New York AP-DRG Weights Version 26 AP-DRG Grouper

Transcription

1 001 Craniotomy Age >17 W CC Craniotomy Age >17 W/O CC Carpal Tunnel Release Periph & Cranial Nerve & Other Nerv Syst Proc W CC Periph & Cranial Nerve & Other Nerv Syst Proc W/O CC Spinal Disorders & Injuries Nervous System Neoplasms W CC Nervous System Neoplasms W/O CC Degenerative Nervous System Disorders Multiple Sclerosis & Cerebellar Ataxia Stroke W Infarct Nonspecific CVa & Precerebral Occlusion W/O Infarct Nonspecific Cerebrovascular Disorders W CC Nonspecific Cerebrovascular Disorders W/O CC Cranial & Peripheral Nerve Disorders W CC Cranial & Peripheral Nerve Disorders W/O CC Viral Meningitis Hypertensive Encephalopathy Nontraumatic Stupor & Coma Other Disorders of Nervous System W CC Other Disorders of Nervous System W/O CC Retinal Procedures Orbital Procedures Primary Iris Procedures Lens Procedures With or Without Vitrectomy Extraocular Procedures Except Orbit Age > Extraocular Procedures Except Orbit Age < Intraocular Procedures Except Retina, Iris & Lens Hyphema Acute Major Eye Infections Neurological Eye Disorders Other Disorders of the Eye Age >17 W CC Other Disorders of the Eye Age >17 W/O CC Other Disorders of the Eye Age < Major Head & Neck Procedures Except for Malignancy Sialoadenectomy Salivary Gland Procedures Except Sialoadenectomy Cleft Lip & Palate Repair Sinus & Mastoid Procedures Age > Sinus & Mastoid Procedures Age < Miscellaneous Ear, Nose, Mouth & Throat Procedures Rhinoplasty T&A Proc, Except Tonsillectomy &/or Adenoidect Only, Age > T&A Proc, Except Tonsillectomy &/or Adenoidect Only, Age < Tonsillectomy &/or Adenoidectomy Only, Age > Tonsillectomy &/or Adenoidectomy Only, Age < Myringotomy W Tube Insertion Age > Myringotomy W Tube Insertion Age < Other Ear, Nose, Mouth & Throat O.R. Procedures Ear, Nose, Mouth & Throat Malignancy

2 065 Dysequilibrium Epistaxis Epiglottitis Otitis Media & URI Age >17 W CC Otitis Media & URI Age >17 W/O CC Otitis Media & URI Age < Laryngotracheitis Nasal Trauma & Deformity Other Ear, Nose, Mouth & Throat Diagnoses Age > Other Ear, Nose, Mouth & Throat Diagnoses Age < Major Chest Procedures Other Resp System O.R. Procedures W CC Other Resp System O.R. Procedures W/O CC Pulmonary Embolism Respiratory Infections & Inflammations Exc Simple Pneumonia Age > Respiratory Infections & Inflammations Exc Simple Pneumonia Age > Respiratory Neoplasms Major Chest Trauma W CC Major Chest Trauma W/O CC Pleural Effusion W CC Pleural Effusion W/O CC Pulmonary Edema & Respiratory Failure Chronic Obstructive Pulmonary Disease Simple Pneumonia & Pleurisy Age >17 W CC Simple Pneumonia & Pleurisy Age >17 W/O CC Interstitial Lung Disease W CC Interstitial Lung Disease W/O CC Pneumothorax W CC Pneumothorax W/O CC Bronchitis & Asthma Age >17 W CC Bronchitis & Asthma Age >17 W/O CC Respiratory Signs & Symptoms W CC Respiratory Signs & Symptoms W/O CC Other Respiratory System Diagnoses W CC Other Respiratory System Diagnoses W/O CC Heart Transplant or Implant of Heart Assist System Cardiac Valve & Other Major Cardiothoracic Proc W Cardiac Cath Cardiac Valve & Other Major Cardiothoracic Proc W/O Cardiac Cath Coronary Bypass W PTCA Coronary Bypass W/O PTCA W Cardiac Cath Other Cardiothoracic Proc W/O PDX Congenital Anomaly Coronary Bypass W/O PTCA W/O Cardiac Cath Major Cardiovascular Procedures W CC Major Cardiovascular Procedures W/O CC Percutaneous Cardiovascular Proc W/O AMI, Heart Failure or Shock Amputation for Circ System Disord Except Upper Limb & Toe Upper Limb & Toe Amputation for Circ System Disorders Prm Card Pacem Impl W AMI/HF/Shock or AICD Lead or Gnrtr Proc Other Permanent Cardiac Pacemaker Implant Cardiac Pacemaker Revision Except Device Replacement

