Hoag Memorial Hospital Presbyterian - Rankings, Doctors, Quality Outcomes & Information

All you need to know about Hoag Memorial Hospital Presbyterian practicing at One Hoag Drive, Newport Beach, CA, 92663 with Hospital NPI  1518951300, 1750875670.


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Dexur Rankings are Trusted

Hoag Memorial Hospital Presbyterian Rankings & Experience

Rankings - Jan 2021 to Dec 2021

Endocrinology

Unique Endocrinology Medicare Patients Treated

Total payments

Endocrinology Medical

Unique Endocrinology Medical Medicare Patients Treated

Total payments

Cardiovascular

Unique Cardiovascular Medicare Patients Treated

Total payments

Cardiovascular Medical

Unique Cardiovascular Medical Medicare Patients Treated

Total payments

Metabolic disorders

Unique Metabolic disorders Medicare Patients Treated

Total payments

Hypertension

Unique Hypertension Medicare Patients Treated

Total payments

Gastroenterology

Unique Gastroenterology Medicare Patients Treated

Total payments

Gastroenterology Medical

Unique Gastroenterology Medical Medicare Patients Treated

Total payments

Urology

Unique Urology Medicare Patients Treated

Total payments

Urology Medical

Unique Urology Medical Medicare Patients Treated

Total payments

Orthopedic

Unique Orthopedic Medicare Patients Treated

Total payments

Pulmonology

Unique Pulmonology Medicare Patients Treated

Total payments

Orthopedic Medical

Unique Orthopedic Medical Medicare Patients Treated

Total payments

Pulmonology Medical

Unique Pulmonology Medical Medicare Patients Treated

Total payments

Nephrology

Unique Nephrology Medicare Patients Treated

Total payments

Nephrology Medical

Unique Nephrology Medical Medicare Patients Treated

Total payments

Diabetes Mellitus

Unique Diabetes Mellitus Medicare Patients Treated

Total payments

Heart Failure

Unique Heart Failure Medicare Patients Treated

Total payments

Cardiovascular Surgical

Unique Cardiovascular Surgical Medicare Patients Treated

Total payments

Orthopedic Surgical

Unique Orthopedic Surgical Medicare Patients Treated

Total payments

Obesity

Unique Obesity Medicare Patients Treated

Total payments

Constipation

Unique Constipation Medicare Patients Treated

Total payments

Osteoarthritis

Unique Osteoarthritis Medicare Patients Treated

Total payments

Pneumonia

Unique Pneumonia Medicare Patients Treated

Total payments

Osteoporosis

Unique Osteoporosis Medicare Patients Treated

Total payments

Acute Myocardial Infarction

Unique Acute Myocardial Infarction Medicare Patients Treated

Total payments

Stroke

Unique Stroke Medicare Patients Treated

Total payments

Pleural effusion

Unique Pleural effusion Medicare Patients Treated

Total payments

Urinary Incontinence

Unique Urinary Incontinence Medicare Patients Treated

Total payments

Liver Cirrhosis

Unique Liver Cirrhosis Medicare Patients Treated

Total payments

Heart Valve Surgery

Unique Heart Valve Surgery Medicare Patients Treated

Total payments

Spondylosis

Unique Spondylosis Medicare Patients Treated

Total payments

Pacemaker Procedure

Unique Pacemaker Procedure Medicare Patients Treated

Total payments

Stent Surgery

Unique Stent Surgery Medicare Patients Treated

Total payments

Nephrology Surgical

Unique Nephrology Surgical Medicare Patients Treated

Total payments

Radiculopathy

Unique Radiculopathy Medicare Patients Treated

Total payments

Scoliosis

Unique Scoliosis Medicare Patients Treated

Total payments

Cardiac Arrest

Unique Cardiac Arrest Medicare Patients Treated

Total payments

Hip & Knee Replacement

Unique Hip & Knee Replacement Medicare Patients Treated

Total payments

Oncology Surgical

Unique Oncology Surgical Medicare Patients Treated

Total payments

Kidney Cancer

Unique Kidney Cancer Medicare Patients Treated

Total payments

Cardiac Cancer

Unique Cardiac Cancer Medicare Patients Treated

Total payments

Nephrectomy Surgery

Unique Nephrectomy Surgery Medicare Patients Treated

Total payments

Gastrectomy

Unique Gastrectomy Medicare Patients Treated

