Examples: ICD M32, ICD R6521, ICD 8210, ICD 1970

K469 - ICD 10 Diagnosis Code - Unspecified abdominal hernia without obstruction or gangrene - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to K469 - Unspecified abdominal hernia without obstruction or gangrene

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

K469 - Unspecified abdominal hernia without obstruction or gangrene - as a primary diagnosis code K469 - Unspecified abdominal hernia without obstruction or gangrene - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 6.32
Readmission Rate (%) 22.86
Unplanned Readmission Rate (%) 12.42
Mortality Rate (%)
SNF Discharge Rate (%)
Home Discharge Rate (%)
PAYMENTS AND CHARGES
Total Medicare Payments
Payment Per Day
Payment Per Hospitalization
Total Medicare Charges
Avg. Charges
MARKET SIZING & INCIDENCE RATES
Total National Projected Hospitalizations - Annualized (Present on Admission - All)
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All)
Total National Projected Hospitalizations - Annualized (Present on Admission - Yes)
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes)
Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y)
Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y)
Total Medicare Hospitalizations after Exclusion

Top DRGs Associated With K469 - Unspecified abdominal hernia without obstruction or gangrene - as a primary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) DRG 395: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 355: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 130,303
Total Hospitalizations with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 140
DRG Share of Total Hospitalizations 0.4
% of Total ICD K469 - Unspecified abdominal hernia without obstruction or gangrene in DRG 21.44
Avg LOS at DRG 3.94
Avg LOS with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 3.06
Readmission Rate at DRG 20.31
Readmission Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 18.03
Unplanned Readmission Rate at DRG 14.61
Unplanned Readmission Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 11.48
Total Medicare payments at DRG $778,992,768
Total Medicare payments with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $829,867
Total Medicare payment per Day at DRG $1,517
Total Medicare payment per Day with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $1,939
Total Medicare payment per Hospitalization at DRG $5,978
Total Medicare payment per Hospitalization with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $5,928
Total Medicare Charges at DRG $4,222,655,144
Total Medicare Charges with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $3,479,417
Avg Charges at DRG $32,406
Avg Charges with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $24,853
Mortality Rate at DRG 0.93
Mortality Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene NA
SNF Discharge Rate at DRG 14.17
SNF Discharge Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 10.0
Home Discharge Rate at DRG 60.3
Home Discharge Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 57.14

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 353: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 337: PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 106,782
Total Hospitalizations with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 33
DRG Share of Total Hospitalizations 0.32
% of Total ICD K469 - Unspecified abdominal hernia without obstruction or gangrene in DRG 5.05
Avg LOS at DRG 13.16
Avg LOS with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 9.52
Readmission Rate at DRG 30.28
Readmission Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene NA
Unplanned Readmission Rate at DRG 15.8
Unplanned Readmission Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene NA
Total Medicare payments at DRG $3,545,118,598
Total Medicare payments with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $1,039,061
Total Medicare payment per Day at DRG $2,523
Total Medicare payment per Day with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $3,309
Total Medicare payment per Hospitalization at DRG $33,200
Total Medicare payment per Hospitalization with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $31,487
Total Medicare Charges at DRG $16,714,197,313
Total Medicare Charges with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $3,434,984
Avg Charges at DRG $156,526
Avg Charges with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $104,090
Mortality Rate at DRG 9.42
Mortality Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene NA
SNF Discharge Rate at DRG 28.14
SNF Discharge Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 36.36
Home Discharge Rate at DRG 22.53
Home Discharge Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 36.36

