TABLE 5 PAGE 1 OF 15
LIST OF DIAGNOSIS RELATED GROUPS (DRGS), RELATIVE WEIGHTING FACTORS, GEOMETRIC AND ARITHMETIC MEAN LENGTH OF STAY
RELATIVE GEOMETRIC ARITHMETIC
WEIGHTS MEAN LOS MEAN LOS
1 01 SURG CRANIOTOMY AGE >17 EXCEPT FOR TRAUMA 3.0694 6.8 9.6
2 01 SURG CRANIOTOMY FOR TRAUMA AGE >17 3.1113 7.5 10.1
3 01 SURG * CRANIOTOMY AGE 0-17 1.9493 12.7 12.7
4 01 SURG SPINAL PROCEDURES 2.3278 5.1 7.7
5 01 SURG EXTRACRANIAL VASCULAR PROCEDURES 1.4851 2.7 3.6
6 01 SURG CARPAL TUNNEL RELEASE .7712 2.1 3.0
7 01 SURG PERIPH & CRANIAL NERVE & OTHER NERV SYST PROC W CC 2.3938 6.8 10.1
8 01 SURG PERIPH & CRANIAL NERVE & OTHER NERV SYST PROC W/O CC 1.2901 2.2 3.2
9 01 MED SPINAL DISORDERS & INJURIES 1.2873 4.8 6.7
10 01 MED NERVOUS SYSTEM NEOPLASMS W CC 1.2107 5.0 6.9
11 01 MED NERVOUS SYSTEM NEOPLASMS W/O CC .8245 3.1 4.2
12 01 MED DEGENERATIVE NERVOUS SYSTEM DISORDERS .9030 4.8 6.7
13 01 MED MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA .7810 4.4 5.5
14 01 MED SPECIFIC CEREBROVASCULAR DISORDERS EXCEPT TIA 1.1955 4.9 6.4
15 01 MED TRANSIENT ISCHEMIC ATTACK & PRECEREBRAL OCCLUSIONS .7314 3.1 3.9
16 01 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W CC 1.0693 4.5 5.9
17 01 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC .6178 2.7 3.4
18 01 MED CRANIAL & PERIPHERAL NERVE DISORDERS W CC .9269 4.3 5.6
19 01 MED CRANIAL & PERIPHERAL NERVE DISORDERS W/O CC .6455 3.0 3.8
20 01 MED NERVOUS SYSTEM INFECTION EXCEPT VIRAL MENINGITIS 2.6102 7.9 10.5
21 01 MED VIRAL MENINGITIS 1.4753 5.1 6.8
22 01 MED HYPERTENSIVE ENCEPHALOPATHY .8985 3.6 4.7
23 01 MED NONTRAUMATIC STUPOR & COMA .7764 3.2 4.3
24 01 MED SEIZURE & HEADACHE AGE >17 W CC .9577 3.8 5.1
25 01 MED SEIZURE & HEADACHE AGE >17 W/O CC .5893 2.7 3.4
26 01 MED SEIZURE & HEADACHE AGE 0-17 .7277 2.5 3.3
27 01 MED TRAUMATIC STUPOR & COMA, COMA >1 HR 1.3130 3.4 5.4
28 01 MED TRAUMATIC STUPOR & COMA, COMA <1 HR AGE >17 W CC 1.1700 4.2 6.0
29 01 MED TRAUMATIC STUPOR & COMA, COMA <1 HR AGE >17 W/O CC .6377 2.6 3.5
30 01 MED * TRAUMATIC STUPOR & COMA, COMA <1 HR AGE 0-17 .3297 2.0 2.0
31 01 MED CONCUSSION AGE >17 W CC .8105 3.2 4.4
32 01 MED CONCUSSION AGE >17 W/O CC .5158 2.2 3.0
33 01 MED * CONCUSSION AGE 0-17 .2072 1.6 1.6
34 01 MED OTHER DISORDERS OF NERVOUS SYSTEM W CC 1.0091 4.1 5.5
35 01 MED OTHER DISORDERS OF NERVOUS SYSTEM W/O CC .5907 2.7 3.6
36 02 SURG RETINAL PROCEDURES .6891 1.3 1.5
37 02 SURG ORBITAL PROCEDURES .9637 2.5 3.7
38 02 SURG PRIMARY IRIS PROCEDURES .4841 1.9 2.6
39 02 SURG LENS PROCEDURES WITH OR WITHOUT VITRECTOMY .5697 1.5 2.0
40 02 SURG EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE >17 .7895 2.1 3.2
41 02 SURG * EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE 0-17 .3356 1.6 1.6
42 02 SURG INTRAOCULAR PROCEDURES EXCEPT RETINA, IRIS & LENS .6030 1.6 2.1
43 02 MED HYPHEMA .4371 2.7 3.4
44 02 MED ACUTE MAJOR EYE INFECTIONS .6090 4.2 5.1
45 02 MED NEUROLOGICAL EYE DISORDERS .6814 2.8 3.5
46 02 MED OTHER DISORDERS OF THE EYE AGE >17 W CC .7521 3.6 4.7
47 02 MED OTHER DISORDERS OF THE EYE AGE >17 W/O CC .4617 2.5 3.3
48 02 MED * OTHER DISORDERS OF THE EYE AGE 0-17 .2956 2.9 2.9
49 03 SURG MAJOR HEAD & NECK PROCEDURES 1.7567 3.7 5.0
50 03 SURG SIALOADENECTOMY .8283 1.6 2.0
51 03 SURG SALIVARY GLAND PROCEDURES EXCEPT SIALOADENECTOMY .8601 1.8 2.8
52 03 SURG CLEFT LIP & PALATE REPAIR .8614 1.9 2.4
53 03 SURG SINUS & MASTOID PROCEDURES AGE >17 1.1432 2.3 3.7
54 03 SURG * SINUS & MASTOID PROCEDURES AGE 0-17 .4792 3.2 3.2
55 03 SURG MISCELLANEOUS EAR, NOSE, MOUTH & THROAT PROCEDURES .8952 2.0 3.0
56 03 SURG RHINOPLASTY .9008 2.1 2.8
57 03 SURG T&A PROC, EXCEPT TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE >17 .8876 2.6 3.5
58 03 SURG * T&A PROC, EXCEPT TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE 0-17 .2721 1.5 1.5
59 03 SURG TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE >17 .6700 1.8 2.4
60 03 SURG * TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE 0-17 .2073 1.5 1.5
61 03 SURG MYRINGOTOMY W TUBE INSERTION AGE >17 1.1586 2.7 4.6
62 03 SURG * MYRINGOTOMY W TUBE INSERTION AGE 0-17 .2934 1.3 1.3
63 03 SURG OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES 1.3283 3.0 4.4
64 03 MED EAR, NOSE, MOUTH & THROAT MALIGNANCY 1.2177 4.4 6.7
65 03 MED DYSEQUILIBRIUM .5162 2.4 3.0
66 03 MED EPISTAXIS .5402 2.6 3.3