3 118 Cardiac Pacemaker Device Replacement Vein Ligation & Stripping Other Circulatory System O.R. Procedures Circulatory Disorders W AMI & Major Comp, Discharged Alive Circulatory Disorders W AMI W/O Major Comp, Discharged Alive Circulatory Disorders W AMI, Expired Circulatory Disord Except AMI, W Card Cath & Complex Diag Circulatory Disord Except AMI, W Card Cath W/O Complex Diag Acute & Subacute Endocarditis Heart Failure & Shock Deep Vein Thrombophlebitis Cardiac Arrest, Unexplained Peripheral Vascular Disorders W CC Peripheral Vascular Disorders W/O CC Atherosclerosis W CC Atherosclerosis W/O CC Hypertension Cardiac Congenital & Valvular Disorders Age >17 W CC Cardiac Congenital & Valvular Disorders Age >17 W/O CC Cardiac Congenital & Valvular Disorders Age < Cardiac Arrhythmia & Conduction Disorders W CC Cardiac Arrhythmia & Conduction Disorders W/O CC Angina Pectoris Syncope & Collapse W CC Syncope & Collapse W/O CC Chest Pain Other Circulatory System Diagnoses W CC Other Circulatory System Diagnoses W/O CC Rectal Resection W CC Rectal Resection W/O CC Major Small & Large Bowel Procedures W CC Major Small & Large Bowel Procedures W/O CC Peritoneal Adhesiolysis W CC Peritoneal Adhesiolysis W/O CC Minor Small & Large Bowel Procedures W CC Minor Small & Large Bowel Procedures W/O CC Stomach, Esophageal & Duodenal Procedures Age >17 W CC Stomach, Esophageal & Duodenal Procedures Age >17 W/O CC Stomach, Esophageal & Duodenal Procedures Age < Anal & Stomal Procedures W CC Anal & Stomal Procedures W/O CC Hernia Procedures Except Inguinal & Femoral Age >17 W CC Hernia Procedures Except Inguinal & Femoral Age >17 W/O CC Inguinal & Femoral Hernia Procedures Age >17 W CC Inguinal & Femoral Hernia Procedures Age >17 W/O CC Hernia Procedures Age < Appendectomy W Complicated Principal Diag W CC Appendectomy W Complicated Principal Diag W/O CC Appendectomy W/O Complicated Principal Diag W CC Appendectomy W/O Complicated Principal Diag W/O CC

4 168 Mouth Procedures W CC Mouth Procedures W/O CC Other Digestive System O.R. Procedures W CC Other Digestive System O.R. Procedures W/O CC Digestive Malignancy W CC Digestive Malignancy W/O CC G.I. Hemorrhage W CC G.I. Hemorrhage W/O CC Complicated Peptic Ulcer Uncomplicated Peptic Ulcer W CC Uncomplicated Peptic Ulcer W/O CC Inflammatory Bowel Disease G.I. Obstruction W CC G.I. Obstruction W/O CC Esophagitis, Gastroent & Misc Digest Disord Age >17 W CC Esophagitis, Gastroent & Misc Digest Disord Age >17 W/O CC Dental & Oral Dis Except Extractions & Restorations, Age > Dental & Oral Dis Except Extractions & Restorations, Age < Dental Extractions & Restorations Other Digestive System Diagnoses Age >17 W CC Other Digestive System Diagnoses Age >17 W/O CC Pancreas, Liver & Shunt Procedures W CC Pancreas, Liver & Shunt Procedures W/O CC Biliary Tract Proc Except Only Cholecyst W or W/O C.D.E. W CC Biliary Tract Proc Except Only Cholecyst W or W/O C.D.E. W/O CC Cholecystectomy W C.D.E. W CC Cholecystectomy W C.D.E. W/O CC Cholecystectomy W/O C.D.E. W CC Cholecystectomy W/O C.D.E. W/O CC Hepatobiliary Diagnostic Procedure for Malignancy Hepatobiliary Diagnostic Procedure for Non-Malignancy Other Hepatobiliary or Pancreas O.R. Procedures Cirrhosis & Alcoholic Hepatitis Malignancy of Hepatobiliary System or Pancreas Disorders of Pancreas Except Malignancy Disorders of Liver Except Malig, Cirr, Alc Hepa W CC Disorders of Liver Except Malig, Cirr, Alc Hepa W/O CC Disorders of the Biliary Tract W CC Disorders of the Biliary Tract W/O CC Maj Joint & Limb Reattach Proc of Low Ext, Exc Hip, Exc for Comp Hip & Femur Procedures Except Major Joint Age >17 W CC Hip & Femur Procedures Except Major Joint Age >17 W/O CC Hip & Femur Procedures Except Major Joint Age < Amputation for Musculoskelet System & Conn Tissue Disorders Biopsies of Musculoskeletal System & Connective Tissue Wnd Debrid & Skin Grft Exc Opn Wnd, for Ms & Conn Tis Dis, Exc Ha Lower Extrem & Humer Proc Exc Hip, Foot, Femur Age >17 W CC Lower Extrem & Humer Proc Exc Hip, Foot, Femur Age >17 W/O CC Lower Extrem & Humer Proc Exc Hip, Foot, Femur Age < Knee Procedures W CC

