Emory University 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 Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity 1,427
470 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 1,392
469 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 35
DRG Group Septicemia or Severe Sepsis 1,339
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 995
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 283
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS 61
DRG Group Heart Failure and Shock 1,225
291 HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 878
292 HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) 287
293 HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 60
DRG Group Other Kidney and Urinary Tract Diagnoses 989
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 572
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 393
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 24
DRG Group Intracranial Hemorrhage or Cerebral Infarction 580
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 347
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS 176
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 57
DRG Group Craniotomy and Endovascular Intracranial Procedures 526
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 230
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 198
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 98
DRG Group Kidney Transplant 510
652 KIDNEY TRANSPLANT 510
DRG Group Nutritional and Miscellaneous Metabolic Disorders 508
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 261
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 247
DRG Group Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders 448
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 279
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 169
DRG Group Renal Failure 436
683 RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) 211
682 RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 204
684 RENAL FAILURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 21
DRG Group Other Circulatory System Diagnoses 433
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 286
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 131
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Chemotherapy without Acute Leukemia as Secondary Diagnosis 409
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) 308
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 99
DRG Group G.I.Hemorrhage 393
378 G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) 219
377 G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 150
379 G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 24
DRG Group Combined Anterior/Posterior Spinal Fusion 388
454 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) 175
455 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 174
453 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 39
DRG Group Simple Pneumonia and Pleurisy 363
193 SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 186
194 SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) 162
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Kidney and Urinary Tract Infections 361
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 203
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 158
DRG Group Kidney and Ureter Procedures 341
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) 78
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 72
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 66
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 46
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) 46
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 33
DRG Group Cardiac Arrhythmia and Conduction Disorders 335
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 138
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 127
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 70
DRG Group Spinal Fusion Except Cervical 316
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 277
459 SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 39
DRG Group Endovascular Procedures 308
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 227
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 81
DRG Group Revision of Hip or Knee Replacement 294
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 172
467 REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) 105
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 17
DRG Group Major Small and Large Bowel Procedures 294
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 136
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 119
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 39
DRG Group Disorders of Liver Except Malignancy, Cirrhosis and Alcoholic Hepatitis 285
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 147
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) 114
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 24
DRG Group Percutaneous Cardiovascular Procedures with Coronary Artery/Stent 284
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 169
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS 112
DRG Group Circulatory Disorders Except AMI with Cardiac Catheterization 280
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 151
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 129
DRG Group Seizures 274
101 SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 193
100 SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 81
DRG Group Red Blood Cell Disorders 268
812 RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 184
811 RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 84
DRG Group Major Chest Procedures 265
164 MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 119
165 MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 90
163 MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 56
DRG Group Chronic Obstructive Pulmonary Disease 254
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 196
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) 52
DRG Group Other Digestive System Diagnoses 246
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 111
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 109
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 26
DRG Group Cardiac Valve and Other Major Cardiothoracic Procedures 245
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 110
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) 85
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 26
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Other Vascular Procedures 234
252 OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 139
253 OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 76
254 OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
DRG Group Respiratory Infections and Inflammations 233
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 168
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) 57
DRG Group Diabetes 228
638 DIABETES WITH COMPLICATION OR COMORBIDITY (CC) 109
637 DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 105
639 DIABETES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Complications of Treatment 224
919 COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 111
920 COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) 94
921 COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
DRG Group Autologous Bone Marrow Transplant or T-cell Immunotherapy 214
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 210
DRG Group ECMO or Tracheostomy with MV >96 Hours or PDX Except Face, Mouth and Neck 196
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE 132
004 TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE 64
