Ocala Regional Medical Center - Rankings, Doctors, Quality Outcomes & Information

All you need to know about Ocala Regional Medical Center practicing at 1431 Sw 1st Ave, Ocala, FL,  with Hospital NPI  1841237930.


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Ocala Regional Medical Center Rankings & Experience

Rankings - Jan 2021 to Dec 2021

Atrial Fibrillation

Unique Atrial Fibrillation Medicare Patients Treated

Total payments

Oncology

Unique Oncology Medicare Patients Treated

Total payments

Stent Surgery

Unique Stent Surgery Medicare Patients Treated

Total payments

Spondylosis

Unique Spondylosis Medicare Patients Treated

Total payments

Lung Cancer

Unique Lung Cancer Medicare Patients Treated

Total payments

Coronary Artery Bypass Graft (CABG)

Unique Coronary Artery Bypass Graft (CABG) Medicare Patients Treated

Total payments

Pacemaker Surgery

Unique Pacemaker Surgery Medicare Patients Treated

Total payments

Colon Cancer

Unique Colon Cancer Medicare Patients Treated

Total payments

Prostate Cancer

Unique Prostate Cancer Medicare Patients Treated

Total payments

Heart Valve Surgery

Unique Heart Valve Surgery Medicare Patients Treated

Total payments

Brain Cancer

Unique Brain Cancer Medicare Patients Treated

Total payments

Pancreatic Cancer

Unique Pancreatic Cancer Medicare Patients Treated

Total payments

Spine Surgery

Unique Spine Surgery Medicare Patients Treated

Total payments

Liver Cancer

Unique Liver Cancer Medicare Patients Treated

Total payments

Cardiomegaly

Unique Cardiomegaly Medicare Patients Treated

Total payments

Bladder Cancer

Unique Bladder Cancer Medicare Patients Treated

Total payments

Leukemia

Unique Leukemia Medicare Patients Treated

Total payments

Osteoporosis

Unique Osteoporosis Medicare Patients Treated

Total payments

Radiculopathy

Unique Radiculopathy Medicare Patients Treated

Total payments

Esophageal cancer

Unique Esophageal cancer Medicare Patients Treated

Total payments

Bone Cancer

Unique Bone Cancer Medicare Patients Treated

Total payments

Non-Hodgkin's Lymphoma

Unique Non-Hodgkin's Lymphoma Medicare Patients Treated

Total payments

Skin Cancer

Unique Skin Cancer Medicare Patients Treated

Total payments

Kidney Cancer

Unique Kidney Cancer Medicare Patients Treated

Total payments

Affiliated Doctors based on Medicare Claims Analysis

KAREEM I. BOHSALI

Specializations: Diagnostic Radiology; Vascular & Interventional Radiology

Counties Served: Citrus, FL; Lake, FL; Marion, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

VIVEK KALRA

Specializations: Diagnostic Radiology;

Counties Served: Lake, FL; Marion, FL; Orange, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

DAVID CAMERON MCKAY

Specializations: Diagnostic Radiology; Vascular & Interventional Radiology

Counties Served: Citrus, FL; Marion, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

RAYMOND SUTKOWSKI

Counties Served: Houston, AL; Marion, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

EDILBERTO RAUL ALVAREZ

Counties Served: Citrus, FL; Lake, FL; Marion, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

ROLANDO ERNESTO PRIETO

Specializations: Diagnostic Radiology; Vascular & Interventional Radiology

Counties Served: Citrus, FL; Marion, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

JOHN SOCRATES SCALES

Specializations: Diagnostic Radiology; Vascular & Interventional Radiology

Counties Served: Citrus, FL; Lake, FL; Marion, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

EDSON GIL CORTES

Specializations: Diagnostic Radiology;

Counties Served: Marion, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

MALCOLM EDWARD WILLIAMSON

Specializations: Neuroradiology; Diagnostic Radiology

Counties Served: Citrus, FL; Marion, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

CALEB RUBEN RIVERA

Specializations: Diagnostic Radiology; Vascular & Interventional Radiology

Counties Served: Citrus, FL; Marion, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

RALF RICHARD BARCKHAUSEN

Specializations: Neuroradiology; Diagnostic Radiology

Counties Served: Citrus, FL; Marion, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

JOHN DANIEL BOON

Specializations: Diagnostic Radiology;

Counties Served: Marion, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

RYAN K TOMPKINS

Specializations: Diagnostic Radiology;

Counties Served: Citrus, FL; Marion, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

CARMEN MERCEDES VILLANUEVA

Specializations: Neuroradiology; Diagnostic Radiology

Counties Served: Citrus, FL; Lake, FL; Marion, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

DANA MARK ALLEN

Specializations: Diagnostic Radiology;

Counties Served: Marion, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

CAMERON M CUMMINGS

Specializations: Diagnostic Radiology;

