Sherman Hospital Inpatient Case Mix Index Benchmarks Calculations


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DRG Description Total Hospitalizations (Oct 2016 to Sep 2019) % of DRG Group State % of DRG Group The difference from State Benchmark National % of DRG Group The difference from National Benchmark
DRG Group Septicemia or Severe Sepsis 1,062
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 812
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 216
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS 34
DRG Group Heart Failure and Shock 828
291 HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 632
292 HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) 137
293 HEART FAILURE AND SHOCK WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 59
DRG Group Cardiac Arrhythmia and Conduction Disorders 760
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 304
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 291
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 165
DRG Group Chronic Obstructive Pulmonary Disease 664
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 499
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION OR COMORBIDITY (CC) 123
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 42
DRG Group Simple Pneumonia and Pleurisy 570
193 SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 333
194 SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) 181
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 56
DRG Group Kidney and Urinary Tract Infections 473
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 281
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 192
DRG Group Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders 470
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 388
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 82
DRG Group Renal Failure 460
683 RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) 241
682 RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 197
684 RENAL FAILURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 22
DRG Group Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity 448
470 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 397
469 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 51
DRG Group Nutritional and Miscellaneous Metabolic Disorders 346
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 193
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 153
DRG Group G.I.Hemorrhage 277
378 G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) 174
377 G.I. HEMORRHAGE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 78
379 G.I. HEMORRHAGE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 25
DRG Group Intracranial Hemorrhage or Cerebral Infarction 275
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR COMORBIDITY (CC) OR TPA IN 24 HOURS 143
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 84
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 48
DRG Group Cellulitis 254
603 CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 200
602 CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 54
DRG Group Major Joint and Limb Reattachment Procedures of Upper Extremity 241
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES 241
DRG Group Percutaneous Cardiovascular Procedures with Coronary Artery/Stent 220
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 131
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR 4+ VESSELS OR STENTS 77
DRG Group Other Kidney and Urinary Tract Diagnoses 193
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 111
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 75
DRG Group Circulatory Disorders Except AMI with Cardiac Catheterization 193
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 112
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 81
DRG Group Major Small and Large Bowel Procedures 186
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 87
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 69
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 30
DRG Group Percutaneous Intracardiac Procedures 180
274 PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) 150
273 PERCUTANEOUS INTRACARDIAC PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) 30
DRG Group Infections and Parasitic Diseases with O.R. Procedure 175
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 149
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) 25
DRG Group Red Blood Cell Disorders 174
812 RED BLOOD CELL DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 111
811 RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 63
DRG Group G.I. Obstruction 168
389 G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) 92
390 G.I. OBSTRUCTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 45
388 G.I. OBSTRUCTION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 31
DRG Group Other Digestive System Diagnoses 162
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 84
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 62
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Diabetes 156
638 DIABETES WITH COMPLICATION OR COMORBIDITY (CC) 102
637 DIABETES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 50
DRG Group Peripheral Vascular Disorders 149
300 PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 71
301 PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 40
299 PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 38
DRG Group Acute Myocardial Infarction 149
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 76
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION OR COMORBIDITY (CC) 41
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 25
DRG Group Hip and Femur Procedures Except Major Joint 146
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) 86
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 52
DRG Group Medical Back Problems 146
552 MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 117
551 MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 29
DRG Group Cholecystectomy 136
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) 52
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 37
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 26
DRG Group Bronchitis and Asthma 134
202 BRONCHITIS AND ASTHMA WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 106
203 BRONCHITIS AND ASTHMA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 28
DRG Group Pulmonary Edema and Respiratory Failure 125
189 PULMONARY EDEMA AND RESPIRATORY FAILURE 125
DRG Group Other Respiratory System O.R. Procedures 124
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 99
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 19
DRG Group Major Gastrointestinal Disorders and Peritoneal Infections 119
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) 67
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 38
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Pulmonary Embolism 118
176 PULMONARY EMBOLISM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 67
175 PULMONARY EMBOLISM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 51
DRG Group Respiratory Infections and Inflammations 116
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 91