5 222 Knee Procedures W/O CC Major Shoulder/Elbow Proc, or Oth Upper Extremity Proc W CC Shoulder, Elbow or Forearm Proc, Exc Major Joint Proc, W/O CC Foot Procedures Soft Tissue Procedures W CC Soft Tissue Procedures W/O CC Major Thumb or Joint Proc, or Oth Hand or Wrist Proc W CC Hand or Wrist Proc, Except Major Joint Proc, W/O CC Local Excision & Removal of Int Fix Devices of Hip & Femur Arthroscopy Other Musculoskelet Sys & Conn Tiss O.R. Proc W CC Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O CC Fractures of Femur Fractures of Hip & Pelvis Sprains, Strains, & Dislocations of Hip, Pelvis & Thigh Osteomyelitis Pathological Fractures & Muscskelet & Conn Tiss Malignancy Connective Tissue Disorders W CC Connective Tissue Disorders W/O CC Septic Arthritis Medical Back Problems Bone Diseases & Specific Arthropathies W CC Bone Diseases & Specific Arthropathies W/O CC Non-Specific Arthropathies Signs & Symptoms of Musculoskeletal System & Conn Tissue Tendonitis, Myositis & Bursitis Malfunction, Reaction or Comp of Orthopedic Device or Procedure Fx, Sprn, Strn & Disl of Forearm, Hand, Foot Age >17 W CC Fx, Sprn, Strn & Disl of Forearm, Hand, Foot Age >17 W/O CC Fx, Sprn, Strn & Disl of Forearm, Hand, Foot Age < Fx, Sprn, Strn & Disl of Uparm, Lowleg Ex Foot Age >17 W CC Fx, Sprn, Strn & Disl of Uparm, Lowleg Ex Foot Age >17 W/O CC Fx, Sprn, Strn & Disl of Uparm, Lowleg Ex Foot Age < Other Musculoskeletal System & Connective Tissue Diagnoses Total Mastectomy for Malignancy W CC Total Mastectomy for Malignancy W/O CC Subtotal Mastectomy for Malignancy W CC Subtotal Mastectomy for Malignancy W/O CC Breast Proc for Non-Malignancy Except Biopsy & Local Excision Breast Biopsy & Local Excision for Non-Malignancy Skin Graft &/or Debrid for Skn Ulcer, Cellulitis W CC Skin Graft &/or Debrid for Skn Ulcer, Cellulitis W/O CC Skin Graft &/or Debrid Exc for Skin Ulcer, Cellulitis W CC Skin Graft &/or Debrid Exc for Skin Ulcer, Cellulitis W/O CC Perianal & Pilonidal Procedures Skin, Subcutaneous Tissue & Breast Plastic Procedures Other Skin, Subcut Tiss & Breast Proc W CC Other Skin, Subcut Tiss & Breast Proc W/O CC Skin Ulcers Major Skin Disorders W CC

