Hospital of the University of Pennsylvania 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 1,377
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 1,029
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 241
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS 107
DRG Group Cardiac Valve and Other Major Cardiothoracic Procedures 904
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) 394
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 317
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 89
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 84
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) 20
DRG Group Heart Failure and Shock 728
291 HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 424
292 HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) 267
293 HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 37
DRG Group Circulatory Disorders Except AMI with Cardiac Catheterization 698
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 414
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 284
DRG Group Intracranial Hemorrhage or Cerebral Infarction 641
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS 293
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 287
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 61
DRG Group Major Small and Large Bowel Procedures 573
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 308
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 135
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 130
DRG Group Endovascular Procedures 571
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 439
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 132
DRG Group Craniotomy and Endovascular Intracranial Procedures 535
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 269
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 142
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 124
DRG Group Chemotherapy without Acute Leukemia as Secondary Diagnosis 513
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) 382
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 131
DRG Group Cardiac Arrhythmia and Conduction Disorders 461
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 210
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 140
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 111
DRG Group Major Chest Procedures 435
164 MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 231
165 MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 160
163 MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 44
DRG Group Other Kidney and Urinary Tract Diagnoses 431
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 219
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 206
DRG Group Percutaneous Intracardiac Procedures 420
274 PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) 317
273 PERCUTANEOUS INTRACARDIAC PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) 103
DRG Group Other Circulatory System Diagnoses 414
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 279
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 123
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders 407
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 247
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 160
DRG Group G.I.Hemorrhage 383
378 G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) 202
377 G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 162
379 G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
DRG Group Nutritional and Miscellaneous Metabolic Disorders 380
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 192
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 188
DRG Group Simple Pneumonia and Pleurisy 353
194 SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) 178
193 SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 152
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 23
DRG Group Renal Failure 346
683 RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) 180
682 RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 156
DRG Group ECMO or Tracheostomy with MV >96 Hours or PDX Except Face, Mouth and Neck 343
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE 277
004 TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE 66
DRG Group Lymphoma and Non-Acute Leukemia 319
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 179
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH COMPLICATION OR COMORBIDITY (CC) 109
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 31
DRG Group Other Vascular Procedures 310
253 OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 143
252 OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 122
254 OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 45
DRG Group Kidney and Ureter Procedures 299
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) 98
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 83
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) 39
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 30
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 26
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 23
DRG Group Pancreas, Liver and Shunt Procedures 284
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 161
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 87
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 36
DRG Group Other Respiratory System O.R. Procedures 277
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 160
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 90
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 27
DRG Group Disorders of Liver Except Malignancy, Cirrhosis and Alcoholic Hepatitis 274
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 144
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) 109
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 21
DRG Group Coronary Bypass 272
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 152
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 70
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 28
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
DRG Group Kidney Transplant 271
652 KIDNEY TRANSPLANT 271
DRG Group Seizures 264
101 SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 181
100 SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 83
DRG Group Other Respiratory System Diagnoses 256
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 170
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 86
DRG Group Stomach, Esophageal and Duodenal Procedures 248
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 102
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 97
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 49
DRG Group Other Digestive System Diagnoses 247
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 118
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 98
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 31
DRG Group Complications of Treatment 246
919 COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 129
920 COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) 96
921 COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 21
DRG Group Other Musculoskeletal System and Connective Tissue O.R. Procedures 235
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 122
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 91
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 22
DRG Group Peripheral Vascular Disorders 233
300 PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 121
299 PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 81
301 PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 31
DRG Group Hernia Procedures 221
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) 94
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 76
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 25
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 12
DRG Group Chronic Obstructive Pulmonary Disease 216
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 108
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) 69
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 39
DRG Group Kidney and Urinary Tract Infections 215
