503 SURG FOOT PROCEDURES W MCC 2.3022 6.5 8.4
504 SURG FOOT PROCEDURES W CC 1.5457 5.0 6.1
505 SURG FOOT PROCEDURES W/O CC/MCC 1.1297 2.5 3.2
506 SURG MAJOR THUMB OR JOINT PROCEDURES 1.1621 2.5 3.5
507 SURG MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC 1.8730 3.9 5.4
508 SURG MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W/O CC/MCC 1.2074 1.7 2.1
509 SURG ARTHROSCOPY 1.3986 2.6 3.8
510 SURG SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W MCC 2.2506 4.9 6.4
511 SURG SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W CC 1.5009 3.1 3.8
512 SURG SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W/O CC/MCC 1.0781 1.8 2.2
513 SURG HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC 1.3276 3.6 4.8
514 SURG HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC 0.8295 2.1 2.6
515 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC 3.2336 7.7 9.8
516 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC 1.9801 4.7 5.8
517 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC 1.5556 2.7 3.4
533 MED FRACTURES OF FEMUR W MCC 1.6148 4.6 6.3
534 MED FRACTURES OF FEMUR W/O MCC 0.7553 3.1 3.8
535 MED FRACTURES OF HIP & PELVIS W MCC 1.3267 4.3 5.5
536 MED FRACTURES OF HIP & PELVIS W/O MCC 0.7256 3.1 3.6
537 MED SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W CC/MCC 0.8422 3.4 4.0
538 MED SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W/O CC/MCC 0.6270 2.6 3.1
539 MED OSTEOMYELITIS W MCC 1.9903 6.7 8.7
540 MED OSTEOMYELITIS W CC 1.3373 5.2 6.4
541 MED OSTEOMYELITIS W/O CC/MCC 0.8806 3.7 4.8
542 MED PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC 2.0419 6.3 8.2
543 MED PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC 1.1719 4.4 5.5
544 MED PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC 0.7660 3.3 3.9
545 MED CONNECTIVE TISSUE DISORDERS W MCC 2.4737 6.0 8.5
546 MED CONNECTIVE TISSUE DISORDERS W CC 1.1849 4.1 5.2
547 MED CONNECTIVE TISSUE DISORDERS W/O CC/MCC 0.7435 2.9 3.5
548 MED SEPTIC ARTHRITIS W MCC 1.8861 6.5 8.2
549 MED SEPTIC ARTHRITIS W CC 1.2400 4.7 5.9
550 MED SEPTIC ARTHRITIS W/O CC/MCC 0.7363 3.3 4.0
551 MED MEDICAL BACK PROBLEMS W MCC 1.6751 5.2 6.7
552 MED MEDICAL BACK PROBLEMS W/O MCC 0.8410 3.3 3.9
553 MED BONE DISEASES & ARTHROPATHIES W MCC 1.1903 4.4 5.5
554 MED BONE DISEASES & ARTHROPATHIES W/O MCC 0.6994 2.9 3.6
555 MED SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC 1.1824 3.6 4.9
556 MED SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC 0.6688 2.5 3.1
557 MED TENDONITIS, MYOSITIS & BURSITIS W MCC 1.5339 5.3 6.5
558 MED TENDONITIS, MYOSITIS & BURSITIS W/O MCC 0.8979 3.6 4.3
559 MED AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC 1.8839 5.2 7.0
560 MED AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC 1.0234 3.5 4.5
561 MED AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC 0.6104 2.0 2.5
562 MED FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC 1.4004 4.5 5.8
563 MED FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC 0.7392 3.0 3.5
564 MED OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC 1.4803 4.8 6.3
565 MED OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC 0.9498 3.8 4.7
566 MED OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC 0.6371 2.6 3.2
570 SURG SKIN DEBRIDEMENT W MCC 2.5158 7.6 10.1
571 SURG SKIN DEBRIDEMENT W CC 1.5427 5.7 6.9
572 SURG SKIN DEBRIDEMENT W/O CC/MCC 0.9872 3.9 4.7
573 SURG SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W MCC 3.4249 8.4 12.5
574 SURG SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC 2.6984 7.7 10.8
575 SURG SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W/O CC/MCC 1.2271 4.0 5.2
576 SURG SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W MCC 3.4936 7.1 10.7
577 SURG SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC 1.8118 3.9 5.8
578 SURG SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W/O CC/MCC 1.0684 2.3 3.1
579 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC 2.6935 7.3 9.7