DRG Group Acute Myocardial Infarction 192
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 99
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) 68
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Extensive O.R. Procedure Unrelated to Principal Diagnosis 188
981 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 111
982 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) 55
983 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 22
DRG Group Pancreas, Liver and Shunt Procedures 187
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 91
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 57
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 39
DRG Group Other Disorders of Nervous System 186
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 90
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) 70
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 26
DRG Group Lymphoma and Non-Acute Leukemia 185
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 101
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH COMPLICATION OR COMORBIDITY (CC) 63
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 21
DRG Group Stomach, Esophageal and Duodenal Procedures 181
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 68
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 60
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 53
DRG Group G.I. Obstruction 181
389 G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) 96
388 G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 53
390 G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 32
DRG Group Peripheral Vascular Disorders 176
300 PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 94
299 PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 59
301 PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 23
DRG Group Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators 175
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 82
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) 76
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR 17
DRG Group Hypertension 174
304 HYPERTENSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 108
305 HYPERTENSION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 66
DRG Group Pulmonary Edema and Respiratory Failure 173
189 PULMONARY EDEMA AND RESPIRATORY FAILURE 173
DRG Group Other Respiratory System O.R. Procedures 172
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 80
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 62
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 30
DRG Group Major Gastrointestinal Disorders and Peritoneal Infections 160
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) 79
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 74
DRG Group Syncope and Collapse 159
312 SYNCOPE AND COLLAPSE 159
DRG Group Infections and Parasitic Diseases with O.R. Procedure 155
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 124
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) 31
DRG Group Pulmonary Embolism 153
176 PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 88
175 PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 65
DRG Group Cellulitis 153
603 CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 115
602 CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 38
DRG Group Other Major Cardiovascular Procedures 151
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) 74
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES W COMPLICATION OR COMORBIDITY (CC) 60
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 17
DRG Group Coronary Bypass 148
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 54
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 49
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 23
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 22
DRG Group Other Musculoskeletal System and Connective Tissue O.R. Procedures 144
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 71
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 51
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 22
DRG Group Degenerative Nervous System Disorders 140
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 90
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 50
DRG Group Disorders of Pancreas Except Malignancy 139
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 84
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) 44
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Craniotomy with Major Device Implant or Acute Complex CNS PDX 136
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR CHEMOTHERAPY IMPLANT 98
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 38
DRG Group Major Hematological/Immunological Diagnoses Except Sickle Cell Crisis and Coagulation 136
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 81
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 48
DRG Group Disorders of Biliary Tract 128
445 DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) 63
444 DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 56
DRG Group Other Kidney and Urinary Tract Procedures 121
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 63
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 49
DRG Group Cervical Spinal Fusion 120
473 CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 57
472 CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) 51
471 CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Major Joint and Limb Reattachment Procedures of Upper Extremity 116
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES 116
DRG Group Nervous System Neoplasms 116
054 NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 73
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 43
DRG Group Respiratory System Diagnosis with Ventilator Support 114
208 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS 84
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS 30
DRG Group Cranial and Peripheral Nerve Disorders 112
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 64
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 48
DRG Group Percutaneous Intracardiac Procedures 109
274 PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) 61
273 PERCUTANEOUS INTRACARDIAC PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) 48
DRG Group Permanent Cardiac Pacemaker Implant 105
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION OR COMORBIDITY (CC) 48
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 33
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 24
DRG Group Medical Back Problems 103
552 MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 70
551 MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 33
DRG Group Extracranial Procedures 102
039 EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 57
038 EXTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 37
DRG Group Major Bladder Procedures 101
654 MAJOR BLADDER PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 54
655 MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 31
653 MAJOR BLADDER PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Digestive Malignancy 99
374 DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 53
375 DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) 44
DRG Group Nonspecific Cerebrovascular Disorders 96
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 50
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 38
DRG Group Hip and Femur Procedures Except Major Joint 96
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) 46
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 26
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 24
DRG Group Aortic and Heart Assist Procedures 96
