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M4806 - ICD 10 Diagnosis Code - Spinal stenosis, lumbar region - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians


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ICD Code Description
M48061 Spinal stenosis, lumbar region without neurogenic claudication
M48062 Spinal stenosis, lumbar region with neurogenic claudication

Hospitalizations with M4806 - Spinal stenosis, lumbar region - as a primary diagnosis code

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

ICD Code ICD Description Total National Projected Hospitalizations - Annualized (Present on Admission - All) Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) Total Medicare Hospitalization after Exclusion Avg. LOS Readmission Rate (%) Unplanned Readmission Rate (%) Total Medicare Payments Payment Per Day Payment Per Hospitalization Total Medicare Charges Avg. Charges Mortality Rate (%) SNF Discharge Rate (%) Home Discharge Rate (%)
M4806 Spinal stenosis, lumbar region 87,600 113,076
M48061 Spinal stenosis, lumbar region without neurogenic claudication NA 34,456
M48062 Spinal stenosis, lumbar region with neurogenic claudication NA 30,882

Hospitalizations with M4806 - Spinal stenosis, lumbar region - as a primary or secondary diagnosis code

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

ICD Code ICD Description 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 Hospitalization after Exclusion Avg. LOS Readmission Rate (%) Unplanned Readmission Rate (%) Total Medicare Payments Payment Per Day Payment Per Hospitalization Total Medicare Charges Avg. Charges Mortality Rate (%) SNF Discharge Rate (%) Home Discharge Rate (%)
M4806 Spinal stenosis, lumbar region 268,000 374,932
M48061 Spinal stenosis, lumbar region without neurogenic claudication NA 152,034
M48062 Spinal stenosis, lumbar region with neurogenic claudication NA 52,124

Top DRGs Associated With M4806 - Spinal stenosis, lumbar 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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 215,355
Total Hospitalizations with ICD M4806 - Spinal stenosis, lumbar region 52,042
DRG Share of Total Hospitalizations 0.66
% of Total ICD M4806 - Spinal stenosis, lumbar region in DRG 46.02
Avg LOS at DRG 3.28
Avg LOS with ICD M4806 - Spinal stenosis, lumbar region 3.27
Readmission Rate at DRG 16.7
Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region 16.43
Unplanned Readmission Rate at DRG 4.47
Unplanned Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region 4.51
Total Medicare payments at DRG $5,278,830,730
Total Medicare payments with ICD M4806 - Spinal stenosis, lumbar region $1,262,607,632
Total Medicare payment per Day at DRG $7,462
Total Medicare payment per Day with ICD M4806 - Spinal stenosis, lumbar region $7,425
Total Medicare payment per Hospitalization at DRG $24,512
Total Medicare payment per Hospitalization with ICD M4806 - Spinal stenosis, lumbar region $24,261
Total Medicare Charges at DRG $25,567,888,167
Total Medicare Charges with ICD M4806 - Spinal stenosis, lumbar region $5,871,142,187
Avg Charges at DRG $118,724
Avg Charges with ICD M4806 - Spinal stenosis, lumbar region $112,815
Mortality Rate at DRG 0.03
Mortality Rate with ICD M4806 - Spinal stenosis, lumbar region 0.03
SNF Discharge Rate at DRG 15.71
SNF Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region 17.37
Home Discharge Rate at DRG 51.89
Home Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region 50.27

