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

M48061 - ICD 10 Diagnosis Code - Spinal stenosis, lumbar region without neurogenic claudication - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians

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Key Statistics Related to M48061 - Spinal stenosis, lumbar region without neurogenic claudication

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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.

M48061 - Spinal stenosis, lumbar region without neurogenic claudication - as a primary diagnosis code M48061 - Spinal stenosis, lumbar region without neurogenic claudication - as a primary or secondary diagnosis code
OUTCOMES
Avg. LOS 4.99
Readmission Rate (%) 21.15
Unplanned Readmission Rate (%) 6.04
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

Table of Contents

No Quality Metrics
Top DRGs Associated With M48061 - Spinal stenosis, lumbar region without neurogenic claudication - as a primary diagnosis code
Top Hospitals Associated With M48061 - Spinal stenosis, lumbar region without neurogenic claudication - as a primary diagnosis code
Top Operating Physicians Associated With M48061 - Spinal stenosis, lumbar region without neurogenic claudication - as a primary diagnosis code
Top Attending Physicians Associated With M48061 - Spinal stenosis, lumbar region without neurogenic claudication - as a primary diagnosis code
Top DRGs Associated With M48061 - Spinal stenosis, lumbar region without neurogenic claudication - as a primary or secondary diagnosis code
Top Hospitals Associated With M48061 - Spinal stenosis, lumbar region without neurogenic claudication - as a primary or secondary diagnosis code
Top Operating Physicians Associated With M48061 - Spinal stenosis, lumbar region without neurogenic claudication - as a primary or secondary diagnosis code
Top Attending Physicians Associated With M48061 - Spinal stenosis, lumbar region without neurogenic claudication - as a primary or secondary diagnosis code
Machine Learning Identified Top 50 Most Common Comorbid Conditions Associated With M48061 - Spinal stenosis, lumbar region without neurogenic claudication

Top DRGs Associated With M48061 - Spinal stenosis, lumbar region without neurogenic claudication - 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 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) DRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 215,355
Total Hospitalizations with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 12,031
DRG Share of Total Hospitalizations 0.66
% of Total ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication in DRG 34.92
Avg LOS at DRG 3.28
Avg LOS with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 3.15
Readmission Rate at DRG 16.7
Readmission Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 16.05
Unplanned Readmission Rate at DRG 4.47
Unplanned Readmission Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 4.29
Total Medicare payments at DRG $5,278,830,730
Total Medicare payments with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $294,076,163
Total Medicare payment per Day at DRG $7,462
Total Medicare payment per Day with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $7,772
Total Medicare payment per Hospitalization at DRG $24,512
Total Medicare payment per Hospitalization with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $24,443
Total Medicare Charges at DRG $25,567,888,167
Total Medicare Charges with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $1,497,149,792
Avg Charges at DRG $118,724
Avg Charges with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $124,441
Mortality Rate at DRG 0.03
Mortality Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication NA
SNF Discharge Rate at DRG 15.71
SNF Discharge Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 15.66
Home Discharge Rate at DRG 51.89
Home Discharge Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 51.04

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 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) DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES 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)
Total Hospitalizations at DRG 30,062
Total Hospitalizations with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 1,637
DRG Share of Total Hospitalizations 0.09
% of Total ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication in DRG 4.75
Avg LOS at DRG 2.14
Avg LOS with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 1.95
Readmission Rate at DRG 11.6
Readmission Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 11.12
Unplanned Readmission Rate at DRG 3.9
Unplanned Readmission Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 3.97
Total Medicare payments at DRG $199,571,619
Total Medicare payments with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $11,447,890
Total Medicare payment per Day at DRG $3,102
Total Medicare payment per Day with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $3,586
Total Medicare payment per Hospitalization at DRG $6,639
Total Medicare payment per Hospitalization with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $6,993
Total Medicare Charges at DRG $1,429,977,155
Total Medicare Charges with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $79,935,030
Avg Charges at DRG $47,568
Avg Charges with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $48,830
Mortality Rate at DRG NA
Mortality Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication NA
SNF Discharge Rate at DRG 8.82
SNF Discharge Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 9.47
Home Discharge Rate at DRG 68.77
Home Discharge Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 67.87

