Mayo Clinic - Rankings, Doctors, Quality Outcomes & Information

All you need to know about Mayo Clinic practicing at 4500 San Pablo Rd S, Jacksonville, FL, 32224 with Hospital NPI  1659355725, 1891782470.


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Dexur Rankings are Trusted

Mayo Clinic Rankings & Experience

Rankings - Jan 2021 to Dec 2021

Orthopedic Medical

Unique Orthopedic Medical Medicare Patients Treated

Total payments

Hypertension

Unique Hypertension Medicare Patients Treated

Total payments

Dermatology

Unique Dermatology Medicare Patients Treated

Total payments

Pneumonia

Unique Pneumonia Medicare Patients Treated

Total payments

Gastrointestinal hemorrhage

Unique Gastrointestinal hemorrhage Medicare Patients Treated

Total payments

Dermatology Medical

Unique Dermatology Medical Medicare Patients Treated

Total payments

Urinary Tract Infections

Unique Urinary Tract Infections Medicare Patients Treated

Total payments

Pulmonary Edema

Unique Pulmonary Edema Medicare Patients Treated

Total payments

Osteoarthritis

Unique Osteoarthritis Medicare Patients Treated

Total payments

Dialysis

Unique Dialysis Medicare Patients Treated

Total payments

Gallstone

Unique Gallstone Medicare Patients Treated

Total payments

Hip & Knee Replacement

Unique Hip & Knee Replacement Medicare Patients Treated

Total payments

Cellulitis

Unique Cellulitis Medicare Patients Treated

Total payments

Acute Myocardial Infarction

Unique Acute Myocardial Infarction Medicare Patients Treated

Total payments

Diverticulitis

Unique Diverticulitis Medicare Patients Treated

Total payments

Degenerative disc disease

Unique Degenerative disc disease Medicare Patients Treated

Total payments

Coronary Artery Bypass Graft (CABG) Surgery

Unique Coronary Artery Bypass Graft (CABG) Surgery Medicare Patients Treated

Total payments

Pacemaker Procedure

Unique Pacemaker Procedure Medicare Patients Treated

Total payments

Wound Repair

Unique Wound Repair Medicare Patients Treated

Total payments

Pancreatic Cancer

Unique Pancreatic Cancer Medicare Patients Treated

Total payments

Stent Surgery

Unique Stent Surgery Medicare Patients Treated

Total payments

Colon Cancer

Unique Colon Cancer Medicare Patients Treated

Total payments

Bladder Cancer

Unique Bladder Cancer Medicare Patients Treated

Total payments

Headache

Unique Headache Medicare Patients Treated

Total payments

Kidney Stone

Unique Kidney Stone Medicare Patients Treated

Total payments

Lumbar Laminectomy

Unique Lumbar Laminectomy Medicare Patients Treated

Total payments

Scoliosis

Unique Scoliosis Medicare Patients Treated

Total payments

Ophthalmology

Unique Ophthalmology Medicare Patients Treated

Total payments

Skin Cancer

Unique Skin Cancer Medicare Patients Treated

Total payments

Cystourethroscopy

Unique Cystourethroscopy Medicare Patients Treated

Total payments

Emphysema

Unique Emphysema Medicare Patients Treated

Total payments

Cerebrospinal fluid shunt procedures

Unique Cerebrospinal fluid shunt procedures Medicare Patients Treated

Total payments

Bladder Disorder

Unique Bladder Disorder Medicare Patients Treated

Total payments

Ophthalmology Medical

Unique Ophthalmology Medical Medicare Patients Treated

Total payments

Neurostimulator Procedures

Unique Neurostimulator Procedures Medicare Patients Treated

Total payments

Non-Hodgkin's Lymphoma

Unique Non-Hodgkin's Lymphoma Medicare Patients Treated

Total payments

Cardiac Arrest

Unique Cardiac Arrest Medicare Patients Treated

Total payments

Radiculopathy

Unique Radiculopathy Medicare Patients Treated

Total payments

Skin Replacement Surgery

Unique Skin Replacement Surgery Medicare Patients Treated

Total payments

Skin Biopsy

Unique Skin Biopsy Medicare Patients Treated

Total payments

Crohn's Disease

Unique Crohn's Disease Medicare Patients Treated

Total payments

Thyroid Disorder

Unique Thyroid Disorder Medicare Patients Treated

Total payments

Foot & Ankle Surgery