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 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR DRG 455: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 42,559
Total Hospitalizations with ICD M4806 - Spinal stenosis, lumbar region 5,630
DRG Share of Total Hospitalizations 0.13
% of Total ICD M4806 - Spinal stenosis, lumbar region in DRG 4.98
Avg LOS at DRG 4.67
Avg LOS with ICD M4806 - Spinal stenosis, lumbar region 3.47
Readmission Rate at DRG 23.96
Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region 21.85
Unplanned Readmission Rate at DRG 9.89
Unplanned Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region 5.75
Total Medicare payments at DRG $524,182,097
Total Medicare payments with ICD M4806 - Spinal stenosis, lumbar region $67,947,022
Total Medicare payment per Day at DRG $2,636
Total Medicare payment per Day with ICD M4806 - Spinal stenosis, lumbar region $3,475
Total Medicare payment per Hospitalization at DRG $12,317
Total Medicare payment per Hospitalization with ICD M4806 - Spinal stenosis, lumbar region $12,069
Total Medicare Charges at DRG $2,765,571,309
Total Medicare Charges with ICD M4806 - Spinal stenosis, lumbar region $303,590,745
Avg Charges at DRG $64,982
Avg Charges with ICD M4806 - Spinal stenosis, lumbar region $53,924
Mortality Rate at DRG 0.11
Mortality Rate with ICD M4806 - Spinal stenosis, lumbar region NA
SNF Discharge Rate at DRG 33.62
SNF Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region 20.92
Home Discharge Rate at DRG 31.52
Home Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region 43.04

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 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH 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 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 458: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 45,626
Total Hospitalizations with ICD M4806 - Spinal stenosis, lumbar region 2,137
DRG Share of Total Hospitalizations 0.14
% of Total ICD M4806 - Spinal stenosis, lumbar region in DRG 1.89
Avg LOS at DRG 6.58
Avg LOS with ICD M4806 - Spinal stenosis, lumbar region 7.43
Readmission Rate at DRG 28.01
Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region 28.04
Unplanned Readmission Rate at DRG 15.44
Unplanned Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region 14.87
Total Medicare payments at DRG $509,048,598
Total Medicare payments with ICD M4806 - Spinal stenosis, lumbar region $25,449,741
Total Medicare payment per Day at DRG $1,696
Total Medicare payment per Day with ICD M4806 - Spinal stenosis, lumbar region $1,603
Total Medicare payment per Hospitalization at DRG $11,157
Total Medicare payment per Hospitalization with ICD M4806 - Spinal stenosis, lumbar region $11,909
Total Medicare Charges at DRG $2,333,825,338
Total Medicare Charges with ICD M4806 - Spinal stenosis, lumbar region $101,500,900
Avg Charges at DRG $51,151
Avg Charges with ICD M4806 - Spinal stenosis, lumbar region $47,497
Mortality Rate at DRG 4.28
Mortality Rate with ICD M4806 - Spinal stenosis, lumbar region 1.64
SNF Discharge Rate at DRG 39.84
SNF Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region 36.03
Home Discharge Rate at DRG 18.35
Home Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region 21.57

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 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 502: SOFT TISSUE PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 465: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 5,040
Total Hospitalizations with ICD M4806 - Spinal stenosis, lumbar region 178
DRG Share of Total Hospitalizations 0.02
% of Total ICD M4806 - Spinal stenosis, lumbar region in DRG 0.16
Avg LOS at DRG 11.53
Avg LOS with ICD M4806 - Spinal stenosis, lumbar region 8.77
Readmission Rate at DRG 51.77
Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region 46.82
Unplanned Readmission Rate at DRG 11.61
Unplanned Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region 12.14
Total Medicare payments at DRG $358,064,249
Total Medicare payments with ICD M4806 - Spinal stenosis, lumbar region $12,886,449
Total Medicare payment per Day at DRG $6,161
Total Medicare payment per Day with ICD M4806 - Spinal stenosis, lumbar region $8,255
Total Medicare payment per Hospitalization at DRG $71,044
Total Medicare payment per Hospitalization with ICD M4806 - Spinal stenosis, lumbar region $72,396
Total Medicare Charges at DRG $1,557,634,832
Total Medicare Charges with ICD M4806 - Spinal stenosis, lumbar region $51,361,853
Avg Charges at DRG $309,055
Avg Charges with ICD M4806 - Spinal stenosis, lumbar region $288,550
Mortality Rate at DRG 3.35
Mortality Rate with ICD M4806 - Spinal stenosis, lumbar region NA
SNF Discharge Rate at DRG 36.57
SNF Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region 37.64
Home Discharge Rate at DRG 9.72
Home Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region 12.92