6 273 Major Skin Disorders W/O CC Malignant Breast Disorders W CC Malignant Breast Disorders W/O CC Non-Malignant Breast Disorders Cellulitis Age >17 W CC Cellulitis Age >17 W/O CC Cellulitis Age < Trauma to the Skin, Subcut Tiss & Breast Age >17 W CC Trauma to the Skin, Subcut Tiss & Breast Age >17 W/O CC Trauma to the Skin, Subcut Tiss & Breast Age < Minor Skin Disorders W CC Minor Skin Disorders W/O CC Amputat of Low Limb for Endocrine, Nutrit, & Metabol Disorders Adrenal & Pituitary Procedures Skin Graft & Wound Debrid for Endoc, Nutrit & Metab Disorders Gastric Procedures for Obesity Parathyroid Procedures Thyroid Procedures Thyroglossal Procedures Other Endocrine, Nutrit & Metab O.R. Proc W CC Other Endocrine, Nutrit & Metab O.R. Proc W/O CC Diabetes Age > Diabetes Age < Nutritional & Misc Metabolic Disorders Age >17 W CC Nutritional & Misc Metabolic Disorders Age >17 W/O CC Nutritional & Misc Metabolic Disorders Age < Inborn Errors of Metabolism Endocrine Disorders W CC Endocrine Disorders W/O CC Kidney Transplant Kidney And Ureter Procedures for Neoplasm Kidney And Ureter Procedures for Non-Neoplasm W CC Kidney And Ureter Procedures for Non-Neoplasm W/O CC Prostatectomy W CC Prostatectomy W/O CC Minor Bladder Procedures W CC Minor Bladder Procedures W/O CC Transurethral Procedures W CC Transurethral Procedures W/O CC Urethral Procedures Age >17 W CC Urethral Procedures Age >17 W/O CC Urethral Procedures Age < Other Kidney & URInary Tract Procedures Renal Failure Admit for Renal Dialysis Kidney & URInary Tract Neoplasms W CC Kidney & URInary Tract Neoplasms W/O CC Kidney & URInary Tract Infections Age >17 W CC Kidney & URInary Tract Infections Age >17 W/O CC Kidney & URInary Tract Infections Age <

7 323 URInary Stones W CC, &/or ESW Lithotripsy URInary Stones W/O CC Kidney & URInary Tract Signs & Symptoms Age >17 W CC Kidney & URInary Tract Signs & Symptoms Age >17 W/O CC Kidney & URInary Tract Signs & Symptoms Age < Urethral Stricture Age >17 W CC Urethral Stricture Age >17 W/O CC Urethral Stricture Age < Other Kidney & URInary Tract Diagnoses Age >17 W CC Other Kidney & URInary Tract Diagnoses Age >17 W/O CC Other Kidney & URInary Tract Diagnoses Age < Major Male Pelvic Procedures W CC Major Male Pelvic Procedures W/O CC Transurethral Prostatectomy W CC Transurethral Prostatectomy W/O CC Testes Procedures, for Malignancy Testes Procedures, Non-Malignancy Age > Testes Procedures, Non-Malignancy Age < Penis Procedures Other Male Reproductive Syst O.R. Proc for Malignancy Other Male Reproductive Syst O.R. Proc Except for Malignancy Malignancy, Male Reproductive System, W CC Malignancy, Male Reproductive System, W/O CC Benign Prostatic Hypertrophy W CC Benign Prostatic Hypertrophy W/O CC Inflammation of the Male Reproductive System Sterilization, Male Other Male Reproductive System Diagnoses Pelvic Evisceration, Radical Hysterect & Radical Vulvectomy Uterine, Adnexa Proc for Non-Ovarian/Adnexal Malignancy W CC Uterine, Adnexa Proc for Non-Ovarian/Adnexal Malignancy W/O CC Female Reproductive System Reconstructive Procedures Uterine & Adnexa Proc for Ovarian or Adnexal Malignancy Uterine & Adnexa Proc for Ca In Situ & Non-Malignancy W CC Uterine & Adnexa Proc for Ca In Situ & Non-Malignancy W/O CC Vagina, Cervix & Vulva Procedures Laparoscopy or Incisional Tubal Interruption Endoscopic Tubal Interruption D&C, Conization & Radio-Implant, for Malignancy D&C, Conization Except for Malignancy Other Female Reproductive System O.R. Procedures Malignancy, Female Reproductive System, W CC Malignancy, Female Reproductive System, W/O CC Infections, Female Reproductive System Menstrual & Other Female Reproductive System Disorders Cesarean Section W CC Cesarean Section W/O CC Vaginal Delivery W Complicating Diagnoses Vaginal Delivery W/O Complicating Diagnoses Vaginal Delivery W Sterilization &/or D&C

