Diagnosis-Related Groups (inpatient hospitalization)

DRG   Description  Average Charges 
3 ECMO TRACH MV >96 W OR                        1,305,574
4 TRACH/ MV >96 W/O MAJ OR                      1,137,070
6 LIVER TRANSPLANT W/O MCC                         693,221
8 SIM PANCREAS/KIDNEY TRANS                        531,946
11 TRACH FMN DX/ LAR W MCC                          379,578
12 TRACH FMN DX/ LAR W CC                           376,752
13 TRACH FMN DX/LAR WO CCMCC                        227,251
14 ALLOGEN BONE MARROW TRANSP                       763,966
16 AUT BM TRANS CC/MCC/TC IMM                       335,467
17 AUTOL BN MRW TRNS WO CCMCC                       246,759
20 INT VASC PX PDX HEM W MCC                        732,381
21 INT VASC PX PDX HEM W CC                         443,771
22 INT VSC PX PDX HEM WO CC                         341,559
23 CRANIOTOMY W DEVICE W MCC                        384,716
24 CRANIOTOMY WDEVICE WO MCC                        260,370
25 CRAN & ENDOVAS IC PX W MCC                       378,293
26 CRAN & ENDOVAS IC PX W CC                        241,065
27 CRAN & ENDOVAS IC PX WO CC                       196,005
28 SPINAL PROC W MCC                                396,277
29 SPINAL PROC W CC                                 229,219
30 SPINAL PROC W/O CC/MCC                           119,137
31 VENT SHUNT PX W MCC                              340,898
32 VENT SHUNT PX W CC                                  95,737
33 VENT SHUNT PX WO CC/MCC                             84,408
35 CAROTID ARTERY PX W CC                           221,809
36 CAROTID ARTRY PX WO CC/MCC                       134,976
37 EX CRANIAL PX W MCC                              259,730
38 EX CRANIAL PX W CC                               170,347
39 EX CRANIAL PX WO CC/MCC                          129,495
40 PER/CRAN NRV + OTH W MCC                         281,761
41 PER/CRAN NRV + OTH W CC                          163,423
42 PER/CRAN NRV + OTH WO CC                         103,512
52 SPINAL DIS & INJ W CC/MCC                        145,365
53 SPINAL DIS & INJ WO CC/MCC                       104,835
54 NERV SYS NEOP W MCC                                 77,434
55 NERV SYS NEOP WO MCC                                98,576
56 DEG NRV SYS DIS W MCC                            108,700
57 DEG NRV SYS DIS WO MCC                              43,308
58 MS & CEREB ATAX W MCC                               63,947
59 MS & CEREB ATAX W CC                                59,365
60 MS & CEREB ATAX WO CC/MCC                           66,571
61 ISC CVA W/THROMBO W MCC                          154,091
62 ISC CVA W/THROMBO W CC                              90,836
63 ISC CVA W/THOMBO W/O CC                             72,368
64 IC HEM OR CEREB INF W MCC                        143,105
65 IC HM OR CB INF W CC/TPA24                          71,981
66 IC HEM OR CEREB INF WO CC                           48,348
67 NS CVA/ PRE OCCL - INF MCC                          68,742
68 NS CVA/PRE OCCL-INF WO MCC                          56,783
69 TRANS ISCHEMIA W/O THROMB                           95,316
70 NS CEREB DIS W MCC                                  91,443
71 NS CEREB DIS W CC                                   49,731
72 NS CEREB DIS WO CC/MCC                              28,354
73 CRAN/PERI NRV DIS W MCC                             93,313
74 CRAN/PERI NRV DIS WO MCC                            48,036
75 VIRAL MENING W CC/MCC                               59,274
76 VIRAL MENING WO CC/MCC                              26,527
79 HYP ENCEPH WO CC/MCC                                27,996
80 NT STUPOR/COMA W MCC                                98,637
81 NT STUPOR/COMA WO MCC                               39,245
82 TRAU STUPOR/COMA >1HR MCC                        139,665
83 TRAU STUPOR/COMA >1HR CC                            85,267
84 TRAU STUPOR/COMA >1HR WO                            65,358
85 TRAU STUPOR/COMA <1HR MCC                        147,767
86 TRAU STUPOR/COMA <1HR CC                            88,573
87 TRAU STUPOR/COMA <1HR WO                            44,888
88 CONCUSSION W MCC                                    72,314
89 CONCUSSION W CC                                     54,546
90 CONCUSSION WO CC/MCC                                13,277
91 OTH DIS NERV SYS W MCC                           143,808
92 OTH DIS NERV SYS W CC                               54,977
93 OTH DIS NERV SYS WO CC/MCC                          34,458
94 BAC/TB INF NERV SYS W MCC                        146,380
95 BAC/TUBR INF NERV SYS W CC                          84,052
96 BAC/TB INF NERV SYS WO CC                           61,523
97 NO-BAC INF NS EX VM W MCC                           91,709
98 NO-BAC INF NS EX VM W CC                         104,648
99 NO-BAC INF NS EX VM WO CC                           61,835
100 SEIZURES W MCC                                      81,747
101 SEIZURES WO MCC                                     28,687
102 HEADACHES W MCC                                     86,801
103 HEADACHES WO MCC                                    32,546
104 CARDI VALVE PROC W/C-CATH                        195,574
105 CARDI VALVE PROC W/O CCATH                          27,975
107 CORONARY BPASS W CARD CATH                          32,634
110 MAJ CARDIOVASC PROCS W CC                        146,965
111 MAJ CARDIOVASC PROC W/O CC                          94,357
112 PERCUTANEOUS CARDIOV PROCS                          14,551
113 ORBIT PX W CC/MCC                                166,896
114 ORBIT PX WO CC/MCC                                  99,097
115 EXTRAOCULAR PX EX ORBIT                             77,606
117 INTRAOCULAR PX WO CC/MCC                            67,756
118 CARDIAC DEVICE REPLACEMENT                          24,639
