Jan 2013 to Dec 2017 | Jan 2017 to Dec 2017
CHARGE CAPTURE ANALYSIS FOR DRG 499: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES OF HIP AND FEMUR 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 (%) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 499 | LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Local Excision And Removal Int Fix Devices Of Hip And Femur | Local Excision And Removal Internal Fixation Devices Of Hip And Femur | Surgical | 21.26 | NA | 333 | 2,097 | 331 | ||||||||||||
| 498 | LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Orthopedics | Local Excision And Removal Int Fix Devices Of Hip And Femur | Local Excision And Removal Internal Fixation Devices Of Hip And Femur | Surgical | 78.74 | NA | 1,233 | 6,287 | 1,191 |
DEMOGRAPHIC DETAILS OF DRG 499: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | Back to Top |
| Race | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| White | 290 | 87.09 |
| Black | 28 | 8.41 |
| Hispanic | NA | NA |
| Age Group ( Years ) | Total Hospitalization Volume - Jan 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|
| Less than 65 | 86 | 25.83 |
| 65 to 69 | 77 | 23.12 |
| Greater than 84 | 49 | 14.71 |
TOP ICD DIAGNOSIS CODES FOR DRG 499: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|
| T84195A | Other mechanical complication of internal fixation device of left femur, initial encounter | NA | NA |
| M898X5 | Other specified disorders of bone, thigh | NA | NA |
| T84125A | Displacement of internal fixation device of left femur, initial encounter | NA | NA |
TOP ICD PROCEDURE CODES FOR DRG 499: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 |
|---|---|---|---|
| 0QB70ZZ | Excision of Left Upper Femur, Open Approach | 51 | 15.32 |
| 0QB60ZZ | Excision of Right Upper Femur, Open Approach | 47 | 14.11 |
| 0QP604Z | Removal of Internal Fixation Device from Right Upper Femur, Open Approach | 43 | 12.91 |
TOP HOSPITALS ASSOCIATED WITH DRG 499: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES OF HIP AND FEMUR 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 2017 to Dec 2017 | % of DRG Volume |
|---|---|---|---|---|---|---|
| UPMC Hamot | 201 STATE ST | Erie | PA | 16550 | NA | NA |
| Beverly Hospital Corporation | 85 HERRICK ST | Beverly | MA | 01915 | NA | NA |
| South Bay Hospital | 4016 STATE ROAD 674 | Sun City Center | FL | 33573 | NA | NA |
DRG 499: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES OF HIP AND FEMUR 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 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 | Local Excision And Removal Int Fix Devices Of Hip And Femur | Local Excision And Removal Internal Fixation Devices Of Hip And Femur | I10 | Essential (primary) hypertension | 437 | 179 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Of Hip And Femur | Local Excision And Removal Internal Fixation Devices Of Hip And Femur | E785 | Hyperlipidemia, unspecified | 208 | 113 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Of Hip And Femur | Local Excision And Removal Internal Fixation Devices Of Hip And Femur | K219 | Gastro-esophageal reflux disease without esophagitis | 199 | 107 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Of Hip And Femur | Local Excision And Removal Internal Fixation Devices Of Hip And Femur | T8484XA | Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter | 246 | 75 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Of Hip And Femur | Local Excision And Removal Internal Fixation Devices Of Hip And Femur | Z87891 | Personal history of nicotine dependence | 119 | 68 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Of Hip And Femur | Local Excision And Removal Internal Fixation Devices Of Hip And Femur | F329 | Major depressive disorder, single episode, unspecified | 144 | 64 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Of Hip And Femur | Local Excision And Removal Internal Fixation Devices Of Hip And Femur | Z7982 | Long term (current) use of aspirin | 59 | 54 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Of Hip And Femur | Local Excision And Removal Internal Fixation Devices Of Hip And Femur | I2510 | Atherosclerotic heart disease of native coronary artery without angina pectoris | 63 | 53 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Of Hip And Femur | Local Excision And Removal Internal Fixation Devices Of Hip And Femur | E039 | Hypothyroidism, unspecified | 127 | 52 | |||||||||||||||||
| Orthopedics | Local Excision And Removal Int Fix Devices Of Hip And Femur | Local Excision And Removal Internal Fixation Devices Of Hip And Femur | E119 | Type 2 diabetes mellitus without complications | 80 | 44 |