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 453: COMBINED ANTERIOR/POSTERIOR SPINAL FUSION 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 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 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 7,362
Total Hospitalizations with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 475
DRG Share of Total Hospitalizations 0.02
% of Total ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication in DRG 1.38
Avg LOS at DRG 10.04
Avg LOS with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 7.29
Readmission Rate at DRG 45.05
Readmission Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 35.17
Unplanned Readmission Rate at DRG 8.78
Unplanned Readmission Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 8.05
Total Medicare payments at DRG $550,960,642
Total Medicare payments with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $30,208,951
Total Medicare payment per Day at DRG $7,454
Total Medicare payment per Day with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $8,723
Total Medicare payment per Hospitalization at DRG $74,838
Total Medicare payment per Hospitalization with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $63,598
Total Medicare Charges at DRG $2,482,391,111
Total Medicare Charges with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $123,502,602
Avg Charges at DRG $337,190
Avg Charges with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $260,005
Mortality Rate at DRG 2.55
Mortality Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication NA
SNF Discharge Rate at DRG 31.16
SNF Discharge Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 34.11
Home Discharge Rate at DRG 16.07
Home Discharge Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 19.16

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 502: SOFT TISSUE PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 497: LOCAL EXCISION AND REMOVAL INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 501: SOFT TISSUE PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 11,926
Total Hospitalizations with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 54
DRG Share of Total Hospitalizations 0.04
% of Total ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication in DRG 0.16
Avg LOS at DRG 2.83
Avg LOS with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 1.56
Readmission Rate at DRG 11.81
Readmission Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication NA
Unplanned Readmission Rate at DRG 4.21
Unplanned Readmission Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication NA
Total Medicare payments at DRG $83,897,096
Total Medicare payments with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $377,494
Total Medicare payment per Day at DRG $2,482
Total Medicare payment per Day with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $4,494
Total Medicare payment per Hospitalization at DRG $7,035
Total Medicare payment per Hospitalization with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $6,991
Total Medicare Charges at DRG $520,541,143
Total Medicare Charges with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $2,272,464
Avg Charges at DRG $43,648
Avg Charges with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $42,083
Mortality Rate at DRG NA
Mortality Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication NA
SNF Discharge Rate at DRG 23.87
SNF Discharge Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication NA
Home Discharge Rate at DRG 46.55
Home Discharge Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 77.78

Top Hospitals Associated With M48061 - Spinal stenosis, lumbar region without neurogenic claudication - as a primary diagnosis code

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Hospital Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
MERCY MEDICAL CENTER 301 SAINT PAUL PL BALTIMORE MD 21202 287
CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD LOS ANGELES CA 90048 220
BEAUMONT HOSPITAL TROY 44201 DEQUINDRE RD TROY MI 48085 149

Top Operating Physicians Associated With M48061 - Spinal stenosis, lumbar region without neurogenic claudication - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. CLAYTON L DEAN 301 SAINT PAUL ST BALTIMORE MD 21202 98
Dr. CHARLES C EDWARDS, II 301 SAINT PAUL ST BALTIMORE MD 21202 86
Dr. ERIK C SPAYDE 558 SAINT CHARLES DR THOUSAND OAKS CA 91360 80

Top Attending Physicians Associated With M48061 - Spinal stenosis, lumbar region without neurogenic claudication - as a primary diagnosis code

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Physician Name Address City State Zip Code Total Hospitalizations ( Oct 2015 to Sep 2018 )
Dr. CLAYTON L DEAN 301 SAINT PAUL ST BALTIMORE MD 21202 99
Dr. CHARLES C EDWARDS, II 301 SAINT PAUL ST BALTIMORE MD 21202 79
Dr. ERIK C SPAYDE 558 SAINT CHARLES DR THOUSAND OAKS CA 91360 76