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH COMPLICATION OR COMORBIDITY (CC) 20
DRG Group Permanent Cardiac Pacemaker Implant 109
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) 28
DRG Group Syncope and Collapse 104
312 SYNCOPE AND COLLAPSE 104
DRG Group Respiratory System Diagnosis with Ventilator Support 94
208 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS 66
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS 28
DRG Group Other Circulatory System Diagnoses 94
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 53
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 36
DRG Group Coronary Bypass 93
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 36
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 22
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Other Vascular Procedures 91
253 OTHER VASCULAR PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 37
252 OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 37
254 OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 17
DRG Group Extensive O.R. Procedure Unrelated to Principal Diagnosis 90
981 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 49
982 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) 34
DRG Group Extracranial Procedures 88
039 EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 59
038 EXTRACRANIAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 21
DRG Group Disorders of Pancreas Except Malignancy 82
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) 44
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 25
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group Degenerative Nervous System Disorders 81
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 58
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 23
DRG Group Signs and Symptoms 80
948 SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 58
947 SIGNS AND SYMPTOMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 22
DRG Group Pancreas, Liver and Shunt Procedures 78
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 41
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 27
DRG Group Hypertension 74
305 HYPERTENSION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 56
304 HYPERTENSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
DRG Group Other Disorders of Nervous System 73
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION OR COMORBIDITY (CC) 30
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 27
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Spinal Fusion Except Cervical 70
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 64
DRG Group Disorders of Biliary Tract 67
445 DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) 30
444 DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 25
446 DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy 67
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) 41
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group Cirrhosis and Alcoholic Hepatitis 63
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) 35
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 28
DRG Group Chest Pain 63
313 CHEST PAIN 63
DRG Group Endocrine Disorders 62
644 ENDOCRINE DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 26
643 ENDOCRINE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 25
645 ENDOCRINE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Other Major Cardiovascular Procedures 62
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES W MAJOR COMPLICATION OR COMORBIDITY (MCC) 35
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES W COMPLICATION OR COMORBIDITY (CC) 23
DRG Group Poisoning and Toxic Effects of Drugs 61
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 37
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 24
DRG Group Malignancy of Hepatobiliary System or Pancreas 61
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 43
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC) 17
DRG Group Coagulation Disorders 60
813 COAGULATION DISORDERS 60
DRG Group Kidney and Ureter Procedures 59
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) 23
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION OR COMORBIDITY (CC) 12
DRG Group Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh 59
563 FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 44
562 FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Respiratory Neoplasms 57
180 RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 44
181 RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) 13
DRG Group Traumatic Stupor and Coma, Coma < 1 Hour 55
086 TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) 24
087 TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
085 TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Lower Extremity and Humerus Procedures Except Hip,Foot,Femur 55
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) 25
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Stomach, Esophageal and Duodenal Procedures 53
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 23
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 22
DRG Group Hernia Procedures 53
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC) 21
DRG Group Major Chest Procedures 53
164 MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 22
163 MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 21
DRG Group Fractures of Hip and Pelvis 52
536 FRACTURES OF HIP AND PELVIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 34
535 FRACTURES OF HIP AND PELVIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
DRG Group Complications of Treatment 52
919 COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 27
920 COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) 24
DRG Group Cardiac Valve and Other Major Cardiothoracic Procedures 50
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 25
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) 15
DRG Group Cranial and Peripheral Nerve Disorders 50
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 33
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 17
DRG Group Peptic Ulcer 49
381 COMPLICATED PEPTIC ULCER WITH COMPLICATION OR COMORBIDITY (CC) 19
380 COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Organic Disturbances and Intellectual Disability 48
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY 48
DRG Group Seizures 47
101 SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 29
100 SEIZURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
DRG Group Disorders of Liver Except Malignancy, Cirrhosis and Alcoholic Hepatitis 47
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) 22
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
DRG Group Non-extensive Procedure Unrelated to Principal Diagnosis 47
987 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 22
988 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) 18
DRG Group Bone Diseases and Arthropathies 46
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 38
DRG Group Nonspecific Cerebrovascular Disorders 46
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 25
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 17
DRG Group Cardiac Defibrillator Implant 46
