NYU Langone Hospital - Brooklyn Inpatient Case Mix Index Benchmarks Calculations


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DRG Description Total Hospitalizations (Oct 2016 to Sep 2019) % of DRG Group State % of DRG Group The difference from State Benchmark National % of DRG Group The difference from National Benchmark
DRG Group Septicemia or Severe Sepsis 1,326
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 985
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 267
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS 74
DRG Group Heart Failure and Shock 766
291 HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 605
292 HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) 121
293 HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 40
DRG Group Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity 496
470 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 470
469 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 26
DRG Group Renal Failure 468
683 RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) 254
682 RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 186
684 RENAL FAILURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 28
DRG Group Degenerative Nervous System Disorders 399
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 299
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 100
DRG Group Intracranial Hemorrhage or Cerebral Infarction 364
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS 174
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 151
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 39
DRG Group Cardiac Arrhythmia and Conduction Disorders 347
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 175
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 104
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 68
DRG Group Chronic Obstructive Pulmonary Disease 346
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 170
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) 134
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 42
DRG Group Psychoses 327
885 PSYCHOSES 327
DRG Group Simple Pneumonia and Pleurisy 324
193 SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 146
194 SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) 139
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 39
DRG Group Kidney and Urinary Tract Infections 314
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 202
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 112
DRG Group Hip and Femur Procedures Except Major Joint 312
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) 203
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 71
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 38
DRG Group Seizures 302
101 SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 248
100 SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 54
DRG Group Nutritional and Miscellaneous Metabolic Disorders 294
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 148
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 146
DRG Group G.I.Hemorrhage 260
378 G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) 154
377 G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 83
379 G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 23
DRG Group Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders 246
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 190
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 56
DRG Group Cellulitis 201
603 CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 171
602 CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 30
DRG Group Other Kidney and Urinary Tract Diagnoses 188
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 114
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 67
DRG Group Acute Myocardial Infarction 188
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 97
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) 58
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Aftercare, Musculoskeletal System and Connective Tissue 183
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) 116
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 42
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 25
DRG Group Pulmonary Edema and Respiratory Failure 178
189 PULMONARY EDEMA AND RESPIRATORY FAILURE 178
DRG Group Syncope and Collapse 171
312 SYNCOPE AND COLLAPSE 171
DRG Group Other Vascular Procedures 168
252 OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 86
253 OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 68
254 OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Infections and Parasitic Diseases with O.R. Procedure 152
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 121
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) 29
DRG Group Diabetes 146
638 DIABETES WITH COMPLICATION OR COMORBIDITY (CC) 92
637 DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 40
639 DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Percutaneous Cardiovascular Procedures with Coronary Artery/Stent 140
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 81
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS 52
DRG Group Other Digestive System Diagnoses 132
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 66
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 47
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
DRG Group Medical Back Problems 131
552 MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 97
551 MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 34
DRG Group Respiratory Infections and Inflammations 127
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 84
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) 39
DRG Group Red Blood Cell Disorders 126
812 RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 90
811 RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 36
DRG Group G.I. Obstruction 112
389 G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) 55
390 G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 34
388 G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 23
DRG Group Alcohol/Drug Abuse or Dependence 108
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 86
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 22
DRG Group Major Small and Large Bowel Procedures 107
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 50
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 46
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Peripheral Vascular Disorders 107
300 PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 57
299 PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 30
301 PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
DRG Group Craniotomy with Major Device Implant or Acute Complex CNS PDX 105
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR CHEMOTHERAPY IMPLANT 67
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 38
DRG Group Other Disorders of Nervous System 101
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) 59
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 23