119 VEIN LIGATION & STRIPPING                             3,942
120 OTH CIRCULATORY O.R. PROC                           22,599
121 AC MAJ EYE INF W CC/MCC                             55,261
122 AC MAJ EYE INF WO CC/MCC                            26,262
123 NEUROLOGICAL EYE DIS                                48,981
124 OTH DIS EYE W MCC                                   49,646
125 OTH DIS EYE W/O MCC                                 36,228
129 MAJ HEAD/NECK PX W CC/MCC                        151,277
130 MAJ HEAD/NECK PX WO CC/MCC                       136,760
131 CRAN/FAC PX W CC/MCC                             230,382
132 CRAN/FAC PX WO CC/MCC                            123,222
133 ENMT OR PX W CC/MCC                              196,361
134 ENMT OR PX WO CC/MCC                                63,706
135 SINUS/MAST PX W CC/MCC                           129,632
136 SINUS/MAST PX WO CC/MCC                          103,337
137 MOUTH PX W CC/MCC                                   76,246
138 MOUTH PX WO CC/MCC                                  64,770
139 SALIVARY GLAND PX                                   31,825
140 ANGINA PECTORIS                                     30,560
141 SYNCOPE & COLLAPSE W CC                             17,385
142 SYNCOPE & COLLAPSE                                  25,598
143 CHEST PAIN                                          56,063
145 OTH CIRCULATORY DX                                  21,880
146 ENMT MALIG W MCC                                    72,446
147 ENMT MALIG W CC                                     97,177
148 ENMT MALIG WO CC/MCC                                33,948
149 DYSEQUILIBRIUM                                      36,156
151 EPISTAXIS WO MCC                                    42,005
152 OTITIS MEDIA/URI W MCC                              46,824
153 OTITIS MEDIA/URI WO MCC                             19,581
154 OTHER ENMT DIAG W MCC                               67,269
155 OTHER ENMT DIAG W CC                                48,769
156 OTHER ENMT DIAG W/O CC/MCC                          27,281
157 DENTAL/ORAL DIS W MCC                               82,084
158 DENTAL/ORAL DIS W CC                                34,731
159 DENTAL/ORAL DIS WOCC/MCC                            39,610
160 HERNIA X ING/FEMORAL >17                            31,512
161 ING/FEMORAL HERNIA >17CC                         154,906
162 ING/FEMORAL HERNIA >17                              12,816
163 MAJ CHEST PX W MCC                               392,390
164 MAJ CHEST PX W CC                                230,583
165 MAJ CHEST PX WO CC/MCC                           159,356
166 OTH RESP SYS PX W MCC                            266,554
167 OTH RESP SYS PX W CC                             107,193
168 OTH RESP SYS PX WOCC/MCC                            62,329
170 OTHER DIGESTIVE PROC W CC                           12,266
171 OTHER DIGESTIVE PROC                                10,076
172 DIGESTIVE SYS MALIG W CC                            12,850
174 GI HEMORRHAGE W CC                                  14,351
175 PULMONARY EMB W MCC                                 84,739
176 PULMONARY EMB WO MCC                                41,874
177 RESP INF/INFLAM W MCC                               90,554
178 RESP INF/INFLAM W CC                                70,883
179 RESP INF/INFLAM WO CC/MCC                           60,691
180 RESP NEOP W MCC                                  106,570
181 RESP NEOP W CC                                      73,367
183 MAJ CHEST TRAUMA W MCC                              79,624
184 MAJ CHEST TRAUMA W CC                               70,266
185 MAJ CHEST TRAUMA WO CC/MCC                          62,160
186 PLEURAL EFF W MCC                                   78,064
187 PLEURAL EFF W CC                                    54,218
188 PLEURAL EFF WO CC/MCC                               29,213
189 PUL EDEMA/ RESP FAILURE                             70,868
190 CH OBST PULM DIS W MCC                              51,309
191 CH OBST PULM DIS W CC                               32,741
192 CH OBST PULM DIS WO CC/MCC                          46,136
193 SIMP PNEU/PLEU W MCC                                66,627
194 SIMP PNEU/PLEU W CC                                 34,693
195 SIMP PNEU/PLEU WO CC/MCC                            21,151
196 INTERSTITAL LUNG DIS W MCC                          65,572
197 INTERSTITAL LUNG DIS W CC                           35,981
198 INTERSTITAL LUNG DIS WO CC                          34,156
199 PNEUMOTHORAX W MCC                                  91,386
200 PNEUMOTHORAX W CC                                   58,508
201 PNEUMOTHORAX WO CC/MCC                              21,596
202 BRONCH/ASTHMA W CC/MCC                              45,813
203 BRONCH/ASTHMA WO CC/MCC                             21,486
204 RESP SIGNS & SYMPTOMS                               40,190
205 OTH RESP SYS DX W MCC                               79,406
206 OTH RESP SYS DX WO MCC                              44,307
207 RESP SYS DX W VENT >96                           431,295
208 RESP SYS DX W VENT <=96                          144,521
211 HIP/FEMUR PROCEDURES >17                            44,801
214 BACK/NECK PROCEDURES W CC                           80,347
215 OTH HEART ASSIST SYS IMPL                        577,688
216 CV & PX W C CATH W MCC                        1,384,206
217 CV& PX W C CATH W CC                             506,414
218 CV & PX W C CATH WO CC/MCC                       466,851
219 CV & PX WO C CATH W MCC                          654,495
220 CV & MJ CT PX WO C CTH WCC                       416,972
221 CV & PX WO C CTH WO CC/MCC                       288,947
224 C DEFB W C CTH O AMI W MCC                       495,971
226 C DEFIB WO C CATH W MCC                          283,050