Top DRGs Associated With M48061 - Spinal stenosis, lumbar region without neurogenic claudication - 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 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) 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 M48061 - Spinal stenosis, lumbar region without neurogenic claudication 23,489
DRG Share of Total Hospitalizations 0.66
% of Total ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication in DRG 15.45
Avg LOS at DRG 3.28
Avg LOS with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 3.2
Readmission Rate at DRG 16.7
Readmission Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 16.47
Unplanned Readmission Rate at DRG 4.47
Unplanned Readmission Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 4.36
Total Medicare payments at DRG $5,278,830,730
Total Medicare payments with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $578,406,058
Total Medicare payment per Day at DRG $7,462
Total Medicare payment per Day with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $7,700
Total Medicare payment per Hospitalization at DRG $24,512
Total Medicare payment per Hospitalization with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $24,625
Total Medicare Charges at DRG $25,567,888,167
Total Medicare Charges with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $2,936,431,119
Avg Charges at DRG $118,724
Avg Charges with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $125,013
Mortality Rate at DRG 0.03
Mortality Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication NA
SNF Discharge Rate at DRG 15.71
SNF Discharge Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 15.33
Home Discharge Rate at DRG 51.89
Home Discharge Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 51.63

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 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH 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) DRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)
Total Hospitalizations at DRG 1,808,415
Total Hospitalizations with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 3,567
DRG Share of Total Hospitalizations 5.5
% of Total ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication in DRG 2.35
Avg LOS at DRG 6.34
Avg LOS with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 6.79
Readmission Rate at DRG 24.2
Readmission Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 25.51
Unplanned Readmission Rate at DRG 16.78
Unplanned Readmission Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 17.05
Total Medicare payments at DRG $21,288,214,047
Total Medicare payments with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $42,943,371
Total Medicare payment per Day at DRG $1,857
Total Medicare payment per Day with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $1,774
Total Medicare payment per Hospitalization at DRG $11,772
Total Medicare payment per Hospitalization with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $12,039
Total Medicare Charges at DRG $107,155,481,388
Total Medicare Charges with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $232,501,093
Avg Charges at DRG $59,254
Avg Charges with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $65,181
Mortality Rate at DRG 12.11
Mortality Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 6.31
SNF Discharge Rate at DRG 27.18
SNF Discharge Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 35.38
Home Discharge Rate at DRG 25.81
Home Discharge Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 21.11

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 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) DRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 45,626
Total Hospitalizations with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 2,276
DRG Share of Total Hospitalizations 0.14
% of Total ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication in DRG 1.5
Avg LOS at DRG 6.58
Avg LOS with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 6.58
Readmission Rate at DRG 28.01
Readmission Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 29.92
Unplanned Readmission Rate at DRG 15.44
Unplanned Readmission Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 16.31
Total Medicare payments at DRG $509,048,598
Total Medicare payments with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $25,206,518
Total Medicare payment per Day at DRG $1,696
Total Medicare payment per Day with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $1,682
Total Medicare payment per Hospitalization at DRG $11,157
Total Medicare payment per Hospitalization with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $11,075
Total Medicare Charges at DRG $2,333,825,338
Total Medicare Charges with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $118,962,291
Avg Charges at DRG $51,151
Avg Charges with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $52,268
Mortality Rate at DRG 4.28
Mortality Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 2.07
SNF Discharge Rate at DRG 39.84
SNF Discharge Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 41.7
Home Discharge Rate at DRG 18.35
Home Discharge Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 17.09

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 459: SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC)
Total Hospitalizations at DRG 16,812
Total Hospitalizations with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 1,493
DRG Share of Total Hospitalizations 0.05
% of Total ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication in DRG 0.98
Avg LOS at DRG 7.66
Avg LOS with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 7.47
Readmission Rate at DRG 36.82
Readmission Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 35.05
Unplanned Readmission Rate at DRG 8.15
Unplanned Readmission Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 8.54
Total Medicare payments at DRG $685,730,928
Total Medicare payments with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $59,019,407
Total Medicare payment per Day at DRG $5,325
Total Medicare payment per Day with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $5,290
Total Medicare payment per Hospitalization at DRG $40,788
Total Medicare payment per Hospitalization with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $39,531
Total Medicare Charges at DRG $3,152,175,405
Total Medicare Charges with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $298,825,592
Avg Charges at DRG $187,496
Avg Charges with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication $200,151
Mortality Rate at DRG 2.12
Mortality Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 1.07
SNF Discharge Rate at DRG 31.97
SNF Discharge Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 34.96
Home Discharge Rate at DRG 20.62
Home Discharge Rate with ICD M48061 - Spinal stenosis, lumbar region without neurogenic claudication 18.89