Top Hospitals Associated With M4806 - Spinal stenosis, lumbar region - as a primary 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 862
HOSPITAL FOR SPECIAL SURGERY 535 E 70TH ST NEW YORK NY 10021 730
SAINT THOMAS HOSPITAL FOR SPECIALTY SURGERY 2011 MURPHY AVENUE NASHVILLE TN 37203 501

Top Operating Physicians Associated With M4806 - Spinal stenosis, lumbar region - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. CHRISTOPHER ROBERT BROWN 40 DUKE MEDICINE CIR DURHAM NC 27710 187
Dr. JOSEPH M. GRAHAM 444 FOUR STATES DR. GALENA KS 66739 170
Dr. MANUEL R PINTO 913 E 26TH ST MINNEAPOLIS MN 55404 163

Top Attending Physicians Associated With M4806 - Spinal stenosis, lumbar region - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. CHRISTOPHER ROBERT BROWN 40 DUKE MEDICINE CIR DURHAM NC 27710 187
Dr. JOSEPH M. GRAHAM 444 FOUR STATES DR. GALENA KS 66739 170
Dr. MANUEL R PINTO 913 E 26TH ST MINNEAPOLIS MN 55404 158

Top DRGs Associated With M4806 - Spinal stenosis, lumbar 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 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/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 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 215,355
Total Hospitalizations with ICD M4806 - Spinal stenosis, lumbar region 99,770
DRG Share of Total Hospitalizations 0.66
% of Total ICD M4806 - Spinal stenosis, lumbar region in DRG 26.61
Avg LOS at DRG 3.28
Avg LOS with ICD M4806 - Spinal stenosis, lumbar region 3.26
Readmission Rate at DRG 16.7
Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region 16.35
Unplanned Readmission Rate at DRG 4.47
Unplanned Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region 4.42
Total Medicare payments at DRG $5,278,830,730
Total Medicare payments with ICD M4806 - Spinal stenosis, lumbar region $2,424,527,563
Total Medicare payment per Day at DRG $7,462
Total Medicare payment per Day with ICD M4806 - Spinal stenosis, lumbar region $7,443
Total Medicare payment per Hospitalization at DRG $24,512
Total Medicare payment per Hospitalization with ICD M4806 - Spinal stenosis, lumbar region $24,301
Total Medicare Charges at DRG $25,567,888,167
Total Medicare Charges with ICD M4806 - Spinal stenosis, lumbar region $11,462,101,443
Avg Charges at DRG $118,724
Avg Charges with ICD M4806 - Spinal stenosis, lumbar region $114,885
Mortality Rate at DRG 0.03
Mortality Rate with ICD M4806 - Spinal stenosis, lumbar region 0.03
SNF Discharge Rate at DRG 15.71
SNF Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region 16.61
Home Discharge Rate at DRG 51.89
Home Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region 51.12

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 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS 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 26,458
Total Hospitalizations with ICD M4806 - Spinal stenosis, lumbar region 9,307
DRG Share of Total Hospitalizations 0.08
% of Total ICD M4806 - Spinal stenosis, lumbar region in DRG 2.48
Avg LOS at DRG 3.91
Avg LOS with ICD M4806 - Spinal stenosis, lumbar region 3.74
Readmission Rate at DRG 24.53
Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region 22.68
Unplanned Readmission Rate at DRG 6.06
Unplanned Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region 5.87
Total Medicare payments at DRG $282,780,660
Total Medicare payments with ICD M4806 - Spinal stenosis, lumbar region $95,246,094
Total Medicare payment per Day at DRG $2,732
Total Medicare payment per Day with ICD M4806 - Spinal stenosis, lumbar region $2,737
Total Medicare payment per Hospitalization at DRG $10,688
Total Medicare payment per Hospitalization with ICD M4806 - Spinal stenosis, lumbar region $10,234
Total Medicare Charges at DRG $1,744,158,849
Total Medicare Charges with ICD M4806 - Spinal stenosis, lumbar region $568,046,097
Avg Charges at DRG $65,922
Avg Charges with ICD M4806 - Spinal stenosis, lumbar region $61,034
Mortality Rate at DRG 0.09
Mortality Rate with ICD M4806 - Spinal stenosis, lumbar region NA
SNF Discharge Rate at DRG 19.7
SNF Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region 20.04
Home Discharge Rate at DRG 44.06
Home Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region 45.39