Total payments

Endocrinology Surgical

Unique Endocrinology Surgical Medicare Patients Treated

Total payments

Shoulder Surgery

Unique Shoulder Surgery Medicare Patients Treated

Total payments

Erectile Dysfunction

Unique Erectile Dysfunction Medicare Patients Treated

Total payments

Cardiomegaly

Unique Cardiomegaly Medicare Patients Treated

Total payments

Carpal Tunnel Syndrome

Unique Carpal Tunnel Syndrome Medicare Patients Treated

Total payments

Thyroid Cancer

Unique Thyroid Cancer Medicare Patients Treated

Total payments

Varicocele

Unique Varicocele Medicare Patients Treated

Total payments

Torn Meniscus

Unique Torn Meniscus Medicare Patients Treated

Total payments

Affiliated Doctors

Dr. SUBBARAO V. MYLAVARAPU

351 HOSPITAL RD, NEWPORT BEACH, CA, 92663

Specializations: Cardiovascular Disease

Counties Served: Orange, CA; Los Angeles, CA; Riverside, CA

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Hoag Memorial Hospital Presbyterian

Total Payments | Total Payments Associated with Hoag Memorial Hospital Presbyterian

Dr. DINESH KUMAR

1101 BRYAN AVE STE E, TUSTIN, CA, 92780

Specializations: Interventional Cardiology

Counties Served: Orange, CA; Los Angeles, CA; Riverside, CA

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Hoag Memorial Hospital Presbyterian

Total Payments | Total Payments Associated with Hoag Memorial Hospital Presbyterian

Dr. RICHARD BAILEY DOERING

351 HOSPITAL RD, NEWPORT BEACH, CA, 92663

Specializations: Vascular Surgery

Counties Served: Orange, CA; Los Angeles, CA; Riverside, CA

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Hoag Memorial Hospital Presbyterian

Total Payments | Total Payments Associated with Hoag Memorial Hospital Presbyterian

Dr. JONATHAN J AHDOOT

15775 LAGUNA CANYON RD, IRVINE, CA, 92618

Specializations: Pulmonary Disease

Counties Served: Orange, CA; Los Angeles, CA; Riverside, CA

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Hoag Memorial Hospital Presbyterian

Total Payments | Total Payments Associated with Hoag Memorial Hospital Presbyterian

Dr. KAVEH SAREMI

510 SUPERIOR AVENUE, SUITE 200-A, NEWPORT BEACH, CA, 92663

Specializations: Neurology

Counties Served: Orange, CA; Los Angeles, CA; Kern, CA

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Hoag Memorial Hospital Presbyterian

Total Payments | Total Payments Associated with Hoag Memorial Hospital Presbyterian

Dr. RICHARD G QUIST

361 HOSPITAL RD, NEWPORT BEACH, CA, 92663

Specializations: Gastroenterology

Counties Served: Orange, CA; Los Angeles, CA; Riverside, CA

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Hoag Memorial Hospital Presbyterian

Total Payments | Total Payments Associated with Hoag Memorial Hospital Presbyterian

Dr. TZE CHOW IP

22 CORPORATE PLAZA DR, NEWPORT BEACH, CA, 92660

Specializations: Hand Surgery

Counties Served: Orange, CA; Los Angeles, CA; Riverside, CA

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Hoag Memorial Hospital Presbyterian

Total Payments | Total Payments Associated with Hoag Memorial Hospital Presbyterian

Dr. SHAUNAK SUBHASH DESAI

22 CORPORATE PLAZA DR, NEWPORT BEACH, CA, 92660

Specializations: Hand Surgery

Counties Served: Orange, CA; Los Angeles, CA

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Hoag Memorial Hospital Presbyterian

Total Payments | Total Payments Associated with Hoag Memorial Hospital Presbyterian

Dr. JOSE PUANGCO

510 SUPERIOR AVE, NEWPORT BEACH, CA, 92663

Specializations: Neurology

Counties Served: Orange, CA; Los Angeles, CA; Riverside, CA

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Hoag Memorial Hospital Presbyterian

Total Payments | Total Payments Associated with Hoag Memorial Hospital Presbyterian

Dr. GARABED P. NISHANIAN

16100 SAND CANYON AVE, IRVINE, CA, 92618

Specializations: Vascular Surgery

Counties Served: Orange, CA; Los Angeles, CA; Riverside, CA

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Hoag Memorial Hospital Presbyterian

Total Payments | Total Payments Associated with Hoag Memorial Hospital Presbyterian

