Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 350: INGUINAL AND FEMORAL HERNIA PROCEDURES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Hernia Procedures | Inguinal And Femoral Hernia Procedures | Surgical | 17.09 | NA | 1,451 | 7,597 | 6,997 | ||||||||||||
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Hernia Procedures | Inguinal And Femoral Hernia Procedures | Surgical | 41.08 | NA | 3,132 | 18,256 | 18,193 | ||||||||||||
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | General Surgery | Hernia Procedures | Inguinal And Femoral Hernia Procedures | Surgical | 41.82 | NA | 3,467 | 18,587 | 18,376 |
DEMOGRAPHIC DETAILS OF DRG 350: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 6,097 | 80.26 |
| Black | 1,014 | 13.35 |
| Hispanic | 203 | 2.67 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 2,297 | 30.24 |
| 80 to 84 | 1,363 | 17.94 |
| 75 to 79 | 1,107 | 14.57 |
TOP ICD DIAGNOSIS CODES FOR DRG 350: INGUINAL AND FEMORAL HERNIA PROCEDURES 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 |
|---|---|---|---|
| 55010 | Inguinal hernia, with obstruction, without mention of gangrene, unilateral or unspecified (not specified as recurrent) | 2,105 | 27.71 |
| 4019 | Unspecified essential hypertension | 1,664 | 21.9 |
| K4030 | Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 1,574 | 20.72 |
TOP ICD PROCEDURE CODES FOR DRG 350: INGUINAL AND FEMORAL HERNIA PROCEDURES 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 |
|---|---|---|---|
| 0YU50JZ | Supplement Right Inguinal Region with Synthetic Substitute, Open Approach | 1,097 | 14.44 |
| 5305 | Repair Of Inguinal Hernia With Graft Or Prosthesis, Not Otherwise Specified | 1,062 | 13.98 |
| 0YU60JZ | Supplement Left Inguinal Region with Synthetic Substitute, Open Approach | 761 | 10.02 |
TOP HOSPITALS ASSOCIATED WITH DRG 350: INGUINAL AND FEMORAL HERNIA PROCEDURES 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 |
|---|---|---|---|---|---|---|
| Methodist Hospital | 7700 FLOYD CURL DRIVE | San Antonio | TX | 78229 | 26 | 0.34 |
| Cedars-Sinai Medical Center | 8700 BEVERLY BLVD | Los Angeles | CA | 90048 | 25 | 0.33 |
| NewYork Presbyterian - Weill Cornell Medical Center | 525 E 68TH ST | New York | NY | 10021 | 22 | 0.29 |
DRG 350: INGUINAL AND FEMORAL HERNIA PROCEDURES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| General Surgery | Hernia Procedures | Inguinal And Femoral Hernia Procedures | 55010 | Inguinal hernia, with obstruction, without mention of gangrene, unilateral or unspecified (not specified as recurrent) | NA | 2,105 | |||||||||||||||||
| General Surgery | Hernia Procedures | Inguinal And Femoral Hernia Procedures | 4019 | Unspecified essential hypertension | NA | 1,664 | |||||||||||||||||
| General Surgery | Hernia Procedures | Inguinal And Femoral Hernia Procedures | K4030 | Unilateral inguinal hernia, with obstruction, without gangrene, not specified as recurrent | 1,173 | 1,574 | |||||||||||||||||
| General Surgery | Hernia Procedures | Inguinal And Femoral Hernia Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 1,414 | |||||||||||||||||
| General Surgery | Hernia Procedures | Inguinal And Femoral Hernia Procedures | 4280 | Congestive heart failure, unspecified | NA | 1,347 | |||||||||||||||||
| General Surgery | Hernia Procedures | Inguinal And Femoral Hernia Procedures | 42731 | Atrial fibrillation | NA | 1,327 | |||||||||||||||||
| General Surgery | Hernia Procedures | Inguinal And Femoral Hernia Procedures | I10 | Essential (primary) hypertension | 1,100 | 1,292 | |||||||||||||||||
| General Surgery | Hernia Procedures | Inguinal And Femoral Hernia Procedures | E785 | Hyperlipidemia, unspecified | 922 | 1,269 | |||||||||||||||||
| General Surgery | Hernia Procedures | Inguinal And Femoral Hernia Procedures | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 748 | 1,172 | |||||||||||||||||
| General Surgery | Hernia Procedures | Inguinal And Femoral Hernia Procedures | 41401 | Coronary atherosclerosis of native coronary artery | NA | 988 |