8 375 Vaginal Delivery W O.R. Proc Except Steril &/or D&C Postpartum & Post Abortion Diagnoses W/O O.R. Procedure Postpartum & Post Abortion Diagnoses W O.R. Procedure Ectopic Pregnancy Threatened Abortion Abortion W/O D&C Abortion W D&C, Aspiration Curettage or Hysterotomy False Labor Splenectomy Age > Splenectomy Age < Other O.R. Procedures of Blood And Blood Forming Organs Red Blood Cell Disorders Age > Coagulation Disorders Reticuloendothelial & Immunity Disorders W CC Reticuloendothelial & Immunity Disorders W/O CC Lymphoma & Non-Acute Leukemia W Other O.R. Proc W CC Lymphoma & Non-Acute Leukemia W Other O.R. Proc W/O CC Lymphoma & Non-Acute Leukemia W CC Lymphoma & Non-Acute Leukemia W/O CC Myeloprolif Disord or Poor Diff Neopl W Maj O.R.Proc W CC Myeloprolif Disord or Poor Diff Neopl W Maj O.R.Proc W/O CC Myeloprolif Disorders or Poorly Diff Neoplasms W Other Procedure Radiotherapy Chemotherapy Other Myeloprolif Dis or Poor Diff Neopl Diag W CC Other Myeloprolif Dis or Poor Diff Neopl Diag W/O CC Septicemia Age < Postoperative & Post-Traumatic Infections Fever of Unknown Origin Age >17 W CC Fever of Unknown Origin Age >17 W/O CC Viral Illness Age > Viral Illness & Fever of Unknown Origin Age < Other Infectious & Parasitic Diseases Diagnoses O.R. Procedure W Principal Diagnoses of Mental Illness Acute Adjustment Reaction & Psychosocial Dysfunction Depressive Neuroses Neuroses Except Depressive Disorders of Personality & Impulse Control Organic Disturbances & Mental Retardation Psychoses Childhood Mental Disorders Other Mental Disorder Diagnoses Skin Grafts for Injuries Wound Debridements for Injuries Except Open Wounds Hand Procedures for Injuries Other O.R. Procedures for Injuries W CC Other O.R. Procedures for Injuries W/O CC Injuries to Unspecified or Multiple Sites Age >17 W CC Injuries to Unspecified or Multiple Sites Age >17 W/O CC Injuries to Unspecified or Multiple Sites Age <

9 447 Allergic Reactions Age > Allergic Reactions Age < Poisoning & Toxic Effects of Drugs Age >17 W CC Poisoning & Toxic Effects of Drugs Age >17 W/O CC Poisoning & Toxic Effects of Drugs Age < Complications of Treatment W CC Complications of Treatment W/O CC Other Injury, Poisoning & Toxic Effect Diagnosis W CC Other Injury, Poisoning & Toxic Effect Diagnosis W/O CC O.R. Proc W Diagnoses of Other Contact W Health Services Rehabilitation Signs & Symptoms W CC Signs & Symptoms W/O CC Aftercare W History of Malignancy as Secondary Diagnosis Aftercare W/O History of Malignancy as Secondary Diagnosis Other Factors Influencing Health Status Extensive O.R. Procedure Unrelated to Principal Diagnosis Principal Diagnosis Invalid as Discharge Diagnosis Ungroupable Bilateral or Multiple Major Joint Procs of Lower Extremity Prostatic O.R. Procedure Unrelated to Principal Diagnosis Non-Extensive O.R. Procedure Unrelated to Principal Diagnosis Other Vascular Procedures W CC Other Vascular Procedures W/O CC Liver Transplant And/Or Intestinal Transplant Tracheostomy for Face, Mouth & Neck Diagnoses Major Joint & Limb Reattachment Procedures of Upper Extremity Laparoscopic Cholecystectomy W/O C.D.E. W CC Laparoscopic Cholecystectomy W/O C.D.E. W/O CC Craniotomy W Major CC Nervous System Procedures Except Craniotomy W Major CC Tia, Precerebral Occlusions, Seizure & Headache W Major CC Other Nervous System Disord Except Tia, Seizure & Headache W Majo Eye Procedures W Major CC Eye Disorders W Major CC Ent & Mouth Procedures Except Major Head & Neck W Major CC Major Chest Procedures W Major CC Respiratory Procedures Except Major Chest W Major CC Respiratory Infections & Inflammations Exc Simple Pneumonia W Maj Simple Pneumonia & Oth Respiratory Disord Exc Bronchitis, Asthma Circ Disorders Except AMI, Endocarditis, Chf & Arrhythmia W Major Chf & Cardiac Arrhythmia W Major CC Cardiac Valve Procedure W Major CC Coronary Bypass W Major CC Other Cardiothoracic Procedures W Major CC Oth Cardiac Pacemaker Implant/Revision or AICD Proc W Major CC Major Cardiovascular Procedures W Major CC Other Vascular Procedures W Major CC Esophagitis, Gastroenteritis & Uncomplicated Ulcers W Major CC Digest Syst Disord Except Esoph, Gastroent & Uncompl Ulcers W Maj