227 C DEFIB WO C CATH WO MCC                         323,523
228 OTH CARDIOTHOR PX W MCC                          646,789
229 OTH CARDIOTHOR PX W/O MCC                        380,530
231 CORN BYPASS W PTCA MCC                           458,387
233 CORN BYPASS W CATH W MCC                         517,042
234 CORN BYPASS W CATH WO MCC                        421,574
235 CORN BYPASS WO CATH W MCC                        479,033
236 CORN BYPASS WO CATH WO MCC                       411,734
239 AMP EXC UP LMB & TOE W MCC                       209,462
240 AMP EXC UP LMB & TOE W CC                        194,035
241 AMP EXC UP LMB & TOE WO CC                       128,549
242 PERM CARD PM IMP W MCC                           202,160
243 PERM CARD PM IMP W CC                            196,732
244 PERM CARD PM IMP WO CC/MCC                       172,367
245 AICD GENERATOR PROCS                             462,987
246 PERC CV PX W DE STNT W MCC                       221,716
247 PERC CV PX W DE STNT WOMCC                       158,383
248 PERC CV PX W NDE STNT WMCC                       225,162
249 PERC CV PX WNDR STNT WOMCC                       170,762
250 PER CV PX WO ST W MCC                            162,575
251 PER CV PX WO STNT WO MCC                         130,969
252 OTH VASC PX W MCC                                176,224
253 OTH VASC PX W CC                                 200,131
254 OTH VASC PX WO CC/MCC                            162,834
255 UP LIMB&TOE AMP CSD W MCC                        186,249
256 UP LIMB & TOE AMP CSD W CC                       137,133
258 CARD PACE DEV REPLCE W MCC                       111,923
259 CARD PACE DEV REPLCE WOMCC                       116,280
260 C PACE REV WO REPLCE W MCC                       311,467
261 C PACE REV WO DEV REPL WCC                       137,541
263 VEIN LIG & STRIPPING                             155,246
264 OTH CIRC SYS OR PX                               124,721
266 ENDO CARD VLV REPL W MCC                         397,816
267 ENDO CARD VLV REPL W/O MCC                       226,650
268 ART HRT X PULS BLM W MCC                         196,422
269 ART HRT X PULS BLM WO MCC                        303,575
270 OTH MAJOR CARDIO W MCC                           456,927
271 OTH MAJOR CARDIO W CC                            242,515
272 OTH MAJOR CARDIO WO CC/MCC                       251,330
273 PERC INTRACARDIAC W MCC                          415,039
274 PERC INTRACARDIAC W/O MCC                        330,698
278 CELLULITIS >17                                   206,275
280 ACUTE MI, DIS ALIV W MCC                            76,730
281 ACUTE MI, DIS ALIV W CC                             50,467
282 ACUTE MI,DIS ALIV WOCC/MC                           40,835
283 ACUTE MI, EXP W MCC                              142,430
284 ACUTE MI, EXP W CC                                  51,083
285 ACUTE MI, EXP WO CC/MCC                             79,308
286 CIRC DIS NO MI W CATH WMCC                       142,217
287 CIRC DIS NO MI WCATH WOMCC                          80,298
288 ACU/SUBA ENDOC W MCC                             114,741
289 ACU/SUBA ENDOC W CC                              122,275
291 HEART FAIL/SHOCK W MCC                              60,189
292 HEART FAIL/SHOCK W CC                               45,483
293 HEART FAIL/SHOCK WO CC/MCC                          23,608
294 DVT W CC/MCC                                     135,860
296 CARD ARR, UNEX W MCC                             126,310
297 CARD ARR, UNEX W CC                                 19,494
298 CARD ARR, UNEX WO CC/MCC                              7,576
299 PERI VASC DIS W MCC                                 72,431
300 PERI VASC DIS W CC                                  58,833
301 PERI VASC DIS WO CC/MCC                             32,833
303 ATHEROSCLEROSIS WO MCC                              26,905
304 HYPERTENSION W MCC                                  45,107
305 HYPERTENSION WO MCC                                 35,895
306 CARD CONG/VAL DIS W MCC                          178,502
307 CARD CONG/VAL DIS WO MCC                         125,756
308 CARD ARR/COND DIS W MCC                             67,807
309 CARD ARR/COND DIS W CC                              43,152
310 CARD COND DIS WO CC/MCC                             19,784
311 ANGINA PECTORIS                                     20,899
312 SYNCOPE & COLLAPSE                                  34,284
313 CHEST PAIN                                          24,572
314 OTH CIRC SYS DX W MCC                               84,317
315 OTH CIRC SYS DX W CC                                58,052
316 OTH CIRC SYS DX WO CC                               35,629
326 GASTR, ESOPH,DUO PX W MCC                        379,738
327 GASTR, ESOPH,DUO PX W CC                         241,891
328 GASTR,ESOPH ,DUO PX WO CC                           90,044
329 MAJ SM/LG BOWEL PX W MCC                         358,376
330 MAJ SM/LG BOWEL PX W CC                          134,122
331 MAJ SM/LG BOWEL PX WO CC                            92,525
333 RECTAL RESEC W CC                                122,707
335 PERITON ADHES W MCC                              137,268
336 PERITON ADHES W CC                               134,959
337 PERITON ADHES WO CC/MCC                          106,324
338 APNDEC/COMP PDX W MCC                            123,893
339 APNDEC/COMP PDX W CC                             115,138
340 APNDEC/COMP PDX WO CC                               69,458
341 APNDEC WO COMP PDX MCC                              60,918
342 APNDEC WO COMP PDX CC                               81,137
343 APNDEC WO COMP PDX WO CC                            60,709
344 MIN SM/LG BOWEL PX W MCC                         216,945
345 MIN SM/LG BOWEL PX W CC                             98,728
