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 | 37.86 | NA | 248 | 1,952 | 227 | ||||||||||||
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 | 23.82 | NA | 156 | 1,297 | 152 | ||||||||||||
412 | CHOLECYSTECTOMY WITH C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | Surgical | 38.32 | NA | 251 | 2,170 | 243 |
DEMOGRAPHIC DETAILS OF DRG 411: CHOLECYSTECTOMY WITH C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
---|---|---|
White | 203 | 81.85 |
Black | 20 | 8.06 |
Hispanic | NA | NA |
Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
---|---|---|
Greater than 84 | 55 | 22.18 |
70 to 74 | 54 | 21.77 |
75 to 79 | 44 | 17.74 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|
K822 | Perforation of gallbladder | 20 | 8.06 |
K8067 | Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 14 | 5.65 |
1560 | Malignant neoplasm of gallbladder | NA | NA |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|
0FT40ZZ | Resection of Gallbladder, Open Approach | 140 | 56.45 |
0FT44ZZ | Resection of Gallbladder, Percutaneous Endoscopic Approach | 108 | 43.55 |
BF101ZZ | Fluoroscopy of Bile Ducts using Low Osmolar Contrast | 91 | 36.69 |
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 2017 to Dec 2017 | % of DRG Volume |
---|---|---|---|---|---|---|
Glendale Adventist Medical Center | 1509 WILSON TER | Glendale | CA | 91206 | NA | NA |
San Juan Regional Medical Center | 801 W MAPLE ST | Farmington | NM | 87401 | NA | NA |
New Hanover Regional Medical Center | 2131 S 17TH ST | Wilmington | NC | 28401 | 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 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 (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | I10 | Essential (primary) hypertension | 624 | 103 | |||||||||||||||||
Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | E785 | Hyperlipidemia, unspecified | 408 | 102 | |||||||||||||||||
Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | K219 | Gastro-esophageal reflux disease without esophagitis | 378 | 78 | |||||||||||||||||
Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | K8510 | Biliary acute pancreatitis without necrosis or infection | 136 | 78 | |||||||||||||||||
Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | E876 | Hypokalemia | 403 | 69 | |||||||||||||||||
Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | N179 | Acute kidney failure, unspecified | 208 | 60 | |||||||||||||||||
Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 255 | 59 | |||||||||||||||||
Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | Z87891 | Personal history of nicotine dependence | 263 | 56 | |||||||||||||||||
Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | E039 | Hypothyroidism, unspecified | 204 | 49 | |||||||||||||||||
Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | Z7982 | Long term (current) use of aspirin | 140 | 40 |