Middlesex Hospital 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 1,687
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 1,332
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 306
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS 49
DRG Group Heart Failure and Shock 750
291 HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 507
292 HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) 182
293 HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 61
DRG Group Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity 743
470 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 700
469 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 43
DRG Group Chronic Obstructive Pulmonary Disease 694
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 451
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) 186
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 57
DRG Group Simple Pneumonia and Pleurisy 652
193 SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 300
194 SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) 254
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 98
DRG Group Kidney and Urinary Tract Infections 582
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 332
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 250
DRG Group Psychoses 565
885 PSYCHOSES 565
DRG Group Cellulitis 402
603 CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 331
602 CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 71
DRG Group Cardiac Arrhythmia and Conduction Disorders 371
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 158
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 131
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 82
DRG Group G.I.Hemorrhage 366
378 G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) 252
377 G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 81
379 G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 33
DRG Group Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders 336
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 260
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 76
DRG Group Respiratory Infections and Inflammations 315
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 205
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) 90
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
DRG Group Pulmonary Edema and Respiratory Failure 304
189 PULMONARY EDEMA AND RESPIRATORY FAILURE 304
DRG Group Renal Failure 297
683 RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) 155
682 RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 121
684 RENAL FAILURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 21
DRG Group Nutritional and Miscellaneous Metabolic Disorders 279
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 173
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 106
DRG Group Intracranial Hemorrhage or Cerebral Infarction 270
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS 134
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 76
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 60
DRG Group Other Kidney and Urinary Tract Diagnoses 250
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 174
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 69
DRG Group G.I. Obstruction 242
389 G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) 114
390 G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 103
388 G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 25
DRG Group Hip and Femur Procedures Except Major Joint 238
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) 173
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 35
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 30
DRG Group Major Small and Large Bowel Procedures 200
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 97
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 61
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 42
DRG Group Other Digestive System Diagnoses 175
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 98
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 40
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 37
DRG Group Acute Myocardial Infarction 150
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 86
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) 33
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Red Blood Cell Disorders 130
812 RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 91
811 RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 39
DRG Group Diabetes 128
638 DIABETES WITH COMPLICATION OR COMORBIDITY (CC) 75
637 DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 35
639 DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
DRG Group Syncope and Collapse 123
312 SYNCOPE AND COLLAPSE 123
DRG Group Bronchitis and Asthma 110
202 BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 85
203 BRONCHITIS AND ASTHMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 25
DRG Group Respiratory System Diagnosis with Ventilator Support 106
208 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS 81
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS 25
DRG Group Infections and Parasitic Diseases with O.R. Procedure 100
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 79
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) 21
DRG Group Spinal Fusion Except Cervical 98
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 97
DRG Group Alcohol/Drug Abuse or Dependence 98
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 69
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 29
DRG Group Poisoning and Toxic Effects of Drugs 98
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 63
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 35
DRG Group Major Gastrointestinal Disorders and Peritoneal Infections 91
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) 50
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 26
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Seizures 90
101 SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 60
100 SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 30
DRG Group Disorders of Pancreas Except Malignancy 86
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) 39
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 32
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Cholecystectomy 82
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) 32
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 23
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 21
DRG Group Other Vascular Procedures 80
254 OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 37
253 OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 25
252 OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
DRG Group Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy 77
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) 40
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 17
DRG Group Other Circulatory System Diagnoses 76
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 40
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 24
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Hypertension 73
305 HYPERTENSION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 58
304 HYPERTENSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Medical Back Problems 72
552 MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 58
551 MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Peripheral Vascular Disorders 72
300 PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 32
299 PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 27
301 PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group Endocrine Disorders 70
644 ENDOCRINE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 29
643 ENDOCRINE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 25
645 ENDOCRINE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Lower Extremity and Humerus Procedures Except Hip,Foot,Femur 64
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) 28
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 27
DRG Group Transient Ischemia 63
069 TRANSIENT ISCHEMIA 63
DRG Group Nonspecific Cerebrovascular Disorders 62
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 36
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
DRG Group Pulmonary Embolism 59
176 PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 35
175 PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 24
DRG Group Complications of Treatment 58
920 COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) 24
919 COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 22
921 COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Other Disorders of Nervous System 53
