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 | 14.83 | NA | 289 | 2,500 | 287 | ||||||||||||
| 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 | 38.89 | NA | 758 | 7,610 | 730 | ||||||||||||
| 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 | 46.28 | NA | 902 | 9,441 | 836 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 245 | 84.78 |
| Black | 17 | 5.88 |
| Other | NA | NA |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 74 | 25.61 |
| 70 to 74 | 61 | 21.11 |
| 75 to 79 | 45 | 15.57 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| Q444 | Choledochal cyst | NA | NA |
| 1570 | Malignant neoplasm of head of pancreas | NA | NA |
| 2768 | Hypopotassemia | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 0FT40ZZ | Resection of Gallbladder, Open Approach | 67 | 23.18 |
| 0FT44ZZ | Resection of Gallbladder, Percutaneous Endoscopic Approach | 58 | 20.07 |
| BF101ZZ | Fluoroscopy of Bile Ducts using Low Osmolar Contrast | 41 | 14.19 |
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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| NewYork Presbyterian - Weill Cornell Medical Center | 525 E 68TH ST | New York | NY | 10021 | NA | NA |
| Norton Hospital | 200 E CHESTNUT ST | Louisville | KY | 40202 | NA | NA |
| North Shore University Hospital | 300 COMMUNITY DRIVE | Manhasset | NY | 11030 | NA | NA |
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 2017 to Dec 2017 | National Projected Hospitalizations(Present on Admission - Yes) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Yes) Jan 2017 to Dec 2017 | National Projected Hospitalizations (Present on Admission - Not Y) Jan 2016 to Dec 2016 | Medicare Hospitalizations (Present on Admission - Not Y) Jan 2017 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 | 178 | |||||||||||||||||
| 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 | 93 | |||||||||||||||||
| 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 | 80 | |||||||||||||||||
| 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 | 80 | |||||||||||||||||
| 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 | 60 | |||||||||||||||||
| 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 | 57 | |||||||||||||||||
| 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 | 51 | |||||||||||||||||
| 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. | Z9049 | Acquired absence of other specified parts of digestive tract | 395 | 47 | |||||||||||||||||
| 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. | E039 | Hypothyroidism, unspecified | 416 | 42 | |||||||||||||||||
| 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. | Z79899 | Other long term (current) drug therapy | 216 | 41 |