Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 413: CHOLECYSTECTOMY WITH 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 413: CHOLECYSTECTOMY WITH C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 1,101 | 84.89 |
| Black | 82 | 6.32 |
| Hispanic | 41 | 3.16 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 338 | 26.06 |
| 70 to 74 | 273 | 21.05 |
| 75 to 79 | 196 | 15.11 |
TOP ICD DIAGNOSIS CODES FOR DRG 413: CHOLECYSTECTOMY WITH 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 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 4019 | Unspecified essential hypertension | 345 | 26.6 |
| V6441 | Laparoscopic surgical procedure converted to open procedure | 274 | 21.13 |
| 53081 | Esophageal reflux | 175 | 13.49 |
TOP ICD PROCEDURE CODES FOR DRG 413: CHOLECYSTECTOMY WITH 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 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 8753 | Intraoperative Cholangiogram | 492 | 37.93 |
| 5122 | Cholecystectomy | 423 | 32.61 |
| 0FT44ZZ | Resection of Gallbladder, Percutaneous Endoscopic Approach | 413 | 31.84 |
TOP HOSPITALS ASSOCIATED WITH DRG 413: CHOLECYSTECTOMY WITH 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 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Mississippi Baptist Medical Center | 1225 N STATE ST | Jackson | MS | 39202 | NA | NA |
| Sarasota Memorial Hospital | 1700 S TAMIAMI TRL | Sarasota | FL | 34239 | NA | NA |
| Passavant Area Hospital | 1600 W WALNUT ST | Jacksonville | IL | 62650 | NA | NA |
DRG 413: CHOLECYSTECTOMY WITH 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 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 | 718 | 396 | |||||||||||||||||
| Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | 4019 | Unspecified essential hypertension | NA | 345 | |||||||||||||||||
| Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | V6441 | Laparoscopic surgical procedure converted to open procedure | NA | 274 | |||||||||||||||||
| Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | K219 | Gastro-esophageal reflux disease without esophagitis | 369 | 196 | |||||||||||||||||
| Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | E785 | Hyperlipidemia, unspecified | 293 | 180 | |||||||||||||||||
| Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | 53081 | Esophageal reflux | NA | 175 | |||||||||||||||||
| Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | 2724 | Other and unspecified hyperlipidemia | NA | 152 | |||||||||||||||||
| Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | Z87891 | Personal history of nicotine dependence | 212 | 133 | |||||||||||||||||
| 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 | 133 | |||||||||||||||||
| Gastroenterology & Endocrinology | Cholecystectomy | Cholecystectomy With C.D.E. | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 161 | 114 |