Dr. GREG R ANGSTREICH

520 SUPERIOR AVE, NEWPORT BEACH, CA, 92663

Specializations: Hematology & Oncology

Counties Served: Orange, CA; Los Angeles, CA; Riverside, CA

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Hoag Memorial Hospital Presbyterian

Total Payments | Total Payments Associated with Hoag Memorial Hospital Presbyterian

Dr. ABHAY S PARIKH

520 SUPERIOR AVE, NEWPORT BEACH, CA, 92663

Specializations: Gastroenterology

Counties Served: Orange, CA; Riverside, CA; Los Angeles, CA

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Hoag Memorial Hospital Presbyterian

Total Payments | Total Payments Associated with Hoag Memorial Hospital Presbyterian

Dr. SHAHROOZ BEMANIAN

113 WATERWORKS WAY STE 155, IRVINE, CA, 92618

Specializations: Gastroenterology

Counties Served: Orange, CA; Los Angeles, CA; Riverside, CA

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Hoag Memorial Hospital Presbyterian

Total Payments | Total Payments Associated with Hoag Memorial Hospital Presbyterian

Dr. ERIC WECHSLER

1501 SUPERIOR AVE, NEWPORT BEACH, CA, 92663

Specializations: Nephrology

Counties Served: Orange, CA; Los Angeles, CA

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Hoag Memorial Hospital Presbyterian

Total Payments | Total Payments Associated with Hoag Memorial Hospital Presbyterian

Dr. LEAH Y NAKAMURA

25200 LA PAZ RD STE 200, LAGUNA HILLS, CA, 92653

Specializations: Urology

Counties Served: Orange, CA; Los Angeles, CA

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Hoag Memorial Hospital Presbyterian

Total Payments | Total Payments Associated with Hoag Memorial Hospital Presbyterian

Dr. SAJEET SINGH SAWHNEY

11100 WARNER AVE, FOUNTAIN VALLEY, CA, 92708

Specializations: Nephrology

Counties Served: Orange, CA; Los Angeles, CA

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Hoag Memorial Hospital Presbyterian

Total Payments | Total Payments Associated with Hoag Memorial Hospital Presbyterian

Dr. SURINDER SINGH SAINI

1441 AVOCADO AVE, NEWPORT BEACH, CA, 92660

Specializations: Gastroenterology

Counties Served: Orange, CA; Los Angeles, CA

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Hoag Memorial Hospital Presbyterian

Total Payments | Total Payments Associated with Hoag Memorial Hospital Presbyterian

Dr. MUBINA GAFFAR

320 SUPERIOR AVE STE 290, NEWPORT BEACH, CA, 92663

Specializations: Pulmonary Disease

Counties Served: Orange, CA; Los Angeles, CA; Riverside, CA

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Hoag Memorial Hospital Presbyterian

Total Payments | Total Payments Associated with Hoag Memorial Hospital Presbyterian

Dr. MINH D NGUYEN

300 OLD NEWPORT BLVD, NEWPORT BEACH, CA, 92663

Specializations: Hematology & Oncology

Counties Served: Orange, CA

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Hoag Memorial Hospital Presbyterian

Total Payments | Total Payments Associated with Hoag Memorial Hospital Presbyterian

Dr. PATRICIA SHIH-TING TSAI

496 OLD NEWPORT BLVD, NEWPORT BEACH, CA, 92663

Specializations: Gastroenterology

Counties Served: Orange, CA

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Hoag Memorial Hospital Presbyterian

Total Payments | Total Payments Associated with Hoag Memorial Hospital Presbyterian

Dr. DANIEL ALLEN NG

510 SUPERIOR AVE, NEWPORT BEACH, CA, 92663

Specializations: Colon & Rectal Surgery

Counties Served: Orange, CA; Riverside, CA

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Hoag Memorial Hospital Presbyterian

Total Payments | Total Payments Associated with Hoag Memorial Hospital Presbyterian

Dr. LAKSHMI SHUKLA

320 SUPERIOR AVE STE 240, NEWPORT BEACH, CA, 92663

Specializations: Pulmonary Disease

Counties Served: Orange, CA; Los Angeles, CA

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Hoag Memorial Hospital Presbyterian

Total Payments | Total Payments Associated with Hoag Memorial Hospital Presbyterian

Dr. JASON SEAN MUIR

500 SUPERIOR AVE, NEWPORT BEACH, CA, 92663

Specializations: Neurology

Counties Served: Orange, CA; Los Angeles, CA

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Hoag Memorial Hospital Presbyterian