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
DRG Group Poisoning and Toxic Effects of Drugs 101
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 60
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 41
DRG Group Respiratory System Diagnosis with Ventilator Support 91
208 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS 63
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS 28
DRG Group Traumatic Stupor and Coma, Coma < 1 Hour 87
086 TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) 45
087 TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 28
085 TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Chest Pain 86
313 CHEST PAIN 86
DRG Group Other Circulatory System Diagnoses 84
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 51
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 26
DRG Group Other Major Cardiovascular Procedures 83
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES W COMPLICATION OR COMORBIDITY (CC) 47
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) 30
DRG Group Circulatory Disorders Except AMI with Cardiac Catheterization 82
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 48
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 34
DRG Group Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy 80
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) 42
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
DRG Group Endocrine Disorders 78
644 ENDOCRINE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 46
643 ENDOCRINE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 26
DRG Group Hypertension 76
305 HYPERTENSION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 51
304 HYPERTENSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 25
DRG Group Disorders of Biliary Tract 74
445 DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) 35
444 DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 22
446 DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 17
DRG Group Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh 74
563 FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 63
562 FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Bronchitis and Asthma 73
202 BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 56
203 BRONCHITIS AND ASTHMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 17
DRG Group Cholecystectomy 72
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) 27
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 17
DRG Group Rehabilitation 69
945 REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 59
DRG Group Digestive Malignancy 67
375 DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) 39
374 DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 25
DRG Group Respiratory Neoplasms 65
180 RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 34
181 RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) 29
DRG Group Craniotomy and Endovascular Intracranial Procedures 63
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 33
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 18
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Pulmonary Embolism 62
175 PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 36
176 PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 26
DRG Group Major Chest Trauma 61
184 MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) 33
185 MAJOR CHEST TRAUMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
DRG Group ECMO or Tracheostomy with MV >96 Hours or PDX Except Face, Mouth and Neck 60
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE 39
004 TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE 21
DRG Group Signs and Symptoms 59
948 SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 49
DRG Group Disequilibrium 56
149 DYSEQUILIBRIUM 56
DRG Group Disorders of Pancreas Except Malignancy 55
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) 26
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Bone Diseases and Arthropathies 54
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 49
DRG Group Extensive O.R. Procedure Unrelated to Principal Diagnosis 54
981 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 32
982 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) 19
DRG Group Major Gastrointestinal Disorders and Peritoneal Infections 53
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) 33
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Organic Disturbances and Intellectual Disability 52
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY 52
DRG Group Other Kidney and Urinary Tract Procedures 50
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 33
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 16
DRG Group Traumatic Stupor and Coma, Coma > 1 Hour 50
083 TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) 26
082 TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Major Chest Procedures 50
164 MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 24
163 MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 17
DRG Group Other Skin, Subcutaneous Tissue and Breast Procedures 49
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 26
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Permanent Cardiac Pacemaker Implant 48
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION OR COMORBIDITY (CC) 20
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
DRG Group Transient Ischemia 47
069 TRANSIENT ISCHEMIA 47
DRG Group Aftercare 46
949 AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 43
DRG Group Urinary Stones 46
694 URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 40
DRG Group Lower Extremity and Humerus Procedures Except Hip,Foot,Femur 45
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) 19
DRG Group Other Circulatory O.R. Procedures 44
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 44
DRG Group Peripheral and Cranial Nerve and Other Nervous System Procedures 44
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR 30
DRG Group Fractures of Hip and Pelvis 42
536 FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 26
535 FRACTURES OF HIP AND PELVIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Disorders of Liver Except Malignancy, Cirrhosis and Alcoholic Hepatitis 40
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) 18
DRG Group Trauma to the Skin, Subcutaneous Tissue and Breast 40
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 36
DRG Group Hernia Procedures 39
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 14
DRG Group Multiple Sclerosis and Cerebellar Ataxia 39
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH COMPLICATION OR COMORBIDITY (CC) 18
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 17
DRG Group Nonspecific Cerebrovascular Disorders 39
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 17
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 16
DRG Group Cirrhosis and Alcoholic Hepatitis 39
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 26
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) 12