346 MIN SM/LG BOWEL PX WO CC                            62,877
347 ANAL/STOMAL PX W MCC                             203,651
348 ANAL/STOMAL PX W CC                                 66,194
349 ANAL/STOMAL PX WO CC/MCC                            51,255
350 ING/FEM HERNIA PX W MCC                          189,327
351 ING/FEM HERNIA PX W CC                           176,216
352 ING/FEM HRNIA PX WO CC/MCC                          51,893
353 HERNIA PX X ING/FEM MCC                          266,560
354 HERNIA PX X ING/FEM CC                           133,497
355 HERNIA PX X ING/FEM WO CC                           88,420
356 OTH DIGEST PX W MCC                              175,631
357 OTH DIGEST PX W CC                               154,064
358 OTH DIGEST PX WO CC/MCC                          117,490
368 MAJ ESOPH DIS W MCC                              105,690
369 MAJ ESOPH DIS W CC                                  51,096
370 MAJ ESOPH DIS WO CC/MCC                             26,700
371 MAJ GI DIS&PERIT INF W MCC                          62,273
372 MAJ GI DIS&PERIT INF W CC                           40,264
373 MAJ GI DIS&PERIT INF WO CC                          32,724
374 DIGEST MALIG W MCC                               100,492
375 DIGEST MALIG W CC                                   55,327
376 DIGEST MALIG WO CC/MCC                              53,351
377 GI HEM W MCC                                     108,076
378 GI HEM W CC                                         58,599
379 GI HEM WO CC/MCC                                    34,188
380 CMP PEPTIC ULCER W MCC                              76,708
381 CMP PEPTIC ULCER W CC                               49,427
382 CMP PEPTIC ULCER WO CC/MCC                          43,625
383 UNCMP PEPTIC ULCER MCC                           105,076
384 UNCMP PEPTC ULCER WO MCC                            42,062
385 INFL BOWEL DIS W MCC                             100,547
386 INFL BOWEL DIS W CC                                 49,825
387 INFL BOWEL DIS WO CC/MCC                            46,186
388 GI OBST W MCC                                       77,517
389 GI OBST W CC                                        36,962
390 GI OBST WO CC/MCC                                   27,038
391 ESOPH, GE & DIG DIS W MCC                           53,456
392 ESOPH, GE DIG DIS WO MCC                            28,189
393 OTH DIGEST DX W MCC                                 94,563
394 OTH DIGEST DX W CC                                  41,960
395 OTH DIGEST DX WO CC/MCC                             27,853
405 PANC/LIVER/SHUNT PX MCC                          413,809
406 PANC/LIVER/SHUNT PX CC                           225,389
407 PANC/LIVER PX WO CC/MCC                          177,565
408 BIL TRAC PX EX CHOLE W MCC                       112,940
409 BIL TRAC PX EX CHOLE W CC                        208,560
410 BIL PX EX CHOLE WO CC/MCC                        133,416
414 CHOLE EXC LAP WO CDE W MCC                       153,519
415 CHOLE EXC LAP WO CDE W CC                        158,638
416 CHOL EX LAP WO CDE WO CC/M                          83,576
417 LAP CHOLE WO CDE W MCC                           189,084
418 LAP CHOLE WO CDE W CC                            104,616
419 LAP CHOLE WO CDE WO CC                              75,917
420 HEPATOBILIARY DIAG PX MCC                        205,515
421 HEPATOBILIARY DIAG PX CC                         101,182
422 HEPATOBILIARY PX WO CC/MCC                          95,510
423 OT HEPA/PACR OR PX W MCC                         375,171
424 OT HEPA/PACR OR PX W CC                          106,657
425 OT HEPA/PANCR OR PX WO CC                        139,525
432 CIRR/ALC HEPATITIS MCC                              97,947
433 CIRR/ALC HEPATITIS CC                               58,127
434 CIRR/ALC HEPATITIS WO CC                            25,695
435 MALIG HEPA OR PANCR W MCC                           87,875
436 MALIG HEPA OR PANCR W CC                            70,533
437 MALIG HEPA OR PANCR WO CC                             7,994
438 DIS PANCR X MALIG W MCC                             97,044
439 DIS PANCR X MALIG W CC                              45,052
440 DIS PANCR X MALIG WO CC                             29,445
441 DISDRS LIVER W MCC                               102,964
442 DISDRS LIVER W CC                                   44,507
443 DISDRS LIVER WO CC/MCC                              37,032
444 DIS BILIARY TRACT W MCC                             92,445
445 DIS BILIARY TRACT W CC                              58,059
446 DIS BILIRY TRACT WO CC/MCC                          47,147
453 ANT/POS SPNAL FUSN W MCC                         505,881
454 ANT/POS SPINAL FUSN W CC                         303,355
455 ANT/POS SPNAL FUSN WO CC                         259,178
456 SPI FUS X CER, FUS W MCC                         440,732
457 SPI FUS X CER EXT FUS W CC                       373,052
458 SPI FUS X CER EXT FUS WO C                       366,443
459 SPINAL FUSN X CERVICAL MCC                       382,350
460 SPNAL FUSN X CERVCAL WOMCC                       225,952
463 WND DEB & SG EX HAND WMCC                        365,961
464 WND DEB & SG EX HAND W CC                        172,798
465 WND DEB & SG EX HAND WO CC                       134,362
466 REV HIP/KNEE REPL W MCC                          390,486
467 REV HIP/KNEE REPL W CC                           218,100
468 REV HIP/KNE REPL WO CC/MCC                       202,971
469 MAJ JOIN REPL/REATT LE W M                       218,086
470 MAJ JOIN REP/REAT LE W/O M                       136,518
471 CERVICAL SPN FUSN W MCC                          309,753
472 CERVICAL SPN FUSN W CC                           200,997
473 CERVCAL SPN FUSN WO CC/MCC                       149,829
474 AMP MUSC/TISS DIS W MCC                          176,778