67 03 MED EPIGLOTTITIS .8230 3.0 3.8
68 03 MED OTITIS MEDIA & URI AGE >17 W CC .6699 3.4 4.2
69 03 MED OTITIS MEDIA & URI AGE >17 W/O CC .5053 2.8 3.3
70 03 MED OTITIS MEDIA & URI AGE 0-17 .3841 2.1 2.5
71 03 MED LARYNGOTRACHEITIS .7630 3.2 3.9
72 03 MED NASAL TRAUMA & DEFORMITY .6524 2.8 3.8
73 03 MED OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES AGE >17 .7504 3.3 4.4
74 03 MED * OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES AGE 0-17 .3334 2.1 2.1
75 04 SURG MAJOR CHEST PROCEDURES 3.1811 8.1 10.2
76 04 SURG OTHER RESP SYSTEM O.R. PROCEDURES W CC 2.6876 8.4 11.3
77 04 SURG OTHER RESP SYSTEM O.R. PROCEDURES W/O CC 1.1565 3.4 4.9
78 04 MED PULMONARY EMBOLISM 1.4047 6.3 7.4
79 04 MED RESPIRATORY INFECTIONS & INFLAMMATIONS AGE >17 W CC 1.6309 6.7 8.4
80 04 MED RESPIRATORY INFECTIONS & INFLAMMATIONS AGE >17 W/O CC .9147 4.7 5.9
81 04 MED * RESPIRATORY INFECTIONS & INFLAMMATIONS AGE 0-17 1.5098 6.1 6.1
82 04 MED RESPIRATORY NEOPLASMS 1.3606 5.3 7.1
83 04 MED MAJOR CHEST TRAUMA W CC .9544 4.4 5.6
84 04 MED MAJOR CHEST TRAUMA W/O CC .5068 2.6 3.3
85 04 MED PLEURAL EFFUSION W CC 1.2351 5.1 6.7
86 04 MED PLEURAL EFFUSION W/O CC .6835 3.0 3.9
87 04 MED PULMONARY EDEMA & RESPIRATORY FAILURE 1.3650 4.8 6.4
88 04 MED CHRONIC OBSTRUCTIVE PULMONARY DISEASE .9530 4.4 5.4
89 04 MED SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 1.0838 5.2 6.3
90 04 MED SIMPLE PNEUMONIA & PLEURISY AGE >17 W/O CC .6644 3.8 4.5
91 04 MED SIMPLE PNEUMONIA & PLEURISY AGE 0-17 .7209 3.3 4.0
92 04 MED INTERSTITIAL LUNG DISEASE W CC 1.2042 5.1 6.4
93 04 MED INTERSTITIAL LUNG DISEASE W/O CC .7711 3.5 4.4
94 04 MED PNEUMOTHORAX W CC 1.1879 4.9 6.5
95 04 MED PNEUMOTHORAX W/O CC .6042 3.1 3.9
96 04 MED BRONCHITIS & ASTHMA AGE >17 W CC .7891 4.0 4.9
97 04 MED BRONCHITIS & ASTHMA AGE >17 W/O CC .5919 3.2 3.8
98 04 MED BRONCHITIS & ASTHMA AGE 0-17 .6953 3.6 4.9
99 04 MED RESPIRATORY SIGNS & SYMPTOMS W CC .6738 2.3 3.0
100 04 MED RESPIRATORY SIGNS & SYMPTOMS W/O CC .5150 1.7 2.1
101 04 MED OTHER RESPIRATORY SYSTEM DIAGNOSES W CC .8292 3.3 4.4
102 04 MED OTHER RESPIRATORY SYSTEM DIAGNOSES W/O CC .5395 2.2 2.8
103 05 SURG HEART TRANSPLANT 17.7902 31.6 50.5
104 05 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH 7.2824 9.9 12.5
105 05 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH 5.7099 7.9 9.8
106 05 SURG CORONARY BYPASS WITH PTCA 7.3690 9.1 10.9
107 05 SURG CORONARY BYPASS W CARDIAC CATH 5.5030 9.5 10.7
108 05 SURG OTHER CARDIOTHORACIC PROCEDURES 5.9764 8.6 11.3
109 05 SURG CORONARY BYPASS W/O CARDIAC CATH 4.0718 7.0 8.0
110 05 SURG MAJOR CARDIOVASCULAR PROCEDURES W CC 4.1500 7.4 9.7
111 05 SURG MAJOR CARDIOVASCULAR PROCEDURES W/O CC 2.2199 5.1 5.9
112 05 SURG PERCUTANEOUS CARDIOVASCULAR PROCEDURES 1.9893 2.8 3.9
113 05 SURG AMPUTATION FOR CIRC SYSTEM DISORDERS EXCEPT UPPER LIMB & TOE 2.7389 9.8 13.0
114 05 SURG UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS 1.5077 6.0 8.4
115 05 SURG PERM PACE IMPLNT W AMI,HRT FAIL OR SHOCK OR AICD LEAD OR GEN PROC 3.5558 6.3 8.8
116 05 SURG OTH PERM CARDIAC PACEMAKER IMPLANT OR PTCA W CORONARY ART STENT 2.4833 3.0 4.2
117 05 SURG CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT 1.2372 2.7 4.0
118 05 SURG CARDIAC PACEMAKER DEVICE REPLACEMENT 1.5716 2.0 2.9
119 05 SURG VEIN LIGATION & STRIPPING 1.3076 3.2 5.4
120 05 SURG OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 1.9630 4.9 8.2
121 05 MED CIRCULATORY DISORDERS W AMI & MAJOR COMP DISCH ALIVE 1.6334 5.7 7.0
122 05 MED CIRCULATORY DISORDERS W AMI W/O MAJOR COMP DISCH ALIVE 1.1286 3.6 4.4
123 05 MED CIRCULATORY DISORDERS W AMI, EXPIRED 1.4848 2.6 4.4
124 05 MED CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH & COMPLEX DIAG 1.3793 3.4 4.5
125 05 MED CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O COMPLEX DIAG 1.0134 2.2 2.9
126 05 MED ACUTE & SUBACUTE ENDOCARDITIS 2.5837 9.7 12.7
127 05 MED HEART FAILURE & SHOCK 1.0131 4.3 5.5
128 05 MED DEEP VEIN THROMBOPHLEBITIS .7641 5.3 6.0
129 05 MED CARDIAC ARREST, UNEXPLAINED 1.0898 1.8 3.0
130 05 MED PERIPHERAL VASCULAR DISORDERS W CC .9427 4.9 6.0
131 05 MED PERIPHERAL VASCULAR DISORDERS W/O CC .6067 3.9 4.7
132 05 MED ATHEROSCLEROSIS W CC .6698 2.5 3.2
133 05 MED ATHEROSCLEROSIS W/O CC .5556 2.0 2.5
134 05 MED HYPERTENSION .5823 2.7 3.5
135 05 MED CARDIAC CONGENITAL & VALVULAR DISORDERS AGE >17 W CC .8543 3.3 4.4