Unique Foot & Ankle Surgery Medicare Patients Treated

Total payments

Sinusitis

Unique Sinusitis Medicare Patients Treated

Total payments

Fatty liver

Unique Fatty liver Medicare Patients Treated

Total payments

Peritoneal cancer

Unique Peritoneal cancer Medicare Patients Treated

Total payments

Anorectal Cancer

Unique Anorectal Cancer Medicare Patients Treated

Total payments

Fistula

Unique Fistula Medicare Patients Treated

Total payments

Dementia

Unique Dementia Medicare Patients Treated

Total payments

Parkinson's Disease

Unique Parkinson's Disease Medicare Patients Treated

Total payments

Neck Pain

Unique Neck Pain Medicare Patients Treated

Total payments

Peritonitis

Unique Peritonitis Medicare Patients Treated

Total payments

Debridement Procedures

Unique Debridement Procedures Medicare Patients Treated

Total payments

Cardiac Cancer

Unique Cardiac Cancer Medicare Patients Treated

Total payments

Appendicitis

Unique Appendicitis Medicare Patients Treated

Total payments

Esophagitis

Unique Esophagitis Medicare Patients Treated

Total payments

Asthma

Unique Asthma Medicare Patients Treated

Total payments

Paralysis

Unique Paralysis Medicare Patients Treated

Total payments

Jaundice

Unique Jaundice Medicare Patients Treated

Total payments

Pressure Ulcer

Unique Pressure Ulcer Medicare Patients Treated

Total payments

Heart Transplant

Unique Heart Transplant Medicare Patients Treated

Total payments

Shoulder Surgery

Unique Shoulder Surgery Medicare Patients Treated

Total payments

Intestinal Cancer

Unique Intestinal Cancer Medicare Patients Treated

Total payments

Chronic Kidney Failure

Unique Chronic Kidney Failure Medicare Patients Treated

Total payments

Prostate Cancer

Unique Prostate Cancer Medicare Patients Treated

Total payments

Enterectomy

Unique Enterectomy Medicare Patients Treated

Total payments

Appendectomy

Unique Appendectomy Medicare Patients Treated

Total payments

Tremor

Unique Tremor Medicare Patients Treated

Total payments

Osteoporosis

Unique Osteoporosis Medicare Patients Treated

Total payments

Breast Cancer

Unique Breast Cancer Medicare Patients Treated

Total payments

Stomach Cancer

Unique Stomach Cancer Medicare Patients Treated

Total payments

Neuroendoscopic Procedures

Unique Neuroendoscopic Procedures Medicare Patients Treated

Total payments

Ovarian Cancer

Unique Ovarian Cancer Medicare Patients Treated

Total payments

Gastritis

Unique Gastritis Medicare Patients Treated

Total payments

Rheumatoid Arthritis

Unique Rheumatoid Arthritis Medicare Patients Treated

Total payments

Neuropathy

Unique Neuropathy Medicare Patients Treated

Total payments

Sinus Procedures

Unique Sinus Procedures Medicare Patients Treated

Total payments

Lumbar Discectomy

Unique Lumbar Discectomy Medicare Patients Treated

Total payments

Discectomy Surgeries

Unique Discectomy Surgeries Medicare Patients Treated

Total payments

Alzheimer's Disease

Unique Alzheimer's Disease Medicare Patients Treated

Total payments

Esophageal cancer

Unique Esophageal cancer Medicare Patients Treated

Total payments

Lung Transplantation

Unique Lung Transplantation Medicare Patients Treated

Total payments

Thoracic Laminectomy

Unique Thoracic Laminectomy Medicare Patients Treated

Total payments

Myasthenia Gravis

Unique Myasthenia Gravis Medicare Patients Treated

Total payments

Kyphosis

Unique Kyphosis Medicare Patients Treated

Total payments

Uterine Cancer

Unique Uterine Cancer Medicare Patients Treated

Total payments

Visual disturbances

Unique Visual disturbances Medicare Patients Treated

Total payments

Acute Respiratory Distress Syndrome (ARDS)

Unique Acute Respiratory Distress Syndrome (ARDS) Medicare Patients Treated

Total payments

Breast Procedures

Unique Breast Procedures Medicare Patients Treated

Total payments

Affiliated Doctors

Dr. THOMAS RANDOLPH FLIPSE

4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224