475 AMP MUSC/TISS DIS W CC                           139,016
476 AMP MUSC/TISS DIS WO CC                          120,966
477 BX MUSC & CONN TIS W MCC                         183,909
478 BX MUSC & CONN TIS W CC                          165,497
479 BX MUSC & CONN TIS WO CC                         109,427
480 HIP/FEMUR PX X MJ W MCC                          210,765
481 HIP/FEMUR PX X MJ W CC                           165,597
482 HIP/FEMUR PX W MJ WO CC                          122,957
483 MAJ REATT PX UPPER EXT                           179,881
485 KNEE PX W INF PDX W MCC                          273,886
486 KNEE PX W INF PDX W CC                           129,194
487 KNEE PX W INF PDX WO CC                             57,045
488 KNEE PX WO INF PDX CC/MCC                        185,328
489 KNEE PX WO INF PDX WO CC                            92,200
492 LE & HUM PX W MCC                                255,100
493 LE & HUM PX W CC                                 219,412
494 LE & HUM PX WO CC/MCC                            159,011
495 LOC EX & REM IFD W MCC                           192,267
496 LOC EX & REM IFD W CC                            196,668
497 LOC EX & REM IFD W/O CC                          135,916
498 HIP/FEMUR REM IFD W CC                           126,194
499 HIP/FEMUR REM IFD WO CC                             94,703
500 SOFT TISS PX W MCC                               408,381
501 SOFT TISS PX W CC                                133,302
502 SOFT TISS PX WO CC/MCC                              98,392
503 FOOT PX W MCC                                    168,987
504 FOOT PX W CC                                     251,864
505 FOOT PX WO CC/MCC                                351,546
506 MAJ THUMB/JOINT PX                                  88,065
507 MAJ SHLDR/ELBW PX W CC/MCC                          86,865
508 MJ SHLDR/ELBW PX WO CC/MCC                       101,142
510 UE PX EX MAJ JOINT PX WMCC                       262,985
511 UE PX EX MAJ JOINT PX W CC                       143,441
512 UE PX EX MAJ JNT PX WO CC                        101,707
513 HND/WRST PX W CC/MCC                             114,795
514 HND/WRST PX W/O CC/MCC                              49,641
515 OT MUS CON TIS OR PX W MCC                       210,381
516 OT MUS CON TISS OR PX W CC                       192,620
517 OT MUSC CONN TISS OR PX WO                       136,901
518 B/N X SP FUS MCC DXC NESTM                       236,778
519 B/N PX X SPN FUX W CC                            166,210
520 B/N PX X SPN FUS WO CC/MCC                       156,192
533 FEMUR FRACTURE W MCC                                20,472
534 FEMUR FRACTURE WO MCC                               35,850
535 HIP/PELVIS FRAC W MCC                               59,732
536 HIP/PELVIS FRAC WO MCC                              56,752
538 SPR STR & DISL NE WOCC/MCC                          40,368
539 OSTEOMYELITIS W MCC                                 54,583
540 OSTEOMYELITIS W CC                                  49,492
541 OSTEOMYELITIS W/O CC/MCC                            62,186
542 PTH FX/CON TIS MALIG WMCC                           83,111
543 PATH FX/CON TIS MALIG W CC                          59,029
544 PATH FX/CON TIS MALIG WOCC                          70,640
545 CONN TISS DIS W MCC                                 97,015
546 CONN TISS DIS W CC                                  59,517
547 CONN TISS DIS WO CC/MCC                             37,542
548 SEPTIC ARTHRITIS W MCC                           100,608
549 SEPTIC ARTHRITIS W CC                            143,826
550 SEPTIC ARTHRITIS WO CC/MCC                          32,830
551 MED BACK PROB W MCC                                 93,596
552 MED BACK PROB W/O MCC                               55,538
553 BONE DIS & ARTHROP W MCC                         748,143
554 BONE DIS & ARTHROP WO MCC                           60,818
555 S&S MUSC CONN TIS W MCC                             35,875
556 S&S MUSC CONN TIS WO MCC                            37,415
557 TEND MYOSTIS BURSITIS WMCC                          68,919
558 TEND MYOSTIS BURSTIS WOMCC                          24,499
559 AFTRCARE MUS CONN TIS WMCC                       112,878
560 AFTCARE MUS CONN TISS W CC                          62,363
561 AFTRCARE MUS CON TIS WO CC                          43,591
562 FX SPN STN DIS EX LE WMCC                           66,726
563 FX SPN STN DIS EX LE WOMCC                          41,167
564 OT MUS CONN TISS DX W MCC                           60,378
565 OT MUS CONN TISS DX W CC                            36,859
566 OT MUS CONN TISS DX WO CC                           72,532
570 SKIN DEBRIDEMNT W MCC                            319,764
571 SKIN DEBRIDEMENT W CC                            199,679
572 SKIN DEBRIDEMNT WO CC/MCC                           67,311
573 SG SKN ULC/CELLULIT W MCC                        102,814
574 SG SKN ULC/CELLULIT W CC                         121,838
577 SG X SKN ULC/CELLIT W CC                         170,742
578 SG X SKN ULC/CELL WO CCMCC                       118,997
579 OT SKN,SBQ BRS PX WMCC                           143,516
580 OT SKIN,SBQ BRST PX W CC                            98,475
581 SKIN SUBC BRST PX WO CC                             64,579
582 MAST FOR MALIG W CC/MCC                             74,279
583 MAST FOR MALIG WO CC/MCC                         125,900
584 BX BREAS & OT BRES PX WCC                        145,462
585 BX BRES & OT BRES PX WOCC                        136,269
592 SKIN ULCERS W MCC                                125,717
593 SKIN ULCERS W CC                                    63,374
595 MAJOR SKIN DISORDERS W MCC                       241,579
596 MAJ SKIN DIS W/O MCC                                22,376
