*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| O82 - Encounter for cesarean delivery without indication - as a primary diagnosis code | O82 - Encounter for cesarean delivery without indication - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 3.12 | |
| Readmission Rate (%) | NA | |
| Unplanned Readmission Rate (%) | NA | |
| 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 | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 766: CESAREAN SECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 765: CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 6,350 | |
| Total Hospitalizations with ICD O82 - Encounter for cesarean delivery without indication | 43 | |
| DRG Share of Total Hospitalizations | 0.02 | |
| % of Total ICD O82 - Encounter for cesarean delivery without indication in DRG | 59.72 | |
| Avg LOS at DRG | 3.07 | |
| Avg LOS with ICD O82 - Encounter for cesarean delivery without indication | 2.74 | |
| Readmission Rate at DRG | 3.13 | |
| Readmission Rate with ICD O82 - Encounter for cesarean delivery without indication | NA | |
| Unplanned Readmission Rate at DRG | 1.97 | |
| Unplanned Readmission Rate with ICD O82 - Encounter for cesarean delivery without indication | NA | |
| Total Medicare payments at DRG | $31,789,218 | |
| Total Medicare payments with ICD O82 - Encounter for cesarean delivery without indication | $200,603 | |
| Total Medicare payment per Day at DRG | $1,629 | |
| Total Medicare payment per Day with ICD O82 - Encounter for cesarean delivery without indication | $1,700 | |
| Total Medicare payment per Hospitalization at DRG | $5,006 | |
| Total Medicare payment per Hospitalization with ICD O82 - Encounter for cesarean delivery without indication | $4,665 | |
| Total Medicare Charges at DRG | $154,711,891 | |
| Total Medicare Charges with ICD O82 - Encounter for cesarean delivery without indication | $946,571 | |
| Avg Charges at DRG | $24,364 | |
| Avg Charges with ICD O82 - Encounter for cesarean delivery without indication | $22,013 | |
| Mortality Rate at DRG | NA | |
| Mortality Rate with ICD O82 - Encounter for cesarean delivery without indication | NA | |
| SNF Discharge Rate at DRG | NA | |
| SNF Discharge Rate with ICD O82 - Encounter for cesarean delivery without indication | NA | |
| Home Discharge Rate at DRG | 97.06 | |
| Home Discharge Rate with ICD O82 - Encounter for cesarean delivery without indication | 95.35 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 766: CESAREAN SECTION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 765: CESAREAN SECTION WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|
| Total Hospitalizations at DRG | 6,350 | |
| Total Hospitalizations with ICD O82 - Encounter for cesarean delivery without indication | 48 | |
| DRG Share of Total Hospitalizations | 0.02 | |
| % of Total ICD O82 - Encounter for cesarean delivery without indication in DRG | 53.33 | |
| Avg LOS at DRG | 3.07 | |
| Avg LOS with ICD O82 - Encounter for cesarean delivery without indication | 2.79 | |
| Readmission Rate at DRG | 3.13 | |
| Readmission Rate with ICD O82 - Encounter for cesarean delivery without indication | NA | |
| Unplanned Readmission Rate at DRG | 1.97 | |
| Unplanned Readmission Rate with ICD O82 - Encounter for cesarean delivery without indication | NA | |
| Total Medicare payments at DRG | $31,789,218 | |
| Total Medicare payments with ICD O82 - Encounter for cesarean delivery without indication | $223,421 | |
| Total Medicare payment per Day at DRG | $1,629 | |
| Total Medicare payment per Day with ICD O82 - Encounter for cesarean delivery without indication | $1,667 | |
| Total Medicare payment per Hospitalization at DRG | $5,006 | |
| Total Medicare payment per Hospitalization with ICD O82 - Encounter for cesarean delivery without indication | $4,655 | |
| Total Medicare Charges at DRG | $154,711,891 | |
| Total Medicare Charges with ICD O82 - Encounter for cesarean delivery without indication | $1,045,903 | |
| Avg Charges at DRG | $24,364 | |
| Avg Charges with ICD O82 - Encounter for cesarean delivery without indication | $21,790 | |
| Mortality Rate at DRG | NA | |
| Mortality Rate with ICD O82 - Encounter for cesarean delivery without indication | NA | |
| SNF Discharge Rate at DRG | NA | |
| SNF Discharge Rate with ICD O82 - Encounter for cesarean delivery without indication | NA | |
| Home Discharge Rate at DRG | 97.06 | |
| Home Discharge Rate with ICD O82 - Encounter for cesarean delivery without indication | 95.83 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | Z302 | Encounter for sterilization |
| 2 | Z3A39 | 39 weeks gestation of pregnancy |
| 3 | Z370 | Single live birth |
| 4 | O99334 | Smoking (tobacco) complicating childbirth |