Specializations: Clinical Cardiac Electrophysiology

Counties Served: Duval, FL; St. Johns, FL; Volusia, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

Dr. LAKSHMINARAYANAN K VENKATACHALAM

4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224

Specializations: Clinical Cardiac Electrophysiology

Counties Served: Duval, FL; St. Johns, FL; Flagler, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

Dr. CHRISTOPHER J MCLEOD

4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224

Specializations: Cardiovascular Disease

Counties Served: Duval, FL; St. Johns, FL; Volusia, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

Dr. FREDERICK MASARU KUSUMOTO

4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224

Specializations: Clinical Cardiac Electrophysiology

Counties Served: Duval, FL; St. Johns, FL; Flagler, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

Dr. JORGE FRANCISCO TREJO-GUTIERREZ

4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224

Specializations: Cardiovascular Disease

Counties Served: Duval, FL; St. Johns, FL; Volusia, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

Dr. VICHAYA ARUNTHARI

4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224

Specializations: Pulmonary Disease

Counties Served: Duval, FL; St. Johns, FL; Flagler, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

Dr. JORGE MARTIN MALLEA

4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224

Specializations: Pulmonary Disease

Counties Served: Duval, FL; St. Johns, FL; Volusia, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

Dr. SABRINA D PHILLIPS

4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224

Specializations: Cardiovascular Disease

Counties Served: Duval, FL; St. Johns, FL; Flagler, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

Dr. EMIR FESTIC

4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224

Specializations: Pulmonary Disease

Counties Served: Duval, FL; St. Johns, FL; Flagler, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

Dr. SIKANDER AILAWADHI

4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224

Specializations: Hematology & Oncology

Counties Served: Duval, FL; St. Johns, FL; Flagler, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

Dr. TAIMUR SHER

4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224

Specializations: Hematology & Oncology

Counties Served: Duval, FL; St. Johns, FL; Volusia, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

Dr. VIVEK ROY

4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224

Specializations: Hematology & Oncology

Counties Served: Duval, FL; St. Johns, FL; Volusia, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

Dr. MICHAEL A MAO

4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224

Specializations: Nephrology

Counties Served: Duval, FL; St. Johns, FL; Clay, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

Dr. JAMES M FORAN

4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224

Specializations: Hematology & Oncology

Counties Served: Duval, FL; St. Johns, FL; Volusia, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

Dr. HAN WIN TUN

4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224

Specializations: Hematology & Oncology

Counties Served: Duval, FL; St. Johns, FL; Clay, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

Dr. MADIHA IQBAL

4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224

Specializations: Hematology & Oncology

Counties Served: Duval, FL; St. Johns, FL; Clay, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

Dr. ERNESTO AYALA

4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224

Specializations: Hematology

Counties Served: Duval, FL; St. Johns, FL; Clay, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

Dr. HEMANT SREENIVASA MURTHY

4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224

Specializations: Hematology & Oncology

Counties Served: Duval, FL; St. Johns, FL; Clay, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