597 MAL BREAST DIS W MCC                             104,205
598 MAL BREAST DIS W CC                                 38,772
599 MAL BREAST DIS WO CC/MCC                            46,390
600 N-MAL BREAST DIS W CCMCC                            33,021
601 N-MAL BREAST DIS WO CCMCC                           36,023
602 CELLULITIS W MCC                                    65,183
603 CELLULITIS W/O MCC                                  29,184
604 TRAM SKN, SUBQ, BRST W MC                           65,851
605 TRAM SKN, SUBQ, BST WO MC                           54,631
606 MIN SKIN DIS W MCC                                  42,345
607 MIN SKIN DIS W/O MCC                                25,118
614 ADR & PITU PDX W CC/MCC                          333,092
615 ADR & PITU PIX WO CC/MCC                         254,068
616 AMP LOW LIMB W MCC                               313,620
617 AMP LOW LIMB W CC                                   95,994
618 AMP LOW LIMB WO CC/MCC                           132,849
620 OR PX FOR OBESITY W CC                           135,516
621 OR PX FOR OBESITY WO CC                          115,914
623 SKN GFT & DEBRIMT W CC                           131,009
625 THYR/PARATHY PX W MCC                            170,681
626 THYR/PARATHY PX W CC                             168,848
627 THYR/PARATHY PX WO CC                            113,320
628 OT ENDO/METAB OR PX W MCC                        266,123
629 OT ENDO/METAB OR PX W CC                         187,739
630 OT ENDO/METAB OR PX WO CC                           92,532
637 DIABETES W MCC                                      61,795
638 DIABETES W CC                                       36,246
639 DIABETES W/O CC/MCC                                 23,055
640 MS DIS NUT,META,ELEC W MC                           52,123
641 MS DIS NUT/META/ELEC WOMCC                          28,499
642 INBORN/OTH DIS OF METABOL                           89,786
643 ENDO DIS W MCC                                      71,865
644 ENDO DIS W CC                                       37,668
645 ENDO DIS W/O CC/MCC                                 38,215
652 KIDNEY TRANSPLANT                                328,250
653 MAJ BLADDER PX W MCC                             344,241
654 MAJ BLADDER PX W CC                              191,584
655 MAJ BLADDER PX WO CC/MCC                         180,509
656 KID/URE PX FOR NEOP W MCC                        205,064
657 KID/URE PX FOR NEOP W CC                         137,469
658 KID/URE PX FOR NEOP WO CC                        113,227
659 KIDNY URTER PX NO-CA W MCC                       153,299
660 KIDNY URETER PX NO-CA W CC                       114,400
661 KIDNY URETR PX NON-CA WOCC                       102,748
662 MIN BLADDER PX W MCC                             354,827
663 MIN BLADDER PX W CC                                 60,228
664 MIN BLADDER PX WO CC/MCC                            54,525
667 PROSTATECTOMY WO CC/MCC                             49,823
668 TRANSURETHRAL PX W MCC                           302,766
669 TRANSURETHRAL PX W CC                               81,568
670 TRANSURETHRAL PX WO CC/MCC                          54,316
671 URETHRAL PX W CC/MCC                                75,185
672 URETHRAL PX WO CC/MCC                               62,807
673 OTH KID/UT PX W MCC                              261,711
674 OTH KID/UT PX W CC                               139,693
675 OTH KID/UT PX WO CC/MCC                             45,028
682 RENAL FAILURE W MCC                                 71,008
683 RENAL FAILURE W CC                                  38,582
684 RENAL FAILURE W/O CC/MCC                            28,147
686 KID/UT NEOP W MCC                                   42,787
687 KID/UT NEOP W CC                                    50,040
688 KID/UT NEOP WO CC/MCC                               19,983
689 KIDNEY/UTI W MCC                                    44,829
690 KIDNEY/UTI WO MCC                                   29,745
691 URIN CALC W ESW LITHO W CC                          63,885
693 URIN CALC WO ESW LITH WMCC                          41,077
694 URN CALC WO ESW LITH WOMCC                          37,600
695 KIDNEY URINARY S&S W MCC                         112,030
696 KIDNEY URINARY S&S WOMCC                            21,370
698 OTH KID & UT DX W MCC                               84,258
699 OTH KID & UT DX W CC                                73,486
700 OTH KID & UT DX W/O CC                              28,704
707 MJ MALE PELV PX W CC/MCC                         181,803
708 MJ MALE PELV PX WO CC/MCC                        110,429
709 PENIS PX W CC/MCC                                112,870
710 PENIS PX W/O CC/MCC                                 65,567
711 TESTES PX W CC/MCC                                  93,816
712 TESTES PX WO CC/MCC                                 50,656
713 TRANS PROST W CC/MCC                                79,538
714 TRANS PROST WO CC/MCC                               50,503
715 MALE REP PX FOR MAL W CC                         104,365
717 MALE REP PX EX MALIG W CC                        246,743
722 MALIG MALE REP SYS W MCC                         118,590
723 MALIG MALE REP SYS W CC                             71,328
725 BPH W MCC                                           48,193
726 BPH WO MCC                                          39,707
727 INF MALE REPROD SYS W MCC                           47,947
728 INF MALE REPROD SYS WO MCC                          35,776
729 OTH MALE REPROD DX W CCMCC                          35,607
730 OTH MALE REPROD DX WO CC                            42,250
734 PLV EVIS RAD HYS/VULV W CC                       158,221
735 PLV EVIS RAD HYS/VULV WOCC                       100,811
736 UTR/ADNX PX OVAR MAL WMCC                        307,532
737 UTR/ADNX PX OVAR MALIG WCC                       126,020