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 148
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 67
DRG Group Infections and Parasitic Diseases with O.R. Procedure 207
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 191
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) 15
DRG Group Signs and Symptoms 206
948 SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 127
947 SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 79
DRG Group Extensive O.R. Procedure Unrelated to Principal Diagnosis 201
981 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 113
982 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) 57
983 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 31
DRG Group G.I. Obstruction 196
389 G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) 88
388 G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 54
390 G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 54
DRG Group Respiratory Infections and Inflammations 194
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 118
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) 63
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group Spinal Fusion Except Cervical 189
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 177
459 SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Nervous System Neoplasms 187
054 NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 127
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 60
DRG Group Red Blood Cell Disorders 182
812 RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 132
811 RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 50
DRG Group Acute Myocardial Infarction 174
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 105
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) 49
DRG Group Acute Leukemia without Major Procedure 173
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 140
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) 23
DRG Group Aortic and Heart Assist Procedures 170
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) 124
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MAJOR COMPLICATION OR COMORBIDITY (MCC) 46
DRG Group Pulmonary Edema and Respiratory Failure 167
189 PULMONARY EDEMA AND RESPIRATORY FAILURE 167
DRG Group Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy 166
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 82
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 57
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 27
DRG Group Percutaneous Cardiovascular Procedures with Coronary Artery/Stent 161
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 89
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS 71
DRG Group Pulmonary Embolism 159
176 PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 85
175 PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 74
DRG Group Other Major Cardiovascular Procedures 158
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) 86
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES W COMPLICATION OR COMORBIDITY (CC) 55
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 17
DRG Group Postoperative and Post-Traumatic Infections 156
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 86
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 70
DRG Group Craniotomy with Major Device Implant or Acute Complex CNS PDX 154
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR CHEMOTHERAPY IMPLANT 120
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 34
DRG Group Respiratory System Diagnosis with Ventilator Support 153
208 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS 105
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS 48
DRG Group Digestive Malignancy 151
374 DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 101
375 DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) 44
DRG Group Chemotherapy 150
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SDX OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 99
838 CHEMOTHERPY WITH ACUTE LEUKEMIA AS SDX WITH COMPLICATION OR COMORBIDITY (CC) OR HIGH DOSE CHEMOTHERAPY AGENT 28
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SDX WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 23
DRG Group Disorders of Biliary Tract 147
445 DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) 73
444 DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 59
446 DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Diabetes 147
638 DIABETES WITH COMPLICATION OR COMORBIDITY (CC) 87
637 DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 50
DRG Group Cholecystectomy 145
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) 44
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) 39
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Autologous Bone Marrow Transplant or T-cell Immunotherapy 141
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 140
DRG Group Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators 140
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) 74
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 54
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR 12
DRG Group Respiratory Neoplasms 140
180 RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 89
181 RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) 48
DRG Group Major Male Pelvic Procedures 138
708 MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 94
707 MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 44
DRG Group Major Gastrointestinal Disorders and Peritoneal Infections 138
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 65
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) 61
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Combined Anterior/Posterior Spinal Fusion 136
454 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) 72
455 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 50
453 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Other O.R. Procedures for Injuries 131
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 59
908 OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) 56
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Extracranial Procedures 131
039 EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 66
038 EXTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 54
037 EXTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Degenerative Nervous System Disorders 127
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 90
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 37
DRG Group Cellulitis 126
603 CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 89
602 CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 37
DRG Group Cardiac Defibrillator Implant 122
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 37
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 35
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI/HF/SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI/HF/SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
DRG Group Major Bladder Procedures 120
654 MAJOR BLADDER PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 72
655 MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 24
653 MAJOR BLADDER PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 24
DRG Group Permanent Cardiac Pacemaker Implant 119
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION OR COMORBIDITY (CC) 63
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 40
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Major Hematological/Immunological Diagnoses Except Sickle Cell Crisis and Coagulation 115
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 68
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 45
DRG Group Lymphoma and Leukemia with Major Procedure 112
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 62
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) 27
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 23
DRG Group Other Disorders of Nervous System 112
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) 56
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 41
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Malignancy of Hepatobiliary System or Pancreas 108