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) 32
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Major Joint and Limb Reattachment Procedures of Upper Extremity 51
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES 51
DRG Group Circulatory Disorders Except AMI with Cardiac Catheterization 51
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 28
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 23
DRG Group Extracranial Procedures 49
039 EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 36
DRG Group Degenerative Nervous System Disorders 47
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 38
DRG Group Kidney and Ureter Procedures 46
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) 13
DRG Group Peptic Ulcer 45
381 COMPLICATED PEPTIC ULCER WITH COMPLICATION OR COMORBIDITY (CC) 27
DRG Group Other Musculoskeletal System and Connective Tissue Diagnoses 45
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 28
DRG Group Disorders of Biliary Tract 44
445 DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) 19
446 DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
444 DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Cervical Spinal Fusion 43
473 CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 27
472 CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) 15
DRG Group Permanent Cardiac Pacemaker Implant 43
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION OR COMORBIDITY (CC) 19
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Digestive Malignancy 40
375 DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) 26
374 DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh 39
563 FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 33
DRG Group Stomach, Esophageal and Duodenal Procedures 39
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 17
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Other Respiratory System Diagnoses 39
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
DRG Group Other Skin, Subcutaneous Tissue and Breast Procedures 38
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 18
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
DRG Group Revision of Hip or Knee Replacement 38
467 REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) 21
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Respiratory Neoplasms 37
180 RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 25
DRG Group Viral Illness 37
866 VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 27
DRG Group Combined Anterior/Posterior Spinal Fusion 37
455 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 28
DRG Group Peritoneal Adhesiolysis 37
335 PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
336 PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) 12
DRG Group Other Musculoskeletal System and Connective Tissue O.R. Procedures 36
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 15
DRG Group Disequilibrium 36
149 DYSEQUILIBRIUM 36
DRG Group Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders 35
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 31
DRG Group Signs and Symptoms 34
948 SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 24
DRG Group Non-extensive Procedure Unrelated to Principal Diagnosis 34
987 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
988 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) 16
DRG Group Malignancy of Hepatobiliary System or Pancreas 33
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC) 14
DRG Group Extensive O.R. Procedure Unrelated to Principal Diagnosis 33
981 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
982 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) 13
DRG Group Inflammatory Bowel Disease 33
386 INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) 16
DRG Group Fractures of Hip and Pelvis 32
536 FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 24
DRG Group Major Hematological/Immunological Diagnoses Except Sickle Cell Crisis and Coagulation 31
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 14
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Cirrhosis and Alcoholic Hepatitis 31
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) 17
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Disorders of Liver Except Malignancy, Cirrhosis and Alcoholic Hepatitis 31
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) 19
DRG Group Organic Disturbances and Intellectual Disability 30
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY 30
DRG Group Transurethral Prostatectomy 30
713 TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
714 TRANSURETHRAL PROSTATECTOMY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Other Infectious and Parasitic Disease Diagnoses 28
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 17
DRG Group Bone Diseases and Arthropathies 27
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 23
DRG Group Chest Pain 27
313 CHEST PAIN 27
DRG Group Postoperative and Post-Traumatic Infections 27
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group Tendonitis, Myositis and Bursitis 27
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 21
DRG Group Coagulation Disorders 26
813 COAGULATION DISORDERS 26
DRG Group Procedures for Obesity 26
621 O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 23
DRG Group Hernia Procedures 26
DRG Group Aortic and Heart Assist Procedures 25
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) 25
DRG Group Major Chest Trauma 23
184 MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) 16
DRG Group Lymphoma and Non-Acute Leukemia 23
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Other O.R. Procedures for Injuries 23
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Other Major Cardiovascular Procedures 23
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES W COMPLICATION OR COMORBIDITY (CC) 12
DRG Group Multiple Sclerosis and Cerebellar Ataxia 22
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH COMPLICATION OR COMORBIDITY (CC) 16
DRG Group Other Respiratory System O.R. Procedures 22
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Soft Tissue Procedures 22
501 SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 13
DRG Group Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders 21
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 14
DRG Group Pneumothorax 19
DRG Group Cranial and Peripheral Nerve Disorders 19
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Other Digestive System O.R. Procedures 19
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Pleural Effusion 19
DRG Group Ischemic Stroke with Use of Thrombolytic Agent 18
DRG Group Depressive Neuroses 17
881 DEPRESSIVE NEUROSES 17
DRG Group Minor Small and Large Bowel Procedures 16
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Otitis Media and Upper Respiratory Infection 16
DRG Group Trauma to the Skin, Subcutaneous Tissue and Breast 16
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Transurethral Procedures 16
DRG Group Fever And Inflammatory Conditions 16
864 FEVER 16
DRG Group Mastectomy for Malignancy 16
DRG Group Other Endocrine, Nutritional and Metabolic Procedures 15
DRG Group Angina Pectoris 15
311 ANGINA PECTORIS 15
DRG Group Urinary Stones 15
DRG Group Foot Procedures 15
DRG Group Acute Adjustment Reaction and Psychosocial Dysfunction 15
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION 15
DRG Group Appendectomy 15
DRG Group Nervous System Neoplasms 15
054 NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Amputation for Circulatory System Disorders Except Upper Limb and Toe 14
DRG Group Postoperative or Post-Traumatic Infections with O.R. Procedure 14
DRG Group Knee Procedures 14
DRG Group Major Chest Procedures 14
DRG Group Major Male Pelvic Procedures 14
DRG Group Chemotherapy without Acute Leukemia as Secondary Diagnosis 13
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) 13
DRG Group Osteomyelitis 13
DRG Group Kidney and Urinary Tract Signs and Symptoms 13
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Headaches 13
103 HEADACHES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group ECMO or Tracheostomy with MV >96 Hours or PDX Except Face, Mouth and Neck 12
DRG Group Interstitial Lung Disease 12
DRG Group Signs and Symptoms of Musculoskeletal System and Connective Tissue 12
DRG Group Other Myeloproliferative Disorders or Poorly Differentiated Neoplasm Diagnoses 12
DRG Group Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators 11
DRG Group Neuroses Except Depressive 11
882 NEUROSES EXCEPT DEPRESSIVE 11
DRG Group Allergic Reactions 11
DRG Group Minor Skin Disorders 11
DRG Group Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions 11