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 335: PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 30,887
Total Hospitalizations with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 17
DRG Share of Total Hospitalizations 0.09
% of Total ICD K469 - Unspecified abdominal hernia without obstruction or gangrene in DRG 2.6
Avg LOS at DRG 2.85
Avg LOS with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 2.71
Readmission Rate at DRG 8.44
Readmission Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene NA
Unplanned Readmission Rate at DRG 5.81
Unplanned Readmission Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene NA
Total Medicare payments at DRG $281,745,159
Total Medicare payments with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $137,544
Total Medicare payment per Day at DRG $3,206
Total Medicare payment per Day with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $2,990
Total Medicare payment per Hospitalization at DRG $9,122
Total Medicare payment per Hospitalization with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $8,091
Total Medicare Charges at DRG $1,697,715,246
Total Medicare Charges with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $1,039,540
Avg Charges at DRG $54,965
Avg Charges with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $61,149
Mortality Rate at DRG 0.05
Mortality Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene NA
SNF Discharge Rate at DRG 3.76
SNF Discharge Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene NA
Home Discharge Rate at DRG 86.53
Home Discharge Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 76.47

Top DRGs Associated With K469 - Unspecified abdominal hernia without obstruction or gangrene - as a primary or secondary diagnosis code

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Top 1 to 5 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 885: PSYCHOSES DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 1,808,415
Total Hospitalizations with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 1,134
DRG Share of Total Hospitalizations 5.5
% of Total ICD K469 - Unspecified abdominal hernia without obstruction or gangrene in DRG 4.75
Avg LOS at DRG 6.34
Avg LOS with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 6.59
Readmission Rate at DRG 24.2
Readmission Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 25.62
Unplanned Readmission Rate at DRG 16.78
Unplanned Readmission Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 17.26
Total Medicare payments at DRG $21,288,214,047
Total Medicare payments with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $13,537,136
Total Medicare payment per Day at DRG $1,857
Total Medicare payment per Day with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $1,812
Total Medicare payment per Hospitalization at DRG $11,772
Total Medicare payment per Hospitalization with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $11,938
Total Medicare Charges at DRG $107,155,481,388
Total Medicare Charges with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $73,498,842
Avg Charges at DRG $59,254
Avg Charges with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $64,814
Mortality Rate at DRG 12.11
Mortality Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 12.26
SNF Discharge Rate at DRG 27.18
SNF Discharge Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 25.66
Home Discharge Rate at DRG 25.81
Home Discharge Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 26.63

Top 5 to 10 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) DRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 106,782
Total Hospitalizations with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 532
DRG Share of Total Hospitalizations 0.32
% of Total ICD K469 - Unspecified abdominal hernia without obstruction or gangrene in DRG 2.23
Avg LOS at DRG 13.16
Avg LOS with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 12.35
Readmission Rate at DRG 30.28
Readmission Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 29.35
Unplanned Readmission Rate at DRG 15.8
Unplanned Readmission Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 15.93
Total Medicare payments at DRG $3,545,118,598
Total Medicare payments with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $17,448,302
Total Medicare payment per Day at DRG $2,523
Total Medicare payment per Day with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $2,656
Total Medicare payment per Hospitalization at DRG $33,200
Total Medicare payment per Hospitalization with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $32,798
Total Medicare Charges at DRG $16,714,197,313
Total Medicare Charges with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $78,524,266
Avg Charges at DRG $156,526
Avg Charges with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $147,602
Mortality Rate at DRG 9.42
Mortality Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 6.77
SNF Discharge Rate at DRG 28.14
SNF Discharge Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 28.76
Home Discharge Rate at DRG 22.53
Home Discharge Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 27.07