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 78
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC) 28
DRG Group Postoperative or Post-Traumatic Infections with O.R. Procedure 108
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 54
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) 52
DRG Group Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy 105
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) 48
DRG Group Cervical Spinal Fusion 101
472 CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) 47
473 CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 38
471 CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Other Digestive System O.R. Procedures 101
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 44
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 43
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Disorders of Pancreas Except Malignancy 100
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) 48
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 42
DRG Group Bronchitis and Asthma 97
202 BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 88
DRG Group Procedures for Obesity 95
621 O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 74
620 O.R. PROCEDURES FOR OBESITY WITH COMPLICATION OR COMORBIDITY (CC) 13
DRG Group Cirrhosis and Alcoholic Hepatitis 93
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 61
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) 30
DRG Group Interstitial Lung Disease 92
196 INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 55
197 INTERSTITIAL LUNG DISEASE WITH COMPLICATION OR COMORBIDITY (CC) 21
198 INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Ventricular Shunt Procedures 91
032 VENTRICULAR SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 37
033 VENTRICULAR SHUNT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 35
031 VENTRICULAR SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
DRG Group Lymphoma and Non-Acute Leukemia with Other Procedure 89
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) 37
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 34
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER O.R. PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
DRG Group Adrenal and Pituitary Procedures 88
614 ADRENAL AND PITUITARY PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 61
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 27
DRG Group Liver or Intestinal Transplant 85
005 LIVER TRANSPLANT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR INTESTINAL TRANSPLANT 49
006 LIVER TRANSPLANT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 36
DRG Group Other Ear, Nose, Mouth and Throat O.R. Procedures 83
133 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 43
134 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 40
DRG Group Viral Illness 82
866 VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 50
865 VIRAL ILLNESS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 32
DRG Group Non-extensive Procedure Unrelated to Principal Diagnosis 80
987 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 52
988 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) 23
DRG Group Poisoning and Toxic Effects of Drugs 80
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 54
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 26
DRG Group Nonspecific Cerebrovascular Disorders 80
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 46
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 24
DRG Group Cranial and Peripheral Nerve Disorders 79
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 46
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 33
DRG Group Uterine and Adnexal Procedures for Non-Malignancy 78
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 44
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 34
DRG Group Uterine and Adnexal Procedures for Malignancy 78
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) 32
740 UTERINE, ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) 25
741 UTERINE, ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Connective Tissue Disorders 77
545 CONNECTIVE TISSUE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 52
546 CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 24
DRG Group Other Skin, Subcutaneous Tissue and Breast Procedures 77
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 38
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 27
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Other Kidney and Urinary Tract Procedures 73
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 36
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 34
DRG Group Pleural Effusion 71
186 PLEURAL EFFUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 35
187 PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC) 33
DRG Group Heart Transplant or Implant of Heart Assist System 71
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 55
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Syncope and Collapse 69
312 SYNCOPE AND COLLAPSE 69
DRG Group Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure 69
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 32
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) 28
DRG Group Endocrine Disorders 67
643 ENDOCRINE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 32
644 ENDOCRINE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 31
DRG Group Lung Transplant 65
007 LUNG TRANSPLANT 65
DRG Group OTHER CARDIOTHORACIC PROCEDURES 65
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 34
228 OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 31
DRG Group Fever And Inflammatory Conditions 64
864 FEVER 64
DRG Group Multiple Sclerosis and Cerebellar Ataxia 64
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH COMPLICATION OR COMORBIDITY (CC) 32
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 24
DRG Group Major Head and Neck Procedures 63
129 MAJOR HEAD AND NECK PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) OR MAJOR DEVICE 45
130 MAJOR HEAD AND NECK PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
DRG Group Peritoneal Adhesiolysis 63
336 PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) 31
335 PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
337 PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Medical Back Problems 60
552 MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 44
551 MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Hypertension 60
304 HYPERTENSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 33
305 HYPERTENSION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 27
DRG Group Amputation for Circulatory System Disorders Except Upper Limb and Toe 60
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 37
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH COMPLICATION OR COMORBIDITY (CC) 20
DRG Group Spinal Procedures 59
029 SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS 32
028 SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 21
DRG Group Allogeneic Bone Marrow Transplant 54
014 ALLOGENEIC BONE MARROW TRANSPLANT 54
DRG Group Inflammatory Bowel Disease 54
386 INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) 31
385 INFLAMMATORY BOWEL DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
DRG Group Peripheral and Cranial Nerve and Other Nervous System Procedures 54
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 24
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR PERIPHERAL NEUROSTIMULATOR 21
DRG Group Acute Adjustment Reaction and Psychosocial Dysfunction 51
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION 51
DRG Group Thyroid, Parathyroid and Thyroglossal Procedures 48
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 23
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Soft Tissue Procedures 47
501 SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 19
502 SOFT TISSUE PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
DRG Group Coagulation Disorders 44
813 COAGULATION DISORDERS 44
DRG Group Organic Disturbances and Intellectual Disability 44
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY 44
