Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 412: CHOLECYSTECTOMY WITH C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 412: CHOLECYSTECTOMY WITH C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 1,836 | 84.61 |
| Black | 155 | 7.14 |
| Hispanic | 59 | 2.72 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 415 | 19.12 |
| Greater than 84 | 382 | 17.6 |
| 75 to 79 | 381 | 17.56 |
TOP ICD DIAGNOSIS CODES FOR DRG 412: CHOLECYSTECTOMY WITH C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 613 | 28.25 |
| V6441 | Laparoscopic surgical procedure converted to open procedure | 478 | 22.03 |
| 2724 | Other and unspecified hyperlipidemia | 391 | 18.02 |
TOP ICD PROCEDURE CODES FOR DRG 412: CHOLECYSTECTOMY WITH C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| ICD Code | ICD Description | Total Procedure ICD & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 8753 | Intraoperative Cholangiogram | 882 | 40.65 |
| 5122 | Cholecystectomy | 758 | 34.93 |
| 0FT44ZZ | Resection of Gallbladder, Percutaneous Endoscopic Approach | 627 | 28.89 |
TOP HOSPITALS ASSOCIATED WITH DRG 412: CHOLECYSTECTOMY WITH C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| St. John Medical Center | 1923 S UTICA AVE | Tulsa | OK | 74104 | 12 | 0.55 |
| Anderson Regional Medical Center | 2124 14TH ST | Meridian | MS | 39301 | 11 | 0.51 |
| Baptist Medical Center | 111 DALLAS ST | San Antonio | TX | 78205 | NA | NA |
DRG 412: CHOLECYSTECTOMY WITH C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) 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. | I10 | Essential (primary) hypertension | 986 | 628 | |||||||||||||||||
| Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | 4019 | Unspecified essential hypertension | NA | 613 | |||||||||||||||||
| Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | V6441 | Laparoscopic surgical procedure converted to open procedure | NA | 478 | |||||||||||||||||
| Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | E785 | Hyperlipidemia, unspecified | 586 | 405 | |||||||||||||||||
| Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | 2724 | Other and unspecified hyperlipidemia | NA | 391 | |||||||||||||||||
| Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | K219 | Gastro-esophageal reflux disease without esophagitis | 556 | 311 | |||||||||||||||||
| Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | 53081 | Esophageal reflux | NA | 308 | |||||||||||||||||
| Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | Z87891 | Personal history of nicotine dependence | 352 | 257 | |||||||||||||||||
| Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 255 | |||||||||||||||||
| Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 250 | 250 |