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List of Diagnosis Related Groups (DRGS), FY2008

MS-DRGMDCTypeMS-DRG Title
001PRESURGHeart transplant or implant of heart assist system w MCC
002PRESURGHeart transplant or implant of heart assist system w/o MCC
003PRESURGECMO or trach w MV 96+ hrs or PDX exc face, mouth &
004PRESURGTrach w MV 96+ hrs or PDX exc face, mouth & neck w/o
005PRESURGLiver transplant w MCC or intestinal transplant
006PRESURGLiver transplant w/o MCC
007PRESURGLung transplant
008PRESURGSimultaneous pancreas/kidney transplant
009PRESURGBone marrow transplant
010PRESURGPancreas transplant
011PRESURGTracheostomy for face,mouth & neck diagnoses w MCC
012PRESURGTracheostomy for face,mouth & neck diagnoses w CC
013PRESURGTracheostomy for face,mouth & neck diagnoses w/o CC/MCC
02001SURGIntracranial vascular procedures w PDX hemorrhage w MCC
02101SURGIntracranial vascular procedures w PDX hemorrhage w CC
02201SURGIntracranial vascular procedures w PDX hemorrhage w/o CC/MCC
02301SURGCranio w major dev impl/acute complex CNS PDX w MCC or chemo implant
02401SURGCranio w major dev impl/acute complex CNS PDX w/o MCC
02501SURGCraniotomy & endovascular intracranial procedures w MCC
02601SURGCraniotomy & endovascular intracranial procedures w CC
02701SURGCraniotomy & endovascular intracranial procedures w/o CC/MCC
02801SURGSpinal procedures w MCC
02901SURGSpinal procedures w CC or spinal neurostimulators
03001SURGSpinal procedures w/o CC/MCC
03101SURGVentricular shunt procedures w MCC p
03201SURGVentricular shunt procedures w CC
03301SURGVentricular shunt procedures w/o CC/MCC
03401SURGCarotid artery stent procedure w MCC
03501SURGCarotid artery stent procedure w CC
03601SURGCarotid artery stent procedure w/o CC/MCC
03701SURGExtracranial procedures w MCC
03801SURGExtracranial procedures w CC
03901SURGExtracranial procedures w/o CC/MCC
04001SURGPeriph/cranial nerve & other nerv syst proc w MCC
04101SURGPeriph/cranial nerve & other nerv syst proc w CC or periph neurostim
04201SURGPeriph/cranial nerve & other nerv syst proc w/o CC/MCC
05201MEDSpinal disorders & injuries w CC/MCC
05301MEDSpinal disorders & injuries w/o CC/MCC
05401MEDNervous system neoplasms w MCC
05501MEDNervous system neoplasms w/o MCC
05601MEDDegenerative nervous system disorders w MCC
05701MEDDegenerative nervous system disorders w/o MCC
05801MEDMultiple sclerosis & cerebellar ataxia w MCC
05901MEDMultiple sclerosis & cerebellar ataxia w CC
06001MEDMultiple sclerosis & cerebellar ataxia w/o CC/MCC
06101MEDAcute ischemic stroke w use of thrombolytic agent w MCC
06201MEDAcute ischemic stroke w use of thrombolytic agent w CC063 01 MED Acute
06401MEDIntracranial hemorrhage or cerebral infarction w MCC
06501MEDIntracranial hemorrhage or cerebral infarction w CC
06601MEDIntracranial hemorrhage or cerebral infarction w/o CC/MCC
06701MEDNonspecific cva & precerebral occlusion w/o infarct w MCC
06801MEDNonspecific cva & precerebral occlusion w/o infarct w/o MCC
06901MEDTransient ischemia
07001MEDNonspecific cerebrovascular disorders w MCC
07101MEDNonspecific cerebrovascular disorders w CC
07201MEDNonspecific cerebrovascular disorders w/o CC/MCC
07301MEDCranial & peripheral nerve disorders w MCC
07401MEDCranial & peripheral nerve disorders w/o MCC
07501MEDViral meningitis w CC/MCC
07601MEDViral meningitis w/o CC/MCC
07701MEDHypertensive encephalopathy w MCC
07801MEDHypertensive encephalopathy w CC
07901MEDHypertensive encephalopathy w/o CC/MCC
08001MEDNontraumatic stupor & coma w MCC