580 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W CC 1.4801 3.6 5.1
581 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC 0.9497 1.8 2.4
582 SURG MASTECTOMY FOR MALIGNANCY W CC/MCC 1.1504 2.1 2.7
583 SURG MASTECTOMY FOR MALIGNANCY W/O CC/MCC 0.8762 1.5 1.7
584 SURG BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W CC/MCC 1.6488 3.7 5.3
585 SURG BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC 1.1004 1.7 2.2
592 MED SKIN ULCERS W MCC 1.4753 5.4 7.0
593 MED SKIN ULCERS W CC 1.0279 4.4 5.4
594 MED SKIN ULCERS W/O CC/MCC 0.6981 3.3 4.1
595 MED MAJOR SKIN DISORDERS W MCC 1.9636 5.7 7.9
596 MED MAJOR SKIN DISORDERS W/O MCC 0.8924 3.6 4.6
597 MED MALIGNANT BREAST DISORDERS W MCC 1.6590 5.5 7.5
598 MED MALIGNANT BREAST DISORDERS W CC 1.1630 3.9 5.4
599 MED MALIGNANT BREAST DISORDERS W/O CC/MCC 0.6798 2.4 3.4
600 MED NON-MALIGNANT BREAST DISORDERS W CC/MCC 0.9788 3.9 4.9
601 MED NON-MALIGNANT BREAST DISORDERS W/O CC/MCC 0.6086 2.8 3.4
602 MED CELLULITIS W MCC 1.4597 5.2 6.5
603 MED CELLULITIS W/O MCC 0.8444 3.7 4.4
604 MED TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC 1.3025 4.0 5.4
605 MED TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC 0.7388 2.6 3.2
606 MED MINOR SKIN DISORDERS W MCC 1.3600 4.3 5.9
607 MED MINOR SKIN DISORDERS W/O MCC 0.6952 2.8 3.6
614 SURG ADRENAL & PITUITARY PROCEDURES W CC/MCC 2.4580 4.5 6.1
615 SURG ADRENAL & PITUITARY PROCEDURES W/O CC/MCC 1.4319 2.4 2.8
616 SURG AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W MCC 4.3933 11.7 14.5
617 SURG AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC 2.0188 6.3 7.7
618 SURG AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W/O CC/MCC 1.1616 3.6 4.9
619 SURG O.R. PROCEDURES FOR OBESITY W MCC 3.4953 4.5 7.6
620 SURG O.R. PROCEDURES FOR OBESITY W CC 1.8384 2.5 3.1
621 SURG O.R. PROCEDURES FOR OBESITY W/O CC/MCC 1.4835 1.6 1.9
622 SURG SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC 3.8339 10.0 13.9
623 SURG SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC 1.8542 6.0 7.6
624 SURG SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/MCC 0.9965 3.5 4.3
625 SURG THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W MCC 2.2587 4.4 6.5
626 SURG THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W CC 1.1682 2.0 2.9
627 SURG THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC 0.8008 1.2 1.4
628 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC 3.2526 6.8 9.8
629 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC 2.2077 6.3 7.8
630 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC/MCC 1.3128 3.2 4.3
637 MED DIABETES W MCC 1.4398 4.4 5.8
638 MED DIABETES W CC 0.8167 3.1 3.9
639 MED DIABETES W/O CC/MCC 0.5503 2.2 2.7
640 MED MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC 1.1125 3.4 4.8
641 MED MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC 0.6988 2.8 3.5
642 MED INBORN AND OTHER DISORDERS OF METABOLISM 1.1212 3.5 4.8
643 MED ENDOCRINE DISORDERS W MCC 1.7057 5.6 7.1
644 MED ENDOCRINE DISORDERS W CC 1.0583 4.0 5.0
645 MED ENDOCRINE DISORDERS W/O CC/MCC 0.7252 2.8 3.5
652 SURG KIDNEY TRANSPLANT 3.0507 6.0 7.1
653 SURG MAJOR BLADDER PROCEDURES W MCC 5.9249 13.3 16.1
654 SURG MAJOR BLADDER PROCEDURES W CC 3.0568 8.0 9.2
655 SURG MAJOR BLADDER PROCEDURES W/O CC/MCC 1.9934 4.6 5.5
656 SURG KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC 3.6359 7.5 9.9
657 SURG KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC 2.0127 4.7 5.6
658 SURG KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC 1.4698 2.9 3.3
659 SURG KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC 3.4634 7.9 10.8
660 SURG KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC 1.8851 4.4 5.9
661 SURG KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC 1.3020 2.3 2.8
662 SURG MINOR BLADDER PROCEDURES W MCC 2.9733 7.6 10.2
663 SURG MINOR BLADDER PROCEDURES W CC 1.4791 3.6 5.1
664 SURG MINOR BLADDER PROCEDURES W/O CC/MCC 1.1269 1.5 1.9
665 SURG PROSTATECTOMY W MCC 3.3775 9.5 12.2
