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M4803 - ICD 10 Diagnosis Code - Spinal stenosis, cervicothoracic region - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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Key Statistics Related to M4803 - Spinal stenosis, cervicothoracic region

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

M4803 - Spinal stenosis, cervicothoracic region - as a primary diagnosis code M4803 - Spinal stenosis, cervicothoracic region - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 4.92
Readmission Rate (%) 25.28
Unplanned Readmission Rate (%) 6.16
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 M4803 - Spinal stenosis, cervicothoracic region - 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 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 63,286
Total Hospitalizations with ICD M4803 - Spinal stenosis, cervicothoracic region 232
DRG Share of Total Hospitalizations 0.19
% of Total ICD M4803 - Spinal stenosis, cervicothoracic region in DRG 26.67
Avg LOS at DRG 1.72
Avg LOS with ICD M4803 - Spinal stenosis, cervicothoracic region 1.79
Readmission Rate at DRG 8.56
Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region 11.45
Unplanned Readmission Rate at DRG 3.51
Unplanned Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region NA
Total Medicare payments at DRG $814,610,584
Total Medicare payments with ICD M4803 - Spinal stenosis, cervicothoracic region $3,071,966
Total Medicare payment per Day at DRG $7,479
Total Medicare payment per Day with ICD M4803 - Spinal stenosis, cervicothoracic region $7,385
Total Medicare payment per Hospitalization at DRG $12,872
Total Medicare payment per Hospitalization with ICD M4803 - Spinal stenosis, cervicothoracic region $13,241
Total Medicare Charges at DRG $4,641,508,729
Total Medicare Charges with ICD M4803 - Spinal stenosis, cervicothoracic region $17,477,756
Avg Charges at DRG $73,342
Avg Charges with ICD M4803 - Spinal stenosis, cervicothoracic region $75,335
Mortality Rate at DRG NA
Mortality Rate with ICD M4803 - Spinal stenosis, cervicothoracic region NA
SNF Discharge Rate at DRG 3.8
SNF Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region NA
Home Discharge Rate at DRG 81.78
Home Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region 79.74

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 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 30,121
Total Hospitalizations with ICD M4803 - Spinal stenosis, cervicothoracic region 28
DRG Share of Total Hospitalizations 0.09
% of Total ICD M4803 - Spinal stenosis, cervicothoracic region in DRG 3.22
Avg LOS at DRG 4.83
Avg LOS with ICD M4803 - Spinal stenosis, cervicothoracic region 4.11
Readmission Rate at DRG 25.27
Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region NA
Unplanned Readmission Rate at DRG 5.39
Unplanned Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region NA
Total Medicare payments at DRG $1,452,399,208
Total Medicare payments with ICD M4803 - Spinal stenosis, cervicothoracic region $1,399,998
Total Medicare payment per Day at DRG $9,984
Total Medicare payment per Day with ICD M4803 - Spinal stenosis, cervicothoracic region $12,174
Total Medicare payment per Hospitalization at DRG $48,219
Total Medicare payment per Hospitalization with ICD M4803 - Spinal stenosis, cervicothoracic region $50,000
Total Medicare Charges at DRG $6,527,772,651
Total Medicare Charges with ICD M4803 - Spinal stenosis, cervicothoracic region $5,202,755
Avg Charges at DRG $216,718
Avg Charges with ICD M4803 - Spinal stenosis, cervicothoracic region $185,813
Mortality Rate at DRG 0.06
Mortality Rate with ICD M4803 - Spinal stenosis, cervicothoracic region NA
SNF Discharge Rate at DRG 21.6
SNF Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region NA
Home Discharge Rate at DRG 38.16
Home Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region 53.57

