Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 423: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | Surgical | 65.39 | NA | 1,060 | 6,205 | 926 | ||||||||||||
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | Surgical | 4.81 | NA | 78 | 455 | 74 | ||||||||||||
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | Surgical | 29.80 | NA | 483 | 2,931 | 461 |
DEMOGRAPHIC DETAILS OF DRG 423: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 804 | 75.85 |
| Black | 171 | 16.13 |
| Hispanic | 27 | 2.55 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 263 | 24.81 |
| 65 to 69 | 251 | 23.68 |
| 70 to 74 | 198 | 18.68 |
TOP ICD DIAGNOSIS CODES FOR DRG 423: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES 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 |
|---|---|---|---|
| C258 | Malignant neoplasm of overlapping sites of pancreas | NA | NA |
| T86898 | Other complications of other transplanted tissue | NA | NA |
| 1551 | Malignant neoplasm of intrahepatic bile ducts | NA | NA |
TOP ICD PROCEDURE CODES FOR DRG 423: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES 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 |
|---|---|---|---|
| 06H03DZ | Insertion of Intraluminal Device into Inferior Vena Cava, Percutaneous Approach | 264 | 24.91 |
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 205 | 19.34 |
| 0DJ08ZZ | Inspection of Upper Intestinal Tract, Via Natural or Artificial Opening Endoscopic | 172 | 16.23 |
TOP HOSPITALS ASSOCIATED WITH DRG 423: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES 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 |
|---|---|---|---|---|---|---|
| Massachusetts General Hospital | 55 FRUIT ST | Boston | MA | 02114 | 12 | 1.13 |
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | NA | NA |
| The Johns Hopkins Hospital | 600 N WOLFE ST | Baltimore | MD | 21287 | NA | NA |
DRG 423: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES 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 | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | I10 | Essential (primary) hypertension | 1,143 | 413 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | E785 | Hyperlipidemia, unspecified | 692 | 341 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | N179 | Acute kidney failure, unspecified | 726 | 264 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 544 | 262 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | K831 | Obstruction of bile duct | 467 | 236 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | Z87891 | Personal history of nicotine dependence | 442 | 225 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | E876 | Hypokalemia | 731 | 222 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 420 | 218 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | E43 | Unspecified severe protein-calorie malnutrition | 467 | 214 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | Z66 | Do not resuscitate | 471 | 203 |