Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 424: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||||||
| 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 |
DEMOGRAPHIC DETAILS OF DRG 424: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 390 | 80.75 |
| Black | 59 | 12.22 |
| Hispanic | 14 | 2.9 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 109 | 22.57 |
| 65 to 69 | 109 | 22.57 |
| 70 to 74 | 99 | 20.5 |
TOP ICD DIAGNOSIS CODES FOR DRG 424: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| ICD Code | ICD Description | Total ICD & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|
| 1578 | Malignant neoplasm of other specified sites of pancreas | NA | NA |
| 07044 | Chronic hepatitis C with hepatic coma | NA | NA |
| 00845 | Intestinal infection due to Clostridium difficile | NA | NA |
TOP ICD PROCEDURE CODES FOR DRG 424: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | 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 | 53 | 10.97 |
| 0DJ08ZZ | Inspection of Upper Intestinal Tract, Via Natural or Artificial Opening Endoscopic | 50 | 10.35 |
| 02HV33Z | Insertion of Infusion Device into Superior Vena Cava, Percutaneous Approach | 45 | 9.32 |
TOP HOSPITALS ASSOCIATED WITH DRG 424: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Hospital Name | Address | City | State | Zip Code | Total Hospital & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| Memorial Sloan Kettering Cancer Center | 1275 YORK AVE | New York | NY | 10065 | NA | NA |
| Christiana Care Wilmington Hospital | 501 W 14TH ST | Wilmington | DE | 19801 | NA | NA |
| Massachusetts General Hospital | 55 FRUIT ST | Boston | MA | 02114 | NA | NA |
DRG 424: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES 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 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 | 714 | 222 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | E785 | Hyperlipidemia, unspecified | 403 | 156 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 361 | 149 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | Z87891 | Personal history of nicotine dependence | 293 | 112 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | N179 | Acute kidney failure, unspecified | 259 | 100 | |||||||||||||||||
| 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 | 204 | 91 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | E876 | Hypokalemia | 242 | 85 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | E871 | Hypo-osmolality and hyponatremia | 229 | 82 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | E119 | Type 2 diabetes mellitus without complications | 267 | 72 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | D649 | Anemia, unspecified | 174 | 70 |