Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 410: BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 410 | BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | Surgical | 12.79 | NA | 289 | 2,500 | 2,439 | ||||||||||||
| 409 | BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | Surgical | 38.92 | NA | 758 | 7,610 | 7,359 | ||||||||||||
| 408 | BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | Surgical | 48.29 | NA | 902 | 9,441 | 8,653 |
DEMOGRAPHIC DETAILS OF DRG 410: BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. 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 | 2,089 | 83.56 |
| Black | 183 | 7.32 |
| Asian | 63 | 2.52 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 566 | 22.64 |
| 70 to 74 | 456 | 18.24 |
| Greater than 84 | 430 | 17.2 |
TOP ICD DIAGNOSIS CODES FOR DRG 410: BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. 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 | 470 | 18.8 |
| 2724 | Other and unspecified hyperlipidemia | 246 | 9.84 |
| 53081 | Esophageal reflux | 230 | 9.2 |
TOP ICD PROCEDURE CODES FOR DRG 410: BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. 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 |
|---|---|---|---|
| 0F9430Z | Drainage of Gallbladder with Drainage Device, Percutaneous Approach | 581 | 23.24 |
| 0FJB8ZZ | Inspection of Hepatobiliary Duct, Via Natural or Artificial Opening Endoscopic | 281 | 11.24 |
| 5122 | Cholecystectomy | 213 | 8.52 |
TOP HOSPITALS ASSOCIATED WITH DRG 410: BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. 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 |
|---|---|---|---|---|---|---|
| Indiana University Health | 1701 N SENATE | Indianapolis | IN | 46202 | 20 | 0.8 |
| Missouri Baptist Medical Center | 3015 N BALLAS RD | Saint Louis | MO | 63131 | 18 | 0.72 |
| Duke University Hospital | 2301 ERWIN ROAD | Durham | NC | 27710 | 17 | 0.68 |
DRG 410: BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. 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 | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | I10 | Essential (primary) hypertension | 1,840 | 1,034 | |||||||||||||||||
| General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | E785 | Hyperlipidemia, unspecified | 952 | 592 | |||||||||||||||||
| General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | K219 | Gastro-esophageal reflux disease without esophagitis | 841 | 483 | |||||||||||||||||
| General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | 4019 | Unspecified essential hypertension | NA | 470 | |||||||||||||||||
| General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | Z87891 | Personal history of nicotine dependence | 667 | 421 | |||||||||||||||||
| General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | E119 | Type 2 diabetes mellitus without complications | 722 | 366 | |||||||||||||||||
| General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 569 | 354 | |||||||||||||||||
| General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | Z7982 | Long term (current) use of aspirin | 280 | 267 | |||||||||||||||||
| General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | K810 | Acute cholecystitis | 658 | 265 | |||||||||||||||||
| General Surgery | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. | Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.D.E. | K8000 | Calculus of gallbladder with acute cholecystitis without obstruction | 641 | 263 |