*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury - as a primary diagnosis code | Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 4.9 | |
| Readmission Rate (%) | 18.51 | |
| Unplanned Readmission Rate (%) | 7.24 | |
| 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 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 578: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 577: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 52,726 | ||||
| Total Hospitalizations with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 171 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury in DRG | 20.96 | ||||
| Avg LOS at DRG | 6.68 | ||||
| Avg LOS with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 4.13 | ||||
| Readmission Rate at DRG | 24.76 | ||||
| Readmission Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 29.75 | ||||
| Unplanned Readmission Rate at DRG | 14.45 | ||||
| Unplanned Readmission Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 12.66 | ||||
| Total Medicare payments at DRG | $902,862,104 | ||||
| Total Medicare payments with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $2,896,224 | ||||
| Total Medicare payment per Day at DRG | $2,565 | ||||
| Total Medicare payment per Day with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $4,096 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,124 | ||||
| Total Medicare payment per Hospitalization with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $16,937 | ||||
| Total Medicare Charges at DRG | $4,216,562,728 | ||||
| Total Medicare Charges with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $13,555,604 | ||||
| Avg Charges at DRG | $79,971 | ||||
| Avg Charges with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $79,273 | ||||
| Mortality Rate at DRG | 0.83 | ||||
| Mortality Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | NA | ||||
| SNF Discharge Rate at DRG | 22.41 | ||||
| SNF Discharge Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 42.69 | ||||
| Home Discharge Rate at DRG | 43.51 | ||||
| Home Discharge Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 23.98 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 576: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 607: MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,585 | ||||
| Total Hospitalizations with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 41 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury in DRG | 5.02 | ||||
| Avg LOS at DRG | 13.15 | ||||
| Avg LOS with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 10.68 | ||||
| Readmission Rate at DRG | 29.79 | ||||
| Readmission Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 27.5 | ||||
| Unplanned Readmission Rate at DRG | 13.16 | ||||
| Unplanned Readmission Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | NA | ||||
| Total Medicare payments at DRG | $59,792,363 | ||||
| Total Medicare payments with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $1,534,315 | ||||
| Total Medicare payment per Day at DRG | $2,868 | ||||
| Total Medicare payment per Day with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $3,503 | ||||
| Total Medicare payment per Hospitalization at DRG | $37,724 | ||||
| Total Medicare payment per Hospitalization with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $37,422 | ||||
| Total Medicare Charges at DRG | $261,481,477 | ||||
| Total Medicare Charges with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $5,549,615 | ||||
| Avg Charges at DRG | $164,973 | ||||
| Avg Charges with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $135,356 | ||||
| Mortality Rate at DRG | 4.67 | ||||
| Mortality Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | NA | ||||
| SNF Discharge Rate at DRG | 33.25 | ||||
| SNF Discharge Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 29.27 | ||||
| Home Discharge Rate at DRG | 21.58 | ||||
| Home Discharge Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 31.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 585: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 572: SKIN DEBRIDEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 2,592 | ||
| Total Hospitalizations with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 13 | ||
| DRG Share of Total Hospitalizations | 0.01 | ||
| % of Total ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury in DRG | 1.59 | ||
| Avg LOS at DRG | 2.5 | ||
| Avg LOS with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 2.62 | ||
| Readmission Rate at DRG | 7.13 | ||
| Readmission Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | NA | ||
| Unplanned Readmission Rate at DRG | 4.06 | ||
| Unplanned Readmission Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | NA | ||
| Total Medicare payments at DRG | $24,332,331 | ||
| Total Medicare payments with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $135,639 | ||
| Total Medicare payment per Day at DRG | $3,749 | ||
| Total Medicare payment per Day with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $3,989 | ||
| Total Medicare payment per Hospitalization at DRG | $9,387 | ||
| Total Medicare payment per Hospitalization with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $10,434 | ||
| Total Medicare Charges at DRG | $156,786,499 | ||
| Total Medicare Charges with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $696,524 | ||
| Avg Charges at DRG | $60,489 | ||
| Avg Charges with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $53,579 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | NA | ||
| SNF Discharge Rate at DRG | 1.5 | ||
| SNF Discharge Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | NA | ||
| Home Discharge Rate at DRG | 81.37 | ||
| Home Discharge Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 84.62 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 20 |
| UNIVERSITY OF ALABAMA HOSPITAL | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 16 |