10 553 Digest Syst Proc Exc Hernia & Major Stomach or Bowel Proc W Major Hernia Procedures W Major CC Pancreas, Liver & Other Biliary Tract Procedures W Major CC Cholecystectomy And Other Hepatobiliary Procedures W Major CC Hepatobiliary And Pancreas Disorders W Major CC Major Musculoskeletal Procedures W Major CC Non-Major Musculoskeletal Procedures W Major CC Musculoskel Disord Exc Osteo, Septic Arth & Conn Tissue Dis W Maj Osteomyelitis, Septic Arthritis & Conn Tissue Disorder W Major CC Major Skin & Breast Disorders W Major CC Other Skin Disorders W Major CC Skin & Breast Procedures W Major CC Endocrine, Nutrit & Metab Proc Except Lower Limb Amputat W Major Endocrine, Nutrit & Metab Disord Exc Eating Disorder or Cf W Majo Kidney & URInary Tract Procedures Except Kidney Transplant W Majo Renal Failure W Major CC Kidney & URInary Tract Disorders Except Renal Failure W Major CC Male Reproductive Disorders W Major CC Male Reproductive Procedures W Major CC Female Reproductive Disorders W Major CC Non-Radical Female Reproductive Procedures W Major CC Blood, Blood Forming Organs & Immunological Disorders W Major CC Blood, Blood Forming Organs & Immunological Procedures W Major CC Acute Leukemia W Major CC Myeloprolif Disorders & Poorly Differentiated Neoplasms W Major C Lymphoma & Non-Acute Leukemia W Major CC Procedures for Lymphoma, Leukemia, Myeloprolif Disorders W Major Systemic Infections & Parasitic Disord Except Septicemia W Major Systemic Infections & Parasitic Disorder Procedures W Major CC Injuries, Poisonings & Toxic Effects of Drugs Exc Multiple Trauma Procedures for Injuries Except Multiple Trauma W Major CC Septicemia W Major CC Major Stomach, Esophageal, Duodenal, Small & Large Bowel Proc W M Ent & Mouth Disorders Age >17 W Major CC Ent & Mouth Disorders Age <18 W Major CC Bronchitis & Asthma Age >17 W Major CC Bronchitis & Asthma Age <18 W Major CC Neonate, Birthwt <750G, Discharged Alive Neonate, Birthwt <750G, Died Neonate, Birthwt G, Discharged Alive Neonate, Birthwt G, Died Neonate, Birthwt G, W Signif O.R. Proc, Discharged Alive Neonate, Birthwt G, W/O Signif O.R. Proc, Discharged Ali Neonate, Birthwt G, Died Neonate, Birthwt G, W Signif O.R. Proc, W Mult Major Pro Neonate, Birthwt G, W Signif O.R. Proc, W/O Mult Major P Neonate, Bwt G, W/O Sign O.R. Proc, W Mult Maj Prob or M Neonate, Birthwt G, W/O Signif O.R. Proc, W Major Prob Neonate, Birthwt G, W/O Signif O.R. Proc, W Minor Prob Neonate, Birthwt G, W/O Signif O.R. Proc, W Other Prob

11 615 Neonate, Birthwt G, W Signif O.R. Proc, W Mult Major Pro Neonate, Birthwt G, W Signif O.R. Proc, W/O Mult Major P Neonate, Bwt G, W/O Sign O.R. Proc, W Mult Maj Prob or M Neonate, Birthwt G, W/O Signif O.R. Proc, W Major Prob Neonate, Birthwt G, W/O Signif O.R. Proc, W Minor Prob Neonate, Bwt G, W/O Signif O.R. Proc, W Norm Newborn Dia Neonate, Birthwt G, W/O Signif O.R. Proc, W Other Prob Neonate, Birthwt >2499G, W Signif O.R. Proc, W Mult Major Prob Neonate, Birthwt >2499G, W Signif O.R. Proc, W/O Mult Major Prob Neonate, Birthwt >2499G, W Minor Abdom Procedure Neonate, Bwt >2499G, W/O Sign O.R. Proc, W Mult Maj Prob or MV Neonate, Birthwt >2499G, W/O Signif O.R. Proc, W Major Prob Neonate, Birthwt >2499G, W/O Signif O.R. Proc, W Minor Prob Neonate, Bwt >2499G, W/O Signif O.R. Proc, W Normal Newborn Diag Neonate, Birthwt >2499G, W/O Signif O.R. Proc, W Other Prob BPD And Oth Chronic Respiratory Diseases Arising In Perinatal Per Multiple, Other And Unspecified Congenital Anomalies, W CC Multiple, Other And Unspecified Congenital Anomalies, W/O CC Neonatal Aftercare for Weight Gain Infant Aftercare for Weight Gain, Age >28 Days <1 Year Neonate, Died W/In One Day of Birth, Born Here Neonate, Died W/In One Day of Birth, Not Born Here Neonate, Transferred <5 Days Old, Born Here Neonate, Transferred <5 Days Old, Not Born Here Neonate, Birthweight >2499G, W ECMO High Risk Cesarean Section W CC High Risk Cesarean Section W/O CC High Risk Vaginal Delivery W Sterilization And/Or D&C Tracheostomy for HIV Infection HIV W O.R. Procedure & Ventilator or Nutritional Support HIV W O.R. Procedure W Multiple Major Related Infections HIV W O.R. Procedure W Major Related Diagnosis HIV W O.R. Procedure W/O Major Related Diagnosis HIV W Multiple Major Related Infections W TB HIV W Multiple Major Related Infections W/O TB HIV W Ventilator or Nutritional Support HIV W Major Related Diagnosis, Discharged AMA HIV W Major Related Diag W Mult Major or Signif Diag W TB HIV W Major Related Diag W Mult Major or Signif Diag W/O TB HIV W Major Related Diag W/O Mult Major or Signif Diag W TB HIV W Major Related Diag W/O Mult Major or Signif Diag W/O TB HIV W Significant Related Diagnosis, Discharged AMA HIV W Significant Related Diagnosis HIV W Other Related Diagnosis HIV W/O Other Related Diagnosis Craniotomy for Multiple Significant Trauma Spine, Hip, Femur or Limb Proc for Multiple Significant Trauma Other O.R. Procedure for Multiple Significant Trauma Head, Chest And Lower Limb Diagnoses of Multiple Significant Trau Other Diagnoses of Multiple Significant Trauma

12 737 Ventricular Shunt Revision Craniotomy Age <18 W CC Craniotomy Age <18 W/O CC Cystic Fibrosis Opioid Abuse or Dependence, Left Against Medical Advice Opioid Abuse or Dependence W CC Opioid Abuse or Dependence W/O CC Cocaine or Other Drug Abuse or Dependence, Left Against Medical A Cocaine or Other Drug Abuse or Dependence W CC Cocaine or Other Drug Abuse or Dependence W/O CC Alcohol Abuse or Dependence, Left Against Medical Advice Alcohol Abuse or Dependence, W CC Alcohol Abuse or Dependence, W/O CC Lead Poisoning Compulsive Nutrition Disorder Rehabilitation Tertiary Aftercare, Age =>1 Year Spinal Fusion W CC Spinal Fusion W/O CC Back & Neck Procedures Except Spinal Fusion W CC Back & Neck Procedures Except Spinal Fusion W/O CC Multiple Channel Cochlear Implants Hemophilia Factors Viii And Ix Traumatic Stupor & Coma, Coma >1 Hr Concussion, Intracranial Injury W Coma <1 Hr or No Coma Age < Traumatic Stupor & Coma, Coma <1 Hr Age < Concussion, Intracranial Injury W Coma <1 Hr or No Coma Age >17 W Concussion, Intracranial Injury W Coma <1 Hr or No Coma Age >17 W Traumatic Stupor & Coma, Coma <1 Hr Age >17 W CC Traumatic Stupor & Coma, Coma <1 Hr Age >17 W/O CC Seizure & Headache Age <18 W CC Seizure & Headache Age <18 W/O CC Respiratory Infections & Inflammations Exc Simple Pneumonia Age < Respiratory Infections & Inflammations Exc Simple Pneumonia Age < Simple Pneumonia & Pleurisy Age <18 W CC Simple Pneumonia & Pleurisy Age <18 W/O CC Bronchitis & Asthma Age <18 W CC Bronchitis & Asthma Age <18 W/O CC Esophagitis, Gastroent & Misc Digest Disord Age <18 W CC Esophagitis, Gastroent & Misc Digest Disord Age <18 W/O CC Other Digestive System Diagnoses Age <18 W CC Other Digestive System Diagnoses Age <18 W/O CC Acute Leukemia W/O Major O.R. Procedure Age <18 W CC Acute Leukemia W/O Major O.R. Procedure Age <18 W/O CC Acute Leukemia W/O Major O.R. Procedure Age >17 W CC Acute Leukemia W/O Major O.R. Procedure Age >17 W/O CC Acquired Hemolytic Anemia or Sickle Cell Crisis Age < Other Red Blood Cell Disorders Age < Major Head & Neck Procedures for Malignancy Laparoscopic Cholecystectomy W C.D.E Knee Revision or Maj Joint & Limb Reattach Proc of Low Ext, Exc H