Total Payments | Total Payments Associated with Hoag Memorial Hospital Presbyterian

Quality Outcomes

  1. CMS Star Ratings Current, History & Forecasts
  2. CMS Hospital Readmission Rate Reduction Program (HRRP) Current, History & Forecasts
  3. Hospital Inpatient Quality Outcomes

2022 CMS Star Rating:

2023 Dexur Predicted CMS Star Rating:

Forecasted 2023 Peer Group -  5 Measure Peer Group | 2022 Peer Group -  5 Measure Peer Group

2023 Dexur Forecasted CMS Star Rating Group Summary Score:   0.52 | 2022 CMS Star Rating Group Summary Score:   0.56

Dexur Forecasted 2023 Group Summary Score - Min and Max Ranges for 5 Measure Group

MIN MAX MIN MAX MIN MAX MIN MAX MIN MAX
-1.76 -0.75 -0.74 -0.35 -0.34 -0.02 -0.01 0.35 0.35 1.18

The Hospital has a 5 star rating in 2022. For 2023, Dexur forecasts a 5 Star Rating since the forecasted Hospital group summary score of 0.52 is in the middle of the min and max range of a 5 Star Rating . The 2023 Dexur forecasted Min & Max Group Summary score range of a 5 Star Rating Hospital in a 5 peer measure group hospital category is likely to be 0.35 to 1.18

Hoag Memorial Hospital Presbyterian CMS Hospital Readmissions Reduction Program (HRRP) History and Forecasts

Dexur has access to Medicare claims data based on which it replicates the complex CMS HRRP methodology and forecasts the measure-level readmission rates of Hospitals 1-3 years in advance of the final published date. These readmission rates are analyzed to predict if Hospitals have a high, medium, or low chance of falling in the penalty in all the measures prescribed by CMS.

Dexur also boils the ocean to identify Real World Evidence (RWE) Risk factors that drive higher readmission rates for each measure. To get access to the detailed CMS HRRP Prediction report for each measure for this hospital, please email dexur@dexur.com

Measure & Time Periods 2022 CMS Penalty 2023 CMS Penalty 2024 Dexur Forecasted Penalty 2025 Dexur Forecasted Penalty
Measure Time PeriodJul 2017 to Dec 2019Jul 2018 to Jun 2021Jul 2019 to Jun 2022Jul 2020 to Jun 2023
Available Data Time PeriodJul 2017 to Dec 2019Jul 2018 to Jun 2021Jul 2019 to Mar 2022Jul 2020 to Mar 2022
Forecasted Data Time PeriodJul 2017 to Dec 2019 Jul 2018 to Jun 2021 Apr 2022 to Jun 2022
(3 months)
Apr 2022 to Jun 2023
(15 months)
Total HRRP Impact Y ($749,535) N
AMI
(Acute Myocardial Infarction)
Y ($51,604) N
CABG
(Coronary Artery Bypass Graft)
N N
COPD
(Chronic Obstructive Pulmonary Disease)
Y ($15,322) N
HF
(Heart Failure)
N N
PN
(Pneumonia)
Y ($682,609) NA
TKA
(Total Knee Arthroplasty)
N N
High Confidence Medium Confidence Low Confidence