Dr. CHRISTOPHER TRAUTMAN

4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224

Specializations: Nephrology

Counties Served: Duval, FL; St. Johns, FL; Volusia, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

Dr. TALHA BADAR

4500 SAN PABLO RD S # X, JACKSONVILLE, FL, 32224

Specializations: Hematology & Oncology

Counties Served: Duval, FL; St. Johns, FL; Volusia, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

Dr. MARGARET MARY JOHNSON

4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224

Specializations: Pulmonary Disease

Counties Served: Duval, FL; St. Johns, FL; Volusia, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

Dr. BRADLEY S SCHOCH

4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224

Specializations: Orthopaedic Surgery

Counties Served: Duval, FL; St. Johns, FL; Volusia, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

Dr. SHON EDWARD MEEK

4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224

Specializations: Endocrinology, Diabetes & Metabolism

Counties Served: Duval, FL; St. Johns, FL; Volusia, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

Dr. STEVEN PETER PETROU

4500 SAN PABLO RD S, JACKSONVILLE, FL, 32224

Specializations: Female Pelvic Medicine and Reconstructive Surgery

Counties Served: Duval, FL; St. Johns, FL; Volusia, FL

Total Unique Medicare Patients Treated | Total Unique Medicare Patients Treated at Mayo Clinic

Total Payments | Total Payments Associated with Mayo Clinic

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:   0.79 | 2022 CMS Star Rating Group Summary Score:   0.72

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 0.79 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

Mayo Clinic 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 ($1,135,627) Y ($723,539)
AMI
(Acute Myocardial Infarction)
Y ($17,771) Y ($59,650)
CABG
(Coronary Artery Bypass Graft)
N N
COPD
(Chronic Obstructive Pulmonary Disease)
N N
HF
(Heart Failure)
Y ($11,789) Y ($43,802)
PN
(Pneumonia)
Y ($102,882) NA
TKA
(Total Knee Arthroplasty)
Y ($1,003,185) Y ($620,087)
High Confidence Medium Confidence Low Confidence