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) 80
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Adrenal and Pituitary Procedures 94
614 ADRENAL AND PITUITARY PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 68
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 26
DRG Group Other Respiratory System Diagnoses 93
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 59
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 34
DRG Group Acute Leukemia without Major Procedure 93
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 63
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) 26
DRG Group Postoperative or Post-Traumatic Infections with O.R. Procedure 91
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) 44
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 40
DRG Group Endocrine Disorders 90
643 ENDOCRINE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 40
644 ENDOCRINE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 37
645 ENDOCRINE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group Postoperative and Post-Traumatic Infections 88
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 44
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 44
DRG Group Peritoneal Adhesiolysis 87
336 PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) 39
337 PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 25
335 PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 23
DRG Group Malignancy of Hepatobiliary System or Pancreas 86
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 56
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC) 23
DRG Group Other O.R. Procedures for Injuries 84
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 36
908 OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) 35
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group Cirrhosis and Alcoholic Hepatitis 83
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 40
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) 39
DRG Group Signs and Symptoms 82
948 SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 59
947 SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 23
DRG Group Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy 79
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) 49
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
DRG Group Viral Illness 79
866 VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 43
865 VIRAL ILLNESS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 36
DRG Group Liver or Intestinal Transplant 74
005 LIVER TRANSPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR INTESTINAL TRANSPLANT 46
006 LIVER TRANSPLANT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 28
DRG Group Poisoning and Toxic Effects of Drugs 73
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 48
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 25
DRG Group Connective Tissue Disorders 71
545 CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 36
546 CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 30
DRG Group OTHER CARDIOTHORACIC PROCEDURES 71
228 OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 51
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
DRG Group Respiratory Neoplasms 70
181 RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) 41
180 RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 28
DRG Group Hernia Procedures 70
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) 29
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
DRG Group Traumatic Stupor and Coma, Coma < 1 Hour 69
085 TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 32
086 TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) 22
087 TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Peripheral and Cranial Nerve and Other Nervous System Procedures 65
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR 25
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 21
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
DRG Group Pleural Effusion 65
187 PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC) 36
186 PLEURAL EFFUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 28
DRG Group Non-extensive Procedure Unrelated to Principal Diagnosis 64
987 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 38
988 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) 21
DRG Group Acute Adjustment Reaction and Psychosocial Dysfunction 61
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION 61
DRG Group Chemotherapy 61
838 CHEMOTHERPY WITH ACUTE LEUKEMIA AS SDX WITH COMPLICATION OR COMORBIDITY (CC) OR HIGH DOSE CHEMOTHERAPY AGENT 23
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SDX OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 22
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SDX WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Bronchitis and Asthma 59
202 BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 51
DRG Group Other Digestive System O.R. Procedures 59
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 32
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 20
DRG Group Cholecystectomy 58
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) 15
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Fractures of Hip and Pelvis 57
536 FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 41
535 FRACTURES OF HIP AND PELVIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders 56
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 32
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Intracranial Vascular Procedures with PDX Hemorrhage 56
020 INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 51
DRG Group Allogeneic Bone Marrow Transplant 55
014 ALLOGENEIC BONE MARROW TRANSPLANT 55
DRG Group Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions 54
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) 34
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 17
DRG Group Bone Diseases and Arthropathies 53
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 37
553 BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Heart Transplant or Implant of Heart Assist System 53
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 48
DRG Group Chest Pain 52
313 CHEST PAIN 52
DRG Group Non-Bacterial Infections of Nervous System Except Viral Meningitis 51
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH COMPLICATION OR COMORBIDITY (CC) 17
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Cardiac Defibrillator Implant 51
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 24
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group HIV with Major Related Condition 46
974 HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 30
975 HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION OR COMORBIDITY (CC) 14
DRG Group Uterine and Adnexal Procedures for Malignancy 45
741 UTERINE, ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) 14
740 UTERINE, ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) 12
DRG Group Otitis Media and Upper Respiratory Infection 45
153 OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 29
152 OTITIS MEDIA AND URI WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Headaches 45
103 HEADACHES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 40
DRG Group Ventricular Shunt Procedures 45
032 VENTRICULAR SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 16
033 VENTRICULAR SHUNT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
031 VENTRICULAR SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure 44
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) 16
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Other Skin, Subcutaneous Tissue and Breast Procedures 43