136 05 MED CARDIAC CONGENITAL & VALVULAR DISORDERS AGE >17 W/O CC .5735 2.4 3.0
137 05 MED * CARDIAC CONGENITAL & VALVULAR DISORDERS AGE 0-17 .8135 3.3 3.3
138 05 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC .7999 3.1 4.1
139 05 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC .4977 2.1 2.6
140 05 MED ANGINA PECTORIS .5957 2.4 3.0
141 05 MED SYNCOPE & COLLAPSE W CC .7022 3.0 3.9
142 05 MED SYNCOPE & COLLAPSE W/O CC .5312 2.2 2.8
143 05 MED CHEST PAIN .5263 1.8 2.3
144 05 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W CC 1.1122 3.8 5.3
145 05 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC .6316 2.2 2.9
146 06 SURG RECTAL RESECTION W CC 2.7175 9.0 10.3
147 06 SURG RECTAL RESECTION W/O CC 1.5890 6.1 6.7
148 06 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W CC 3.4231 10.3 12.3
149 06 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC 1.5692 6.3 6.9
150 06 SURG PERITONEAL ADHESIOLYSIS W CC 2.7419 8.9 10.9
151 06 SURG PERITONEAL ADHESIOLYSIS W/O CC 1.2808 4.8 5.9
152 06 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W CC 1.9406 7.0 8.3
153 06 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC 1.1925 5.1 5.6
154 06 SURG STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES AGE >17 W CC 4.1847 10.3 13.4
155 06 SURG STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES AGE >17 W/O CC 1.3541 3.6 4.7
156 06 SURG * STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES AGE 0-17 .8378 6.0 6.0
157 06 SURG ANAL & STOMAL PROCEDURES W CC 1.2082 3.9 5.4
158 06 SURG ANAL & STOMAL PROCEDURES W/O CC .6416 2.1 2.6
159 06 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W CC 1.2878 3.7 5.0
160 06 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W/O CC .7411 2.2 2.7
161 06 SURG INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W CC 1.0710 2.9 4.1
162 06 SURG INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W/O CC .6108 1.7 2.0
163 06 SURG * HERNIA PROCEDURES AGE 0-17 .8664 2.1 2.1
164 06 SURG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC 2.3212 7.3 8.5
165 06 SURG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC 1.2269 4.3 5.0
166 06 SURG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC 1.4446 4.0 5.1
167 06 SURG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC .8522 2.4 2.8
168 03 SURG MOUTH PROCEDURES W CC 1.1642 3.1 4.6
169 03 SURG MOUTH PROCEDURES W/O CC .7219 1.9 2.6
170 06 SURG OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC 2.8030 7.9 11.3
171 06 SURG OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC 1.1658 3.6 4.8
172 06 MED DIGESTIVE MALIGNANCY W CC 1.3143 5.2 7.1
173 06 MED DIGESTIVE MALIGNANCY W/O CC .7320 2.8 4.0
174 06 MED G.I. HEMORRHAGE W CC .9933 4.0 4.9
175 06 MED G.I. HEMORRHAGE W/O CC .5298 2.5 3.0
176 06 MED COMPLICATED PEPTIC ULCER 1.1053 4.3 5.5
177 06 MED UNCOMPLICATED PEPTIC ULCER W CC .8614 3.7 4.6
178 06 MED UNCOMPLICATED PEPTIC ULCER W/O CC .6317 2.7 3.2
179 06 MED INFLAMMATORY BOWEL DISEASE 1.1054 5.0 6.4
180 06 MED G.I. OBSTRUCTION W CC .9174 4.2 5.4
181 06 MED G.I. OBSTRUCTION W/O CC .5259 2.9 3.5
182 06 MED ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W CC .7690 3.4 4.4
183 06 MED ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W/O CC .5577 2.4 3.0
184 06 MED ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE 0-17 .5457 2.5 3.3
185 03 MED DENTAL & ORAL DIS EXCEPT EXTRACTIONS & RESTORATIONS, AGE >17 .8292 3.3 4.5
186 03 MED * DENTAL & ORAL DIS EXCEPT EXTRACTIONS & RESTORATIONS, AGE 0-17 .3193 2.9 2.9
187 03 MED DENTAL EXTRACTIONS & RESTORATIONS .7385 3.0 4.0
188 06 MED OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W CC 1.0758 4.1 5.6
189 06 MED OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W/O CC .5593 2.4 3.2
190 06 MED OTHER DIGESTIVE SYSTEM DIAGNOSES AGE 0-17 .7519 3.9 5.4
191 07 SURG PANCREAS, LIVER & SHUNT PROCEDURES W CC 4.4345 10.8 14.6
192 07 SURG PANCREAS, LIVER & SHUNT PROCEDURES W/O CC 1.7253 5.4 6.7
193 07 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC 3.3276 10.3 12.5
194 07 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CC 1.6646 5.8 6.9
195 07 SURG CHOLECYSTECTOMY W C.D.E. W CC 2.7888 8.3 9.8
196 07 SURG CHOLECYSTECTOMY W C.D.E. W/O CC 1.6357 4.9 5.7
197 07 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC 2.3845 7.1 8.6