Hoag Memorial Hospital Presbyterian Inpatient Quality Outcomes

Time Period - Apr 2019 to Mar 2022
Total Hospitalizations Unique Patients Payments % of Hospitalizations admitted via ED Avg. LOS Avg. ICU Los Readmission Rate In Hospital Mortality Rate 30 Day Mortality Rate Home Discharge Rate SNF Discharge Rate Home Health Discharge Rate Hospice Discharge Rate Revenue / Payments Per Day
All 25,848 15536 $423,475,119 2.81 4.74 3.39 21.72 5.65 13.94 34.42 15.94 34.22 5.2 $3,453
Non Surgical 19,034 11958 $225,846,723 2.97 4.45 3.48 21.86 6.18 16.11 31.4 15.9 36.43 6.55 $2,664
Surgical 6,814 5876 $197,628,395 2.35 5.55 3.24 21.35 2.37 4.08 42.88 16.06 28.03 1.41 $5,222
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS
DRG 871 - SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 872 - SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
RESPIRATORY INFECTIONS AND INFLAMMATIONS
DRG 177 - RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 178 - RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 179 - RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
HEART FAILURE AND SHOCK
DRG 291 - HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 292 - HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC)
DRG 293 - HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
G.I. HEMORRHAGE
DRG 378 - G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC)
DRG 377 - G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 379 - G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION
DRG 065 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS
DRG 064 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 066 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
RENAL FAILURE
DRG 683 - RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC)
DRG 682 - RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 684 - RENAL FAILURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER KIDNEY AND URINARY TRACT DIAGNOSES
DRG 698 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 699 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 700 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
KIDNEY AND URINARY TRACT INFECTIONS
DRG 690 - KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 689 - KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS
DRG 392 - ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 391 - ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES
DRG 641 - MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 640 - MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
MAJOR SMALL AND LARGE BOWEL PROCEDURES
DRG 330 - MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 329 - MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 331 - MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE
DRG 853 - INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 854 - INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC)
CELLULITIS
DRG 603 - CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 602 - CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE
DRG 560 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC)
DRG 561 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 559 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT
DRG 481 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC)
DRG 482 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 480 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
DRG 308 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 309 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 310 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
G.I. OBSTRUCTION
DRG 389 - G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC)
DRG 390 - G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 388 - G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES
DRG 025 - CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 027 - CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 026 - CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
SIMPLE PNEUMONIA AND PLEURISY
DRG 193 - SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 194 - SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC)
DRG 195 - SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DEGENERATIVE NERVOUS SYSTEM DISORDERS
DRG 057 - DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 056 - DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT
DRG 247 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 246 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS
OTHER DIGESTIVE SYSTEM DIAGNOSES
DRG 394 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 393 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 395 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
ENDOCRINE DISORDERS
DRG 644 - ENDOCRINE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 643 - ENDOCRINE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 645 - ENDOCRINE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE
DRG 280 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 281 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC)
DRG 282 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
PULMONARY EDEMA AND RESPIRATORY FAILURE
DRG 189 - PULMONARY EDEMA AND RESPIRATORY FAILURE
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E.
DRG 418 - LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC)
DRG 419 - LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 417 - LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
SIGNS AND SYMPTOMS
DRG 948 - SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 947 - SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION
DRG 220 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC)
DRG 219 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 221 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
ENDOVASCULAR CARDIAC VALVE REPLACEMENT
DRG 267 - ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 266 - ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY
DRG 897 - ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 896 - ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
MAJOR CHEST PROCEDURES
DRG 164 - MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 165 - MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 163 - MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION
DRG 454 - COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)
DRG 455 - COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 453 - COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER CIRCULATORY SYSTEM DIAGNOSES
DRG 314 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 315 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC)
MEDICAL BACK PROBLEMS
DRG 552 - MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 551 - MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
PULMONARY EMBOLISM
DRG 176 - PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 175 - PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
DRG 327 - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 328 - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 326 - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER DISORDERS OF NERVOUS SYSTEM
DRG 092 - OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC)
DRG 091 - OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 093 - OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM
DRG 660 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC)
DRG 659 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 661 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DISORDERS OF PANCREAS EXCEPT MALIGNANCY
DRG 439 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)
DRG 438 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 440 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DIGESTIVE MALIGNANCY
DRG 375 - DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)
DRG 374 - DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
COMPLICATIONS OF TREATMENT
DRG 919 - COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 920 - COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC)
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
DRG 190 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 191 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC)
DRG 192 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
SYNCOPE AND COLLAPSE
DRG 312 - SYNCOPE AND COLLAPSE
DIABETES
DRG 638 - DIABETES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 637 - DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
PERMANENT CARDIAC PACEMAKER IMPLANT
DRG 243 - PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION OR COMORBIDITY (CC)
DRG 242 - PERMANENT CARDIAC PACEMAKER IMPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 244 - PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