738 UTR/ADNX PX OV MALIG WO CC                       106,561
739 UTR/ADNX PX W MCC                                241,808
740 UTR/ADNX PX W CC                                 129,528
741 UTER & ADNEX PX WO CC/MCC                        107,452
742 UTER/ADNX PX NON MAL W CC                           98,008
743 UTR/ADNEX PX NON MAL WO CC                          76,098
744 D&C, CON, LAP & TUB W CC                            78,311
745 D&C, CON, LAP & TUB WO CC                           70,240
746 VAG/CERV/VUL PX W CCMCC                             89,814
747 VAG/CERV/VUL PX WO CCMCC                            60,529
748 FEMALE REP RECONSTRUC PX                            89,496
749 OT FEMALE REP OR PX W CC                         103,768
750 OT FEMALE REP OR PX WO CC                           73,331
754 MAL FEM REPRO SYS W MCC                             89,076
755 MAL FEM REPRO SYS W CC                              56,852
756 MAL FEM REPRO SYS WO CC                             46,560
757 INF FEM REPRO SYS W MCC                          195,167
758 INF FEM REPRO SYS W CC                              39,685
759 INF FEM REPRO SYS WO CC                             24,289
760 MENS/FEMAL REPRO DIS W CC                           14,930
761 MENS/FEMAL REPRO DIS WO CC                          17,802
765 Cesarean sec w CC/MCC                               34,329
766 Cesarean sec w/o CC/MCC                             20,983
767 Vag Del w ster & D&C                                21,734
768 VAG DEL W OR PX                                     20,038
769 PP & POST AB DX WO OR PX                            70,397
770 ABORTION W PROCEDURE                                18,302
774 Vag deliv w comp dx                                 19,881
775 Vag deliv w/o comp dx                               14,998
776 PP & POST AB DX WO OR PX                            22,893
777 Ectopic pregnancy                                   77,791
778 Threatened abortion                                 14,369
779 ABORTION W/O D&C                                    18,652
780 False labor                                           5,525
781 Ot antepartm dx w med comp                          22,917
782 other antepartum dx                                 10,987
783 CESAREAN SEC W STERIL W MC                          58,404
784 CESAREAN SEC W STERIL W CC                          37,285
785 CESAREAN W STER WO CC/MCC                           18,492
786 CESAREAN SEC WO STER WMCC                           42,282
787 CESAREAN SEC WO STER W CC                           30,170
788 CESAREAN WO STER WO CC/MCC                          24,187
789 NEON DIED OR TRANS TO ACF                        415,450
790 EXT IMMAT OR RD SYN NEONAT                       407,567
791 PREMATURITY W MAJ PROB                           184,613
792 PREMATURITY WO MAJ PROB                             39,884
793 FULL TERM NEO W MAJ PROB                         136,684
794 NEON W OTH SIG PROB                                 18,330
795 NORMAL NEWBORN                                        5,791
796 VAG DEL W STER/D&C W MCC                            19,189
797 VAG DEL W STER/D&C W CC                             20,891
798 VAG DEL W STER/DC WO CCMCC                          22,361
799 SPLENECTOMY W MCC                                807,545
800 SPLENECTOMY W CC                                 168,328
801 SPLENECTOMY W/O CC/MCC                              85,704
802 OR PX BLOOD/BL ORGAN W MCC                       106,414
803 OR PX BLOOD/BL ORGANS W CC                          71,410
804 OR PX BLOOD/BL ORGAN WO CC                          51,103
805 VAG DEL WO STER/DC W MCC                            28,732
806 VAG DEL WO STER/DC W CC                             21,019
807 VAG DEL WO STER/DC WOCCMCC                          16,316
808 MAJ HEMO/IMMO DX W MCC                           113,907
809 MAJ HEMO/IMMO DX W CC                               49,557
810 MAJ HEMO/IMMO DX WO CC/MCC                          69,013
811 RBC DIS W MCC                                       73,547
812 RBC DIS W/O MCC                                     36,845
813 COAGULATION DISORDERS                               47,384
814 RETICUL & IMMUN DIS W MCC                           71,815
815 RETICUL & IMMUN DIS W CC                            59,143
816 RETICUL & IMMUN DIS WO                              37,721
817 OTH ANTP DX W OR W MCC                              56,101
818 OTH ANTP DX W OR W CC                               45,671
819 OTH ANTP DX W OR WOCCMCC                            96,025
820 LMPH/LEUK W OR PX W MCC                          430,842
821 LMPH/LEUK W OR PX W CC                           191,014
822 LMPH/LEUK W OR PX WOCC/MCC                       129,224
823 LYMPH & NAL W PX W MCC                           458,969
824 LYMPH & NAL W PX W CC                            137,614
825 LYMPH & NAL W PX WO CC                           120,240
826 MYL DIS/NEO W MOR PX W MCC                       441,692
827 MYL DIS/NEO W MOR PX W CC                        149,213
828 MYL DIS/NEO W MOR PX WO CC                       154,318
829 MYEL DIS/NEO W PX W CC/MCC                       394,968
830 MYEL DIS/NEO W PX WO CC                          102,532
831 OTH ANTP DX WO OR W MCC                             29,003
832 OTH ANTP DX WO OR W CC                              18,344
833 OTH ANTP DX WO OR WOCCMCC                           21,315
834 AC LEUK WO MAJ OR PX W MCC                       465,858
835 AC LEUK WO MAJ OR PX W CC                        222,444
836 AC LEUK WO MAJ OR PX WO CC                       125,594
837 CHMO W LEUK OR HI DSE WMCC                       181,027
838 CHMO W LEUK OR HI DOSE WCC                          88,635
839 CHMO W LUK OR HI DOSE WOCC                          53,073