666 SURG PROSTATECTOMY W CC 1.5904 4.4 6.3
667 SURG PROSTATECTOMY W/O CC/MCC 0.8128 1.8 2.3
668 SURG TRANSURETHRAL PROCEDURES W MCC 2.5512 6.6 8.9
669 SURG TRANSURETHRAL PROCEDURES W CC 1.2702 3.1 4.2
670 SURG TRANSURETHRAL PROCEDURES W/O CC/MCC 0.7806 1.8 2.2
671 SURG URETHRAL PROCEDURES W CC/MCC 1.4800 3.8 5.4
672 SURG URETHRAL PROCEDURES W/O CC/MCC 0.8443 1.8 2.3
673 SURG OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC 2.9875 6.2 9.5
674 SURG OTHER KIDNEY & URINARY TRACT PROCEDURES W CC 2.1338 4.8 6.7
675 SURG OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC 1.3425 1.7 2.4
682 MED RENAL FAILURE W MCC 1.6410 5.0 6.7
683 MED RENAL FAILURE W CC 1.0183 3.9 4.8
684 MED RENAL FAILURE W/O CC/MCC 0.6409 2.7 3.2
685 MED ADMIT FOR RENAL DIALYSIS 0.8905 2.5 3.4
686 MED KIDNEY & URINARY TRACT NEOPLASMS W MCC 1.7795 5.6 7.8
687 MED KIDNEY & URINARY TRACT NEOPLASMS W CC 1.0458 3.7 4.8
688 MED KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC 0.6482 2.1 2.7
689 MED KIDNEY & URINARY TRACT INFECTIONS W MCC 1.1997 4.5 5.6
690 MED KIDNEY & URINARY TRACT INFECTIONS W/O MCC 0.7870 3.3 4.0
691 MED URINARY STONES W ESW LITHOTRIPSY W CC/MCC 1.5289 3.0 4.0
692 MED URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC 1.0903 1.7 2.0
693 MED URINARY STONES W/O ESW LITHOTRIPSY W MCC 1.3505 3.9 5.1
694 MED URINARY STONES W/O ESW LITHOTRIPSY W/O MCC 0.7090 2.0 2.5
695 MED KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W MCC 1.2608 4.2 5.6
696 MED KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC 0.6449 2.5 3.1
697 MED URETHRAL STRICTURE 0.8099 2.4 3.2
698 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC 1.6066 5.2 6.6
699 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC 0.9998 3.6 4.5
700 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC 0.6783 2.6 3.2
707 SURG MAJOR MALE PELVIC PROCEDURES W CC/MCC 1.8249 3.2 4.3
708 SURG MAJOR MALE PELVIC PROCEDURES W/O CC/MCC 1.2757 1.6 1.8
709 SURG PENIS PROCEDURES W CC/MCC 1.9299 3.6 5.9
710 SURG PENIS PROCEDURES W/O CC/MCC 1.2640 1.4 1.7
711 SURG TESTES PROCEDURES W CC/MCC 1.8978 5.0 7.3
712 SURG TESTES PROCEDURES W/O CC/MCC 0.7901 2.0 2.7
713 SURG TRANSURETHRAL PROSTATECTOMY W CC/MCC 1.2056 2.9 4.1
714 SURG TRANSURETHRAL PROSTATECTOMY W/O CC/MCC 0.6710 1.6 1.8
715 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W CC/MCC 1.7556 4.0 5.9
716 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W/O CC/MCC 0.8704 1.2 1.4
717 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC 1.6348 4.4 6.1
718 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC 0.8146 2.0 2.5
722 MED MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MCC 1.5734 5.2 7.1
723 MED MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC 1.0178 3.9 5.0
724 MED MALIGNANCY, MALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.6724 2.1 2.8
725 MED BENIGN PROSTATIC HYPERTROPHY W MCC 1.2457 4.6 6.0
726 MED BENIGN PROSTATIC HYPERTROPHY W/O MCC 0.7279 2.8 3.5
727 MED INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC 1.4244 5.1 6.5
728 MED INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC 0.7848 3.3 4.1
729 MED OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC/MCC 1.0903 3.6 5.0
730 MED OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W/O CC/MCC 0.6256 2.2 2.8
734 SURG PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W CC/MCC 2.4618 5.0 6.9
735 SURG PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC 1.2208 2.1 2.5
736 SURG UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC 4.5276 10.6 13.1
737 SURG UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC 2.0221 5.6 6.5
738 SURG UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC 1.2170 3.1 3.5
739 SURG UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC 3.3672 7.3 9.9
740 SURG UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC 1.5431 3.5 4.3
741 SURG UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC 1.1201 2.0 2.3
742 SURG UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC 1.4262 3.0 4.0