08101MEDNontraumatic stupor & coma w/o MCC
08201MEDTraumatic stupor & coma, coma >1 hr w MCC
08301MEDTraumatic stupor & coma, coma >1 hr w CC
08401MEDTraumatic stupor & coma, coma >1 hr w/o CC/MCC
08501MEDTraumatic stupor & coma, coma <1 hr w MCC
08601MEDTraumatic stupor & coma, coma <1 hr w CC
08701MEDTraumatic stupor & coma, coma <1 hr w/o CC/MCC
08801MEDConcussion w MCC
08901MEDConcussion w CC
09001MEDConcussion w/o CC/MCC
09101MEDOther disorders of nervous system w MCC
09201MEDOther disorders of nervous system w CC y
09301MEDOther disorders of nervous system w/o CC/MCC
09401MEDBacterial & tuberculous infections of nervous system w MCC
09501MEDBacterial & tuberculous infections of nervous system w CC
09601MEDBacterial & tuberculous infections of nervous system w/o CC/MCC
09701MEDNon-bacterial infect of nervous sys exc viral meningitis w MCC
09801MEDNon-bacterial infect of nervous sys exc viral meningitis w CC
09901MEDNon-bacterial infect of nervous sys exc viral meningitis w/o CC/MCC
10001MEDSeizures w MCC
10101MEDSeizures w/o MCC
10201MEDHeadaches w MCC
10301MEDHeadaches w/o MCC
11302SURGOrbital procedures w CC/MCC
11402SURGOrbital procedures w/o CC/MCC
11502SURGExtraocular procedures except orbit
11602SURGIntraocular procedures w CC/MCC
11702SURGIntraocular procedures w/o CC/MCC
12102MEDAcute major eye infections w CC/MCC
12202MEDAcute major eye infections w/o CC/MCC
12302MEDNeurological eye disorders
12402MEDOther disorders of the eye w MCC
12502MEDOther disorders of the eye w/o MCC
12903SURGMajor head & neck procedures w CC/MCC or major device130 03 SURG Major
13103SURGCranial/facial procedures w CC/MCC
13203SURGCranial/facial procedures w/o CC/MCC
13303SURGOther ear, nose, mouth & throat O.R. procedures w CC/MCC
13403SURGOther ear, nose, mouth & throat O.R. procedures w/o CC/MCC
13503SURGSinus & mastoid procedures w CC/MCC
13603SURGSinus & mastoid procedures w/o CC/MCC
13703SURGMouth procedures w CC/MCC
13803SURGMouth procedures w/o CC/MCC
13903SURGSalivary gland procedures
14603MEDEar, nose, mouth & throat malignancy w MCC
14703MEDEar, nose, mouth & throat malignancy w CC
14803MEDEar, nose, mouth & throat malignancy w/o CC/MCC
14903MEDDysequilibrium
15003MEDEpistaxis w MCC
15103MEDEpistaxis w/o MCC
15203MEDOtitis media & URI w MCC
15303MEDOtitis media & URI w/o MCC
15403MEDNasal trauma & deformity w MCC
15503MEDNasal trauma & deformity w CC
15603MEDNasal trauma & deformity w/o CC/MCC
15703MEDDental & Oral Diseases w MCC
15803MEDDental & Oral Diseases w CC
15903MEDDental & Oral Diseases w/o CC/MCC
16304SURGMajor chest procedures w MCC
16404SURGMajor chest procedures w CC
16504SURGMajor chest procedures w/o CC/MCC
16604SURGOther resp system O.R. procedures w MCC
16704SURGOther resp system O.R. procedures w CC
16804SURGOther resp system O.R. procedures w/o CC/MCC p y p
17504MEDPulmonary embolism w MCC
17604MEDPulmonary embolism w/o MCC
17704MEDRespiratory infections & inflammations w MCC
17804MEDRespiratory infections & inflammations w CC
17904MEDRespiratory infections & inflammations w/o CC/MCC
18004MEDRespiratory neoplasms w MCC
18104MEDRespiratory neoplasms w CC
18204MEDRespiratory neoplasms w/o CC/MCC
18304MEDMajor chest trauma w MCC
18404MEDMajor chest trauma w CC
18504MEDMajor chest trauma w/o CC/MCC
18604MEDPleural effusion w MCC
18704MEDPleural effusion w CC
18804MEDPleural effusion w/o CC/MCC
18904MEDPulmonary edema & respiratory failure
19004MEDChronic obstructive pulmonary disease w MCC
19104MEDChronic obstructive pulmonary disease w CC
19204MEDChronic obstructive pulmonary disease w/o CC/MCC
19304MEDSimple pneumonia & pleurisy w MCC
19404MEDSimple pneumonia & pleurisy w CC
19504MEDSimple pneumonia & pleurisy w/o CC/MCC
19604MEDInterstitial lung disease w MCC197 04 MED Interstitial lung disease w CC
19804MEDInterstitial lung disease w/o CC/MCC
19904MEDPneumothorax w MCC
20004MEDPneumothorax w CC
20104MEDPneumothorax w/o CC/MCC
20204MEDBronchitis & asthma w CC/MCC
20304MEDBronchitis & asthma w/o CC/MCC
20404MEDRespiratory signs & symptoms
20504MEDOther respiratory system diagnoses w MCC
20604MEDOther respiratory system diagnoses w/o MCC
20704MEDRespiratory system diagnosis w ventilator support 96+ hours
20804MEDRespiratory system diagnosis w ventilator support <96 hours
21505SURGOther heart assist system implant
21605SURGCardiac valve & oth maj cardiothoracic proc w card cath w MCC
21705SURGCardiac valve & oth maj cardiothoracic proc w card cath w CC
21805SURGCardiac valve & oth maj cardiothoracic proc w card cath w/o CC/MCC
21905SURGCardiac valve & oth maj cardiothoracic proc w/o card cath w MCC
22005SURGCardiac valve & oth maj cardiothoracic proc w/o card cath w CC
22105SURGCardiac valve & oth maj cardiothoracic proc w/o card cath w/o CC/MCC
22205SURGCardiac defib implant w cardiac cath w AMI/HF/shock w MCC
22305SURGCardiac defib implant w cardiac cath w AMI/HF/shock w/o MCC
22405SURGCardiac defib implant w cardiac cath w/o AMI/HF/shock w MCC
22505SURGCardiac defib implant w cardiac cath w/o AMI/HF/shock w/o MCC
22605SURGCardiac defibrillator implant w/o cardiac cath w MCC
22705SURGCardiac defibrillator implant w/o cardiac cath w/o MCC
22805SURGOther cardiothoracic procedures w MCC
22905SURGOther cardiothoracic procedures w CC
23005SURGOther cardiothoracic procedures w/o CC/MCC
23105SURGCoronary bypass w PTCA w MCC
23205SURGCoronary bypass w PTCA w/o MCC y yp
23305SURGCoronary bypass w cardiac cath w MCC
23405SURGCoronary bypass w cardiac cath w/o MCC
23505SURGCoronary bypass w/o cardiac cath w MCC
23605SURGCoronary bypass w/o cardiac cath w/o MCC
23705SURGMajor cardiovasc procedures w MCC or thoracic aortic anuerysm repair
23805SURGMajor cardiovasc procedures w/o MCC
23905SURGAmputation for circ sys disorders exc upper limb & toe w MCC
24005SURGAmputation for circ sys disorders exc upper limb & toe w CC
24105SURGAmputation for circ sys disorders exc upper limb & toe w/o CC/MCC
24205SURGPermanent cardiac pacemaker implant w MCC
24305SURGPermanent cardiac pacemaker implant w CC
24405SURGPermanent cardiac pacemaker implant w/o CC/MCC
24505SURGAICD lead & generator procedures
24605SURGPerc cardiovasc proc w drug-eluting stent w MCC or 4+ vessels/stents
24705SURGPerc cardiovasc proc w drug-eluting stent w/o MCC
24805SURGPerc cardiovasc proc w non-drug-eluting stent w MCC or 4+ ves/stents
24905SURGPerc cardiovasc proc w non-drug-eluting stent w/o MCC
25005SURGPerc cardiovasc proc w/o coronary artery stent or AMI w MCC
25105SURGPerc cardiovasc proc w/o coronary artery stent or AMI w/o MCC
25205SURGOther vascular procedures w MCC
25305SURGOther vascular procedures w CC
25405SURGOther vascular procedures w/o CC/MCC255 05 SURG Upper limb & toe amputation for
25605SURGUpper limb & toe amputation for circ system disorders w CC
25705SURGUpper limb & toe amputation for circ system disorders w/o CC/MCC
25805SURGCardiac pacemaker device replacement w MCC
25905SURGCardiac pacemaker device replacement w/o MCC
26005SURGCardiac pacemaker revision except device replacement w MCC
26105SURGCardiac pacemaker revision except device replacement w CC
