DRG 411: CHOLECYSTECTOMY WITH C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS


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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

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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)

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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)

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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)

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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)

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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

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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