198 07 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC 1.1996 4.0 4.6
199 07 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR MALIGNANCY 2.3865 7.7 10.2
200 07 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR NON-MALIGNANCY 3.2800 7.4 11.6
201 07 SURG OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES 3.6053 10.4 14.4
202 07 MED CIRRHOSIS & ALCOHOLIC HEPATITIS 1.3158 5.1 6.8
203 07 MED MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS 1.3000 5.1 6.9
204 07 MED DISORDERS OF PANCREAS EXCEPT MALIGNANCY 1.2122 4.7 6.1
205 07 MED DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC 1.2127 4.9 6.6
206 07 MED DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC .6947 3.1 4.1
207 07 MED DISORDERS OF THE BILIARY TRACT W CC 1.0695 4.0 5.2
208 07 MED DISORDERS OF THE BILIARY TRACT W/O CC .6169 2.3 2.9
209 08 SURG MAJOR JOINT & LIMB REATTACHMENT PROCEDURES OF LOWER EXTREMITY 2.1803 4.9 5.5
210 08 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE >17 W CC 1.8128 6.1 7.1
211 08 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE >17 W/O CC 1.2505 4.7 5.2
212 08 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 .8413 3.2 3.8
213 08 SURG AMPUTATION FOR MUSCULOSKELETAL SYSTEM & CONN TISSUE DISORDERS 1.6383 6.2 8.4
214 08 SURG NO LONGER VALID .0000 .0 .0
215 08 SURG NO LONGER VALID .0000 .0 .0
216 08 SURG BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE 2.1275 7.0 9.9
217 08 SURG WND DEBRID & SKN GRFT EXCEPT HAND,FOR MUSCSKELET & CONN TISS DIS 2.7944 8.7 13.0
218 08 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR AGE >17 W CC 1.4641 4.2 5.3
219 08 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR AGE >17 W/O CC .9924 2.8 3.3
220 08 SURG * LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR AGE 0-17 .5803 5.3 5.3
221 08 SURG NO LONGER VALID .0000 .0 .0
222 08 SURG NO LONGER VALID .0000 .0 .0
223 08 SURG MAJOR SHOULDER/ELBOW PROC, OR OTHER UPPER EXTREMITY PROC W CC .9255 2.0 2.6
224 08 SURG SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC, W/O CC .7871 1.7 2.1
225 08 SURG FOOT PROCEDURES 1.0122 3.0 4.4
226 08 SURG SOFT TISSUE PROCEDURES W CC 1.4081 4.0 5.9
227 08 SURG SOFT TISSUE PROCEDURES W/O CC .7922 2.1 2.7
228 08 SURG MAJOR THUMB OR JOINT PROC,OR OTH HAND OR WRIST PROC W CC 1.0038 2.3 3.4
229 08 SURG HAND OR WRIST PROC, EXCEPT MAJOR JOINT PROC, W/O CC .7058 1.8 2.4
230 08 SURG LOCAL EXCISION & REMOVAL OF INT FIX DEVICES OF HIP & FEMUR 1.1072 3.1 4.5
231 08 SURG LOCAL EXCISION & REMOVAL OF INT FIX DEVICES EXCEPT HIP & FEMUR 1.2923 3.0 4.6
232 08 SURG ARTHROSCOPY 1.0892 2.3 3.8
233 08 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC 2.0628 5.3 7.6
234 08 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC 1.1731 2.8 3.6
235 08 MED FRACTURES OF FEMUR .7524 3.9 5.4
236 08 MED FRACTURES OF HIP & PELVIS .7243 4.1 5.3
237 08 MED SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH .5384 2.9 3.7
238 08 MED OSTEOMYELITIS 1.3409 6.7 8.9
239 08 MED PATHOLOGICAL FRACTURES & MUSCULOSKELETAL & CONN TISS MALIGNANCY .9653 5.0 6.4
240 08 MED CONNECTIVE TISSUE DISORDERS W CC 1.2252 5.0 6.7
241 08 MED CONNECTIVE TISSUE DISORDERS W/O CC .5903 3.1 4.0
242 08 MED SEPTIC ARTHRITIS 1.0371 5.2 6.8
243 08 MED MEDICAL BACK PROBLEMS .7142 3.8 4.9
244 08 MED BONE DISEASES & SPECIFIC ARTHROPATHIES W CC .7048 3.9 5.0
245 08 MED BONE DISEASES & SPECIFIC ARTHROPATHIES W/O CC .4939 2.9 3.7
246 08 MED NON-SPECIFIC ARTHROPATHIES .5647 3.1 3.9
247 08 MED SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE .5534 2.6 3.5
248 08 MED TENDONITIS, MYOSITIS & BURSITIS .7445 3.6 4.7
249 08 MED AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE .6520 2.6 3.6
250 08 MED FX, SPRN, STRN & DISL OF FOREARM, HAND, FOOT AGE >17 W CC .6752 3.2 4.2
251 08 MED FX, SPRN, STRN & DISL OF FOREARM, HAND, FOOT AGE >17 W/O CC .4621 2.3 3.0
252 08 MED * FX, SPRN, STRN & DISL OF FOREARM, HAND, FOOT AGE 0-17 .2521 1.8 1.8
253 08 MED FX, SPRN, STRN & DISL OF UPARM,LOWLEG EX FOOT AGE >17 W CC .7181 3.7 4.9
254 08 MED FX, SPRN, STRN & DISL OF UPARM,LOWLEG EX FOOT AGE >17 W/O CC .4309 2.7 3.4
255 08 MED * FX, SPRN, STRN & DISL OF UPARM,LOWLEG EX FOOT AGE 0-17 .2935 2.9 2.9
256 08 MED OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES .7583 3.8 5.1
257 09 SURG TOTAL MASTECTOMY FOR MALIGNANCY W CC .9198 2.4 3.0