743 SURG UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC 0.9306 1.8 2.0
744 SURG D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC 1.4785 3.9 5.5
745 SURG D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W/O CC/MCC 0.7956 1.9 2.3
746 SURG VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC 1.2993 2.8 4.0
747 SURG VAGINA, CERVIX & VULVA PROCEDURES W/O CC/MCC 0.9038 1.5 1.7
748 SURG FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 0.9447 1.4 1.7
749 SURG OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W CC/MCC 2.5283 6.2 8.5
750 SURG OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC 1.0799 2.2 2.9
754 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC 2.0512 6.4 8.8
755 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC 1.1560 3.9 5.2
756 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.6202 2.2 3.0
757 MED INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC 1.5585 5.9 7.4
758 MED INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC 1.0657 4.6 5.5
759 MED INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.7324 3.2 4.0
760 MED MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC 0.7892 2.8 3.6
761 MED MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC 0.5150 1.8 2.3
765 SURG CESAREAN SECTION W CC/MCC 1.2255 4.0 5.2
766 SURG CESAREAN SECTION W/O CC/MCC 0.8497 2.9 3.0
767 SURG VAGINAL DELIVERY W STERILIZATION &/OR D&C 0.8547 2.3 2.6
768 SURG VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C 1.8180 4.7 5.8
769 SURG POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE 1.5259 3.4 4.9
770 SURG ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 0.6353 1.5 1.9
774 MED VAGINAL DELIVERY W COMPLICATING DIAGNOSES 0.7406 2.7 3.4
775 MED VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES 0.5283 2.1 2.3
776 MED POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE 0.6436 2.5 3.3
777 MED ECTOPIC PREGNANCY 0.8133 1.7 2.0
778 MED THREATENED ABORTION 0.4646 1.9 2.7
779 MED ABORTION W/O D&C 0.5134 1.7 2.2
780 MED FALSE LABOR 0.1947 1.2 1.3
781 MED OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS 0.6674 2.6 3.8
782 MED OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS 0.3175 1.5 1.8
789 MED NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY 1.4933 1.8 1.8
790 MED EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE 4.9243 17.9 17.9
791 MED PREMATURITY W MAJOR PROBLEMS 3.3631 13.3 13.3
792 MED PREMATURITY W/O MAJOR PROBLEMS 2.0293 8.6 8.6
793 MED FULL TERM NEONATE W MAJOR PROBLEMS 3.4547 4.7 4.7
794 MED NEONATE W OTHER SIGNIFICANT PROBLEMS 1.2227 3.4 3.4
795 MED NORMAL NEWBORN 0.1656 3.1 3.1
799 SURG SPLENECTOMY W MCC 5.0201 9.8 13.0
800 SURG SPLENECTOMY W CC 2.5375 5.7 7.2
801 SURG SPLENECTOMY W/O CC/MCC 1.5138 3.1 3.9
802 SURG OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC 3.4676 8.4 11.5
803 SURG OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC 1.7277 4.5 5.9
804 SURG OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W/O CC/MCC 1.0293 2.2 2.9
808 MED MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC 2.0907 6.0 7.9
809 MED MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC 1.2114 3.9 5.0
810 MED MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC 0.8718 2.8 3.5
811 MED RED BLOOD CELL DISORDERS W MCC 1.2182 3.7 5.0
812 MED RED BLOOD CELL DISORDERS W/O MCC 0.7920 2.7 3.5
813 MED COAGULATION DISORDERS 1.5098 3.6 5.0
814 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC 1.6769 5.0 6.7
815 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC 0.9811 3.5 4.5
816 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC 0.7187 2.6 3.2
820 SURG LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC 6.0717 13.1 17.2
821 SURG LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC 2.3666 5.0 7.1
822 SURG LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W/O CC/MCC 1.2183 2.3 3.0
823 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W MCC 4.4598 11.9 15.5
