Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | Surgical | 55.48 | NA | 6,865 | 34,608 | 6,733 | ||||||||||||
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | Surgical | 28.09 | NA | 3,476 | 15,480 | 3,304 | ||||||||||||
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | Surgical | 16.42 | NA | 2,032 | 11,081 | 2,015 |
DEMOGRAPHIC DETAILS OF DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 5,955 | 86.74 |
| Black | 471 | 6.86 |
| Hispanic | 142 | 2.07 |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Greater than 84 | 1,396 | 20.34 |
| 70 to 74 | 1,151 | 16.77 |
| 75 to 79 | 1,142 | 16.64 |
TOP ICD DIAGNOSIS CODES FOR DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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 |
|---|---|---|---|
| C7951 | Secondary malignant neoplasm of bone | 2,050 | 29.86 |
| M4856XA | Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture | 527 | 7.68 |
| M8458XA | Pathological fracture in neoplastic disease, other specified site, initial encounter for fracture | 470 | 6.85 |
TOP ICD PROCEDURE CODES FOR DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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 |
|---|---|---|---|
| 0QB03ZX | Excision of Lumbar Vertebra, Percutaneous Approach, Diagnostic | 1,704 | 24.82 |
| 0QU03JZ | Supplement Lumbar Vertebra with Synthetic Substitute, Percutaneous Approach | 1,617 | 23.55 |
| 0QS03ZZ | Reposition Lumbar Vertebra, Percutaneous Approach | 1,484 | 21.62 |
TOP HOSPITALS ASSOCIATED WITH DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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 |
|---|---|---|---|---|---|---|
| AdventHealth Orlando | 601 E ROLLINS ST | Orlando | FL | 32803 | 64 | 0.93 |
| NewYork Presbyterian - Weill Cornell Medical Center | 525 E 68TH ST | New York | NY | 10021 | 56 | 0.82 |
| Memorial Sloan Kettering Cancer Center | 1275 YORK AVE | New York | NY | 10065 | 53 | 0.77 |
TOP ATTENDING PHYSICIAN ASSOCIATED WITH DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. DEAN G LORICH | 535 E 70TH ST | NEW YORK | NY | 10021 | 34 | 0.5 |
TOP OPERATING PHYSICIAN ASSOCIATED WITH DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | Back to Top |
| Physician Name | Address | City | State | Zip Code | Total Physician & DRG Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| DR. DEAN G LORICH | 535 E 70TH ST | NEW YORK | NY | 10021 | 36 | 0.52 |
| DR. ERIC LIS | 1275 YORK AVE | NEW YORK | NY | 10021 | 29 | 0.42 |
| DR. VAN B BOGGUS | 6444 MONROE ST | SYLVANIA | OH | 43560 | 27 | 0.39 |
DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | I10 | Essential (primary) hypertension | 10,306 | 3,483 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | E785 | Hyperlipidemia, unspecified | 6,485 | 2,754 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | Z87891 | Personal history of nicotine dependence | 4,564 | 2,056 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | C7951 | Secondary malignant neoplasm of bone | 5,163 | 2,050 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | K219 | Gastro-esophageal reflux disease without esophagitis | 3,761 | 1,848 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 3,425 | 1,635 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | E039 | Hypothyroidism, unspecified | 2,958 | 1,363 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | J449 | Chronic obstructive pulmonary disease, unspecified | 2,469 | 1,213 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | Z7982 | Long term (current) use of aspirin | 1,797 | 1,180 | |||||||||||||||||
| Orthopedics | Biopsies Of Musculoskeletal System And Connective Tissue | Biopsies Of Musculoskeletal System And Connective Tissue | F329 | Major depressive disorder, single episode, unspecified | 2,533 | 1,088 |