Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 258: CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) GROUP BASED ON MEDICARE | Back to Top |
| DRG Code | DRG Description | Category | Sub Category | DRG Group | Surgical Category | Case Mix Level | Total National Projected Hospitalizations - Annualized | Total Medicare Hospitalizations - Jan 2017 to Dec 2017 | Total Medicare Hospitalizations - Jan 2013 to Dec 2017 | Total Medicare Hospitalizations After Exclusion | Avg. LOS | GMLOS | All Cause Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment per Day | Payment per Discharge | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | Surgical | 26.84 | NA | 724 | 3,315 | 3,201 | ||||||||||||
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | Surgical | 73.16 | NA | 1,353 | 9,034 | 8,974 |
DEMOGRAPHIC DETAILS OF DRG 258: CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 2,692 | 81.21 |
| Black | 412 | 12.43 |
| Hispanic | 86 | 2.59 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 1,671 | 50.41 |
| 80 to 84 | 630 | 19.0 |
| 75 to 79 | 379 | 11.43 |
TOP ICD DIAGNOSIS CODES FOR DRG 258: CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4280 | Congestive heart failure, unspecified | 1,228 | 37.04 |
| 42731 | Atrial fibrillation | 899 | 27.12 |
| V5331 | Fitting and adjustment of cardiac pacemaker | 808 | 24.37 |
TOP ICD PROCEDURE CODES FOR DRG 258: CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0JPT0PZ | Removal of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Open Approach | 1,305 | 39.37 |
| 3787 | Replacement Of Any Type Pacemaker Device With Dual-Chamber Device | 1,298 | 39.16 |
| 0JH606Z | Insertion of Pacemaker, Dual Chamber into Chest Subcutaneous Tissue and Fascia, Open Approach | 1,073 | 32.37 |
TOP HOSPITALS ASSOCIATED WITH DRG 258: CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Baptist Memorial Hospital | 6019 WALNUT GROVE RD | Memphis | TN | 38120 | 20 | 0.6 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 17 | 0.51 |
| North Shore University Hospital | 300 COMMUNITY DRIVE | Manhasset | NY | 11030 | 15 | 0.45 |
DRG 258: CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) SUMMARY TABLE | Back to Top |
| Category | Sub Category | DRG Group | ICD Codes | ICD Description | National Projected Hospitalizations (Present on Admission - All) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - All) Jan 2013 to Dec 2017 | National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Yes) Jan 2013 to Dec 2017 | National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Not Y) Jan 2013 to Dec 2017 | Total Discharges After Exclusion | Avg. LOS | GMLOS | All Cause Readmission Rate (%) | Unplanned Readmission Rate (%) | Total Medicare Payments | Payment per Day | Payment per Discharge | Total Medicare Charges | Avg. Charges | Mortality Rate (%) | SNF Discharge Rate (%) | Home Discharge Rate (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | 4280 | Congestive heart failure, unspecified | NA | 1,228 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | 42731 | Atrial fibrillation | NA | 899 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 637 | 816 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | E785 | Hyperlipidemia, unspecified | 603 | 816 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | V5331 | Fitting and adjustment of cardiac pacemaker | NA | 808 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | 2724 | Other and unspecified hyperlipidemia | NA | 743 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | 41401 | Coronary atherosclerosis of native coronary artery | NA | 637 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | 4019 | Unspecified essential hypertension | NA | 586 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | Z45010 | Encounter for checking and testing of cardiac pacemaker pulse generator [battery] | 403 | 575 | |||||||||||||||||
| Cardiovascular | Cardiac Pacemaker Device Replacement | Cardiac Pacemaker Device Replacement | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 453 |