824 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W CC 2.3193 6.4 8.4
825 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W/O CC/MCC 1.2762 2.9 4.1
826 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC 5.0537 11.1 14.2
827 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W CC 2.2658 5.5 7.2
828 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W/O CC/MCC 1.3082 2.7 3.4
829 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W CC/MCC 2.8560 6.6 9.8
830 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W/O CC/MCC 1.1616 2.3 3.1
834 MED ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC 5.3606 10.5 17.0
835 MED ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W CC 2.3640 5.3 8.9
836 MED ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W/O CC/MCC 1.0967 2.9 4.3
837 MED CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC 6.5055 17.5 22.9
838 MED CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT 3.2689 8.1 12.1
839 MED CHEMO W ACUTE LEUKEMIA AS SDX W/O CC/MCC 1.2623 4.7 5.6
840 MED LYMPHOMA & NON-ACUTE LEUKEMIA W MCC 3.0350 7.8 10.8
841 MED LYMPHOMA & NON-ACUTE LEUKEMIA W CC 1.6342 5.0 6.6
842 MED LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC 1.0133 3.1 4.1
843 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC 1.8899 5.8 7.8
844 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC 1.1750 4.2 5.4
845 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC/MCC 0.7966 2.8 3.6
846 MED CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC 2.2853 5.6 8.0
847 MED CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC 1.0146 2.8 3.4
848 MED CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W/O CC/MCC 0.7643 2.3 2.9
849 MED RADIOTHERAPY 1.3127 4.3 5.8
853 SURG INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC 5.4668 11.6 15.0
854 SURG INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC 2.6551 7.8 9.4
855 SURG INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W/O CC/MCC 1.6008 3.8 5.5
856 SURG POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC 4.9588 10.9 14.5
857 SURG POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC 2.0726 6.0 7.6
858 SURG POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC 1.3212 4.1 5.0
862 MED POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC 1.9223 5.7 7.5
863 MED POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC 0.9943 3.9 4.8
864 MED FEVER 0.8337 3.0 3.7
865 MED VIRAL ILLNESS W MCC 1.5809 4.4 6.2
866 MED VIRAL ILLNESS W/O MCC 0.7446 2.8 3.5
867 MED OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC 2.5523 6.9 9.3
868 MED OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC 1.0816 4.0 5.0
869 MED OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O CC/MCC 0.6724 2.8 3.4
870 MED SEPTICEMIA OR SEVERE SEPSIS W MV 96+ HOURS 5.8339 12.7 14.9
871 MED SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC 1.9090 5.3 7.0
872 MED SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W/O MCC 1.1339 4.3 5.2
876 SURG O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS 2.8319 7.6 12.3
880 MED ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION 0.6337 2.3 3.0
881 MED DEPRESSIVE NEUROSES 0.6156 3.2 4.2
882 MED NEUROSES EXCEPT DEPRESSIVE 0.6566 3.3 4.6
883 MED DISORDERS OF PERSONALITY & IMPULSE CONTROL 1.1864 4.8 7.9
884 MED ORGANIC DISTURBANCES & MENTAL RETARDATION 0.9529 4.0 5.3
885 MED PSYCHOSES 0.9209 5.4 7.3
886 MED BEHAVIORAL & DEVELOPMENTAL DISORDERS 0.7466 3.9 5.7
887 MED OTHER MENTAL DISORDER DIAGNOSES 0.8189 2.9 4.5
894 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA 0.4304 2.1 3.0
895 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY 1.0952 9.2 11.9
896 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC 1.4555 4.7 6.4
897 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC 0.6687 3.2 4.0
901 SURG WOUND DEBRIDEMENTS FOR INJURIES W MCC 4.1030 9.2 14.4
902 SURG WOUND DEBRIDEMENTS FOR INJURIES W CC 1.7938 5.4 7.5
903 SURG WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC 1.0562 3.1 4.1