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 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 30,062
Total Hospitalizations with ICD M4803 - Spinal stenosis, cervicothoracic region 17
DRG Share of Total Hospitalizations 0.09
% of Total ICD M4803 - Spinal stenosis, cervicothoracic region in DRG 1.95
Avg LOS at DRG 2.14
Avg LOS with ICD M4803 - Spinal stenosis, cervicothoracic region 2.18
Readmission Rate at DRG 11.6
Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region NA
Unplanned Readmission Rate at DRG 3.9
Unplanned Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region NA
Total Medicare payments at DRG $199,571,619
Total Medicare payments with ICD M4803 - Spinal stenosis, cervicothoracic region $102,570
Total Medicare payment per Day at DRG $3,102
Total Medicare payment per Day with ICD M4803 - Spinal stenosis, cervicothoracic region $2,772
Total Medicare payment per Hospitalization at DRG $6,639
Total Medicare payment per Hospitalization with ICD M4803 - Spinal stenosis, cervicothoracic region $6,034
Total Medicare Charges at DRG $1,429,977,155
Total Medicare Charges with ICD M4803 - Spinal stenosis, cervicothoracic region $861,638
Avg Charges at DRG $47,568
Avg Charges with ICD M4803 - Spinal stenosis, cervicothoracic region $50,685
Mortality Rate at DRG NA
Mortality Rate with ICD M4803 - Spinal stenosis, cervicothoracic region NA
SNF Discharge Rate at DRG 8.82
SNF Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region NA
Home Discharge Rate at DRG 68.77
Home Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region 88.24

Top DRGs Associated With M4803 - Spinal stenosis, cervicothoracic region - 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 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) DRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 63,286
Total Hospitalizations with ICD M4803 - Spinal stenosis, cervicothoracic region 682
DRG Share of Total Hospitalizations 0.19
% of Total ICD M4803 - Spinal stenosis, cervicothoracic region in DRG 18.77
Avg LOS at DRG 1.72
Avg LOS with ICD M4803 - Spinal stenosis, cervicothoracic region 1.89
Readmission Rate at DRG 8.56
Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region 10.06
Unplanned Readmission Rate at DRG 3.51
Unplanned Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region 2.55
Total Medicare payments at DRG $814,610,584
Total Medicare payments with ICD M4803 - Spinal stenosis, cervicothoracic region $8,916,448
Total Medicare payment per Day at DRG $7,479
Total Medicare payment per Day with ICD M4803 - Spinal stenosis, cervicothoracic region $6,901
Total Medicare payment per Hospitalization at DRG $12,872
Total Medicare payment per Hospitalization with ICD M4803 - Spinal stenosis, cervicothoracic region $13,074
Total Medicare Charges at DRG $4,641,508,729
Total Medicare Charges with ICD M4803 - Spinal stenosis, cervicothoracic region $55,151,014
Avg Charges at DRG $73,342
Avg Charges with ICD M4803 - Spinal stenosis, cervicothoracic region $80,867
Mortality Rate at DRG NA
Mortality Rate with ICD M4803 - Spinal stenosis, cervicothoracic region NA
SNF Discharge Rate at DRG 3.8
SNF Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region 4.11
Home Discharge Rate at DRG 81.78
Home Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region 79.18

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 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 11,165
Total Hospitalizations with ICD M4803 - Spinal stenosis, cervicothoracic region 116
DRG Share of Total Hospitalizations 0.03
% of Total ICD M4803 - Spinal stenosis, cervicothoracic region in DRG 3.19
Avg LOS at DRG 8.45
Avg LOS with ICD M4803 - Spinal stenosis, cervicothoracic region 7.53
Readmission Rate at DRG 43.41
Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region 46.3
Unplanned Readmission Rate at DRG 8.76
Unplanned Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region 12.04
Total Medicare payments at DRG $378,975,481
Total Medicare payments with ICD M4803 - Spinal stenosis, cervicothoracic region $3,978,688
Total Medicare payment per Day at DRG $4,018
Total Medicare payment per Day with ICD M4803 - Spinal stenosis, cervicothoracic region $4,557
Total Medicare payment per Hospitalization at DRG $33,943
Total Medicare payment per Hospitalization with ICD M4803 - Spinal stenosis, cervicothoracic region $34,299
Total Medicare Charges at DRG $1,826,793,767
Total Medicare Charges with ICD M4803 - Spinal stenosis, cervicothoracic region $19,680,747
Avg Charges at DRG $163,618
Avg Charges with ICD M4803 - Spinal stenosis, cervicothoracic region $169,662
Mortality Rate at DRG 3.84
Mortality Rate with ICD M4803 - Spinal stenosis, cervicothoracic region NA
SNF Discharge Rate at DRG 26.49
SNF Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region 35.34
Home Discharge Rate at DRG 23.25
Home Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region 15.52