Mayo Clinic 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 22,564 13665 $532,306,216 43.34 5.39 4.88 22.27 2.16 10.02 52.32 9.94 25.1 4.8 $4,375
Non Surgical 13,078 7928 $196,874,181 61.14 4.86 4.21 24.8 2.67 14.33 48.74 10.84 25.78 7.07 $3,095
Surgical 9,486 7945 $335,432,034 18.8 6.12 5.71 18.83 1.04 2.93 57.26 8.69 24.15 1.68 $5,776
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)
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)
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)
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)
RENAL FAILURE
DRG 682 - RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 683 - RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC)
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)
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)
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)
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
DRG 309 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 308 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 310 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES
DRG 640 - MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 641 - MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT 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)
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION
DRG 064 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 065 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS
DRG 066 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
KIDNEY TRANSPLANT
DRG 652 - KIDNEY TRANSPLANT
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)
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)
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)
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)
OTHER DIGESTIVE SYSTEM DIAGNOSES
DRG 393 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 394 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 395 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS
DRG 441 - DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 442 - DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS 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)
G.I. OBSTRUCTION
DRG 389 - G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC)
DRG 388 - G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 390 - G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
DRG 327 - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 326 - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 328 - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES 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)
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)
CELLULITIS
DRG 603 - CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 602 - CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
PANCREAS, LIVER AND SHUNT PROCEDURES
DRG 406 - PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 405 - PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 407 - PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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)
REVISION OF HIP OR KNEE REPLACEMENT
DRG 467 - REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC)
DRG 468 - REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 466 - REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
KIDNEY AND URETER PROCEDURES FOR NEOPLASM
DRG 657 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC)
DRG 656 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 658 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION
DRG 286 - CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 287 - CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
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)
SEIZURES
DRG 101 - SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 100 - SEIZURES 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
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)
COMPLICATIONS OF TREATMENT
DRG 919 - COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 920 - COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC)
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES
DRG 483 - MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT
DRG 481 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC)
DRG 480 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 482 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER DISORDERS OF NERVOUS SYSTEM
DRG 091 - OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 092 - OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC)
DRG 093 - OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/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)
ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK
DRG 003 - ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE
DRG 004 - TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE
OTHER VASCULAR PROCEDURES
DRG 253 - OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 252 - OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 254 - OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
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)
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)
DISORDERS OF THE BILIARY TRACT
DRG 444 - DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 445 - DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC)
LIVER OR INTESTINAL TRANSPLANT
DRG 005 - LIVER TRANSPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR INTESTINAL TRANSPLANT
DRG 006 - LIVER TRANSPLANT WITHOUT 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)
PULMONARY EDEMA AND RESPIRATORY FAILURE
DRG 189 - PULMONARY EDEMA AND RESPIRATORY FAILURE
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)
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)
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)
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
PULMONARY EMBOLISM
DRG 175 - PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 176 - PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS
DRG 809 - MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 808 - MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
MAJOR BLADDER PROCEDURES
DRG 654 - MAJOR BLADDER PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 653 - MAJOR BLADDER PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION
DRG 519 - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)
DRG 520 - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
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)
DIGESTIVE MALIGNANCY
DRG 374 - DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 375 - DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION
DRG 236 - CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 235 - CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DIABETES
DRG 637 - DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 638 - DIABETES WITH COMPLICATION OR COMORBIDITY (CC)
PERCUTANEOUS INTRACARDIAC PROCEDURES
DRG 274 - PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 273 - PERCUTANEOUS INTRACARDIAC PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC)
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)
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)
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)
O.R. PROCEDURES FOR OBESITY
DRG 620 - O.R. PROCEDURES FOR OBESITY WITH COMPLICATION OR COMORBIDITY (CC)
DRG 621 - O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 619 - O.R. PROCEDURES FOR OBESITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER O.R. PROCEDURES FOR INJURIES
DRG 907 - OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 908 - OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC)
DISORDERS OF PANCREAS EXCEPT MALIGNANCY
DRG 438 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 439 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY 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)
DRG 471 - CERVICAL SPINAL FUSION 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)
CAROTID ARTERY STENT PROCEDURE
DRG 036 - CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 035 - CAROTID ARTERY STENT PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC)
DRG 034 - CAROTID ARTERY STENT PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
NONSPECIFIC CEREBROVASCULAR DISORDERS
DRG 070 - NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 071 - NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)
AUTOLOGOUS BONE MARROW TRANSPLANT
DRG 016 - AUTOLOGOUS BONE MARROW TRANSPLANT WITH COMPLICATION OR COMORBIDITY (CC)/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)
VENTRICULAR SHUNT PROCEDURES
DRG 033 - VENTRICULAR SHUNT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 031 - VENTRICULAR SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 032 - VENTRICULAR SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
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)
PERIPHERAL VASCULAR DISORDERS
DRG 300 - PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 299 - PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
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)
CHEMOTHERAPY WITH ACUTE LEUKEMIA
DRG 837 - CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SDX OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 838 - CHEMOTHERPY WITH ACUTE LEUKEMIA AS SDX WITH COMPLICATION OR COMORBIDITY (CC) OR HIGH DOSE CHEMOTHERAPY AGENT
OTHER MAJOR CARDIOVASCULAR PROCEDURES
DRG 271 - OTHER MAJOR CARDIOVASCULAR PROCEDURES W COMPLICATION OR COMORBIDITY (CC)
DRG 270 - OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC)
PERITONEAL ADHESIOLYSIS
DRG 336 - PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 335 - PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 337 - PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/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)
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)
WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS
DRG 464 - WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 465 - WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 463 - WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE
DRG 857 - POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC)
DRG 856 - POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
ADRENAL AND PITUITARY PROCEDURES