DRG Group Other Circulatory O.R. Procedures 44
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 44
DRG Group Otitis Media and Upper Respiratory Infection 43
153 OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 29
152 OTITIS MEDIA AND URI WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Minor Skin Disorders 42
607 MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 28
606 MINOR SKIN DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Atherosclerosis 41
303 ATHEROSCLEROSIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 30
302 ATHEROSCLEROSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Biopsies of Musculoskeletal System and Connective Tissue 39
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) 20
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
DRG Group Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedure 37
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 29
DRG Group Peptic Ulcer 37
380 COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 23
DRG Group Cardiac Congenital and Valvular Disorders 36
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 17
DRG Group Bone Diseases and Arthropathies 35
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 24
553 BONE DISEASES AND ARTHROPATHIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Alcohol/Drug Abuse or Dependence 35
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 22
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group Cardiac Pacemaker Revision Except Device Replacement 34
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) 14
DRG Group Other Infectious and Parasitic Disease Diagnoses 34
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 24
DRG Group Non-Bacterial Infections of Nervous System Except Viral Meningitis 34
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH COMPLICATION OR COMORBIDITY (CC) 16
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Skin Graft 34
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION OR COMORBIDITY (CC) 16
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Signs and Symptoms of Musculoskeletal System and Connective Tissue 34
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 22
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group VAGINAL DELIVERY 33
775 VAGINAL DELIVERY WITHOUT COMPLICATING DIAGNOSES 26
DRG Group Chest Pain 33
313 CHEST PAIN 33
DRG Group Carotid Artery Stent Procedures 32
036 CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
035 CAROTID ARTERY STENT PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Reticuloendothelial and Immunity Disorders 32
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 19
DRG Group HIV with Major Related Condition 32
975 HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION OR COMORBIDITY (CC) 17
974 HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group Pneumothorax 32
200 PNEUMOTHORAX WITH COMPLICATION OR COMORBIDITY (CC) 15
199 PNEUMOTHORAX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Other Musculoskeletal System and Connective Tissue Diagnoses 31
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 20
DRG Group Transient Ischemia 31
069 TRANSIENT ISCHEMIA 31
DRG Group Dental and Oral Diseases 31
158 DENTAL AND ORAL DISEASES WITH COMPLICATION OR COMORBIDITY (CC) 15
157 DENTAL AND ORAL DISEASES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Headaches 31
103 HEADACHES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 26
DRG Group Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders 30
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 16
DRG Group Transurethral Procedures 30
669 TRANSURETHRAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 12
668 TRANSURETHRAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Cranial/Facial Procedures 30
132 CRANIAL AND FACIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
DRG Group Other Myeloproliferative Disorders or Poorly Differentiated Neoplasm Diagnoses 29
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 17
DRG Group Intracranial Vascular Procedures with PDX Hemorrhage 29
020 INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
DRG Group Respiratory Signs and Symptoms 29
204 RESPIRATORY SIGNS AND SYMPTOMS 29
DRG Group Wound Debridements for Injuries 29
902 WOUND DEBRIDEMENTS FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) 17
DRG Group Skin Debridement 29
571 SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) 14
DRG Group Minor Small and Large Bowel Procedures 27
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 12
DRG Group Bacterial and Tuberculous Infections of Nervous System 25
DRG Group Other Ear,Nose,Mouth and Throat Diagnoses 24
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 13
DRG Group Breast Biopsy, Local Excision and Other Breast Procedures 24
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
DRG Group Osteomyelitis 24
539 OSTEOMYELITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group CESAREAN SECTION 23
765 CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
DRG Group Amputation for Musculoskeletal System and Connective Tissue Disorders 23
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Other Endocrine, Nutritional and Metabolic Procedures 22
DRG Group Urinary Stones 22
694 URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
DRG Group Mouth Procedures 22
138 MOUTH PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. 22
408 BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Hip and Femur Procedures Except Major Joint 22
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) 16
DRG Group Kidney and Urinary Tract Neoplasms 21
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Appendectomy 20
DRG Group Sinus and Mastoid Procedures 20
135 SINUS AND MASTOID PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Ischemic Stroke with Use of Thrombolytic Agent 20
DRG Group Malignancy, Female Reproductive System 20
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) 14
DRG Group Hepatobiliary Diagnostic Procedures 19
DRG Group Traumatic Stupor and Coma, Coma < 1 Hour 19
DRG Group Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions 18
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) 13
DRG Group Psychoses 18
885 PSYCHOSES 18
DRG Group Disequilibrium 18
149 DYSEQUILIBRIUM 18
DRG Group Major Skin Disorders 18
596 MAJOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group AICD Generator Procedures 18
245 AICD GENERATOR PROCEDURES 18
DRG Group Breast Disorders 18
DRG Group Major Procedures with Diagnosis of Other Contact with Health Services 17
DRG Group Trauma to the Skin, Subcutaneous Tissue and Breast 17
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Ear, Nose, Mouth and Throat Malignancy 17
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Mastectomy for Malignancy 17
DRG Group Other Heart Assist System Implant 16
215 OTHER HEART ASSIST SYSTEM IMPLANT 16
DRG Group Vagina, Cervix and Vulva Procedures 16
DRG Group Pregnancy, Childbirth & the Puerperium Vaginal Delivery without Sterilization/D&C 15
DRG Group Major Esophageal Disorders 15
DRG Group Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity 14
470 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Tendonitis, Myositis and Bursitis 14
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Minor Bladder Procedures 14
DRG Group Skin Ulcers 14
DRG Group Local Excision and Removal Int Fix Devices Except Hip and Femur 14
DRG Group Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders 13
DRG Group Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh 13
DRG Group Nonspecific CVA and Precerebral Occlusion without Infarction 13
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group Kidney and Urinary Tract Signs and Symptoms 13
DRG Group Other O.R. Procedures of the Blood and Blood Forming Organs 13
DRG Group Acute and Subacute Endocarditis 13
DRG Group Other Hepatobiliary or Pancreas Procedures 12
DRG Group Pregnancy, Childbirth & the Puerperium Other Antepartum Diagnoses without O.R. Procedure 12
DRG Group Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders 12
DRG Group Pregnancy, Childbirth & the Puerperium Cesarean Section without Sterilization 11
DRG Group Allergic Reactions 11