Counties Served: Marion, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

AMANDA C AULLS

Specializations: Diagnostic Radiology;

Counties Served: Citrus, FL; Marion, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

KERRY BRUCE RADUNS

Specializations: Diagnostic Radiology; Vascular & Interventional Radiology

Counties Served: Citrus, FL; Marion, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

JAIME L ABESADA-AGUET

Specializations: Diagnostic Radiology; Vascular & Interventional Radiology

Counties Served: Citrus, FL; Marion, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

JOHN MALONEY CAIN

Specializations: Diagnostic Radiology;

Counties Served: Citrus, FL; Marion, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

RATNASABAPATHY SIVASEKARAN

Counties Served: Lake, FL; Marion, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

NISHA SINHA

Specializations: Clinical Neurophysiology; Neurology

Counties Served: Lake, FL; Marion, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

HEATHER ROSE SCHWEIZER

Counties Served: Lake, FL; Marion, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

SATYENDRA PRATAP SINGH RAGHAW

Counties Served: Marion, FL

Total Unique Medicare Patients Treated

Total Medicare Payments

Ocala Regional Medical Center Inpatient Quality Outcomes - Jan 2019 to Dec 2021

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 32,022 20288 $367,480,028 84.69 4.18 3.41 21.49 4.0 14.05 43.71 20.51 18.66 6.0 $2,743
Non Surgical 23,063 14998 $195,345,900 97.04 3.89 2.98 22.2 4.25 16.33 46.42 19.79 14.77 7.44 $2,175
Surgical 8,959 7710 $172,134,128 52.9 4.93 4.13 19.73 2.27 5.2 36.73 22.35 28.66 2.28 $3,898
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)
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)
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)
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)
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)
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)
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS
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)
DRG 308 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
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)
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)
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)
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)
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)
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)
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)
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)
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 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)
SYNCOPE AND COLLAPSE
DRG 312 - SYNCOPE AND COLLAPSE
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)
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
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)
CELLULITIS
DRG 603 - CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 602 - CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
TRANSIENT ISCHEMIA
DRG 069 - TRANSIENT ISCHEMIA
MAJOR SMALL AND LARGE BOWEL PROCEDURES
DRG 329 - MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 330 - MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
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)
DIABETES
DRG 638 - DIABETES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 637 - DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 639 - DIABETES 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)
DRG 192 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
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)
PULMONARY EDEMA AND RESPIRATORY FAILURE
DRG 189 - PULMONARY EDEMA AND RESPIRATORY FAILURE
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES
DRG 483 - MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES
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
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)
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)
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)
CHEST PAIN
DRG 313 - CHEST PAIN
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR
DRG 494 - LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 493 - LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC)
DRG 492 - LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR 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)
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)
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)
HYPERTENSION
DRG 305 - HYPERTENSION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 304 - HYPERTENSION WITH 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)
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)
OTHER DISORDERS OF NERVOUS SYSTEM
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)
DRG 091 - OTHER DISORDERS OF NERVOUS SYSTEM 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 026 - CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 027 - CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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)
DRG 316 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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)
ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT
DRG 062 - ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT WITH COMPLICATION OR COMORBIDITY (CC)
DRG 061 - ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 063 - ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/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)
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)
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)
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION
DRG 455 - COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 454 - COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)
DRG 453 - COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
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)
DRG 037 - EXTRACRANIAL PROCEDURES WITH 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)
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM
DRG 660 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC)
DRG 661 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 659 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY
DRG 884 - ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY
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)
REHABILITATION
DRG 945 - REHABILITATION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 946 - REHABILITATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/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)
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 PANCREAS EXCEPT MALIGNANCY
DRG 439 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)
DRG 440 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 438 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER VASCULAR PROCEDURES
DRG 252 - OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 253 - OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 254 - OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
MAJOR CHEST TRAUMA
DRG 184 - MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC)
DRG 185 - MAJOR CHEST TRAUMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 183 - MAJOR CHEST TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
CORONARY BYPASS WITH CARDIAC CATHETERIZATION
DRG 233 - CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 234 - CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
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
DISORDERS OF THE BILIARY TRACT
DRG 445 - DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC)
DRG 446 - DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 444 - DISORDERS OF THE BILIARY TRACT 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)
TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST
DRG 605 - TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 604 - TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
COMPLICATIONS OF TREATMENT
DRG 920 - COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC)
DRG 919 - COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 921 - COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/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)
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)
DRG 272 - OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE
DRG 556 - SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 555 - SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
PNEUMOTHORAX
DRG 200 - PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC)
DRG 199 - PNEUMOTHORAX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 201 - PNEUMOTHORAX 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)
DRG 542 - PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY 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)
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)
DYSEQUILIBRIUM
DRG 149 - DYSEQUILIBRIUM