26205SURGCardiac pacemaker revision except device replacement w/o CC/MCC
26305SURGVein ligation & stripping
26405SURGOther circulatory system O.R. procedures
28005MEDAcute myocardial infarction, discharged alive w MCC
28105MEDAcute myocardial infarction, discharged alive w CC
28205MEDAcute myocardia infarction, discharged alive w/o CC/MCC
28305MEDAcute myocardial infarction, expired w MCC
28405MEDAcute myocardial infarction, expired w CC
28505MEDAcute myocardial infarction, expired w/o CC/MCC
28605MEDCirculatory disorders except AMI, w card cath w MCC
28705MEDCirculatory disorders except AMI, w card cath w/o MCC
28805MEDAcute & subacute endocarditis w MCC
28905MEDAcute & subacute endocarditis w CC
29005MEDAcute & subacute endocarditis w/o CC/MCC
29105MEDHeart failure & shock w MCC
29205MEDHeart failure & shock w CC
29305MEDHeart failure & shock w/o CC/MCC
29405MEDDeep vein thrombophlebitis w CC/MCC
29505MEDDeep vein thrombophlebitis w/o CC/MCC
29605MEDCardiac arrest, unexplained w MCC
29705MEDCardiac arrest, unexplained w CC
29805MEDCardiac arrest, unexplained w/o CC/MCC
29905MEDPeripheral vascular disorders w MCC p
30005MEDPeripheral vascular disorders w CC
30105MEDPeripheral vascular disorders w/o CC/MCC
30205MEDAtherosclerosis w MCC
30305MEDAtherosclerosis w/o MCC
30405MEDHypertension w MCC
30505MEDHypertension w/o MCC
30605MEDCardiac congenital & valvular disorders w MCC
30705MEDCardiac congenital & valvular disorders w/o MCC
30805MEDCardiac arrhythmia & conduction disorders w MCC
30905MEDCardiac arrhythmia & conduction disorders w CC
31005MEDCardiac arrhythmia & conduction disorders w/o CC/MCC
31105MEDAngina pectoris
31205MEDSyncope & collapse
31305MEDChest pain
31405MEDOther circulatory system diagnoses w MCC
31505MEDOther circulatory system diagnoses w CC
31605MEDOther circulatory system diagnoses w/o CC/MCC
32606SURGStomach, esophageal & duodenal proc w MCC
32706SURGStomach, esophageal & duodenal proc w CC
32806SURGStomach, esophageal & duodenal proc w/o CC/MCC
32906SURGMajor small & large bowel procedures w MCC
33006SURGMajor small & large bowel procedures w CC331 06 SURG Major small &
33206SURGRectal resection w MCC
33306SURGRectal resection w CC
33406SURGRectal resection w/o CC/MCC
33506SURGPeritoneal adhesiolysis w MCC
33606SURGPeritoneal adhesiolysis w CC
33706SURGPeritoneal adhesiolysis w/o CC/MCC
33806SURGAppendectomy w complicated principal diag w MCC
33906SURGAppendectomy w complicated principal diag w CC
34006SURGAppendectomy w complicated principal diag w/o CC/MCC
34106SURGAppendectomy w/o complicated principal diag w MCC
34206SURGAppendectomy w/o complicated principal diag w CC
34306SURGAppendectomy w/o complicated principal diag w/o CC/MCC
34406SURGMinor small & large bowel procedures w MCC
34506SURGMinor small & large bowel procedures w CC
34606SURGMinor small & large bowel procedures w/o CC/MCC
34706SURGAnal & stomal procedures w MCC
34806SURGAnal & stomal procedures w CC
34906SURGAnal & stomal procedures w/o CC/MCC
35006SURGInguinal & femoral hernia procedures w MCC
35106SURGInguinal & femoral hernia procedures w CC
35206SURGInguinal & femoral hernia procedures w/o CC/MCC
35306SURGHernia procedures except inguinal & femoral w MCC
35406SURGHernia procedures except inguinal & femoral w CC
35506SURGHernia procedures except inguinal & femoral w/o CC/MCC
35606SURGOther digestive system O.R. procedures w MCC
35706SURGOther digestive system O.R. procedures w CC
35806SURGOther digestive system O.R. procedures w/o CC/MCC