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 23
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Uterine and Adnexal Procedures for Non-Malignancy 43
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 28
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Coagulation Disorders 42
813 COAGULATION DISORDERS 42
DRG Group Alcohol/Drug Abuse or Dependence 41
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 29
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Cardiac Congenital and Valvular Disorders 40
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 25
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Interstitial Lung Disease 40
196 INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 22
197 INTERSTITIAL LUNG DISEASE WITH COMPLICATION OR COMORBIDITY (CC) 14
DRG Group Lower Extremity and Humerus Procedures Except Hip,Foot,Femur 38
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) 21
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Urinary Stones 37
694 URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 31
DRG Group Inflammatory Bowel Disease 37
386 INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) 22
DRG Group Knee Procedures 37
489 KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 17
DRG Group Peptic Ulcer 36
380 COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
381 COMPLICATED PEPTIC ULCER WITH COMPLICATION OR COMORBIDITY (CC) 12
DRG Group Amputation for Circulatory System Disorders Except Upper Limb and Toe 36
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH COMPLICATION OR COMORBIDITY (CC) 15
DRG Group Lymphoma and Leukemia with Major Procedure 36
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 17
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) 15
DRG Group Organic Disturbances and Intellectual Disability 35
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY 35
DRG Group Traumatic Stupor and Coma, Coma > 1 Hour 35
082 TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
DRG Group Major Male Pelvic Procedures 35
707 MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
708 MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Transient Ischemia 34
069 TRANSIENT ISCHEMIA 34
DRG Group Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh 34
563 FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 21
562 FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group Spinal Procedures 34
029 SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS 19
DRG Group Lymphoma and Non-Acute Leukemia with Other Procedure 34
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) 13
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER O.R. PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Pneumothorax 33
200 PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) 20
DRG Group Fever And Inflammatory Conditions 32
864 FEVER 32
DRG Group Minor Skin Disorders 32
607 MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 22
DRG Group Ischemic Stroke with Use of Thrombolytic Agent 31
062 ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT WITH COMPLICATION OR COMORBIDITY (CC) 18
DRG Group Signs and Symptoms of Musculoskeletal System and Connective Tissue 29
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
DRG Group Other Circulatory O.R. Procedures 29
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 29
DRG Group Simultaneous Pancreas/Kidney Transplant 29
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT 29
DRG Group Kidney and Urinary Tract Neoplasms 28
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Other Myeloproliferative Disorders or Poorly Differentiated Neoplasm Diagnoses 27
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Aftercare, Musculoskeletal System and Connective Tissue 26
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Other Heart Assist System Implant 25
215 OTHER HEART ASSIST SYSTEM IMPLANT 25
DRG Group HIV with Extensive Procedure 25
969 HIV WITH EXTENSIVE O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 25
DRG Group Carotid Artery Stent Procedures 25
036 CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Psychoses 24
885 PSYCHOSES 24
DRG Group Other Disorders of the Eye 24
125 OTHER DISORDERS OF THE EYE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Major Esophageal Disorders 24
369 MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 12
368 MAJOR ESOPHAGEAL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Tendonitis, Myositis and Bursitis 24
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Atherosclerosis 23
303 ATHEROSCLEROSIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
DRG Group Breast Disorders 23
DRG Group Transurethral Procedures 23
669 TRANSURETHRAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Thyroid, Parathyroid and Thyroglossal Procedures 23
DRG Group Vagina, Cervix and Vulva Procedures 22
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Respiratory Signs and Symptoms 21
204 RESPIRATORY SIGNS AND SYMPTOMS 21
DRG Group Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedure 21
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Major Skin Disorders 21
596 MAJOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Osteomyelitis 20
539 OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Neurological Eye Disorders 20
123 NEUROLOGICAL EYE DISORDERS 20
DRG Group Cardiac Pacemaker Revision Except Device Replacement 20
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders 20
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 15
DRG Group Soft Tissue Procedures 20
DRG Group Wound Debridements for Injuries 19
DRG Group Amputation for Musculoskeletal System and Connective Tissue Disorders 19
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 12
DRG Group Ear, Nose, Mouth and Throat Malignancy 19
DRG Group Disequilibrium 18
149 DYSEQUILIBRIUM 18
DRG Group Percutaneous Cardiovascular Procedures without Coronary Artery Stent 18
DRG Group Trauma to the Skin, Subcutaneous Tissue and Breast 18
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Local Excision and Removal Int Fix Devices Except Hip and Femur 17
DRG Group Biopsies of Musculoskeletal System and Connective Tissue 17
DRG Group Minor Bladder Procedures 17
DRG Group Major Procedures with Diagnosis of Other Contact with Health Services 17
DRG Group Other Musculoskeletal System and Connective Tissue Diagnoses 17
DRG Group Breast Biopsy, Local Excision and Other Breast Procedures 16
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Other Infectious and Parasitic Disease Diagnoses 16
DRG Group Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. 15
DRG Group Female Reproductive System Reconstructive Procedures 15
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 15
DRG Group Skin Ulcers 15
DRG Group Bilateral or Multiple Major Joint Procedures of Lower Extremity 14
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Hypertensive Encephalopathy 14
DRG Group Bacterial and Tuberculous Infections of Nervous System 14
DRG Group Skin Debridement 14
DRG Group Minor Small and Large Bowel Procedures 14
DRG Group Allergic Reactions 13
DRG Group Multiple Sclerosis and Cerebellar Ataxia 13
DRG Group Skin Graft 13
DRG Group Dental and Oral Diseases 13
DRG Group Reticuloendothelial and Immunity Disorders 12
DRG Group Other Ear, Nose, Mouth and Throat O.R. Procedures 12
DRG Group Foot Procedures 12
DRG Group Other Endocrine, Nutritional and Metabolic Procedures 11
DRG Group Malignancy, Female Reproductive System 11
DRG Group HIV with or without Other Related Condition 11
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION 11
DRG Group Acute and Subacute Endocarditis 11
DRG Group Other Ear,Nose,Mouth and Throat Diagnoses 11