*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z411 - Encounter for cosmetic surgery - as a primary diagnosis code | Z411 - Encounter for cosmetic surgery - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 3.74 | |
| Readmission Rate (%) | 11.38 | |
| 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 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 18,169 |
| Total Hospitalizations with ICD Z411 - Encounter for cosmetic surgery | 16 |
| DRG Share of Total Hospitalizations | 0.06 |
| % of Total ICD Z411 - Encounter for cosmetic surgery in DRG | 36.36 |
| Avg LOS at DRG | 2.77 |
| Avg LOS with ICD Z411 - Encounter for cosmetic surgery | 1.31 |
| Readmission Rate at DRG | 8.43 |
| Readmission Rate with ICD Z411 - Encounter for cosmetic surgery | NA |
| Unplanned Readmission Rate at DRG | 4.51 |
| Unplanned Readmission Rate with ICD Z411 - Encounter for cosmetic surgery | NA |
| Total Medicare payments at DRG | $125,868,264 |
| Total Medicare payments with ICD Z411 - Encounter for cosmetic surgery | $121,840 |
| Total Medicare payment per Day at DRG | $2,503 |
| Total Medicare payment per Day with ICD Z411 - Encounter for cosmetic surgery | $5,802 |
| Total Medicare payment per Hospitalization at DRG | $6,928 |
| Total Medicare payment per Hospitalization with ICD Z411 - Encounter for cosmetic surgery | $7,615 |
| Total Medicare Charges at DRG | $793,060,397 |
| Total Medicare Charges with ICD Z411 - Encounter for cosmetic surgery | $914,520 |
| Avg Charges at DRG | $43,649 |
| Avg Charges with ICD Z411 - Encounter for cosmetic surgery | $57,158 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD Z411 - Encounter for cosmetic surgery | NA |
| SNF Discharge Rate at DRG | 6.85 |
| SNF Discharge Rate with ICD Z411 - Encounter for cosmetic surgery | NA |
| Home Discharge Rate at DRG | 61.18 |
| Home Discharge Rate with ICD Z411 - Encounter for cosmetic surgery | 100.0 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES 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 | 18,169 | |
| Total Hospitalizations with ICD Z411 - Encounter for cosmetic surgery | 24 | |
| DRG Share of Total Hospitalizations | 0.06 | |
| % of Total ICD Z411 - Encounter for cosmetic surgery in DRG | 9.41 | |
| Avg LOS at DRG | 2.77 | |
| Avg LOS with ICD Z411 - Encounter for cosmetic surgery | 1.33 | |
| Readmission Rate at DRG | 8.43 | |
| Readmission Rate with ICD Z411 - Encounter for cosmetic surgery | NA | |
| Unplanned Readmission Rate at DRG | 4.51 | |
| Unplanned Readmission Rate with ICD Z411 - Encounter for cosmetic surgery | NA | |
| Total Medicare payments at DRG | $125,868,264 | |
| Total Medicare payments with ICD Z411 - Encounter for cosmetic surgery | $141,805 | |
| Total Medicare payment per Day at DRG | $2,503 | |
| Total Medicare payment per Day with ICD Z411 - Encounter for cosmetic surgery | $4,431 | |
| Total Medicare payment per Hospitalization at DRG | $6,928 | |
| Total Medicare payment per Hospitalization with ICD Z411 - Encounter for cosmetic surgery | $5,909 | |
| Total Medicare Charges at DRG | $793,060,397 | |
| Total Medicare Charges with ICD Z411 - Encounter for cosmetic surgery | $1,329,680 | |
| Avg Charges at DRG | $43,649 | |
| Avg Charges with ICD Z411 - Encounter for cosmetic surgery | $55,403 | |
| Mortality Rate at DRG | NA | |
| Mortality Rate with ICD Z411 - Encounter for cosmetic surgery | NA | |
| SNF Discharge Rate at DRG | 6.85 | |
| SNF Discharge Rate with ICD Z411 - Encounter for cosmetic surgery | NA | |
| Home Discharge Rate at DRG | 61.18 | |
| Home Discharge Rate with ICD Z411 - Encounter for cosmetic surgery | 95.83 |