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 454: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) OR DISC DEVICE OR NEUROSTIMULATOR DRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH COMPLICATION OR COMORBIDITY (CC) DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 30,121
Total Hospitalizations with ICD M4806 - Spinal stenosis, lumbar region 5,909
DRG Share of Total Hospitalizations 0.09
% of Total ICD M4806 - Spinal stenosis, lumbar region in DRG 1.58
Avg LOS at DRG 4.83
Avg LOS with ICD M4806 - Spinal stenosis, lumbar region 5.04
Readmission Rate at DRG 25.27
Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region 25.49
Unplanned Readmission Rate at DRG 5.39
Unplanned Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region 5.25
Total Medicare payments at DRG $1,452,399,208
Total Medicare payments with ICD M4806 - Spinal stenosis, lumbar region $327,649,556
Total Medicare payment per Day at DRG $9,984
Total Medicare payment per Day with ICD M4806 - Spinal stenosis, lumbar region $10,996
Total Medicare payment per Hospitalization at DRG $48,219
Total Medicare payment per Hospitalization with ICD M4806 - Spinal stenosis, lumbar region $55,449
Total Medicare Charges at DRG $6,527,772,651
Total Medicare Charges with ICD M4806 - Spinal stenosis, lumbar region $1,507,243,533
Avg Charges at DRG $216,718
Avg Charges with ICD M4806 - Spinal stenosis, lumbar region $255,076
Mortality Rate at DRG 0.06
Mortality Rate with ICD M4806 - Spinal stenosis, lumbar region NA
SNF Discharge Rate at DRG 21.6
SNF Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region 24.0
Home Discharge Rate at DRG 38.16
Home Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region 34.37

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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 949: AFTERCARE WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 474,314
Total Hospitalizations with ICD M4806 - Spinal stenosis, lumbar region 3,333
DRG Share of Total Hospitalizations 1.44
% of Total ICD M4806 - Spinal stenosis, lumbar region in DRG 0.89
Avg LOS at DRG 3.53
Avg LOS with ICD M4806 - Spinal stenosis, lumbar region 3.98
Readmission Rate at DRG 18.03
Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region 18.56
Unplanned Readmission Rate at DRG 12.55
Unplanned Readmission Rate with ICD M4806 - Spinal stenosis, lumbar region 11.72
Total Medicare payments at DRG $2,312,733,090
Total Medicare payments with ICD M4806 - Spinal stenosis, lumbar region $16,363,837
Total Medicare payment per Day at DRG $1,380
Total Medicare payment per Day with ICD M4806 - Spinal stenosis, lumbar region $1,233
Total Medicare payment per Hospitalization at DRG $4,876
Total Medicare payment per Hospitalization with ICD M4806 - Spinal stenosis, lumbar region $4,910
Total Medicare Charges at DRG $11,559,952,314
Total Medicare Charges with ICD M4806 - Spinal stenosis, lumbar region $94,246,351
Avg Charges at DRG $24,372
Avg Charges with ICD M4806 - Spinal stenosis, lumbar region $28,277
Mortality Rate at DRG 0.22
Mortality Rate with ICD M4806 - Spinal stenosis, lumbar region NA
SNF Discharge Rate at DRG 25.96
SNF Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region 33.72
Home Discharge Rate at DRG 43.58
Home Discharge Rate with ICD M4806 - Spinal stenosis, lumbar region 32.52