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES
DRG 565 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 564 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 566 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES
DRG 517 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 516 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 515 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES 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)
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)
CRANIAL AND PERIPHERAL NERVE DISORDERS
DRG 074 - CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 073 - CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
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
STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES
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)
DRG 327 - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES 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)
BONE DISEASES AND ARTHROPATHIES
DRG 554 - BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 553 - BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
BRONCHITIS AND ASTHMA
DRG 202 - BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION
DRG 219 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 220 - CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC)
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)
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)
OTHER MULTIPLE SIGNIFICANT TRAUMA
DRG 964 - OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC)
DRG 963 - OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 965 - OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES
DRG 580 - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 581 - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 579 - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH 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)
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)
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS
DRG 870 - SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS
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)
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT
DRG 250 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 251 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT 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)
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS
DRG 436 - MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 435 - MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH 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)
URINARY STONES WITHOUT ESW LITHOTRIPSY
DRG 694 - URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
RESPIRATORY SIGNS AND SYMPTOMS
DRG 204 - RESPIRATORY SIGNS AND SYMPTOMS
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)
DRG 909 - OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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)
SOFT TISSUE PROCEDURES
DRG 501 - SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 502 - SOFT TISSUE PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 500 - SOFT TISSUE PROCEDURES 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)
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)
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)
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)
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)
SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES
DRG 511 - SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 512 - SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
ACUTE MYOCARDIAL INFARCTION, EXPIRED
DRG 283 - ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION
DRG 235 - CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
TENDONITIS, MYOSITIS AND BURSITIS
DRG 558 - TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 557 - TENDONITIS, MYOSITIS AND BURSITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER RESPIRATORY SYSTEM DIAGNOSES
DRG 206 - OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 205 - OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION
DRG 068 - NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
COAGULATION DISORDERS
DRG 813 - COAGULATION DISORDERS
INFLAMMATORY BOWEL DISEASE
DRG 386 - INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC)
DRG 387 - INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER DISORDERS OF THE EYE
DRG 125 - OTHER DISORDERS OF THE EYE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
PLEURAL EFFUSION
DRG 187 - PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC)
DRG 186 - PLEURAL EFFUSION WITH 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)
PSYCHOSES
DRG 885 - PSYCHOSES
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)
APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS
DRG 343 - APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 342 - APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC)
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)
ATHEROSCLEROSIS
DRG 303 - ATHEROSCLEROSIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
CAROTID ARTERY STENT PROCEDURE
DRG 035 - CAROTID ARTERY STENT PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC)
DRG 036 - CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 034 - CAROTID ARTERY STENT PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
HYPERTENSIVE ENCEPHALOPATHY
DRG 078 - HYPERTENSIVE ENCEPHALOPATHY WITH COMPLICATION OR COMORBIDITY (CC)
ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION
DRG 880 - ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION
FOOT PROCEDURES
DRG 505 - FOOT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 504 - FOOT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES
DRG 155 - OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 156 - OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
O.R. PROCEDURES FOR OBESITY
DRG 621 - O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/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)
DENTAL AND ORAL DISEASES
DRG 158 - DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC)
INTERSTITIAL LUNG DISEASE
DRG 196 - INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
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)
KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS
DRG 696 - KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS
DRG 617 - AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC)
DRG 616 - AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES
DRG 041 - PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR
DRG 040 - PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
SPINAL PROCEDURES
DRG 029 - SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS
DRG 028 - SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
HEADACHES
DRG 103 - HEADACHES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTITIS MEDIA AND URI
DRG 153 - OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
INGUINAL AND FEMORAL HERNIA PROCEDURES
DRG 352 - INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 351 - INGUINAL AND FEMORAL HERNIA PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON
DRG 269 - AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MAJOR COMPLICATION OR COMORBIDITY (MCC)
TRANSURETHRAL PROCEDURES
DRG 669 - TRANSURETHRAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS
DRG 340 - APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 339 - APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC)
LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
DRG 956 - LIMB REATTACHMENT, HIP AND FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA
HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES
DRG 514 - HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 513 - HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE
DRG 239 - AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
DRG 957 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 958 - OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION OR COMORBIDITY (CC)
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES
DRG 629 - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
DRG 628 - OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
FEVER
DRG 864 - FEVER
EPISTAXIS
DRG 151 - EPISTAXIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
OSTEOMYELITIS
DRG 540 - OSTEOMYELITIS WITH COMPLICATION OR COMORBIDITY (CC)
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES
DRG 357 - OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
DRG 987 - NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
DRG 988 - NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC)
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT
DRG 261 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC)
DRG 260 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
MAJOR ESOPHAGEAL DISORDERS
DRG 368 - MAJOR ESOPHAGEAL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
MINOR SKIN DISORDERS
DRG 607 - MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
OTHER CIRCULATORY PROCEDURES