Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 358: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | Surgical | 9.32 | NA | 1,460 | 8,157 | 7,979 | ||||||||||||
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | Surgical | 46.81 | NA | 7,480 | 40,975 | 35,861 | ||||||||||||
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | Surgical | 43.87 | NA | 6,726 | 38,394 | 37,184 |
DEMOGRAPHIC DETAILS OF DRG 358: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 6,912 | 84.74 |
| Black | 717 | 8.79 |
| Hispanic | 177 | 2.17 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 1,947 | 23.87 |
| Less than 65 | 1,781 | 21.83 |
| 70 to 74 | 1,658 | 20.33 |
TOP ICD DIAGNOSIS CODES FOR DRG 358: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 2,493 | 30.56 |
| 2724 | Other and unspecified hyperlipidemia | 1,398 | 17.14 |
| 53081 | Esophageal reflux | 1,217 | 14.92 |
TOP ICD PROCEDURE CODES FOR DRG 358: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|
| 5421 | Laparoscopy | 1,011 | 12.39 |
| 544 | Excision Or Destruction Of Peritoneal Tissue | 717 | 8.79 |
| 5411 | Exploratory Laparotomy | 659 | 8.08 |
TOP HOSPITALS ASSOCIATED WITH DRG 358: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|---|---|---|
| University of Virginia Health System University Hospital | 1215 LEE ST PFS | Charlottesville | VA | 22908 | 41 | 0.5 |
| University of Texas MD Anderson Cancer Center | 1515 HOLCOMBE BLVD | Houston | TX | 77030 | 40 | 0.49 |
| Mayo Clinic Hospital - Saint Marys Campus | 1216 2ND ST SW | Rochester | MN | 55902 | 33 | 0.4 |
DRG 358: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 | Other Digestive System Procedures | Other Digestive System O.R. Procedures | 4019 | Unspecified essential hypertension | NA | 2,493 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | I10 | Essential (primary) hypertension | 2,936 | 2,098 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 1,398 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | 53081 | Esophageal reflux | NA | 1,217 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | E785 | Hyperlipidemia, unspecified | 1,419 | 1,194 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 1,513 | 1,040 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 935 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | Z87891 | Personal history of nicotine dependence | 952 | 856 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | V1582 | Personal history of tobacco use | NA | 801 | |||||||||||||||||
| General Surgery | Other Digestive System Procedures | Other Digestive System O.R. Procedures | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 586 | 657 |