Top Hospitals Associated With M4806 - Spinal stenosis, lumbar 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 )
CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD LOS ANGELES CA 90048 1,888
ABBOTT NORTHWESTERN HOSPITAL 800 E 28TH ST MINNEAPOLIS MN 55407 1,503
BEAUMONT HOSPITAL ROYAL OAK 3601 W 13 MILE RD ROYAL OAK MI 48073 1,292

Top Operating Physicians Associated With M4806 - Spinal stenosis, lumbar 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. DANIEL MARK WILLIAMS 5 FIRST VILLAGE DR PINEHURST NC 28374 322
Dr. MANUEL R PINTO 913 E 26TH ST MINNEAPOLIS MN 55404 239
Dr. CLAYTON L DEAN 301 SAINT PAUL ST BALTIMORE MD 21202 238

Top Attending Physicians Associated With M4806 - Spinal stenosis, lumbar 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. DANIEL MARK WILLIAMS 5 FIRST VILLAGE DR PINEHURST NC 28374 317
Dr. CLAYTON L DEAN 301 SAINT PAUL ST BALTIMORE MD 21202 238
Dr. HENRY E ARYAN 1630 E HERNDON AVE FRESNO CA 93720 233

Machine Learning Identified Top 50 Most Common Comorbid Conditions Associated With M4806 - Spinal stenosis, lumbar region   |  Back to Top


No ICD Diagnosis Code Description
1 K913 Postprocedural intestinal obstruction
2 G9519 Other vascular myelopathies
3 N9989 Other postprocedural complications and disorders of genitourinary system
4 M4316 Spondylolisthesis, lumbar region
5 M4180 Other forms of scoliosis, site unspecified
6 E780 Pure hypercholesterolemia
7 G9611 Dural tear
8 M4310 Spondylolisthesis, site unspecified
9 M129 Arthropathy, unspecified
10 G9612 Meningeal adhesions (cerebral) (spinal)
11 M7138 Other bursal cyst, other site
12 M532X6 Spinal instabilities, lumbar region
13 E882 Lipomatosis, not elsewhere classified
14 G9741 Accidental puncture or laceration of dura during a procedure
15 Z9889 Other specified postprocedural states
16 M5416 Radiculopathy, lumbar region
17 M4186 Other forms of scoliosis, lumbar region
18 G834 Cauda equina syndrome
19 I272 Other secondary pulmonary hypertension
20 R5082 Postprocedural fever
21 M4306 Spondylolysis, lumbar region
22 G9619 Other disorders of meninges, not elsewhere classified
23 M419 Scoliosis, unspecified
24 M5126 Other intervertebral disc displacement, lumbar region
25 I9581 Postprocedural hypotension
26 G960 Cerebrospinal fluid leak
27 D62 Acute posthemorrhagic anemia
28 I739 Peripheral vascular disease, unspecified
29 M5136 Other intervertebral disc degeneration, lumbar region
30 M1288 Other specific arthropathies, not elsewhere classified, other specified site
31 M5116 Intervertebral disc disorders with radiculopathy, lumbar region
32 M47896 Other spondylosis, lumbar region
33 M4726 Other spondylosis with radiculopathy, lumbar region
34 D500 Iron deficiency anemia secondary to blood loss (chronic)
35 M21372 Foot drop, left foot
36 M5106 Intervertebral disc disorders with myelopathy, lumbar region
37 M47816 Spondylosis without myelopathy or radiculopathy, lumbar region
38 M4716 Other spondylosis with myelopathy, lumbar region
39 M5430 Sciatica, unspecified side
40 M21371 Foot drop, right foot
41 R338 Other retention of urine
42 M4696 Unspecified inflammatory spondylopathy, lumbar region
43 H269 Unspecified cataract
44 N529 Male erectile dysfunction, unspecified
45 R339 Retention of urine, unspecified
46 K567 Ileus, unspecified
47 T40605A Adverse effect of unspecified narcotics, initial encounter
48 E8351 Hypocalcemia
49 M4856XA Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture
50 M961 Postlaminectomy syndrome, not elsewhere classified