Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 425: OTHER HEPATOBILIARY OR PANCREAS O.R. 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 4.74 | NA | 78 | 455 | 444 | ||||||||||||
| 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 | 64.70 | NA | 1,060 | 6,205 | 5,380 | ||||||||||||
| 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 | 30.56 | NA | 483 | 2,931 | 2,812 |
DEMOGRAPHIC DETAILS OF DRG 425: OTHER HEPATOBILIARY OR PANCREAS O.R. 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 | 367 | 80.66 |
| Black | 45 | 9.89 |
| Hispanic | 15 | 3.3 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2013 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 132 | 29.01 |
| 65 to 69 | 100 | 21.98 |
| 70 to 74 | 79 | 17.36 |
TOP ICD DIAGNOSIS CODES FOR DRG 425: OTHER HEPATOBILIARY OR PANCREAS O.R. 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 | 140 | 30.77 |
| 5680 | Peritoneal adhesions (postoperative) (postinfection) | 92 | 20.22 |
| 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | 67 | 14.73 |
TOP ICD PROCEDURE CODES FOR DRG 425: OTHER HEPATOBILIARY OR PANCREAS O.R. 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 |
|---|---|---|---|
| 4011 | Biopsy Of Lymphatic Structure | 67 | 14.73 |
| 5451 | Laparoscopic Lysis Of Peritoneal Adhesions | 58 | 12.75 |
| 5185 | Endoscopic Sphincterotomy And Papillotomy | 51 | 11.21 |
TOP HOSPITALS ASSOCIATED WITH DRG 425: OTHER HEPATOBILIARY OR PANCREAS O.R. 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 |
|---|---|---|---|---|---|---|
| Indiana University Health | 1701 N SENATE | Indianapolis | IN | 46202 | NA | NA |
| St. Vincent Hospital & Health Services | 2001 W 86TH ST | Indianapolis | IN | 46260 | NA | NA |
| Allegheny General Hospital | 320 E NORTH AVE | Pittsburgh | PA | 15212 | NA | NA |
DRG 425: OTHER HEPATOBILIARY OR PANCREAS O.R. 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | 4019 | Unspecified essential hypertension | NA | 140 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | I10 | Essential (primary) hypertension | 187 | 125 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | 5680 | Peritoneal adhesions (postoperative) (postinfection) | NA | 92 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | K660 | Peritoneal adhesions (postprocedural) (postinfection) | 89 | 67 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | 25000 | Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled | NA | 67 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | 2724 | Other and unspecified hyperlipidemia | NA | 66 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | E785 | Hyperlipidemia, unspecified | 80 | 62 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | K219 | Gastro-esophageal reflux disease without esophagitis | 59 | 55 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | 53081 | Esophageal reflux | NA | 52 | |||||||||||||||||
| Gastroenterology & Endocrinology | Other Hepatobiliary Or Pancreas Procedures | Other Hepatobiliary Or Pancreas O.R. Procedures | V1582 | Personal history of tobacco use | NA | 47 |