VENTRICULAR SHUNT PROCEDURES
DRG 033 - VENTRICULAR SHUNT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 032 - VENTRICULAR SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 031 - VENTRICULAR SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DISORDERS OF THE BILIARY TRACT
DRG 445 - DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC)
DRG 444 - DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 446 - DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS
DRG 372 - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 371 - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 373 - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION
DRG 287 - CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 286 - CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
TRAUMATIC STUPOR AND COMA, COMA <1 HOUR
DRG 086 - TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC)
DRG 087 - TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 085 - TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS
DRG 862 - POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 863 - POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT
DRG 208 - RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS
DRG 207 - RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS
PERIPHERAL VASCULAR DISORDERS
DRG 300 - PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 299 - PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 301 - PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
FRACTURES OF HIP AND PELVIS
DRG 536 - FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 535 - FRACTURES OF HIP AND PELVIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
SEIZURES
DRG 101 - SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 100 - SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
POISONING AND TOXIC EFFECTS OF DRUGS
DRG 917 - POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 918 - POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS
DRG 442 - DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 441 - DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
RED BLOOD CELL DISORDERS
DRG 812 - RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 811 - RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
TRAUMATIC STUPOR AND COMA, COMA >1 HOUR
DRG 083 - TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC)
DRG 082 - TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 084 - TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
PANCREAS, LIVER AND SHUNT PROCEDURES
DRG 405 - PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 406 - PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY
DRG 470 - MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 469 - MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
PERITONEAL ADHESIOLYSIS
DRG 336 - PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 337 - PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 335 - PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS
DRG 435 - MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 436 - MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC)
CERVICAL SPINAL FUSION
DRG 472 - CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)
DRG 473 - CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
TRANSIENT ISCHEMIA
DRG 069 - TRANSIENT ISCHEMIA
AFTERCARE
DRG 949 - AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER KIDNEY AND URINARY TRACT PROCEDURES
DRG 673 - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 674 - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
SPINAL FUSION EXCEPT CERVICAL
DRG 460 - SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 459 - SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER MAJOR CARDIOVASCULAR PROCEDURES
DRG 270 - OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 271 - OTHER MAJOR CARDIOVASCULAR PROCEDURES W COMPLICATION OR COMORBIDITY (CC)
BRONCHITIS AND ASTHMA
DRG 202 - BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 203 - BRONCHITIS AND ASTHMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS
DRG 847 - CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 846 - CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER O.R. PROCEDURES FOR INJURIES
DRG 908 - OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 907 - OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX
DRG 023 - CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR CHEMOTHERAPY IMPLANT
DRG 024 - CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR
DRG 493 - LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC)
DRG 494 - LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE
DRG 856 - POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 857 - POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC)
RESPIRATORY NEOPLASMS
DRG 180 - RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 181 - RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC)
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE
DRG 522 - Hip replacement with principal diagnosis of hip fracture without MCC
DRG 521 - Hip replacement with principal diagnosis of hip fracture with MCC
CORONARY BYPASS WITH CARDIAC CATHETERIZATION
DRG 234 - CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 233 - CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
DRG 981 - EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 982 - EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC)
OTHER VASCULAR PROCEDURES
DRG 252 - OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 253 - OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES
DRG 516 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 517 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 515 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES
DRG 357 - OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 356 - OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION
DRG 236 - CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
CIRRHOSIS AND ALCOHOLIC HEPATITIS
DRG 432 - CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 433 - CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC)
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY
DRG 895 - ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES
DRG 166 - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 167 - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
EXTRACRANIAL PROCEDURES
DRG 039 - EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 038 - EXTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
NONSPECIFIC CEREBROVASCULAR DISORDERS
DRG 071 - NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 070 - NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 072 - NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY
DRG 543 - PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)
DRG 544 - PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH
DRG 563 - FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 562 - FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL
DRG 354 - HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC)
DRG 355 - HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK
DRG 004 - TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE
DRG 003 - ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE
LYMPHOMA AND NON-ACUTE LEUKEMIA
DRG 840 - LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 841 - LYMPHOMA AND NON-ACUTE LEUKEMIA WITH COMPLICATION OR COMORBIDITY (CC)
NERVOUS SYSTEM NEOPLASMS
DRG 054 - NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 055 - NERVOUS SYSTEM NEOPLASMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
COMPLICATED PEPTIC ULCER
DRG 381 - COMPLICATED PEPTIC ULCER WITH COMPLICATION OR COMORBIDITY (CC)
DRG 380 - COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
KIDNEY AND URETER PROCEDURES FOR NEOPLASM
DRG 658 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 657 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC)
APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS
DRG 342 - APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 343 - APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER CARDIOTHORACIC PROCEDURES
DRG 229 - OTHER CARDIOTHORACIC PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 228 - OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
COAGULATION DISORDERS
DRG 813 - COAGULATION DISORDERS
OTHER RESPIRATORY SYSTEM DIAGNOSES
DRG 205 - OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 206 - OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
INTERSTITIAL LUNG DISEASE
DRG 196 - INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS
DRG 870 - SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS