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FY 2012 Final Rule Special Pay DRG. MS-DRG Final Rule Post-Acute. MDC TYPE MS-DRG Title Weights

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MS-DRG

FY 2012

Final Rule

Post-Acute

FY 2012 Final

Rule Special

Pay DRG

MDC

TYPE

MS-DRG Title

Weights

001 No No PRE SURG HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC 24.2794

002 No No PRE SURG HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O MCC 13.9700

003 Yes No PRE SURG ECMO OR TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R. 17.9927 004 Yes No PRE SURG TRACH W MV 96+ HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. 10.9251

005 No No PRE SURG LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT 10.4814

006 No No PRE SURG LIVER TRANSPLANT W/O MCC 5.1059

007 No No PRE SURG LUNG TRANSPLANT 9.8710

008 No No PRE SURG SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT 5.1176

010 No No PRE SURG PANCREAS TRANSPLANT 3.8900

011 No No PRE SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W MCC 4.9967

012 No No PRE SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W CC 3.0957

013 No No PRE SURG TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W/O CC/MCC 1.8983

014 No No PRE SURG ALLOGENEIC BONE MARROW TRANSPLANT 10.2792

016 No No PRE SURG AUTOLOGOUS BONE MARROW TRANSPLANT W CC/MCC 6.3127

017 No No PRE SURG AUTOLOGOUS BONE MARROW TRANSPLANT W/O CC/MCC 4.3224

020 No No 01 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC 8.5033

021 No No 01 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W CC 6.4369

022 No No 01 SURG INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W/O CC/MCC 4.1500

023 Yes No 01 SURG CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W MCC OR CHEMO IMPLANT 5.3625

024 Yes No 01 SURG CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC 3.6327

025 Yes No 01 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC 4.6927

026 Yes No 01 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC 2.9770

027 Yes No 01 SURG CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC 2.1317

028 Yes Yes 01 SURG SPINAL PROCEDURES W MCC 5.6476

029 Yes Yes 01 SURG SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS 2.8308

030 Yes Yes 01 SURG SPINAL PROCEDURES W/O CC/MCC 1.6924

031 Yes No 01 SURG VENTRICULAR SHUNT PROCEDURES W MCC 4.4529

032 Yes No 01 SURG VENTRICULAR SHUNT PROCEDURES W CC 1.9491

033 Yes No 01 SURG VENTRICULAR SHUNT PROCEDURES W/O CC/MCC 1.4085

034 No No 01 SURG CAROTID ARTERY STENT PROCEDURE W MCC 3.5003

035 No No 01 SURG CAROTID ARTERY STENT PROCEDURE W CC 2.1459

036 No No 01 SURG CAROTID ARTERY STENT PROCEDURE W/O CC/MCC 1.6550

037 No No 01 SURG EXTRACRANIAL PROCEDURES W MCC 3.0845

038 No No 01 SURG EXTRACRANIAL PROCEDURES W CC 1.5804

039 No No 01 SURG EXTRACRANIAL PROCEDURES W/O CC/MCC 1.0305

040 Yes Yes 01 SURG PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC 4.0331

041 Yes Yes 01 SURG PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM 2.1775

042 Yes Yes 01 SURG PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC 1.7442

052 No No 01 MED SPINAL DISORDERS & INJURIES W CC/MCC 1.5390

053 No No 01 MED SPINAL DISORDERS & INJURIES W/O CC/MCC 0.8554

054 Yes No 01 MED NERVOUS SYSTEM NEOPLASMS W MCC 1.4680

055 Yes No 01 MED NERVOUS SYSTEM NEOPLASMS W/O MCC 1.0760

056 Yes No 01 MED DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC 1.7656

057 Yes No 01 MED DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC 0.9652

(2)

059 No No 01 MED MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC 1.0181

060 No No 01 MED MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC 0.7618

061 No No 01 MED ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W MCC 2.8804

062 No No 01 MED ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W CC 1.9506

063 No No 01 MED ACUTE ISCHEMIC STROKE W USE OF THROMBOLYTIC AGENT W/O CC/MCC 1.5361

064 Yes No 01 MED INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC 1.8555

065 Yes No 01 MED INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC 1.1485

066 Yes No 01 MED INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC 0.8105

067 No No 01 MED NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC 1.4475

068 No No 01 MED NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC 0.8901

069 No No 01 MED TRANSIENT ISCHEMIA 0.7347

070 Yes No 01 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC 1.8030

071 Yes No 01 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W CC 1.0578

072 Yes No 01 MED NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC 0.7237

073 No No 01 MED CRANIAL & PERIPHERAL NERVE DISORDERS W MCC 1.2955

074 No No 01 MED CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC 0.8644

075 No No 01 MED VIRAL MENINGITIS W CC/MCC 1.7196

076 No No 01 MED VIRAL MENINGITIS W/O CC/MCC 0.8751

077 No No 01 MED HYPERTENSIVE ENCEPHALOPATHY W MCC 1.6587

078 No No 01 MED HYPERTENSIVE ENCEPHALOPATHY W CC 1.0200

079 No No 01 MED HYPERTENSIVE ENCEPHALOPATHY W/O CC/MCC 0.7218

080 No No 01 MED NONTRAUMATIC STUPOR & COMA W MCC 1.1865

081 No No 01 MED NONTRAUMATIC STUPOR & COMA W/O MCC 0.7374

082 No No 01 MED TRAUMATIC STUPOR & COMA, COMA >1 HR W MCC 2.0265

083 No No 01 MED TRAUMATIC STUPOR & COMA, COMA >1 HR W CC 1.3567

084 No No 01 MED TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC 0.8422

085 Yes No 01 MED TRAUMATIC STUPOR & COMA, COMA <1 HR W MCC 2.1483

086 Yes No 01 MED TRAUMATIC STUPOR & COMA, COMA <1 HR W CC 1.1759

087 Yes No 01 MED TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC 0.7834

088 No No 01 MED CONCUSSION W MCC 1.6177

089 No No 01 MED CONCUSSION W CC 0.9809

090 No No 01 MED CONCUSSION W/O CC/MCC 0.7297

091 Yes No 01 MED OTHER DISORDERS OF NERVOUS SYSTEM W MCC 1.6238

092 Yes No 01 MED OTHER DISORDERS OF NERVOUS SYSTEM W CC 0.9247

093 Yes No 01 MED OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC 0.6751

094 No No 01 MED BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W MCC 3.4244

095 No No 01 MED BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC 2.3762

096 No No 01 MED BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W/O CC/MCC 1.9069

097 No No 01 MED NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC 3.2139

098 No No 01 MED NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC 1.8279

099 No No 01 MED NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/MCC 1.2299

100 Yes No 01 MED SEIZURES W MCC 1.5254

101 Yes No 01 MED SEIZURES W/O MCC 0.7620

102 No No 01 MED HEADACHES W MCC 1.0129

103 No No 01 MED HEADACHES W/O MCC 0.6677

113 No No 02 SURG ORBITAL PROCEDURES W CC/MCC 1.8841

114 No No 02 SURG ORBITAL PROCEDURES W/O CC/MCC 0.9275

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116 No No 02 SURG INTRAOCULAR PROCEDURES W CC/MCC 1.2982

117 No No 02 SURG INTRAOCULAR PROCEDURES W/O CC/MCC 0.7657

121 No No 02 MED ACUTE MAJOR EYE INFECTIONS W CC/MCC 1.0440

122 No No 02 MED ACUTE MAJOR EYE INFECTIONS W/O CC/MCC 0.6304

123 No No 02 MED NEUROLOGICAL EYE DISORDERS 0.7135

124 No No 02 MED OTHER DISORDERS OF THE EYE W MCC 1.1702

125 No No 02 MED OTHER DISORDERS OF THE EYE W/O MCC 0.6918

129 No No 03 SURG MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE 2.2143

130 No No 03 SURG MAJOR HEAD & NECK PROCEDURES W/O CC/MCC 1.1858

131 No No 03 SURG CRANIAL/FACIAL PROCEDURES W CC/MCC 2.2558

132 No No 03 SURG CRANIAL/FACIAL PROCEDURES W/O CC/MCC 1.1974

133 No No 03 SURG OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC 1.7241

134 No No 03 SURG OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC 0.8722

135 No No 03 SURG SINUS & MASTOID PROCEDURES W CC/MCC 1.9963

136 No No 03 SURG SINUS & MASTOID PROCEDURES W/O CC/MCC 1.0114

137 No No 03 SURG MOUTH PROCEDURES W CC/MCC 1.3160

138 No No 03 SURG MOUTH PROCEDURES W/O CC/MCC 0.7784

139 No No 03 SURG SALIVARY GLAND PROCEDURES 0.9009

146 No No 03 MED EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC 2.0669

147 No No 03 MED EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC 1.2268

148 No No 03 MED EAR, NOSE, MOUTH & THROAT MALIGNANCY W/O CC/MCC 0.7521

149 No No 03 MED DYSEQUILIBRIUM 0.6350

150 No No 03 MED EPISTAXIS W MCC 1.3103

151 No No 03 MED EPISTAXIS W/O MCC 0.6601

152 No No 03 MED OTITIS MEDIA & URI W MCC 0.9570

153 No No 03 MED OTITIS MEDIA & URI W/O MCC 0.6296

154 No No 03 MED OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC 1.4235

155 No No 03 MED OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC 0.8985

156 No No 03 MED OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC 0.6192

157 No No 03 MED DENTAL & ORAL DISEASES W MCC 1.6092

158 No No 03 MED DENTAL & ORAL DISEASES W CC 0.8971

159 No No 03 MED DENTAL & ORAL DISEASES W/O CC/MCC 0.5801

163 Yes No 04 SURG MAJOR CHEST PROCEDURES W MCC 5.0910

164 Yes No 04 SURG MAJOR CHEST PROCEDURES W CC 2.6029

165 Yes No 04 SURG MAJOR CHEST PROCEDURES W/O CC/MCC 1.7854

166 Yes No 04 SURG OTHER RESP SYSTEM O.R. PROCEDURES W MCC 3.7322

167 Yes No 04 SURG OTHER RESP SYSTEM O.R. PROCEDURES W CC 2.0575

168 Yes No 04 SURG OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC 1.2791

175 Yes No 04 MED PULMONARY EMBOLISM W MCC 1.6212

176 Yes No 04 MED PULMONARY EMBOLISM W/O MCC 1.0485

177 Yes No 04 MED RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC 2.0653

178 Yes No 04 MED RESPIRATORY INFECTIONS & INFLAMMATIONS W CC 1.4653

179 Yes No 04 MED RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC 1.0025

180 No No 04 MED RESPIRATORY NEOPLASMS W MCC 1.7403

181 No No 04 MED RESPIRATORY NEOPLASMS W CC 1.2237

182 No No 04 MED RESPIRATORY NEOPLASMS W/O CC/MCC 0.8446

183 No No 04 MED MAJOR CHEST TRAUMA W MCC 1.4695

(4)

185 No No 04 MED MAJOR CHEST TRAUMA W/O CC/MCC 0.7013

186 Yes No 04 MED PLEURAL EFFUSION W MCC 1.5824

187 Yes No 04 MED PLEURAL EFFUSION W CC 1.1123

188 Yes No 04 MED PLEURAL EFFUSION W/O CC/MCC 0.7699

189 No No 04 MED PULMONARY EDEMA & RESPIRATORY FAILURE 1.2694

190 Yes No 04 MED CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC 1.1684

191 Yes No 04 MED CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC 0.9628

192 Yes No 04 MED CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC 0.7081

193 Yes No 04 MED SIMPLE PNEUMONIA & PLEURISY W MCC 1.4948

194 Yes No 04 MED SIMPLE PNEUMONIA & PLEURISY W CC 1.0026

195 Yes No 04 MED SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC 0.7037

196 Yes No 04 MED INTERSTITIAL LUNG DISEASE W MCC 1.6571

197 Yes No 04 MED INTERSTITIAL LUNG DISEASE W CC 1.0943

198 Yes No 04 MED INTERSTITIAL LUNG DISEASE W/O CC/MCC 0.7839

199 No No 04 MED PNEUMOTHORAX W MCC 1.8145

200 No No 04 MED PNEUMOTHORAX W CC 0.9892

201 No No 04 MED PNEUMOTHORAX W/O CC/MCC 0.7121

202 No No 04 MED BRONCHITIS & ASTHMA W CC/MCC 0.8519

203 No No 04 MED BRONCHITIS & ASTHMA W/O CC/MCC 0.6133

204 No No 04 MED RESPIRATORY SIGNS & SYMPTOMS 0.6564

205 Yes No 04 MED OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC 1.3324

206 Yes No 04 MED OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC 0.7565

207 Yes No 04 MED RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS 5.2933

208 No No 04 MED RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <96 HOURS 2.2704

215 No No 05 SURG OTHER HEART ASSIST SYSTEM IMPLANT 13.7629

216 Yes Yes 05 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC 9.6922 217 Yes Yes 05 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W CC 6.4987 218 Yes Yes 05 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W/O CC/MCC 5.1734 219 Yes Yes 05 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC 8.0815 220 Yes Yes 05 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC 5.2602 221 Yes Yes 05 SURG CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W/O CC/MCC 4.3663

222 No No 05 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W MCC 8.6807

223 No No 05 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W/O MCC 6.3309

224 No No 05 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W MCC 7.7154

225 No No 05 SURG CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W/O MCC 5.9511

226 No No 05 SURG CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC 6.7895

227 No No 05 SURG CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC 5.1500

228 No No 05 SURG OTHER CARDIOTHORACIC PROCEDURES W MCC 7.3445

229 No No 05 SURG OTHER CARDIOTHORACIC PROCEDURES W CC 4.6552

230 No No 05 SURG OTHER CARDIOTHORACIC PROCEDURES W/O CC/MCC 3.6603

231 No No 05 SURG CORONARY BYPASS W PTCA W MCC 7.9084

232 No No 05 SURG CORONARY BYPASS W PTCA W/O MCC 5.6690

233 Yes No 05 SURG CORONARY BYPASS W CARDIAC CATH W MCC 7.1418

234 Yes No 05 SURG CORONARY BYPASS W CARDIAC CATH W/O MCC 4.8314

235 Yes No 05 SURG CORONARY BYPASS W/O CARDIAC CATH W MCC 5.9063

236 Yes No 05 SURG CORONARY BYPASS W/O CARDIAC CATH W/O MCC 3.7720

237 No No 05 SURG MAJOR CARDIOVASC PROCEDURES W MCC 5.1221

(5)

239 Yes No 05 SURG AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC 4.7401

240 Yes No 05 SURG AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC 2.6063

241 Yes No 05 SURG AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC 1.4939

242 Yes No 05 SURG PERMANENT CARDIAC PACEMAKER IMPLANT W MCC 3.6835

243 Yes No 05 SURG PERMANENT CARDIAC PACEMAKER IMPLANT W CC 2.6363

244 Yes No 05 SURG PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC 2.0538

245 No No 05 SURG AICD GENERATOR PROCEDURES 4.1967

246 No No 05 SURG PERC CARDIOVASC PROC W DRUG-ELUTING STENT W MCC OR 4+ VESSELS/STENTS 3.1727

247 No No 05 SURG PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC 1.9828

248 No No 05 SURG PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W MCC OR 4+ VES/STENTS 2.9396

249 No No 05 SURG PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC 1.8132

250 No No 05 SURG PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W MCC 2.8921

251 No No 05 SURG PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC 1.8447

252 No No 05 SURG OTHER VASCULAR PROCEDURES W MCC 2.9865

253 No No 05 SURG OTHER VASCULAR PROCEDURES W CC 2.4432

254 No No 05 SURG OTHER VASCULAR PROCEDURES W/O CC/MCC 1.6521

255 Yes No 05 SURG UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC 2.5192

256 Yes No 05 SURG UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC 1.6035

257 Yes No 05 SURG UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W/O CC/MCC 0.9071

258 No No 05 SURG CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC 2.9714

259 No No 05 SURG CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC 1.8217

260 No No 05 SURG CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC 3.6297

261 No No 05 SURG CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC 1.6750

262 No No 05 SURG CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC 1.1756

263 No No 05 SURG VEIN LIGATION & STRIPPING 1.6226

264 Yes No 05 SURG OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 2.5580

265 No No 05 SURG AICD LEAD PROCEDURES 2.3133

280 Yes No 05 MED ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC 1.7901

281 Yes No 05 MED ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC 1.1478

282 Yes No 05 MED ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC 0.7856

283 No No 05 MED ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC 1.7118

284 No No 05 MED ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC 0.8400

285 No No 05 MED ACUTE MYOCARDIAL INFARCTION, EXPIRED W/O CC/MCC 0.5401

286 No No 05 MED CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC 2.0360

287 No No 05 MED CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC 1.0743

288 Yes No 05 MED ACUTE & SUBACUTE ENDOCARDITIS W MCC 2.8654

289 Yes No 05 MED ACUTE & SUBACUTE ENDOCARDITIS W CC 1.8502

290 Yes No 05 MED ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC 1.1141

291 Yes No 05 MED HEART FAILURE & SHOCK W MCC 1.5010

292 Yes No 05 MED HEART FAILURE & SHOCK W CC 1.0214

293 Yes No 05 MED HEART FAILURE & SHOCK W/O CC/MCC 0.6756

294 No No 05 MED DEEP VEIN THROMBOPHLEBITIS W CC/MCC 0.9916

295 No No 05 MED DEEP VEIN THROMBOPHLEBITIS W/O CC/MCC 0.6992

296 No No 05 MED CARDIAC ARREST, UNEXPLAINED W MCC 1.2895

297 No No 05 MED CARDIAC ARREST, UNEXPLAINED W CC 0.6574

298 No No 05 MED CARDIAC ARREST, UNEXPLAINED W/O CC/MCC 0.4048

299 Yes No 05 MED PERIPHERAL VASCULAR DISORDERS W MCC 1.3719

(6)

301 Yes No 05 MED PERIPHERAL VASCULAR DISORDERS W/O CC/MCC 0.6646

302 No No 05 MED ATHEROSCLEROSIS W MCC 1.0029

303 No No 05 MED ATHEROSCLEROSIS W/O MCC 0.5737

304 No No 05 MED HYPERTENSION W MCC 0.9797

305 No No 05 MED HYPERTENSION W/O MCC 0.6130

306 No No 05 MED CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC 1.3321

307 No No 05 MED CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC 0.7732

308 No No 05 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC 1.2283

309 No No 05 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC 0.8155

310 No No 05 MED CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC 0.5608

311 No No 05 MED ANGINA PECTORIS 0.5067

312 No No 05 MED SYNCOPE & COLLAPSE 0.7139

313 No No 05 MED CHEST PAIN 0.5434

314 Yes No 05 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC 1.8386

315 Yes No 05 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W CC 0.9612

316 Yes No 05 MED OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC 0.6068

326 Yes No 06 SURG STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC 5.6803

327 Yes No 06 SURG STOMACH, ESOPHAGEAL & DUODENAL PROC W CC 2.7470

328 Yes No 06 SURG STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC 1.3848

329 Yes No 06 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC 5.3215

330 Yes No 06 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W CC 2.5911

331 Yes No 06 SURG MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC 1.6254

332 Yes No 06 SURG RECTAL RESECTION W MCC 4.8691

333 Yes No 06 SURG RECTAL RESECTION W CC 2.4758

334 Yes No 06 SURG RECTAL RESECTION W/O CC/MCC 1.6038

335 Yes No 06 SURG PERITONEAL ADHESIOLYSIS W MCC 4.2876

336 Yes No 06 SURG PERITONEAL ADHESIOLYSIS W CC 2.3392

337 Yes No 06 SURG PERITONEAL ADHESIOLYSIS W/O CC/MCC 1.4956

338 No No 06 SURG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC 3.2639

339 No No 06 SURG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC 1.8484

340 No No 06 SURG APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC 1.2308

341 No No 06 SURG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC 2.3570

342 No No 06 SURG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC 1.3477

343 No No 06 SURG APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC 0.9587

344 No No 06 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W MCC 3.2740

345 No No 06 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W CC 1.6986

346 No No 06 SURG MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC 1.1679

347 No No 06 SURG ANAL & STOMAL PROCEDURES W MCC 2.5330

348 No No 06 SURG ANAL & STOMAL PROCEDURES W CC 1.4031

349 No No 06 SURG ANAL & STOMAL PROCEDURES W/O CC/MCC 0.8075

350 No No 06 SURG INGUINAL & FEMORAL HERNIA PROCEDURES W MCC 2.5207

351 No No 06 SURG INGUINAL & FEMORAL HERNIA PROCEDURES W CC 1.3837

352 No No 06 SURG INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC 0.8625

353 No No 06 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC 2.8433

354 No No 06 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC 1.5691

355 No No 06 SURG HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC 1.0743

356 Yes No 06 SURG OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC 3.9628

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358 Yes No 06 SURG OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC 1.3062

368 No No 06 MED MAJOR ESOPHAGEAL DISORDERS W MCC 1.8526

369 No No 06 MED MAJOR ESOPHAGEAL DISORDERS W CC 1.0882

370 No No 06 MED MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC 0.7469

371 Yes No 06 MED MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC 2.0364

372 Yes No 06 MED MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC 1.2811

373 Yes No 06 MED MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC 0.8437

374 Yes No 06 MED DIGESTIVE MALIGNANCY W MCC 2.0951

375 Yes No 06 MED DIGESTIVE MALIGNANCY W CC 1.2851

376 Yes No 06 MED DIGESTIVE MALIGNANCY W/O CC/MCC 0.8715

377 Yes No 06 MED G.I. HEMORRHAGE W MCC 1.7640

378 Yes No 06 MED G.I. HEMORRHAGE W CC 1.0238

379 Yes No 06 MED G.I. HEMORRHAGE W/O CC/MCC 0.7067

380 Yes No 06 MED COMPLICATED PEPTIC ULCER W MCC 1.8855

381 Yes No 06 MED COMPLICATED PEPTIC ULCER W CC 1.1311

382 Yes No 06 MED COMPLICATED PEPTIC ULCER W/O CC/MCC 0.8023

383 No No 06 MED UNCOMPLICATED PEPTIC ULCER W MCC 1.2509

384 No No 06 MED UNCOMPLICATED PEPTIC ULCER W/O MCC 0.8474

385 No No 06 MED INFLAMMATORY BOWEL DISEASE W MCC 1.8525

386 No No 06 MED INFLAMMATORY BOWEL DISEASE W CC 1.0598

387 No No 06 MED INFLAMMATORY BOWEL DISEASE W/O CC/MCC 0.7747

388 Yes No 06 MED G.I. OBSTRUCTION W MCC 1.6603

389 Yes No 06 MED G.I. OBSTRUCTION W CC 0.9345

390 Yes No 06 MED G.I. OBSTRUCTION W/O CC/MCC 0.6399

391 No No 06 MED ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC 1.1844

392 No No 06 MED ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC 0.7241

393 No No 06 MED OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC 1.6750

394 No No 06 MED OTHER DIGESTIVE SYSTEM DIAGNOSES W CC 0.9898

395 No No 06 MED OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC 0.6643

405 Yes No 07 SURG PANCREAS, LIVER & SHUNT PROCEDURES W MCC 5.7167

406 Yes No 07 SURG PANCREAS, LIVER & SHUNT PROCEDURES W CC 2.6577

407 Yes No 07 SURG PANCREAS, LIVER & SHUNT PROCEDURES W/O CC/MCC 1.8557

408 No No 07 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC 4.0197

409 No No 07 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC 2.3120

410 No No 07 SURG BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CC/MCC 1.5243

411 No No 07 SURG CHOLECYSTECTOMY W C.D.E. W MCC 3.5821

412 No No 07 SURG CHOLECYSTECTOMY W C.D.E. W CC 2.3985

413 No No 07 SURG CHOLECYSTECTOMY W C.D.E. W/O CC/MCC 1.7409

414 Yes No 07 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC 3.6689

415 Yes No 07 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC 2.0637

416 Yes No 07 SURG CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC 1.3588

417 No No 07 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC 2.5319

418 No No 07 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC 1.6909

419 No No 07 SURG LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC 1.1814

420 No No 07 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC 3.8108

421 No No 07 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC 1.9081

422 No No 07 SURG HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC 1.2324

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424 No No 07 SURG OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W CC 2.4411

425 No No 07 SURG OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W/O CC/MCC 1.7024

432 No No 07 MED CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC 1.6737

433 No No 07 MED CIRRHOSIS & ALCOHOLIC HEPATITIS W CC 0.9424

434 No No 07 MED CIRRHOSIS & ALCOHOLIC HEPATITIS W/O CC/MCC 0.6084

435 No No 07 MED MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC 1.7950

436 No No 07 MED MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC 1.1965

437 No No 07 MED MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W/O CC/MCC 0.9309

438 No No 07 MED DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC 1.7781

439 No No 07 MED DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC 0.9864

440 No No 07 MED DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC 0.6772

441 Yes No 07 MED DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC 1.8873

442 Yes No 07 MED DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC 0.9596

443 Yes No 07 MED DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC 0.6543

444 No No 07 MED DISORDERS OF THE BILIARY TRACT W MCC 1.6083

445 No No 07 MED DISORDERS OF THE BILIARY TRACT W CC 1.0678

446 No No 07 MED DISORDERS OF THE BILIARY TRACT W/O CC/MCC 0.7222

453 No No 08 SURG COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC 10.9193

454 No No 08 SURG COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC 7.3268

455 No No 08 SURG COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC 5.6449

456 No No 08 SURG SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS W MCC 9.8152

457 No No 08 SURG SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS W CC 6.3425

458 No No 08 SURG SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR 9+ FUS W/O CC/MCC 5.0565

459 Yes No 08 SURG SPINAL FUSION EXCEPT CERVICAL W MCC 6.4920

460 Yes No 08 SURG SPINAL FUSION EXCEPT CERVICAL W/O MCC 3.8580

461 No No 08 SURG BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC 5.3985

462 No No 08 SURG BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC 3.3359 463 Yes No 08 SURG WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC 5.0438 464 Yes No 08 SURG WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC 2.9658 465 Yes No 08 SURG WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC 1.7406

466 Yes No 08 SURG REVISION OF HIP OR KNEE REPLACEMENT W MCC 4.9812

467 Yes No 08 SURG REVISION OF HIP OR KNEE REPLACEMENT W CC 3.2437

468 Yes No 08 SURG REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC 2.5700

469 Yes No 08 SURG MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC 3.4418

470 Yes No 08 SURG MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC 2.0866

471 No No 08 SURG CERVICAL SPINAL FUSION W MCC 4.5444

472 No No 08 SURG CERVICAL SPINAL FUSION W CC 2.7906

473 No No 08 SURG CERVICAL SPINAL FUSION W/O CC/MCC 2.0812

474 Yes No 08 SURG AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC 3.6088

475 Yes No 08 SURG AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC 1.9728

476 Yes No 08 SURG AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC 1.0558 477 Yes Yes 08 SURG BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC 3.4596

478 Yes Yes 08 SURG BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC 2.2781

479 Yes Yes 08 SURG BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC 1.6827

480 Yes Yes 08 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC 3.0557

481 Yes Yes 08 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC 1.9093

482 Yes Yes 08 SURG HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC 1.5498

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484 Yes No 08 SURG MAJOR JOINT & LIMB REATTACHMENT PROC OF UPPER EXTREMITY W/O CC/MCC 1.9939

485 No No 08 SURG KNEE PROCEDURES W PDX OF INFECTION W MCC 3.1425

486 No No 08 SURG KNEE PROCEDURES W PDX OF INFECTION W CC 2.0641

487 No No 08 SURG KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC 1.4925

488 Yes No 08 SURG KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC 1.7184

489 Yes No 08 SURG KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC 1.2284

490 No No 08 SURG BACK & NECK PROC EXC SPINAL FUSION W CC/MCC OR DISC DEVICE/NEUROSTIM 1.7987

491 No No 08 SURG BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC 1.0067

492 Yes Yes 08 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC 3.0498

493 Yes Yes 08 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC 1.8771

494 Yes Yes 08 SURG LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC 1.3518

495 Yes Yes 08 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W MCC 2.8991 496 Yes Yes 08 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC 1.6403 497 Yes Yes 08 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC 1.0908 498 No No 08 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W CC/MCC 2.0297 499 No No 08 SURG LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W/O CC/MCC 0.9412

500 Yes Yes 08 SURG SOFT TISSUE PROCEDURES W MCC 3.1696

501 Yes Yes 08 SURG SOFT TISSUE PROCEDURES W CC 1.5704

502 Yes Yes 08 SURG SOFT TISSUE PROCEDURES W/O CC/MCC 1.0373

503 No No 08 SURG FOOT PROCEDURES W MCC 2.3022

504 No No 08 SURG FOOT PROCEDURES W CC 1.5457

505 No No 08 SURG FOOT PROCEDURES W/O CC/MCC 1.1297

506 No No 08 SURG MAJOR THUMB OR JOINT PROCEDURES 1.1621

507 No No 08 SURG MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC 1.8730

508 No No 08 SURG MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W/O CC/MCC 1.2074

509 No No 08 SURG ARTHROSCOPY 1.3986

510 Yes No 08 SURG SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W MCC 2.2506

511 Yes No 08 SURG SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W CC 1.5009

512 Yes No 08 SURG SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W/O CC/MCC 1.0781

513 No No 08 SURG HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC 1.3276

514 No No 08 SURG HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC 0.8295

515 Yes Yes 08 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC 3.2336

516 Yes Yes 08 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC 1.9801

517 Yes Yes 08 SURG OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC 1.5556

533 Yes No 08 MED FRACTURES OF FEMUR W MCC 1.6148

534 Yes No 08 MED FRACTURES OF FEMUR W/O MCC 0.7553

535 Yes No 08 MED FRACTURES OF HIP & PELVIS W MCC 1.3267

536 Yes No 08 MED FRACTURES OF HIP & PELVIS W/O MCC 0.7256

537 No No 08 MED SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W CC/MCC 0.8422 538 No No 08 MED SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W/O CC/MCC 0.6270

539 Yes No 08 MED OSTEOMYELITIS W MCC 1.9903

540 Yes No 08 MED OSTEOMYELITIS W CC 1.3373

541 Yes No 08 MED OSTEOMYELITIS W/O CC/MCC 0.8806

542 Yes No 08 MED PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC 2.0419 543 Yes No 08 MED PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC 1.1719 544 Yes No 08 MED PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC 0.7660

545 Yes No 08 MED CONNECTIVE TISSUE DISORDERS W MCC 2.4737

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547 Yes No 08 MED CONNECTIVE TISSUE DISORDERS W/O CC/MCC 0.7435

548 No No 08 MED SEPTIC ARTHRITIS W MCC 1.8861

549 No No 08 MED SEPTIC ARTHRITIS W CC 1.2400

550 No No 08 MED SEPTIC ARTHRITIS W/O CC/MCC 0.7363

551 Yes No 08 MED MEDICAL BACK PROBLEMS W MCC 1.6751

552 Yes No 08 MED MEDICAL BACK PROBLEMS W/O MCC 0.8410

553 No No 08 MED BONE DISEASES & ARTHROPATHIES W MCC 1.1903

554 No No 08 MED BONE DISEASES & ARTHROPATHIES W/O MCC 0.6994

555 No No 08 MED SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC 1.1824 556 No No 08 MED SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC 0.6688

557 Yes No 08 MED TENDONITIS, MYOSITIS & BURSITIS W MCC 1.5339

558 Yes No 08 MED TENDONITIS, MYOSITIS & BURSITIS W/O MCC 0.8979

559 Yes No 08 MED AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC 1.8839

560 Yes No 08 MED AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC 1.0234

561 Yes No 08 MED AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC 0.6104 562 Yes No 08 MED FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC 1.4004 563 Yes No 08 MED FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC 0.7392

564 No No 08 MED OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC 1.4803

565 No No 08 MED OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC 0.9498

566 No No 08 MED OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC 0.6371

570 Yes No 09 SURG SKIN DEBRIDEMENT W MCC 2.5158

571 Yes No 09 SURG SKIN DEBRIDEMENT W CC 1.5427

572 Yes No 09 SURG SKIN DEBRIDEMENT W/O CC/MCC 0.9872

573 Yes No 09 SURG SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W MCC 3.4249

574 Yes No 09 SURG SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC 2.6984

575 Yes No 09 SURG SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W/O CC/MCC 1.2271

576 No No 09 SURG SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W MCC 3.4936

577 No No 09 SURG SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC 1.8118

578 No No 09 SURG SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W/O CC/MCC 1.0684

579 Yes No 09 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC 2.6935

580 Yes No 09 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W CC 1.4801

581 Yes No 09 SURG OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC 0.9497

582 No No 09 SURG MASTECTOMY FOR MALIGNANCY W CC/MCC 1.1504

583 No No 09 SURG MASTECTOMY FOR MALIGNANCY W/O CC/MCC 0.8762

584 No No 09 SURG BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W CC/MCC 1.6488 585 No No 09 SURG BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC 1.1004

592 Yes No 09 MED SKIN ULCERS W MCC 1.4753

593 Yes No 09 MED SKIN ULCERS W CC 1.0279

594 Yes No 09 MED SKIN ULCERS W/O CC/MCC 0.6981

595 No No 09 MED MAJOR SKIN DISORDERS W MCC 1.9636

596 No No 09 MED MAJOR SKIN DISORDERS W/O MCC 0.8924

597 No No 09 MED MALIGNANT BREAST DISORDERS W MCC 1.6590

598 No No 09 MED MALIGNANT BREAST DISORDERS W CC 1.1630

599 No No 09 MED MALIGNANT BREAST DISORDERS W/O CC/MCC 0.6798

600 No No 09 MED NON-MALIGNANT BREAST DISORDERS W CC/MCC 0.9788

601 No No 09 MED NON-MALIGNANT BREAST DISORDERS W/O CC/MCC 0.6086

602 Yes No 09 MED CELLULITIS W MCC 1.4597

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604 No No 09 MED TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC 1.3025

605 No No 09 MED TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC 0.7388

606 No No 09 MED MINOR SKIN DISORDERS W MCC 1.3600

607 No No 09 MED MINOR SKIN DISORDERS W/O MCC 0.6952

614 No No 10 SURG ADRENAL & PITUITARY PROCEDURES W CC/MCC 2.4580

615 No No 10 SURG ADRENAL & PITUITARY PROCEDURES W/O CC/MCC 1.4319

616 Yes No 10 SURG AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W MCC 4.3933 617 Yes No 10 SURG AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC 2.0188 618 Yes No 10 SURG AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W/O CC/MCC 1.1616

619 No No 10 SURG O.R. PROCEDURES FOR OBESITY W MCC 3.4953

620 No No 10 SURG O.R. PROCEDURES FOR OBESITY W CC 1.8384

621 No No 10 SURG O.R. PROCEDURES FOR OBESITY W/O CC/MCC 1.4835

622 Yes No 10 SURG SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC 3.8339 623 Yes No 10 SURG SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC 1.8542 624 Yes No 10 SURG SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/MCC 0.9965

625 No No 10 SURG THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W MCC 2.2587

626 No No 10 SURG THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W CC 1.1682

627 No No 10 SURG THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC 0.8008

628 Yes No 10 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC 3.2526

629 Yes No 10 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC 2.2077

630 Yes No 10 SURG OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC/MCC 1.3128

637 Yes No 10 MED DIABETES W MCC 1.4398

638 Yes No 10 MED DIABETES W CC 0.8167

639 Yes No 10 MED DIABETES W/O CC/MCC 0.5503

640 Yes No 10 MED MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC 1.1125

641 Yes No 10 MED MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC 0.6988

642 No No 10 MED INBORN AND OTHER DISORDERS OF METABOLISM 1.1212

643 Yes No 10 MED ENDOCRINE DISORDERS W MCC 1.7057

644 Yes No 10 MED ENDOCRINE DISORDERS W CC 1.0583

645 Yes No 10 MED ENDOCRINE DISORDERS W/O CC/MCC 0.7252

652 No No 11 SURG KIDNEY TRANSPLANT 3.0507

653 Yes No 11 SURG MAJOR BLADDER PROCEDURES W MCC 5.9249

654 Yes No 11 SURG MAJOR BLADDER PROCEDURES W CC 3.0568

655 Yes No 11 SURG MAJOR BLADDER PROCEDURES W/O CC/MCC 1.9934

656 No No 11 SURG KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC 3.6359

657 No No 11 SURG KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC 2.0127

658 No No 11 SURG KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC 1.4698

659 Yes No 11 SURG KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC 3.4634

660 Yes No 11 SURG KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC 1.8851

661 Yes No 11 SURG KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC 1.3020

662 No No 11 SURG MINOR BLADDER PROCEDURES W MCC 2.9733

663 No No 11 SURG MINOR BLADDER PROCEDURES W CC 1.4791

664 No No 11 SURG MINOR BLADDER PROCEDURES W/O CC/MCC 1.1269

665 No No 11 SURG PROSTATECTOMY W MCC 3.3775

666 No No 11 SURG PROSTATECTOMY W CC 1.5904

667 No No 11 SURG PROSTATECTOMY W/O CC/MCC 0.8128

668 No No 11 SURG TRANSURETHRAL PROCEDURES W MCC 2.5512

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670 No No 11 SURG TRANSURETHRAL PROCEDURES W/O CC/MCC 0.7806

671 No No 11 SURG URETHRAL PROCEDURES W CC/MCC 1.4800

672 No No 11 SURG URETHRAL PROCEDURES W/O CC/MCC 0.8443

673 No No 11 SURG OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC 2.9875

674 No No 11 SURG OTHER KIDNEY & URINARY TRACT PROCEDURES W CC 2.1338

675 No No 11 SURG OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC 1.3425

682 Yes No 11 MED RENAL FAILURE W MCC 1.6410

683 Yes No 11 MED RENAL FAILURE W CC 1.0183

684 Yes No 11 MED RENAL FAILURE W/O CC/MCC 0.6409

685 No No 11 MED ADMIT FOR RENAL DIALYSIS 0.8905

686 No No 11 MED KIDNEY & URINARY TRACT NEOPLASMS W MCC 1.7795

687 No No 11 MED KIDNEY & URINARY TRACT NEOPLASMS W CC 1.0458

688 No No 11 MED KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC 0.6482

689 Yes No 11 MED KIDNEY & URINARY TRACT INFECTIONS W MCC 1.1997

690 Yes No 11 MED KIDNEY & URINARY TRACT INFECTIONS W/O MCC 0.7870

691 No No 11 MED URINARY STONES W ESW LITHOTRIPSY W CC/MCC 1.5289

692 No No 11 MED URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC 1.0903

693 No No 11 MED URINARY STONES W/O ESW LITHOTRIPSY W MCC 1.3505

694 No No 11 MED URINARY STONES W/O ESW LITHOTRIPSY W/O MCC 0.7090

695 No No 11 MED KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W MCC 1.2608

696 No No 11 MED KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC 0.6449

697 No No 11 MED URETHRAL STRICTURE 0.8099

698 Yes No 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC 1.6066

699 Yes No 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC 0.9998

700 Yes No 11 MED OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC 0.6783

707 No No 12 SURG MAJOR MALE PELVIC PROCEDURES W CC/MCC 1.8249

708 No No 12 SURG MAJOR MALE PELVIC PROCEDURES W/O CC/MCC 1.2757

709 No No 12 SURG PENIS PROCEDURES W CC/MCC 1.9299

710 No No 12 SURG PENIS PROCEDURES W/O CC/MCC 1.2640

711 No No 12 SURG TESTES PROCEDURES W CC/MCC 1.8978

712 No No 12 SURG TESTES PROCEDURES W/O CC/MCC 0.7901

713 No No 12 SURG TRANSURETHRAL PROSTATECTOMY W CC/MCC 1.2056

714 No No 12 SURG TRANSURETHRAL PROSTATECTOMY W/O CC/MCC 0.6710

715 No No 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W CC/MCC 1.7556

716 No No 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W/O CC/MCC 0.8704

717 No No 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC 1.6348

718 No No 12 SURG OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC 0.8146

722 No No 12 MED MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MCC 1.5734

723 No No 12 MED MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC 1.0178

724 No No 12 MED MALIGNANCY, MALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.6724

725 No No 12 MED BENIGN PROSTATIC HYPERTROPHY W MCC 1.2457

726 No No 12 MED BENIGN PROSTATIC HYPERTROPHY W/O MCC 0.7279

727 No No 12 MED INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC 1.4244

728 No No 12 MED INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC 0.7848

729 No No 12 MED OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC/MCC 1.0903

730 No No 12 MED OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W/O CC/MCC 0.6256

734 No No 13 SURG PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W CC/MCC 2.4618 735 No No 13 SURG PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC 1.2208

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736 No No 13 SURG UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC 4.5276

737 No No 13 SURG UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC 2.0221

738 No No 13 SURG UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC 1.2170

739 No No 13 SURG UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC 3.3672

740 No No 13 SURG UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC 1.5431

741 No No 13 SURG UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC 1.1201

742 No No 13 SURG UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC 1.4262

743 No No 13 SURG UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC 0.9306

744 No No 13 SURG D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC 1.4785 745 No No 13 SURG D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W/O CC/MCC 0.7956

746 No No 13 SURG VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC 1.2993

747 No No 13 SURG VAGINA, CERVIX & VULVA PROCEDURES W/O CC/MCC 0.9038

748 No No 13 SURG FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 0.9447

749 No No 13 SURG OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W CC/MCC 2.5283

750 No No 13 SURG OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC 1.0799

754 No No 13 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC 2.0512

755 No No 13 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC 1.1560

756 No No 13 MED MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.6202

757 No No 13 MED INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC 1.5585

758 No No 13 MED INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC 1.0657

759 No No 13 MED INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC 0.7324

760 No No 13 MED MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC 0.7892 761 No No 13 MED MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC 0.5150

765 No No 14 SURG CESAREAN SECTION W CC/MCC 1.2255

766 No No 14 SURG CESAREAN SECTION W/O CC/MCC 0.8497

767 No No 14 SURG VAGINAL DELIVERY W STERILIZATION &/OR D&C 0.8547

768 No No 14 SURG VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C 1.8180

769 No No 14 SURG POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE 1.5259

770 No No 14 SURG ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 0.6353

774 No No 14 MED VAGINAL DELIVERY W COMPLICATING DIAGNOSES 0.7406

775 No No 14 MED VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES 0.5283

776 No No 14 MED POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE 0.6436

777 No No 14 MED ECTOPIC PREGNANCY 0.8133

778 No No 14 MED THREATENED ABORTION 0.4646

779 No No 14 MED ABORTION W/O D&C 0.5134

780 No No 14 MED FALSE LABOR 0.1947

781 No No 14 MED OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS 0.6674

782 No No 14 MED OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS 0.3175

789 No No 15 MED NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY 1.4933

790 No No 15 MED EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE 4.9243

791 No No 15 MED PREMATURITY W MAJOR PROBLEMS 3.3631

792 No No 15 MED PREMATURITY W/O MAJOR PROBLEMS 2.0293

793 No No 15 MED FULL TERM NEONATE W MAJOR PROBLEMS 3.4547

794 No No 15 MED NEONATE W OTHER SIGNIFICANT PROBLEMS 1.2227

795 No No 15 MED NORMAL NEWBORN 0.1656

799 No No 16 SURG SPLENECTOMY W MCC 5.0201

800 No No 16 SURG SPLENECTOMY W CC 2.5375

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802 No No 16 SURG OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC 3.4676

803 No No 16 SURG OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC 1.7277

804 No No 16 SURG OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W/O CC/MCC 1.0293

808 No No 16 MED MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC 2.0907

809 No No 16 MED MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC 1.2114

810 No No 16 MED MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC 0.8718

811 No No 16 MED RED BLOOD CELL DISORDERS W MCC 1.2182

812 No No 16 MED RED BLOOD CELL DISORDERS W/O MCC 0.7920

813 No No 16 MED COAGULATION DISORDERS 1.5098

814 No No 16 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC 1.6769

815 No No 16 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC 0.9811

816 No No 16 MED RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC 0.7187

820 No No 17 SURG LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC 6.0717

821 No No 17 SURG LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC 2.3666

822 No No 17 SURG LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W/O CC/MCC 1.2183

823 No No 17 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W MCC 4.4598

824 No No 17 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W CC 2.3193

825 No No 17 SURG LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER O.R. PROC W/O CC/MCC 1.2762

826 No No 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC 5.0537

827 No No 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W CC 2.2658

828 No No 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W/O CC/MCC 1.3082 829 No No 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W CC/MCC 2.8560 830 No No 17 SURG MYELOPROLIF DISORD OR POORLY DIFF NEOPL W OTHER O.R. PROC W/O CC/MCC 1.1616

834 No No 17 MED ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC 5.3606

835 No No 17 MED ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W CC 2.3640

836 No No 17 MED ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W/O CC/MCC 1.0967

837 No No 17 MED CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC 6.5055

838 No No 17 MED CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT 3.2689

839 No No 17 MED CHEMO W ACUTE LEUKEMIA AS SDX W/O CC/MCC 1.2623

840 Yes No 17 MED LYMPHOMA & NON-ACUTE LEUKEMIA W MCC 3.0350

841 Yes No 17 MED LYMPHOMA & NON-ACUTE LEUKEMIA W CC 1.6342

842 Yes No 17 MED LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC 1.0133

843 No No 17 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC 1.8899

844 No No 17 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC 1.1750

845 No No 17 MED OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC/MCC 0.7966

846 No No 17 MED CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC 2.2853

847 No No 17 MED CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC 1.0146

848 No No 17 MED CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W/O CC/MCC 0.7643

849 No No 17 MED RADIOTHERAPY 1.3127

853 Yes No 18 SURG INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC 5.4668

854 Yes No 18 SURG INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC 2.6551

855 Yes No 18 SURG INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W/O CC/MCC 1.6008

856 Yes No 18 SURG POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC 4.9588

857 Yes No 18 SURG POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC 2.0726

858 Yes No 18 SURG POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC 1.3212

862 Yes No 18 MED POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC 1.9223

863 Yes No 18 MED POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC 0.9943

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865 No No 18 MED VIRAL ILLNESS W MCC 1.5809