Top 10 to 15 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 389: G.I. OBSTRUCTION WITH COMPLICATION OR COMORBIDITY (CC) DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) DRG 336: PERITONEAL ADHESIOLYSIS WITH COMPLICATION OR COMORBIDITY (CC) DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 160,071
Total Hospitalizations with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 377
DRG Share of Total Hospitalizations 0.49
% of Total ICD K469 - Unspecified abdominal hernia without obstruction or gangrene in DRG 1.58
Avg LOS at DRG 3.97
Avg LOS with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 4.06
Readmission Rate at DRG 18.99
Readmission Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 20.8
Unplanned Readmission Rate at DRG 14.42
Unplanned Readmission Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 14.53
Total Medicare payments at DRG $842,180,909
Total Medicare payments with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $1,953,440
Total Medicare payment per Day at DRG $1,326
Total Medicare payment per Day with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $1,277
Total Medicare payment per Hospitalization at DRG $5,261
Total Medicare payment per Hospitalization with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $5,182
Total Medicare Charges at DRG $4,464,635,942
Total Medicare Charges with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $10,313,769
Avg Charges at DRG $27,892
Avg Charges with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $27,357
Mortality Rate at DRG 0.72
Mortality Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene NA
SNF Discharge Rate at DRG 10.71
SNF Discharge Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 10.08
Home Discharge Rate at DRG 66.6
Home Discharge Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 70.03

Top 15 to 20 DRGs - Oct 2015 to Sep 2018

*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.

DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 292: HEART FAILURE AND SHOCK WITH COMPLICATION OR COMORBIDITY (CC) DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 434,264
Total Hospitalizations with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 318
DRG Share of Total Hospitalizations 1.32
% of Total ICD K469 - Unspecified abdominal hernia without obstruction or gangrene in DRG 1.33
Avg LOS at DRG 3.94
Avg LOS with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 3.91
Readmission Rate at DRG 22.76
Readmission Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 23.65
Unplanned Readmission Rate at DRG 16.46
Unplanned Readmission Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 15.54
Total Medicare payments at DRG $2,472,138,198
Total Medicare payments with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $1,746,726
Total Medicare payment per Day at DRG $1,444
Total Medicare payment per Day with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $1,405
Total Medicare payment per Hospitalization at DRG $5,693
Total Medicare payment per Hospitalization with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $5,493
Total Medicare Charges at DRG $12,478,361,060
Total Medicare Charges with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $9,806,101
Avg Charges at DRG $28,735
Avg Charges with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene $30,837
Mortality Rate at DRG 0.91
Mortality Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene NA
SNF Discharge Rate at DRG 22.02
SNF Discharge Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 20.75
Home Discharge Rate at DRG 46.68
Home Discharge Rate with ICD K469 - Unspecified abdominal hernia without obstruction or gangrene 51.57

Top Hospitals Associated With K469 - Unspecified abdominal hernia without obstruction or gangrene - as a primary or secondary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
METHODIST HOSPITAL 7700 FLOYD CURL DRIVE SAN ANTONIO TX 78229 101
ADVENTHEALTH ORLANDO 601 E ROLLINS ST ORLANDO FL 32803 74
BRYAN MEDICAL CENTER 1600 S 48TH ST LINCOLN NE 68506 67

Top Operating Physicians Associated With K469 - Unspecified abdominal hernia without obstruction or gangrene - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. GARTH D PHIBBS 2109 HUGHES DR TOLEDO OH 43606 20
Dr. MUHAMMAD MAHMOOD ALAM 1019 E WATER ST ELMIRA NY 14901 19
Dr. PAUL MAKELA 3011 W GRAND BLVD DETROIT MI 48202 16

Top Attending Physicians Associated With K469 - Unspecified abdominal hernia without obstruction or gangrene - as a primary or secondary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. KEVIN JEROME COLLINS 3401 SPRINGHILL DRIVE NORTH LITTLE ROCK AR 72117 27
Dr. MARVIN BRUCE SANDERSON 500 S UNIVERSITY AVE LITTLE ROCK AR 72205 21
Dr. MUHAMMAD MAHMOOD ALAM 1019 E WATER ST ELMIRA NY 14901 21

AI Identified Top 50 Most Common Comorbid Conditions Associated With K469 - Unspecified abdominal hernia without obstruction or gangrene   |  Back to Top


No ICD Diagnosis Code Description
1 E039 Hypothyroidism, unspecified
2 I2510 Atherosclerotic heart disease of native coronary artery without angina pectoris