Top Hospitals Associated With M48061 - Spinal stenosis, lumbar region without neurogenic claudication - 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 861
NORTHSHORE UNIVERSITY HEALTHSYSTEM EVANSTON HOSPITAL 2650 RIDGE AVE EVANSTON IL 60201 531
CHRISTIANA CARE WILMINGTON HOSPITAL 501 W 14TH ST WILMINGTON DE 19801 515

Top Operating Physicians Associated With M48061 - Spinal stenosis, lumbar region without neurogenic claudication - 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. CLAYTON L DEAN 301 SAINT PAUL ST BALTIMORE MD 21202 129
Dr. ALEXANDRE RASOULI 444 S SAN VICENTE BLVD LOS ANGELES CA 90048 124
Dr. ERIK C SPAYDE 558 SAINT CHARLES DR THOUSAND OAKS CA 91360 123

Top Attending Physicians Associated With M48061 - Spinal stenosis, lumbar region without neurogenic claudication - 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. CLAYTON L DEAN 301 SAINT PAUL ST BALTIMORE MD 21202 132
Dr. ALEXANDRE RASOULI 444 S SAN VICENTE BLVD LOS ANGELES CA 90048 122
Dr. ERIK C SPAYDE 558 SAINT CHARLES DR THOUSAND OAKS CA 91360 117

AI Identified Top 50 Most Common Comorbid Conditions Associated With M48061 - Spinal stenosis, lumbar region without neurogenic claudication   |  Back to Top

No ICD Diagnosis Code Description
1 I2720 Pulmonary hypertension, unspecified
2 M4696 Unspecified inflammatory spondylopathy, lumbar region
3 M532X6 Spinal instabilities, lumbar region
4 M4186 Other forms of scoliosis, lumbar region
5 K567 Ileus, unspecified
6 M4316 Spondylolisthesis, lumbar region
7 G834 Cauda equina syndrome
8 K5903 Drug induced constipation
9 M5416 Radiculopathy, lumbar region
10 M5116 Intervertebral disc disorders with radiculopathy, lumbar region
11 R7303 Prediabetes
12 M4856XA Collapsed vertebra, not elsewhere classified, lumbar region, initial encounter for fracture
13 E1151 Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
14 M4726 Other spondylosis with radiculopathy, lumbar region
15 M7138 Other bursal cyst, other site
16 G9619 Other disorders of meninges, not elsewhere classified
17 Z98890 Other specified postprocedural states
18 Z7984 Long term (current) use of oral hypoglycemic drugs
19 M21371 Foot drop, right foot
20 I130 Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
21 M5126 Other intervertebral disc displacement, lumbar region
22 E7800 Pure hypercholesterolemia, unspecified
23 M21372 Foot drop, left foot
24 M47816 Spondylosis without myelopathy or radiculopathy, lumbar region
25 I110 Hypertensive heart disease with heart failure
26 M4310 Spondylolisthesis, site unspecified
27 G960 Cerebrospinal fluid leak
28 M5136 Other intervertebral disc degeneration, lumbar region
29 I9581 Postprocedural hypotension
30 M419 Scoliosis, unspecified
31 D62 Acute posthemorrhagic anemia
32 G9741 Accidental puncture or laceration of dura during a procedure
33 M4317 Spondylolisthesis, lumbosacral region
34 E782 Mixed hyperlipidemia
35 M961 Postlaminectomy syndrome, not elsewhere classified
36 Z7951 Long term (current) use of inhaled steroids
37 E1122 Type 2 diabetes mellitus with diabetic chronic kidney disease
38 M5441 Lumbago with sciatica, right side
39 Z90710 Acquired absence of both cervix and uterus
40 N401 Benign prostatic hyperplasia with lower urinary tract symptoms
41 I959 Hypotension, unspecified
42 M47817 Spondylosis without myelopathy or radiculopathy, lumbosacral region
43 R296 Repeated falls
44 K5909 Other constipation
45 Z79899 Other long term (current) drug therapy
46 M47896 Other spondylosis, lumbar region
47 E663 Overweight
48 Z96643 Presence of artificial hip joint, bilateral
49 I119 Hypertensive heart disease without heart failure
50 M170 Bilateral primary osteoarthritis of knee