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 24
DRG Group Pleural Effusion 44
186 PLEURAL EFFUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 26
187 PLEURAL EFFUSION WITH COMPLICATION OR COMORBIDITY (CC) 15
DRG Group Aortic and Heart Assist Procedures 44
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MAJOR COMPLICATION OR COMORBIDITY (MCC) 36
DRG Group Other Musculoskeletal System and Connective Tissue O.R. Procedures 44
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 21
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Revision of Hip or Knee Replacement 42
467 REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION OR COMORBIDITY (CC) 20
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 17
DRG Group Disequilibrium 41
149 DYSEQUILIBRIUM 41
DRG Group Craniotomy and Endovascular Intracranial Procedures 40
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 33
DRG Group ECMO or Tracheostomy with MV >96 Hours or PDX Except Face, Mouth and Neck 39
004 TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE 27
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE 12
DRG Group Other Respiratory System Diagnoses 38
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
DRG Group Urinary Stones 36
694 URINARY STONES WITHOUT ESW LITHOTRIPSY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 30
DRG Group Major Hematological/Immunological Diagnoses Except Sickle Cell Crisis and Coagulation 35
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 22
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Peritoneal Adhesiolysis 34
336 PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) 17
DRG Group Transient Ischemia 34
069 TRANSIENT ISCHEMIA 34
DRG Group Other Musculoskeletal System and Connective Tissue Diagnoses 33
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) 15
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Other Skin, Subcutaneous Tissue and Breast Procedures 33
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 16
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Alcohol/Drug Abuse or Dependence 31
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 21
DRG Group Nervous System Neoplasms 31
054 NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 28
DRG Group Lymphoma and Non-Acute Leukemia 30
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH COMPLICATION OR COMORBIDITY (CC) 13
DRG Group Other O.R. Procedures for Injuries 29
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
908 OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Chemotherapy without Acute Leukemia as Secondary Diagnosis 29
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) 19
DRG Group Digestive Malignancy 28
374 DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Tendonitis, Myositis and Bursitis 28
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 20
DRG Group Other Digestive System O.R. Procedures 27
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 17
DRG Group Postoperative and Post-Traumatic Infections 27
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
DRG Group Trauma to the Skin, Subcutaneous Tissue and Breast 27
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 19
DRG Group Headaches 26
103 HEADACHES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 23
DRG Group Ischemic Stroke with Use of Thrombolytic Agent 26
062 ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT WITH COMPLICATION OR COMORBIDITY (CC) 15
DRG Group Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders 26
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 24
DRG Group Biopsies of Musculoskeletal System and Connective Tissue 26
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) 19
DRG Group Transurethral Procedures 25
669 TRANSURETHRAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 15
DRG Group Pneumothorax 25
199 PNEUMOTHORAX WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Respiratory Signs and Symptoms 24
204 RESPIRATORY SIGNS AND SYMPTOMS 24
DRG Group Viral Illness 24
866 VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Appendectomy 22
DRG Group Combined Anterior/Posterior Spinal Fusion 22
454 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) 14
DRG Group Amputation for Circulatory System Disorders Except Upper Limb and Toe 22
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators 22
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) 17
DRG Group Major Chest Trauma 22
184 MAJOR CHEST TRAUMA WITH COMPLICATION OR COMORBIDITY (CC) 15
DRG Group Postoperative or Post-Traumatic Infections with O.R. Procedure 21
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Kidney and Urinary Tract Signs and Symptoms 21
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 16
DRG Group Signs and Symptoms of Musculoskeletal System and Connective Tissue 21
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 18
DRG Group Carotid Artery Stent Procedures 20
036 CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 17
DRG Group Connective Tissue Disorders 20
DRG Group Other Circulatory O.R. Procedures 20
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 20
DRG Group Multiple Sclerosis and Cerebellar Ataxia 19
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Soft Tissue Procedures 19
501 SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) 11
DRG Group Other Kidney and Urinary Tract Procedures 18
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 12
DRG Group Interstitial Lung Disease 18
196 INTERSTITIAL LUNG DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) 15
DRG Group Local Excision and Removal Int Fix Devices Except Hip and Femur 18
DRG Group Inflammatory Bowel Disease 18
386 INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) 14
DRG Group Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders 17
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) 14
DRG Group Atherosclerosis 17
303 ATHEROSCLEROSIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 14
DRG Group Skin Debridement 16
DRG Group Otitis Media and Upper Respiratory Infection 15
153 OTITIS MEDIA AND URI WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group Aftercare, Musculoskeletal System and Connective Tissue 15
DRG Group Inflammation of the Male Reproductive System 15
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 13
DRG Group Major Male Pelvic Procedures 15
708 MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Uterine and Adnexal Procedures for Non-Malignancy 14
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Traumatic Stupor and Coma, Coma > 1 Hour 14
DRG Group Cervical Spinal Fusion 14
DRG Group Wound Debridement and Skin Graft Except Hand, for Musculoskeletal and Connective Tissue Disorders 14
DRG Group Osteomyelitis 14
DRG Group Other Ear,Nose,Mouth and Throat Diagnoses 14
DRG Group Allergic Reactions 13
DRG Group Minor Skin Disorders 13
607 MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) 11
DRG Group Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures 13
DRG Group Spinal Procedures 12
DRG Group AICD Generator Procedures 12
245 AICD GENERATOR PROCEDURES 12
DRG Group Fractures of Femur 11
DRG Group Psychoses 11
885 PSYCHOSES 11
DRG Group Skin Ulcers 11
DRG Group Kidney and Urinary Tract Neoplasms 11