258 09 SURG TOTAL MASTECTOMY FOR MALIGNANCY W/O CC .7228 1.9 2.1
259 09 SURG SUBTOTAL MASTECTOMY FOR MALIGNANCY W CC .8837 2.0 3.1
260 09 SURG SUBTOTAL MASTECTOMY FOR MALIGNANCY W/O CC .6241 1.4 1.5
261 09 SURG BREAST PROC FOR NON-MALIGNANCY EXCEPT BIOPSY & LOCAL EXCISION .9131 1.7 2.2
262 09 SURG BREAST BIOPSY & LOCAL EXCISION FOR NON-MALIGNANCY .8729 2.9 4.2
263 09 SURG SKIN GRAFT &/OR DEBRID FOR SKN ULCER OR CELLULITIS W CC 2.0064 8.8 11.9
264 09 SURG SKIN GRAFT &/OR DEBRID FOR SKN ULCER OR CELLULITIS W/O CC 1.1090 5.4 7.2
265 09 SURG SKIN GRAFT &/OR DEBRID EXCEPT FOR SKIN ULCER OR CELLULITIS W CC 1.4796 4.2 6.5
266 09 SURG SKIN GRAFT &/OR DEBRID EXCEPT FOR SKIN ULCER OR CELLULITIS W/O CC .8262 2.5 3.4
267 09 SURG PERIANAL & PILONIDAL PROCEDURES .9293 2.9 4.6
268 09 SURG SKIN, SUBCUTANEOUS TISSUE & BREAST PLASTIC PROCEDURES 1.0669 2.3 3.6
269 09 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W CC 1.5798 5.6 7.9
270 09 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC .7206 2.2 3.1
271 09 MED SKIN ULCERS 1.0007 5.7 7.2
272 09 MED MAJOR SKIN DISORDERS W CC 1.0421 4.9 6.4
273 09 MED MAJOR SKIN DISORDERS W/O CC .6260 3.6 4.8
274 09 MED MALIGNANT BREAST DISORDERS W CC 1.1119 4.8 6.8
275 09 MED MALIGNANT BREAST DISORDERS W/O CC .5305 2.6 3.6
276 09 MED NON-MALIGANT BREAST DISORDERS .6407 3.6 4.5
277 09 MED CELLULITIS AGE >17 W CC .8342 4.8 5.9
278 09 MED CELLULITIS AGE >17 W/O CC .5548 3.8 4.5
279 09 MED CELLULITIS AGE 0-17 .6657 4.3 5.0
280 09 MED TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE >17 W CC .6628 3.3 4.3
281 09 MED TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE >17 W/O CC .4535 2.4 3.1
282 09 MED * TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE 0-17 .2552 2.2 2.2
283 09 MED MINOR SKIN DISORDERS W CC .6938 3.6 4.8
284 09 MED MINOR SKIN DISORDERS W/O CC .4399 2.6 3.3
285 10 SURG AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DISORDERS 2.0425 8.1 11.0
286 10 SURG ADRENAL & PITUITARY PROCEDURES 2.2199 5.5 7.0
287 10 SURG SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DISORDERS 1.8591 8.0 11.2
288 10 SURG O.R. PROCEDURES FOR OBESITY 2.0227 4.7 5.9
289 10 SURG PARATHYROID PROCEDURES 1.0117 2.2 3.2
290 10 SURG THYROID PROCEDURES .9166 1.9 2.5
291 10 SURG THYROGLOSSAL PROCEDURES .5772 1.5 1.8
292 10 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC 2.5980 7.5 10.8
293 10 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC 1.2794 3.8 5.5
294 10 MED DIABETES AGE >35 .7478 3.8 4.9
295 10 MED DIABETES AGE 0-35 .7242 3.0 4.0
296 10 MED NUTRITIONAL & MISC METABOLIC DISORDERS AGE >17 W CC .8497 4.1 5.4
297 10 MED NUTRITIONAL & MISC METABOLIC DISORDERS AGE >17 W/O CC .5202 2.9 3.7
298 10 MED NUTRITIONAL & MISC METABOLIC DISORDERS AGE 0-17 .5262 2.4 3.7
299 10 MED INBORN ERRORS OF METABOLISM .8800 3.9 5.4
300 10 MED ENDOCRINE DISORDERS W CC 1.0801 4.8 6.3
301 10 MED ENDOCRINE DISORDERS W/O CC .6020 2.9 3.8
302 11 SURG KIDNEY TRANSPLANT 3.6406 8.6 10.1
303 11 SURG KIDNEY,URETER & MAJOR BLADDER PROCEDURES FOR NEOPLASM 2.6597 7.5 9.2
304 11 SURG KIDNEY,URETER & MAJOR BLADDER PROC FOR NON-NEOPL W CC 2.3361 6.5 9.0
305 11 SURG KIDNEY,URETER & MAJOR BLADDER PROC FOR NON-NEOPL W/O CC 1.1341 3.2 3.9
306 11 SURG PROSTATECTOMY W CC 1.2401 3.8 5.5
307 11 SURG PROSTATECTOMY W/O CC .6410 2.0 2.4
308 11 SURG MINOR BLADDER PROCEDURES W CC 1.5166 4.1 6.0
309 11 SURG MINOR BLADDER PROCEDURES W/O CC .9076 2.1 2.6
310 11 SURG TRANSURETHRAL PROCEDURES W CC 1.0629 3.0 4.3
311 11 SURG TRANSURETHRAL PROCEDURES W/O CC .6073 1.6 2.0
312 11 SURG URETHRAL PROCEDURES, AGE >17 W CC .9877 2.9 4.3
313 11 SURG URETHRAL PROCEDURES, AGE >17 W/O CC .6286 1.8 2.4
314 11 SURG * URETHRAL PROCEDURES, AGE 0-17 .4918 2.3 2.3
315 11 SURG OTHER KIDNEY & URINARY TRACT O.R. PROCEDURES 2.0703 4.6 8.0
316 11 MED RENAL FAILURE 1.3315 5.0 6.9
317 11 MED ADMIT FOR RENAL DIALYSIS .6140 2.0 2.9
318 11 MED KIDNEY & URINARY TRACT NEOPLASMS W CC 1.0921 4.4 6.1
319 11 MED KIDNEY & URINARY TRACT NEOPLASMS W/O CC .6150 2.2 3.0
320 11 MED KIDNEY & URINARY TRACT INFECTIONS AGE >17 W CC .8665 4.5 5.6
321 11 MED KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC .5808 3.4 4.0
322 11 MED KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 .5406 3.3 4.1
323 11 MED URINARY STONES W CC, &/OR ESW LITHOTRIPSY .7658 2.4 3.2