36806MEDMajor esophageal disorders w MCC
36906MEDMajor esophageal disorders w CC j p g
37006MEDMajor esophageal disorders w/o CC/MCC
37106MEDMajor gastrointestinal disorders & peritoneal infections w MCC
37206MEDMajor gastrointestinal disorders & peritoneal infections w CC
37306MEDMajor gastrointestinal disorders & peritoneal infections w/o CC/MCC
37406MEDDigestive malignancy w MCC
37506MEDDigestive malignancy w CC
37606MEDDigestive malignancy w/o CC/MCC
37706MEDG.I. hemorrhage w MCC
37806MEDG.I. hemorrhage w CC
37906MEDG.I. hemorrhage w/o CC/MCC
38006MEDComplicated peptic ulcer w MCC
38106MEDComplicated peptic ulcer w CC
38206MEDComplicated peptic ulcer w/o CC/MCC
38306MEDUncomplicated peptic ulcer w MCC
38406MEDUncomplicated peptic ulcer w/o MCC
38506MEDInflammatory bowel disease w MCC
38606MEDInflammatory bowel disease w CC
38706MEDInflammatory bowel disease w/o CC/MCC
38806MEDG.I. obstruction w MCC
38906MEDG.I. obstruction w CC
39006MEDG.I. obstruction w/o CC/MCC
39106MEDEsophagitis, gastroent & misc digest disorders w MCC392 06 MED Esophagitis, gastroent &
39306MEDOther digestive system diagnoses w MCC
39406MEDOther digestive system diagnoses w CC
39506MEDOther digestive system diagnoses w/o CC/MCC
40507SURGPancreas, liver & shunt procedures w MCC
40607SURGPancreas, liver & shunt procedures w CC
40707SURGPancreas, liver & shunt procedures w/o CC/MCC
40807SURGBiliary tract proc except only cholecyst w or w/o c.d.e. w MCC
40907SURGBiliary tract proc except only cholecyst w or w/o c.d.e. w CC
41007SURGBiliary tract proc except only cholecyst w or w/o c.d.e. w/o CC/MCC
41107SURGCholecystectomy w c.d.e. w MCC
41207SURGCholecystectomy w c.d.e. w CC
41307SURGCholecystectomy w c.d.e. w/o CC/MCC
41407SURGCholecystectomy except by laparoscope w/o c.d.e. w MCC
41507SURGCholecystectomy except by laparoscope w/o c.d.e. w CC
41607SURGCholecystectomy except by laparoscope w/o c.d.e. w/o CC/MCC
41707SURGLaparoscopic cholecystectomy w/o c.d.e. w MCC
41807SURGLaparoscopic cholecystectomy w/o c.d.e. w CC
41907SURGLaparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC
42007SURGHepatobiliary diagnostic procedures w MCC
42107SURGHepatobiliary diagnostic procedures w CC
42207SURGHepatobiliary diagnostic procedures w/o CC/MCC
42307SURGOther hepatobiliary or pancreas O.R. procedures w MCC
42407SURGOther hepatobiliary or pancreas O.R. procedures w CC
42507SURGOther hepatobiliary or pancreas O.R. procedures w/o CC/MCC
43207MEDCirrhosis & alcoholic hepatitis w MCC
43307MEDCirrhosis & alcoholic hepatitis w CC
43407MEDCirrhosis & alcoholic hepatitis w/o CC/MCC
43507MEDMalignancy of hepatobiliary system or pancreas w MCC
43607MEDMalignancy of hepatobiliary system or pancreas w CC g y p y y
43707MEDMalignancy of hepatobiliary system or pancreas w/o CC/MCC
43807MEDDisorders of pancreas except malignancy w MCC
43907MEDDisorders of pancreas except malignancy w CC
44007MEDDisorders of pancreas except malignancy w/o CC/MCC
44107MEDDisorders of liver except malig,cirr,alc hepa w MCC
44207MEDDisorders of liver except malig,cirr,alc hepa w CC
44307MEDDisorders of liver except malig,cirr,alc hepa w/o CC/MCC
44407MEDDisorders of the biliary tract w MCC
44507MEDDisorders of the biliary tract w CC
44607MEDDisorders of the biliary tract w/o CC/MCC
45308SURGCombined anterior/posterior spinal fusion w MCC
45408SURGCombined anterior/posterior spinal fusion w CC
45508SURGCombined anterior/posterior spinal fusion w/o CC/MCC
45608SURGSpinal fus exc cerv w spinal curv/malig/infec or 9+ fus w MCC
