Jan 2013 to Dec 2017   |   Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 411: CHOLECYSTECTOMY WITH C.D.E. 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
411 | CHOLECYSTECTOMY WITH C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | Surgical | 36.02 | NA | 248 | 1,952 | 1,805 | ||||||||||||
413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | Surgical | 23.93 | NA | 156 | 1,297 | 1,271 | ||||||||||||
412 | CHOLECYSTECTOMY WITH C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | Surgical | 40.04 | NA | 251 | 2,170 | 2,090 |
DEMOGRAPHIC DETAILS OF DRG 411: CHOLECYSTECTOMY WITH C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
White | 1,635 | 83.76 |
Black | 141 | 7.22 |
Hispanic | 58 | 2.97 |
Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
---|---|---|
Greater than 84 | 401 | 20.54 |
70 to 74 | 351 | 17.98 |
65 to 69 | 327 | 16.75 |
TOP ICD DIAGNOSIS CODES FOR DRG 411: CHOLECYSTECTOMY WITH C.D.E. 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 |
---|---|---|---|
4019 | Unspecified essential hypertension | 493 | 25.26 |
5770 | Acute pancreatitis | 413 | 21.16 |
2724 | Other and unspecified hyperlipidemia | 352 | 18.03 |
TOP ICD PROCEDURE CODES FOR DRG 411: CHOLECYSTECTOMY WITH C.D.E. 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 |
---|---|---|---|
8753 | Intraoperative Cholangiogram | 797 | 40.83 |
5122 | Cholecystectomy | 671 | 34.38 |
0FT44ZZ | Resection of Gallbladder, Percutaneous Endoscopic Approach | 521 | 26.69 |
TOP HOSPITALS ASSOCIATED WITH DRG 411: CHOLECYSTECTOMY WITH C.D.E. 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 |
---|---|---|---|---|---|---|
San Juan Regional Medical Center | 801 W MAPLE ST | Farmington | NM | 87401 | NA | NA |
Glendale Adventist Medical Center | 1509 WILSON TER | Glendale | CA | 91206 | NA | NA |
Peninsula Regional Medical Center | 100 E CARROLL ST | Salisbury | MD | 21801 | NA | NA |
DRG 411: CHOLECYSTECTOMY WITH C.D.E. 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | 4019 | Unspecified essential hypertension | NA | 493 | |||||||||||||||||
Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | I10 | Essential (primary) hypertension | 624 | 477 | |||||||||||||||||
Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | 5770 | Acute pancreatitis | NA | 413 | |||||||||||||||||
Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | E785 | Hyperlipidemia, unspecified | 408 | 385 | |||||||||||||||||
Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | 2724 | Other and unspecified hyperlipidemia | NA | 352 | |||||||||||||||||
Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | V6441 | Laparoscopic surgical procedure converted to open procedure | NA | 330 | |||||||||||||||||
Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | K219 | Gastro-esophageal reflux disease without esophagitis | 378 | 263 | |||||||||||||||||
Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | 53081 | Esophageal reflux | NA | 252 | |||||||||||||||||
Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 255 | 247 | |||||||||||||||||
Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | 2768 | Hypopotassemia | NA | 247 |