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 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS
Total Hospitalizations at DRG 43,598
Total Hospitalizations with ICD M4803 - Spinal stenosis, cervicothoracic region 56
DRG Share of Total Hospitalizations 0.13
% of Total ICD M4803 - Spinal stenosis, cervicothoracic region in DRG 1.54
Avg LOS at DRG 2.56
Avg LOS with ICD M4803 - Spinal stenosis, cervicothoracic region 1.75
Readmission Rate at DRG 13.58
Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region NA
Unplanned Readmission Rate at DRG 5.0
Unplanned Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region NA
Total Medicare payments at DRG $405,277,239
Total Medicare payments with ICD M4803 - Spinal stenosis, cervicothoracic region $401,212
Total Medicare payment per Day at DRG $3,633
Total Medicare payment per Day with ICD M4803 - Spinal stenosis, cervicothoracic region $4,094
Total Medicare payment per Hospitalization at DRG $9,296
Total Medicare payment per Hospitalization with ICD M4803 - Spinal stenosis, cervicothoracic region $7,165
Total Medicare Charges at DRG $2,108,105,162
Total Medicare Charges with ICD M4803 - Spinal stenosis, cervicothoracic region $2,608,826
Avg Charges at DRG $48,353
Avg Charges with ICD M4803 - Spinal stenosis, cervicothoracic region $46,586
Mortality Rate at DRG NA
Mortality Rate with ICD M4803 - Spinal stenosis, cervicothoracic region NA
SNF Discharge Rate at DRG 16.27
SNF Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region NA
Home Discharge Rate at DRG 57.43
Home Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region 78.57

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 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 6,227
Total Hospitalizations with ICD M4803 - Spinal stenosis, cervicothoracic region 29
DRG Share of Total Hospitalizations 0.02
% of Total ICD M4803 - Spinal stenosis, cervicothoracic region in DRG 0.8
Avg LOS at DRG 11.45
Avg LOS with ICD M4803 - Spinal stenosis, cervicothoracic region 11.69
Readmission Rate at DRG 51.82
Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region 60.0
Unplanned Readmission Rate at DRG 10.35
Unplanned Readmission Rate with ICD M4803 - Spinal stenosis, cervicothoracic region NA
Total Medicare payments at DRG $241,416,949
Total Medicare payments with ICD M4803 - Spinal stenosis, cervicothoracic region $1,331,640
Total Medicare payment per Day at DRG $3,385
Total Medicare payment per Day with ICD M4803 - Spinal stenosis, cervicothoracic region $3,928
Total Medicare payment per Hospitalization at DRG $38,769
Total Medicare payment per Hospitalization with ICD M4803 - Spinal stenosis, cervicothoracic region $45,919
Total Medicare Charges at DRG $1,126,422,406
Total Medicare Charges with ICD M4803 - Spinal stenosis, cervicothoracic region $7,601,245
Avg Charges at DRG $180,893
Avg Charges with ICD M4803 - Spinal stenosis, cervicothoracic region $262,112
Mortality Rate at DRG 5.91
Mortality Rate with ICD M4803 - Spinal stenosis, cervicothoracic region NA
SNF Discharge Rate at DRG 25.95
SNF Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region 41.38
Home Discharge Rate at DRG 13.46
Home Discharge Rate with ICD M4803 - Spinal stenosis, cervicothoracic region NA

Top Hospitals Associated With M4803 - Spinal stenosis, cervicothoracic region - 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 )
ABBOTT NORTHWESTERN HOSPITAL 800 E 28TH ST MINNEAPOLIS MN 55407 47
HOSPITAL FOR SPECIAL SURGERY 535 E 70TH ST NEW YORK NY 10021 28
RENOWN REGIONAL MEDICAL CENTER 1155 MILL STREET RENO NV 89502 24

Top Operating Physicians Associated With M4803 - Spinal stenosis, cervicothoracic region - 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. GARRY M BANKS 8232 HIGHWAY 65 NE SPRING LAKE PARK MN 55432 15

Top Attending Physicians Associated With M4803 - Spinal stenosis, cervicothoracic region - 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. GARRY M BANKS 8232 HIGHWAY 65 NE SPRING LAKE PARK MN 55432 15

AI Identified Top 50 Most Common Comorbid Conditions Associated With M4803 - Spinal stenosis, cervicothoracic region   |  Back to Top


No ICD Diagnosis Code Description
1 M4802 Spinal stenosis, cervical region
2 Z87891 Personal history of nicotine dependence
3 K219 Gastro-esophageal reflux disease without esophagitis
4 I10 Essential (primary) hypertension