Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 422: HEPATOBILIARY DIAGNOSTIC PROCEDURES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | Surgical | 7.58 | NA | 230 | 1,253 | 1,190 | ||||||||||||
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | Surgical | 48.40 | NA | 778 | 8,001 | 6,769 | ||||||||||||
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | Surgical | 44.02 | NA | 813 | 7,277 | 6,991 |
DEMOGRAPHIC DETAILS OF DRG 422: HEPATOBILIARY DIAGNOSTIC PROCEDURES 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 | 1,054 | 84.12 |
| Black | 108 | 8.62 |
| Hispanic | 29 | 2.31 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| 65 to 69 | 328 | 26.18 |
| 70 to 74 | 283 | 22.59 |
| Less than 65 | 245 | 19.55 |
TOP ICD DIAGNOSIS CODES FOR DRG 422: HEPATOBILIARY DIAGNOSTIC PROCEDURES 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 | 276 | 22.03 |
| 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 141 | 11.25 |
| 2724 | Other and unspecified hyperlipidemia | 139 | 11.09 |
TOP ICD PROCEDURE CODES FOR DRG 422: HEPATOBILIARY DIAGNOSTIC PROCEDURES 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 |
|---|---|---|---|
| 5421 | Laparoscopy | 119 | 9.5 |
| 0W9G3ZX | Drainage of Peritoneal Cavity, Percutaneous Approach, Diagnostic | 119 | 9.5 |
| 0FJD8ZZ | Inspection of Pancreatic Duct, Via Natural or Artificial Opening Endoscopic | 108 | 8.62 |
TOP HOSPITALS ASSOCIATED WITH DRG 422: HEPATOBILIARY DIAGNOSTIC PROCEDURES 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 |
|---|---|---|---|---|---|---|
| University of Texas MD Anderson Cancer Center | 1515 HOLCOMBE BLVD | Houston | TX | 77030 | 11 | 0.88 |
| Memorial Sloan Kettering Cancer Center | 1275 YORK AVE | New York | NY | 10065 | 11 | 0.88 |
| Barnes Jewish Hospital | 1 BARNES-JEWISH HOSPITAL PLZ | Saint Louis | MO | 63110 | NA | NA |
DRG 422: HEPATOBILIARY DIAGNOSTIC PROCEDURES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | I10 | Essential (primary) hypertension | 986 | 447 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | 4019 | Unspecified essential hypertension | NA | 276 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | E785 | Hyperlipidemia, unspecified | 365 | 228 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 395 | 204 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | Z87891 | Personal history of nicotine dependence | 348 | 192 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | E119 | Type 2 diabetes mellitus without complications | 357 | 157 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 141 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 139 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | 53081 | Esophageal reflux | NA | 127 | |||||||||||||||||
| General Surgery | Hepatobiliary Diagnostic Procedures | Hepatobiliary Diagnostic Procedures | E039 | Hypothyroidism, unspecified | 229 | 109 |