324 11 MED URINARY STONES W/O CC .4346 1.6 1.9
325 11 MED KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE >17 W CC .6236 3.0 4.0
326 11 MED KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE >17 W/O CC .4200 2.1 2.8
327 11 MED * KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE 0-17 .3518 3.1 3.1
328 11 MED URETHRAL STRICTURE AGE >17 W CC .7176 2.8 3.7
329 11 MED URETHRAL STRICTURE AGE >17 W/O CC .4918 1.7 2.3
330 11 MED * URETHRAL STRICTURE AGE 0-17 .3168 1.6 1.6
331 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE >17 W CC .9952 4.2 5.6
332 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE >17 W/O CC .6235 2.7 3.6
333 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE 0-17 .7757 3.5 4.9
334 12 SURG MAJOR MALE PELVIC PROCEDURES W CC 1.5975 4.4 5.0
335 12 SURG MAJOR MALE PELVIC PROCEDURES W/O CC 1.2056 3.4 3.7
336 12 SURG TRANSURETHRAL PROSTATECTOMY W CC .8856 2.8 3.6
337 12 SURG TRANSURETHRAL PROSTATECTOMY W/O CC .6176 2.0 2.3
338 12 SURG TESTES PROCEDURES, FOR MALIGNANCY 1.0867 3.2 4.8
339 12 SURG TESTES PROCEDURES, NON-MALIGNANCY AGE >17 .9822 2.9 4.2
340 12 SURG * TESTES PROCEDURES, NON-MALIGNANCY AGE 0-17 .2816 2.4 2.4
341 12 SURG PENIS PROCEDURES 1.1194 2.1 3.0
342 12 SURG CIRCUMCISION AGE >17 .8555 2.6 3.4
343 12 SURG * CIRCUMCISION AGE 0-17 .1530 1.7 1.7
344 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY 1.0414 1.8 2.6
345 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXCEPT FOR MALIGNANCY .8646 2.5 3.6
346 12 MED MALIGNANCY, MALE REPRODUCTIVE SYSTEM, W CC .9494 4.3 5.8
347 12 MED MALIGNANCY, MALE REPRODUCTIVE SYSTEM, W/O CC .5620 2.3 3.1
348 12 MED BENIGN PROSTATIC HYPERTROPHY W CC .6892 3.2 4.3
349 12 MED BENIGN PROSTATIC HYPERTROPHY W/O CC .4090 2.1 2.8
350 12 MED INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM .6918 3.6 4.4
351 12 MED * STERILIZATION, MALE .2348 1.3 1.3
352 12 MED OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES .6251 2.7 3.6
353 13 SURG PELVIC EVISCERATION, RADICAL HYSTERECTOMY & RADICAL VULVECTOMY 1.9235 5.6 6.9
354 13 SURG UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC 1.4953 4.8 5.8
355 13 SURG UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC .9322 3.2 3.5
356 13 SURG FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES .7863 2.3 2.6
357 13 SURG UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY 2.4429 7.3 9.0
358 13 SURG UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC 1.2111 3.7 4.4
359 13 SURG UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC .8663 2.8 3.0
360 13 SURG VAGINA, CERVIX & VULVA PROCEDURES .8902 2.6 3.2
361 13 SURG LAPAROSCOPY & INCISIONAL TUBAL INTERRUPTION 1.2051 2.3 3.3
362 13 SURG * ENDOSCOPIC TUBAL INTERRUPTION .3001 1.4 1.4
363 13 SURG D&C, CONIZATION & RADIO-IMPLANT, FOR MALIGNANCY .7498 2.5 3.3
364 13 SURG D&C, CONIZATION EXCEPT FOR MALIGNANCY .7280 2.6 3.6
365 13 SURG OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES 1.7421 4.6 6.9
366 13 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC 1.1912 4.8 6.9
367 13 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC .5640 2.2 2.9
368 13 MED INFECTIONS, FEMALE REPRODUCTIVE SYSTEM 1.0544 5.0 6.4
369 13 MED MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS .5257 2.3 3.1
370 14 SURG CESAREAN SECTION W CC 1.0501 4.3 5.5
371 14 SURG CESAREAN SECTION W/O CC .7161 3.2 3.5
372 14 MED VAGINAL DELIVERY W COMPLICATING DIAGNOSES .5716 2.4 3.1
373 14 MED VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES .4000 1.8 2.1
374 14 SURG VAGINAL DELIVERY W STERILIZATION &/OR D&C .7120 2.2 3.1
375 14 SURG * VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C .6812 4.4 4.4
376 14 MED POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE .4877 2.3 2.9
377 14 SURG POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE 1.4263 3.4 4.5
378 14 MED ECTOPIC PREGNANCY .8441 2.2 2.6
379 14 MED THREATENED ABORTION .4390 2.2 3.6
380 14 MED ABORTION W/O D&C .4168 1.7 2.2
381 14 SURG ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY .5540 1.6 2.1
382 14 MED FALSE LABOR .1965 1.1 1.3
383 14 MED OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS .4718 2.7 3.7
384 14 MED OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS .3578 1.8 2.7
385 15 * NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY 1.3671 1.8 1.8