| UW HEALTH UNIVERSITY HOSPITAL | 600 HIGHLAND AVE | MADISON | WI | 53792 | 15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 982: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 578: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 983: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 577: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 52,726 | ||||
| Total Hospitalizations with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 176 | ||||
| DRG Share of Total Hospitalizations | 0.16 | ||||
| % of Total ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury in DRG | 19.05 | ||||
| Avg LOS at DRG | 6.68 | ||||
| Avg LOS with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 4.13 | ||||
| Readmission Rate at DRG | 24.76 | ||||
| Readmission Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 30.06 | ||||
| Unplanned Readmission Rate at DRG | 14.45 | ||||
| Unplanned Readmission Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 12.88 | ||||
| Total Medicare payments at DRG | $902,862,104 | ||||
| Total Medicare payments with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $2,960,098 | ||||
| Total Medicare payment per Day at DRG | $2,565 | ||||
| Total Medicare payment per Day with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $4,072 | ||||
| Total Medicare payment per Hospitalization at DRG | $17,124 | ||||
| Total Medicare payment per Hospitalization with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $16,819 | ||||
| Total Medicare Charges at DRG | $4,216,562,728 | ||||
| Total Medicare Charges with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $13,948,214 | ||||
| Avg Charges at DRG | $79,971 | ||||
| Avg Charges with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $79,251 | ||||
| Mortality Rate at DRG | 0.83 | ||||
| Mortality Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | NA | ||||
| SNF Discharge Rate at DRG | 22.41 | ||||
| SNF Discharge Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 42.61 | ||||
| Home Discharge Rate at DRG | 43.51 | ||||
| Home Discharge Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 23.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 576: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 607: MINOR SKIN DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,585 | ||||
| Total Hospitalizations with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 41 | ||||
| DRG Share of Total Hospitalizations | 0.0 | ||||
| % of Total ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury in DRG | 4.44 | ||||
| Avg LOS at DRG | 13.15 | ||||
| Avg LOS with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 10.68 | ||||
| Readmission Rate at DRG | 29.79 | ||||
| Readmission Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 27.5 | ||||
| Unplanned Readmission Rate at DRG | 13.16 | ||||
| Unplanned Readmission Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | NA | ||||
| Total Medicare payments at DRG | $59,792,363 | ||||
| Total Medicare payments with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $1,534,315 | ||||
| Total Medicare payment per Day at DRG | $2,868 | ||||
| Total Medicare payment per Day with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $3,503 | ||||
| Total Medicare payment per Hospitalization at DRG | $37,724 | ||||
| Total Medicare payment per Hospitalization with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $37,422 | ||||
| Total Medicare Charges at DRG | $261,481,477 | ||||
| Total Medicare Charges with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $5,549,615 | ||||
| Avg Charges at DRG | $164,973 | ||||
| Avg Charges with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $135,356 | ||||
| Mortality Rate at DRG | 4.67 | ||||
| Mortality Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | NA | ||||
| SNF Discharge Rate at DRG | 33.25 | ||||
| SNF Discharge Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 29.27 | ||||
| Home Discharge Rate at DRG | 21.58 | ||||
| Home Discharge Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 31.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 585: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 572: SKIN DEBRIDEMENT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 571: SKIN DEBRIDEMENT WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 2,592 | ||
| Total Hospitalizations with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 14 | ||
| DRG Share of Total Hospitalizations | 0.01 | ||
| % of Total ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury in DRG | 1.52 | ||
| Avg LOS at DRG | 2.5 | ||
| Avg LOS with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 2.5 | ||
| Readmission Rate at DRG | 7.13 | ||
| Readmission Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | NA | ||
| Unplanned Readmission Rate at DRG | 4.06 | ||
| Unplanned Readmission Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | NA | ||
| Total Medicare payments at DRG | $24,332,331 | ||
| Total Medicare payments with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $146,412 | ||
| Total Medicare payment per Day at DRG | $3,749 | ||
| Total Medicare payment per Day with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $4,183 | ||
| Total Medicare payment per Hospitalization at DRG | $9,387 | ||
| Total Medicare payment per Hospitalization with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $10,458 | ||
| Total Medicare Charges at DRG | $156,786,499 | ||
| Total Medicare Charges with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $874,012 | ||
| Avg Charges at DRG | $60,489 | ||
| Avg Charges with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | $62,429 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | NA | ||
| SNF Discharge Rate at DRG | 1.5 | ||
| SNF Discharge Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | NA | ||
| Home Discharge Rate at DRG | 81.37 | ||
| Home Discharge Rate with ICD Z428 - Encounter for other plastic and reconstructive surgery following medical procedure or healed injury | 85.71 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT ST | BOSTON | MA | 02114 | 20 |
| UNIVERSITY OF ALABAMA HOSPITAL | 619 19TH ST S | BIRMINGHAM | AL | 35249 | 16 |
| UW HEALTH UNIVERSITY HOSPITAL | 600 HIGHLAND AVE | MADISON | WI | 53792 | 15 |