904 SURG SKIN GRAFTS FOR INJURIES W CC/MCC 3.1057 7.0 10.7
905 SURG SKIN GRAFTS FOR INJURIES W/O CC/MCC 1.1702 3.4 4.5
906 SURG HAND PROCEDURES FOR INJURIES 1.0566 2.3 3.3
907 SURG OTHER O.R. PROCEDURES FOR INJURIES W MCC 3.9661 7.8 11.3
908 SURG OTHER O.R. PROCEDURES FOR INJURIES W CC 1.9298 4.6 6.0
909 SURG OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC 1.1612 2.5 3.3
913 MED TRAUMATIC INJURY W MCC 1.2458 3.9 5.2
914 MED TRAUMATIC INJURY W/O MCC 0.7097 2.5 3.2
915 MED ALLERGIC REACTIONS W MCC 1.4600 3.5 5.0
916 MED ALLERGIC REACTIONS W/O MCC 0.4836 1.7 2.1
917 MED POISONING & TOXIC EFFECTS OF DRUGS W MCC 1.4977 3.6 5.1
918 MED POISONING & TOXIC EFFECTS OF DRUGS W/O MCC 0.6228 2.1 2.7
919 MED COMPLICATIONS OF TREATMENT W MCC 1.6282 4.4 6.1
920 MED COMPLICATIONS OF TREATMENT W CC 0.9629 3.1 4.1
921 MED COMPLICATIONS OF TREATMENT W/O CC/MCC 0.6332 2.2 2.8
922 MED OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC 1.4748 3.9 5.7
923 MED OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC 0.6741 2.3 3.0
927 SURG EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV 96+ HRS W SKIN GRAFT 12.1033 20.0 27.3
928 SURG FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W CC/MCC 4.8909 10.9 15.3
929 SURG FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W/O CC/MCC 2.1779 4.9 7.2
933 MED EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV 96+ HRS W/O SKIN GRAFT 2.2850 2.6 5.4
934 MED FULL THICKNESS BURN W/O SKIN GRFT OR INHAL INJ 1.3998 4.0 5.7
935 MED NON-EXTENSIVE BURNS 1.2572 3.2 4.8
939 SURG O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W MCC 3.0656 6.9 10.3
940 SURG O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC 1.7678 3.5 5.2
941 SURG O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC 1.1492 2.0 2.6
945 MED REHABILITATION W CC/MCC 1.3312 8.3 10.0
946 MED REHABILITATION W/O CC/MCC 1.2889 6.8 7.6
947 MED SIGNS & SYMPTOMS W MCC 1.1309 3.7 4.9
948 MED SIGNS & SYMPTOMS W/O MCC 0.6923 2.7 3.4
949 MED AFTERCARE W CC/MCC 0.9505 2.8 4.5
950 MED AFTERCARE W/O CC/MCC 0.5175 2.3 3.3
951 MED OTHER FACTORS INFLUENCING HEALTH STATUS 0.7245 2.1 4.7
955 SURG CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 5.4529 8.2 11.7
956 SURG LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA 3.6322 6.9 8.5
957 SURG OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC 6.6017 10.0 14.5
958 SURG OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC 3.7491 7.5 9.2
959 SURG OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC 2.4711 4.5 5.7
963 MED OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC 2.8294 5.9 8.5
964 MED OTHER MULTIPLE SIGNIFICANT TRAUMA W CC 1.5165 4.4 5.5
965 MED OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC 1.0114 3.0 3.7
969 SURG HIV W EXTENSIVE O.R. PROCEDURE W MCC 5.6158 12.8 17.2
970 SURG HIV W EXTENSIVE O.R. PROCEDURE W/O MCC 2.3655 5.8 8.3
974 MED HIV W MAJOR RELATED CONDITION W MCC 2.7063 6.9 9.8
975 MED HIV W MAJOR RELATED CONDITION W CC 1.3455 4.9 6.4
976 MED HIV W MAJOR RELATED CONDITION W/O CC/MCC 0.8649 3.4 4.3
977 MED HIV W OR W/O OTHER RELATED CONDITION 1.0783 3.6 4.9
981 SURG EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC 5.0673 10.8 13.9
982 SURG EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC 2.9352 6.3 8.1
983 SURG EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC 1.7404 3.0 4.1
984 SURG PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC 3.5294 10.8 13.9
985 SURG PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC 2.1240 6.4 8.7
986 SURG PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC 1.0980 2.6 3.8
987 SURG NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC 3.4039 8.9 11.7
988 SURG NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC 1.8567 5.3 7.0
989 SURG NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC 1.0583 2.4 3.3
998 ** PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS 0.0000 0.0 0.0
999 ** UNGROUPABLE 0.0000 0.0 0.0
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