386 15 * EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE 4.5084 17.9 17.9
387 15 * PREMATURITY W MAJOR PROBLEMS 3.0791 13.3 13.3
388 15 * PREMATURITY W/O MAJOR PROBLEMS 1.8578 8.6 8.6
389 15 FULL TERM NEONATE W MAJOR PROBLEMS 1.8279 7.6 10.2
390 15 NEONATE W OTHER SIGNIFICANT PROBLEMS 1.5908 4.2 6.0
391 15 * NORMAL NEWBORN .1516 3.1 3.1
392 16 SURG SPLENECTOMY AGE >17 3.2927 7.9 10.4
393 16 SURG * SPLENECTOMY AGE 0-17 1.3392 9.1 9.1
394 16 SURG OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS 1.6195 4.1 7.0
395 16 MED RED BLOOD CELL DISORDERS AGE >17 .8196 3.4 4.7
396 16 MED RED BLOOD CELL DISORDERS AGE 0-17 2.1978 5.2 18.0
397 16 MED COAGULATION DISORDERS 1.2536 4.0 5.5
398 16 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC 1.2463 4.8 6.0
399 16 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC .6908 3.0 3.7
400 17 SURG LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE 2.6546 6.1 9.4
401 17 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W CC 2.5749 7.7 11.0
402 17 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W/O CC 1.0114 2.7 3.9
403 17 MED LYMPHOMA & NON-ACUTE LEUKEMIA W CC 1.6843 5.8 8.2
404 17 MED LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC .8302 3.2 4.5
405 17 * ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE 0-17 1.8987 4.9 4.9
406 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R.PROC W CC 2.5688 6.9 9.5
407 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R.PROC W/O CC 1.1788 3.5 4.3
408 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R.PROC 1.8204 4.6 7.5
409 17 MED RADIOTHERAPY 1.0117 4.3 5.8
410 17 MED CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS .8402 2.7 3.4
411 17 MED HISTORY OF MALIGNANCY W/O ENDOSCOPY .3897 2.2 3.5
412 17 MED HISTORY OF MALIGNANCY W ENDOSCOPY .5042 1.9 2.3
413 17 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC 1.3473 5.4 7.5
414 17 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC .7146 3.1 4.2
415 18 SURG O.R. PROCEDURE FOR INFECTIOUS & PARASITIC DISEASES 3.5747 10.5 14.4
416 18 MED SEPTICEMIA AGE >17 1.4883 5.7 7.4
417 18 MED SEPTICEMIA AGE 0-17 1.3276 4.5 5.9
418 18 MED POSTOPERATIVE & POST-TRAUMATIC INFECTIONS .9894 4.9 6.2
419 18 MED FEVER OF UNKNOWN ORIGIN AGE >17 W CC .8764 4.0 5.0
420 18 MED FEVER OF UNKNOWN ORIGIN AGE >17 W/O CC .6331 3.2 4.0
421 18 MED VIRAL ILLNESS AGE >17 .6748 3.1 4.0
422 18 MED VIRAL ILLNESS & FEVER OF UNKNOWN ORIGIN AGE 0-17 .5668 2.6 3.3
423 18 MED OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES 1.6028 5.8 7.8
424 19 SURG O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS 2.3483 9.0 14.3
425 19 MED ACUTE ADJUST REACT & DISTURBANCES OF PSYCHOSOCIAL DYSFUNCTION .6782 3.0 4.1
426 19 MED DEPRESSIVE NEUROSES .5525 3.5 4.9
427 19 MED NEUROSES EXCEPT DEPRESSIVE .5588 3.4 4.8
428 19 MED DISORDERS OF PERSONALITY & IMPULSE CONTROL .7114 4.5 7.3
429 19 MED ORGANIC DISTURBANCES & MENTAL RETARDATION .8710 5.2 7.4
430 19 MED PSYCHOSES .8079 6.2 8.8
431 19 MED CHILDHOOD MENTAL DISORDERS .7468 4.6 7.3
432 19 MED OTHER MENTAL DISORDER DIAGNOSES .7085 3.4 5.3
433 20 ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA .3025 2.3 3.2
434 20 ALC/DRUG ABUSE OR DEPEND, DETOX OR OTH SYMPT TREAT W CC .7007 3.9 5.2
435 20 ALC/DRUG ABUSE OR DEPEND, DETOX OR OTH SYMPT TREAT W/O CC .4151 3.5 4.4
436 20 ALC/DRUG DEPENDENCE W REHABILITATION THERAPY .8145 11.4 14.1
437 20 ALC/DRUG DEPENDENCE, COMBINED REHAB & DETOX THERAPY .7023 7.7 9.2
438 NO LONGER VALID .0000 .0 .0
439 21 SURG SKIN GRAFTS FOR INJURIES 1.5800 5.0 7.7
440 21 SURG WOUND DEBRIDEMENTS FOR INJURIES 1.7993 5.7 9.0
441 21 SURG HAND PROCEDURES FOR INJURIES 1.0106 2.3 3.5
442 21 SURG OTHER O.R. PROCEDURES FOR INJURIES W CC 2.2652 5.2 8.1
443 21 SURG OTHER O.R. PROCEDURES FOR INJURIES W/O CC .9292 2.5 3.3
444 21 MED TRAUMATIC INJURY AGE >17 W CC .7115 3.5 4.5
445 21 MED TRAUMATIC INJURY AGE >17 W/O CC .4812 2.6 3.4
446 21 MED * TRAUMATIC INJURY AGE 0-17 .2943 2.4 2.4
447 21 MED ALLERGIC REACTIONS AGE >17 .4938 1.9 2.5
448 21 MED * ALLERGIC REACTIONS AGE 0-17 .0968 2.9 2.9
449 21 MED POISONING & TOXIC EFFECTS OF DRUGS AGE >17 W CC .7850 2.7 3.8
450 21 MED POISONING & TOXIC EFFECTS OF DRUGS AGE >17 W/O CC .4321 1.6 2.1
451 21 MED * POISONING & TOXIC EFFECTS OF DRUGS AGE 0-17 .2614 2.1 2.1
452 21 MED COMPLICATIONS OF TREATMENT W CC .9799 3.6 5.1