840 LYMPH & NON AC LEUK W MCC                        135,431
841 LYMPH & NON AC LEUK W CC                         121,957
842 LYMPH & NON AC LEUK WO CC                           45,735
843 OT MYELO DIS DIF NEOP WMCC                          63,949
844 OT MYELO DIS DIF NEOP WCC                           79,522
845 OT MYELODIS DIF NEOP WO CC                          21,538
846 CHEMO WO AC LEUK SDX W MCC                       127,176
847 CHEMO WO AC LEUK SDX W CC                           44,158
848 CHEMO WO AC LEUK SDX WO CC                          27,429
849 RADIOTHERAPY                                     106,112
853 INF & PAR DIS OR PX W MCC                        393,313
854 INF & PAR DIS OR PX W CC                         132,965
855 INF & PAR DIS OR PX WO CC                           82,563
856 POSTOP/TRAMA INF WOR W MCC                       287,836
857 POSTOP/TRAMA INF WOR W CC                        106,879
858 POSTOP/TRAMA INF WOR WO CC                       144,675
862 POSTOP POST TRAM INF W MCC                          71,969
863 POSTOP POST TRAUM INF WOCC                          34,189
864 FEVER AND INFLAM COND                               25,759
865 VIRAL ILLNESS W MCC                                 41,688
866 VIRAL ILLNESS W/O MCC                               23,090
867 OTH INF/PARA DX W MCC                            242,704
868 OTH INF/PARA DX W CC                                57,278
869 OTH INF/PARA DX WO CC/MCC                           29,726
870 SEPTI OR SEPSI W MC >96HRS                       441,955
871 SEPTI/SEPS WO MV>96HR WMCC                       104,214
872 SEPTI/SEPS WO MV >96 WO MC                          47,178
876 OR PX W PDX OF MENTAL ILL                        177,133
880 AC ADJ REAC & PSY DYS                               29,095
881 DEPRESSIVE NEUROSES                                 17,404
882 NEUROSES X DEPRESSIVE                               20,477
883 DISO PERS & IMP CONTROL                             71,084
884 ORGAN DIST & INTELL DISAB                           39,451
885 PSYCHOSES                                           34,534
886 BEH/ DEVELOP DISORDERS                              26,182
887 OTH MENTAL DIS DX                                   66,148
894 ALC/DRUG ABUSE/DEP AMA                              34,726
896 ALC/DRU ABU WO REHAB W MCC                          88,418
897 ALC/DRU ABU WO REHAB WOMCC                          35,631
901 WND DEBRID INJ W MCC                             468,953
902 WND DEBRID INJ W CC                              119,629
903 WND DEBRID INJ WO CCMCC                          150,312
904 SKIN GRAFT INJ CC/MCC                            307,224
905 SKIN GRAFT INJ WO CC/MCC                         125,465
906 HAND PX FOR INJURIES                                98,896
907 OTH OR PX FOR INJ W MCC                          267,954
908 OTH OR PX FOR INJ W CC                           145,457
909 OT OR PX FOR INJ WO CC/MCC                          89,504
913 TRAUMATIC INJURY W MCC                              52,193
914 TRAUMATIC INJURY W/O MCC                            43,330
915 ALLERGIC REAC W MCC                                 95,413
916 ALLERGIC REAC W/O MCC                               18,510
917 POIS/TOX EFF OF DRUG W MCC                          96,434
918 POIS/TOX EFF OF DRUG WO CC                          34,934
919 COMPL OF TREAT W MCC                             105,257
920 COMPL OF TREAT W CC                                 51,288
921 COMPL OF TREAT WO CC/MCC                            27,018
922 INJ/POIS/TOX EFCT DX W MCC                       110,736
923 INJ/POIS/TOX EFT DX WO MCC                          23,518
928 BRN W SG OR INHAL INJ W CC                       151,911
933 EXT BURN FT MV>96 WP SG                             94,182
934 FT BURN WO SG OR INHAL INJ                          26,125
935 NON-EXTENSIVE BURNS                                 25,986
939 OR PX W PDX OTH SVCS W MCC                       238,582
940 OR PX PDX OTH SVCS W CC                          151,497
941 OR PX W PDX OTH SVCS WOMCC                          68,041
947 SIGNS & SYMPTOMS W MCC                              49,667
948 SIGNS & SYMPTOMS W/O MCC                            38,675
949 AFTERCARE W CC/MCC                                  21,605
950 AFTERCARE W/O CC/MCC                                19,681
951 OT FACTS HEALTH STATUS                              24,899
955 CRANIOTOMY MULT SIGN TRAUM                       407,602
956 LIMB REATT HIM&FEM MULT TR                       441,752
957 OR PX MULT SIG TRAMA W MCC                       446,027
958 OR PX MULT SIG TRAMA WCC                         260,416
959 OR PX MULT SIG TRAMA WO CC                       176,178
963 OTH MULT SIG TRAUMA MCC                          176,561
964 OTH MULT SIG TRAUMA CC                           101,612
965 OTH MULT SIG TRAUMA W/O CC                          58,695
969 HIV W EXT OR PX W MCC                            465,082
970 HIV W EXT OR PX WO MCC                           332,837
974 HIV W MJ REL COND W MCC                          179,255
975 HIV W MJ REL COND W CC                              86,888
976 HIV W MJ REL COND WO CC                             55,374
977 HIV W OR WO OTH RELAT COND                          72,596
981 EXT OR PX UNREL PDX W MCC                        278,598
982 EXT OR PX UNREL PDX W CC                         136,705
983 EXT OR PX UNREL PDX WO CC                        104,934
987 NON-EXT OR UNREL PDX W MCC                       378,001
988 NON-EXT OR UNREL PDX W CC                        108,519
989 NON-EXT OR UNREL PDX WO CC                          79,555
998 PDX INVAL AS DISCH DX                               26,224
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