866 No No 18 MED VIRAL ILLNESS W/O MCC 0.7446

867 Yes No 18 MED OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC 2.5523

868 Yes No 18 MED OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC 1.0816

869 Yes No 18 MED OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O CC/MCC 0.6724

870 Yes No 18 MED SEPTICEMIA OR SEVERE SEPSIS W MV 96+ HOURS 5.8339

871 Yes No 18 MED SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W MCC 1.9090

872 Yes No 18 MED SEPTICEMIA OR SEVERE SEPSIS W/O MV 96+ HOURS W/O MCC 1.1339

876 No No 19 SURG O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS 2.8319

880 No No 19 MED ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION 0.6337

881 No No 19 MED DEPRESSIVE NEUROSES 0.6156

882 No No 19 MED NEUROSES EXCEPT DEPRESSIVE 0.6566

883 No No 19 MED DISORDERS OF PERSONALITY & IMPULSE CONTROL 1.1864

884 Yes No 19 MED ORGANIC DISTURBANCES & MENTAL RETARDATION 0.9529

885 No No 19 MED PSYCHOSES 0.9209

886 No No 19 MED BEHAVIORAL & DEVELOPMENTAL DISORDERS 0.7466

887 No No 19 MED OTHER MENTAL DISORDER DIAGNOSES 0.8189

894 No No 20 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA 0.4304

895 No No 20 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY 1.0952

896 Yes No 20 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC 1.4555

897 Yes No 20 MED ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC 0.6687

901 No No 21 SURG WOUND DEBRIDEMENTS FOR INJURIES W MCC 4.1030

902 No No 21 SURG WOUND DEBRIDEMENTS FOR INJURIES W CC 1.7938

903 No No 21 SURG WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC 1.0562

904 No No 21 SURG SKIN GRAFTS FOR INJURIES W CC/MCC 3.1057

905 No No 21 SURG SKIN GRAFTS FOR INJURIES W/O CC/MCC 1.1702

906 No No 21 SURG HAND PROCEDURES FOR INJURIES 1.0566

907 Yes No 21 SURG OTHER O.R. PROCEDURES FOR INJURIES W MCC 3.9661

908 Yes No 21 SURG OTHER O.R. PROCEDURES FOR INJURIES W CC 1.9298

909 Yes No 21 SURG OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC 1.1612

913 No No 21 MED TRAUMATIC INJURY W MCC 1.2458

914 No No 21 MED TRAUMATIC INJURY W/O MCC 0.7097

915 No No 21 MED ALLERGIC REACTIONS W MCC 1.4600

916 No No 21 MED ALLERGIC REACTIONS W/O MCC 0.4836

917 Yes No 21 MED POISONING & TOXIC EFFECTS OF DRUGS W MCC 1.4977

918 Yes No 21 MED POISONING & TOXIC EFFECTS OF DRUGS W/O MCC 0.6228

919 No No 21 MED COMPLICATIONS OF TREATMENT W MCC 1.6282

920 No No 21 MED COMPLICATIONS OF TREATMENT W CC 0.9629

921 No No 21 MED COMPLICATIONS OF TREATMENT W/O CC/MCC 0.6332

922 No No 21 MED OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC 1.4748

923 No No 21 MED OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC 0.6741

927 No No 22 SURG EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV 96+ HRS W SKIN GRAFT 12.1033

928 No No 22 SURG FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W CC/MCC 4.8909

929 No No 22 SURG FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W/O CC/MCC 2.1779

933 No No 22 MED EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV 96+ HRS W/O SKIN GRAFT 2.2850

934 No No 22 MED FULL THICKNESS BURN W/O SKIN GRFT OR INHAL INJ 1.3998

935 No No 22 MED NON-EXTENSIVE BURNS 1.2572

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940 No No 23 SURG O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC 1.7678 941 No No 23 SURG O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC 1.1492

945 Yes No 23 MED REHABILITATION W CC/MCC 1.3312

946 Yes No 23 MED REHABILITATION W/O CC/MCC 1.2889

947 Yes No 23 MED SIGNS & SYMPTOMS W MCC 1.1309

948 Yes No 23 MED SIGNS & SYMPTOMS W/O MCC 0.6923

949 No No 23 MED AFTERCARE W CC/MCC 0.9505

950 No No 23 MED AFTERCARE W/O CC/MCC 0.5175

951 No No 23 MED OTHER FACTORS INFLUENCING HEALTH STATUS 0.7245

955 No No 24 SURG CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 5.4529

956 Yes No 24 SURG LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA 3.6322

957 No No 24 SURG OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC 6.6017

958 No No 24 SURG OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC 3.7491

959 No No 24 SURG OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC 2.4711

963 No No 24 MED OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC 2.8294

964 No No 24 MED OTHER MULTIPLE SIGNIFICANT TRAUMA W CC 1.5165

965 No No 24 MED OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC 1.0114

969 No No 25 SURG HIV W EXTENSIVE O.R. PROCEDURE W MCC 5.6158

970 No No 25 SURG HIV W EXTENSIVE O.R. PROCEDURE W/O MCC 2.3655

974 No No 25 MED HIV W MAJOR RELATED CONDITION W MCC 2.7063

975 No No 25 MED HIV W MAJOR RELATED CONDITION W CC 1.3455

976 No No 25 MED HIV W MAJOR RELATED CONDITION W/O CC/MCC 0.8649

977 No No 25 MED HIV W OR W/O OTHER RELATED CONDITION 1.0783

981 Yes No SURG EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC 5.0673

982 Yes No SURG EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC 2.9352

983 Yes No SURG EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC 1.7404

984 No No SURG PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC 3.5294

985 No No SURG PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC 2.1240

986 No No SURG PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC 1.0980

987 Yes No SURG NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC 3.4039

988 Yes No SURG NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC 1.8567

989 Yes No SURG NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC 1.0583

998 No No ** PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS 0.0000

999 No No ** UNGROUPABLE 0.0000

References

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