DRG Group Cranial and Peripheral Nerve Disorders 38
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 27
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Complications of Treatment 37
920 COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) 20
919 COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group Transurethral Procedures 37
669 TRANSURETHRAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 23
DRG Group Procedures for Obesity 37
621 O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 31
DRG Group Nervous System Neoplasms 37
054 NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 23
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Other Respiratory System Diagnoses 36
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 23
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group Other Respiratory System O.R. Procedures 35
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Cervical Spinal Fusion 35
473 CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 17
472 CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) 14
DRG Group Other Musculoskeletal System and Connective Tissue Diagnoses 34
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 20
DRG Group Extracranial Procedures 34
039 EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
DRG Group Peritoneal Adhesiolysis 34
336 PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) 15
335 PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group Kidney and Ureter Procedures 33
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Skin Debridement 33
571 SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) 19
570 SKIN DEBRIDEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Lymphoma and Non-Acute Leukemia 32
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH COMPLICATION OR COMORBIDITY (CC) 17
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Malignancy of Hepatobiliary System or Pancreas 32
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 21
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Revision of Hip or Knee Replacement 31
467 REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) 21
DRG Group Postoperative and Post-Traumatic Infections 31
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 21
DRG Group Pleural Effusion 31
186 PLEURAL EFFUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
187 PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC) 14
DRG Group Pneumothorax 30
200 PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) 21
DRG Group Stomach, Esophageal and Duodenal Procedures 30
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Coagulation Disorders 29
813 COAGULATION DISORDERS 29
DRG Group Transurethral Prostatectomy 29
713 TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 25
DRG Group Ischemic Stroke with Use of Thrombolytic Agent 29
062 ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT WITH COMPLICATION OR COMORBIDITY (CC) 17
DRG Group Postoperative or Post-Traumatic Infections with O.R. Procedure 28
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Aortic and Heart Assist Procedures 28
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) 21
DRG Group Major Hematological/Immunological Diagnoses Except Sickle Cell Crisis and Coagulation 28
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 17
DRG Group Other O.R. Procedures for Injuries 28
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
908 OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Otitis Media and Upper Respiratory Infection 28
153 OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 24
DRG Group Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders 27
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 12
DRG Group Non-extensive Procedure Unrelated to Principal Diagnosis 26
988 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders 26
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 20
DRG Group Atherosclerosis 26
303 ATHEROSCLEROSIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 22
DRG Group Other Musculoskeletal System and Connective Tissue O.R. Procedures 24
DRG Group Angina Pectoris 23
311 ANGINA PECTORIS 23
DRG Group Fever And Inflammatory Conditions 23
864 FEVER 23
DRG Group Other Multiple Significant Trauma 22
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Appendectomy 22
DRG Group Peptic Ulcer 22
DRG Group Interstitial Lung Disease 22
196 INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Coronary Bypass 22
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Amputation for Circulatory System Disorders Except Upper Limb and Toe 21
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Minor Skin Disorders 21
607 MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Carotid Artery Stent Procedures 19
DRG Group Respiratory Signs and Symptoms 19
204 RESPIRATORY SIGNS AND SYMPTOMS 19
DRG Group Connective Tissue Disorders 18
DRG Group Viral Illness 18
866 VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Cardiac Congenital and Valvular Disorders 17
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Soft Tissue Procedures 17
501 SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 12
DRG Group Dental and Oral Diseases 17
158 DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Tendonitis, Myositis and Bursitis 17
DRG Group Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures 17
DRG Group Signs and Symptoms of Musculoskeletal System and Connective Tissue 16
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Cardiac Valve and Other Major Cardiothoracic Procedures 16
DRG Group Other Endocrine, Nutritional and Metabolic Procedures 16
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Intracranial Vascular Procedures with PDX Hemorrhage 15
020 INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Inflammatory Bowel Disease 15
DRG Group Skin Ulcers 15
DRG Group Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators 14
DRG Group Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 14
956 LIMB REATTACHMENT, HIP AND FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA 14
DRG Group Depressive Neuroses 14
881 DEPRESSIVE NEUROSES 14
DRG Group Headaches 14
103 HEADACHES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Spinal Fusion Except Cervical 14
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Uterine and Adnexal Procedures for Malignancy 14
DRG Group Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders 13
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Nonspecific CVA and Precerebral Occlusion without Infarction 13
DRG Group Kidney and Urinary Tract Signs and Symptoms 13
DRG Group Other Digestive System O.R. Procedures 13
DRG Group Non-Bacterial Infections of Nervous System Except Viral Meningitis 11
DRG Group Bilateral or Multiple Major Joint Procedures of Lower Extremity 11
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Alcohol/Drug Abuse or Dependence, Left AMA 11
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA 11
DRG Group HIV with Major Related Condition 11
DRG Group Other Disorders of the Eye 11