13 790 Wound Debrid & Skin Grft for Open Wnd, Ms & Conn Tiss Dis, Exc Ha Wound Debridements for Open Wound Injuries Craniotomy for Multiple Sig Trauma With Non-Traumatic Major CC Proc for Mul Sig Trauma Exc Craniotomy W Non-Traumatic Major CC Diag for Multiple Significant Trauma With Non-Traumatic Major CC Lung Transplant Lower Extremity Revascularization W CC Lower Extremity Revascularization W/O CC Tuberculosis W Operating Room Procedure Tuberculosis, Left Against Medical Advice Tuberculosis W CC Tuberculosis W/O CC Pneumocystosis Allogeneic Bone Marrow Transplant Autologous Bone Marrow Transplant Simultaneous Kidney/Pancreas Transplant Combined Anterior/Posterior Spinal Fusion W CC Combined Anterior/Posterior Spinal Fusion W/O CC Percutaneous Cardiovascular Proc W AMI, Heart Failure or Shock Other Cardiothoracic Proc W PDX Congenital Anomaly Intracranial Hemorrhage Other Heart Assist System Implant Malfunction, Reaction or Comp of Cardiac/Vasc Device or Procedure Nonbacterial Gastroenteritis & Abdominal Pain Age >17 W CC Nonbacterial Gastroenteritis & Abdominal Pain Age >17 W/O CC Nonbacterial Gastroenteritis & Abdominal Pain Age <18 W CC Nonbacterial Gastroenteritis & Abdominal Pain Age <18 W/O CC Hip Revision or Hip Replacement for Complications Hip Replacement Except for Complications Create, Revise or Remove Renal Access Device Malfunctions, Reactions & Comp of Gu Device/Graft/Transplant Extensive Burns or Full Thickness Burns W MV 96+ Hrs W Skin Graft Extensive Burns or Full Thickness Burns W MV 96+ Hrs W/O Skin Gra Full Thickness Burn W Skin Graft or Inhal Inj W CC or Sig Trauma Full Thickness Burn W Skin Grft or Inhal Inj W/O CC or Sig Trauma Full Thickness Burn W/O Skin Grft or Inhal Inj W CC or Sig Trauma Full Thickness Burn W/O Skin Grft or Inh Inj W/O CC or Sig Trauma Non-Extensive Burns W Inhal Inj, CC or Significant Trauma Non-Extensive Burns W/O Inhal Inj, CC or Significant Trauma Pancreas Transplant Transient Ischemia Intracranial Vascular Procedures W PDX Hemorrhage Spinal Procedures W CC Spinal Procedures W/O CC Extracranial Procedures W CC Extracranial Procedures W/O CC Cardiac Defib Implant W Cardiac Cath W AMI/HF/Shock Cardiac Defib Implant W Cardiac Cath W/O AMI/HF/Shock Cardiac Defibrillator W/O Cardiac Catheter Percutaneous Cardiovascular Procedure W Non-Drug Eluting Stent W/

14 853 Percutaneous Cardiovascular Procedure W Drug-Eluting Stent W AMI Percutaneous Cardiovascular Procedure W Drug-Eluting Stent W/O AM Cervical Spinal Fusion W CC Cervical Spinal Fusion W/O CC Local Excision & Removal of Int Fix Devices Except Hip & Femur W Local Excision & Removal of Int Fix Devices Except Hip & Femur W/ Lymphoma & Leukemia W Major O.R. Procedure W CC Lymphoma & Leukemia W Major O.R. Procedure W/O CC Chemo W Acute Leukemia as SDX or W Use of High Dose Chemo Agent ECMO or Trach W MV 96+ Hrs or PDX Exc Face, Mouth & Neck W Maj O Trach W MV 96+ Hrs or PDX Exc Face, Mouth & Neck W/O Maj O.R Craniotomy W Major Device/Chemo Implant or Acute Complex CNS PDX Acute Ischemic Stroke W Use of Thrombolytic Agent Respiratory System Diagnosis W MV 96+ Hrs Respiratory System Diagnosis W MV <96 Hrs Laparoscopic Appendectomy Spinal Fusion Exc Cervical W Curv/Malig/Infect or 9+ Fusions Other Antepartum Diagnoses W O.R. Procedure Other Antepartum Diagnoses W/O O.R. Procedure Bacterial & Tuberculous Infections of Nervous System Non-Bacterial Infections of Nervous System Except Viral Meningiti Seizure Age >17 W CC Seizure Age >17 W/O CC Headache Age > Carotid Artery Stent Procedure Cranial/Facial Procedures Major Esophageal Disorders Major Gastrointestinal Disorders And Peritoneal Infections Major Bladder Procedures Major Hematologic/Immunologic Diag Exc Sickle Cell Crisis & Coagu Infectious & Parasitic Diseases W O.R. Procedure Postoperative or Post-Traumatic Infections W O.R. Procedure Septicemia W MV 96+ Hours Age > Septicemia W/O MV 96+ Hours Age >