453 21 MED COMPLICATIONS OF TREATMENT W/O CC .4859 2.2 2.9
454 21 MED OTHER INJURY, POISONING & TOXIC EFFECT DIAG W CC .8448 3.2 4.7
455 21 MED OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O CC .4675 1.9 2.7
456 NO LONGER VALID .0000 .0 .0
457 NO LONGER VALID .0000 .0 .0
458 NO LONGER VALID .0000 .0 .0
459 NO LONGER VALID .0000 .0 .0
460 NO LONGER VALID .0000 .0 .0
461 23 SURG O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES 1.0684 2.4 4.4
462 23 MED REHABILITATION 1.4071 10.1 12.7
463 23 MED SIGNS & SYMPTOMS W CC .6738 3.3 4.4
464 23 MED SIGNS & SYMPTOMS W/O CC .4996 2.6 3.4
465 23 MED AFTERCARE W HISTORY OF MALIGNANCY AS SECONDARY DIAGNOSIS .5247 1.9 2.9
466 23 MED AFTERCARE W/O HISTORY OF MALIGNANCY AS SECONDARY DIAGNOSIS .6121 2.3 4.0
467 23 MED OTHER FACTORS INFLUENCING HEALTH STATUS .4941 2.3 4.4
468 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 3.6582 9.5 13.5
469 ** PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS .0000 .0 .0
470 ** UNGROUPABLE .0000 .0 .0
471 08 SURG BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY 3.3246 5.3 6.1
472 NO LONGER VALID .0000 .0 .0
473 17 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE >17 3.4741 7.6 13.0
474 NO LONGER VALID .0000 .0 .0
475 04 MED RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT 3.7429 8.1 11.3
476 SURG PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 2.2182 8.9 11.9
477 SURG NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 1.7545 5.3 8.2
478 05 SURG OTHER VASCULAR PROCEDURES W CC 2.3355 5.1 7.5
479 05 SURG OTHER VASCULAR PROCEDURES W/O CC 1.4230 3.0 3.8
480 SURG LIVER TRANSPLANT 10.6455 19.3 26.8
481 SURG BONE MARROW TRANSPLANT 10.2138 24.9 27.9
482 SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES 3.6031 10.0 12.8
483 SURG TRACHEOSTOMY EXCEPT FOR FACE,MOUTH & NECK DIAGNOSES 16.3395 34.0 42.3
484 24 SURG CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 5.3380 9.5 14.8
485 24 SURG LIMB REATTACHMENT, HIP AND FEMUR PROC FOR MULTIPLE SIGNIFICANT TR 3.0788 7.7 9.7
486 24 SURG OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 4.9966 8.4 12.5
487 24 MED OTHER MULTIPLE SIGNIFICANT TRAUMA 1.9183 5.5 7.5
488 25 SURG HIV W EXTENSIVE O.R. PROCEDURE 4.5766 11.9 17.2
489 25 MED HIV W MAJOR RELATED CONDITION 1.7690 6.2 8.9
490 25 MED HIV W OR W/O OTHER RELATED CONDITION .9705 3.9 5.4
491 08 SURG MAJOR JOINT & LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITY 1.6655 3.1 3.7
492 17 MED CHEMOTHERAPY W ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS 4.5427 11.4 17.2
493 07 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC 1.7914 4.2 5.6
494 07 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC .9973 1.9 2.4
495 SURG LUNG TRANSPLANT 8.9500 13.5 16.8
496 08 SURG COMBINED ANTERIOR/POSTERIOR SPINAL FUSION 5.4275 8.6 10.6
497 08 SURG SPINAL FUSION W CC 2.7594 5.0 6.3
498 08 SURG SPINAL FUSION W/O CC 1.6863 2.9 3.5
499 08 SURG BACK & NECK PROCS EXCEPT SPINAL FUSION W CC 1.4677 3.8 5.0
500 08 SURG BACK & NECK PROCS EXCEPT SPINAL FUSION W/O CC .9714 2.4 2.9
501 08 SURG KNEE PROC W PDX OF INFECTION W CC 2.5544 8.4 10.5
502 08 SURG KNEE PROC W PDX OF INFECTION W/O CC 1.5539 5.4 6.6
503 08 SURG KNEE PROCEDURES W/O PDX OF INFECTION 1.2297 3.2 4.2
504 22 SURG EXTENSIVE 3RD DEGREE BURN W SKIN GRAFT 14.1153 23.7 31.8
505 22 EXTENSIVE 3RD DEGREE BURN W/O SKIN GRAFT 1.7875 2.3 5.8
506 22 FULL THICK BURN W SK GRAFT OR INHAL INJ W CC OR SIG TR 4.2478 12.2 16.8
507 22 FULL THICK BURN W SK GRAFT OR INHAL INJ W/O CC OR SIG TR 1.7078 6.6 9.0
508 22 FULL THICK BURN W/O SK GRAFT OR INHAL INJ W CC OR SIG TR 1.4178 5.3 7.9
509 22 FULL THICK BURN W/O SK GRAFT OR INHAL INJ W/O CC OR SIG TR .7824 3.4 5.0
510 22 NON-EXTENSIVE BURNS W CC OR SIGNIFICANT TRAUMA 1.1630 4.9 7.0
511 22 NON-EXTENSIVE BURNS W/O CC OR SIGNIFICANT TRAUMA .6042 3.5 4.9
* MEDICARE DATA HAVE BEEN SUPPLEMENTED BY DATA FROM 19 STATES FOR LOW VOLUME DRGS.
** DRGS 469 AND 470 CONTAIN CASES WHICH COULD NOT BE ASSIGNED TO VALID DRGS.
NOTE: GEOMETRIC MEAN IS USED ONLY TO DETERMINE PAYMENT FOR TRANSFER CASES.
NOTE: ARITHMETIC MEAN IS PRESENTED FOR INFORMATIONAL PURPOSES ONLY.
NOTE: RELATIVE WEIGHTS ARE BASED ON MEDICARE PATIENT DATA AND MAY NOT BE APPROPRIATE FOR OTHER PATIENTS.
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