45708SURGSpinal fus exc cerv w spinal curv/malig/infec or 9+ fus w CC
45808SURGSpinal fus exc cerv w spinal curv/malig/infec or 9+ fus w/o CC/MCC
45908SURGSpinal fusion except cervical w MCC
46008SURGSpinal fusion except cervical w/o MCC
46108SURGBilateral or multiple major joint procs of lower extremity w MCC
46208SURGBilateral or multiple major joint procs of lower extremity w/o MCC
46308SURGWnd debrid & skn grft exc hand, for musculo-conn tiss dis w MCC
46408SURGWnd debrid & skn grft exc hand, for musculo-conn tiss dis w CC465
46608SURGRevision of hip or knee replacement w MCC
46708SURGRevision of hip or knee replacement w CC
46808SURGRevision of hip or knee replacement w/o CC/MCC
46908SURGMajor joint replacement or reattachment of lower extremity w MCC
47008SURGMajor joint replacement or reattachment of lower extremity w/o MCC
47108SURGCervical spinal fusion w MCC
47208SURGCervical spinal fusion w CC
47308SURGCervical spinal fusion w/o CC/MCC
47408SURGAmputation for musculoskeletal sys & conn tissue dis w MCC
47508SURGAmputation for musculoskeletal sys & conn tissue dis w CC
47608SURGAmputation for musculoskeletal sys & conn tissue dis w/o CC/MCC
47708SURGBiopsies of musculoskeletal system & connective tissue w MCC
47808SURGBiopsies of musculoskeletal system & connective tissue w CC
47908SURGBiopsies of musculoskeletal system & connective tissue w/o CC/MCC
48008SURGHip & femur procedures except major joint w MCC
48108SURGHip & femur procedures except major joint w CC
48208SURGHip & femur procedures except major joint w/o CC/MCC
48308SURGMajor joint & limb reattachment proc of upper extremity w CC/MCC
48408SURGMajor joint & limb reattachment proc of upper extremity w/o CC/MCC
48508SURGKnee procedures w pdx of infection w MCC
48608SURGKnee procedures w pdx of infection w CC
48708SURGKnee procedures w pdx of infection w/o CC/MCC
48808SURGKnee procedures w/o pdx of infection w CC/MCC
48908SURGKnee procedures w/o pdx of infection w/o CC/MCC
49008SURGBack & neck proc exc spinal fusion w CC/MCC or disc device/neurostim
49108SURGBack & neck proc exc spinal fusion w/o CC/MCC
49208SURGLower extrem & humer proc except hip,foot,femur w MCC
49308SURGLower extrem & humer proc except hip,foot,femur w CC
49408SURGLower extrem & humer proc except hip,foot,femur w/o CC/MCC p p p, ,
49508SURGLocal excision & removal int fix devices exc hip & femur w MCC
49608SURGLocal excision & removal int fix devices exc hip & femur w CC
49708SURGLocal excision & removal int fix devices exc hip & femur w/o CC/MCC
49808SURGLocal excision & removal int fix devices of hip & femur w CC/MCC
49908SURGLocal excision & removal int fix devices of hip & femur w/o CC/MCC
50008SURGSoft tissue procedures w MCC
50108SURGSoft tissue procedures w CC
50208SURGSoft tissue procedures w/o CC/MCC
50308SURGFoot procedures w MCC
50408SURGFoot procedures w CC
50508SURGFoot procedures w/o CC/MCC
50608SURGMajor thumb or joint procedures
50708SURGMajor shoulder or elbow joint procedures w CC/MCC
50808SURGMajor shoulder or elbow joint procedures w/o CC/MCC
50908SURGArthroscopy
51008SURGShoulder,elbow or forearm proc,exc major joint proc w MCC
51108SURGShoulder,elbow or forearm proc,exc major joint proc w CC
51208SURGShoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC
51308SURGHand or wrist proc, except major thumb or joint proc w CC/MCC
51408SURGHand or wrist proc, except major thumb or joint proc w/o CC/MCC
51508SURGOther musculoskelet sys & conn tiss O.R. proc w MCC
51608SURGOther musculoskelet sys & conn tiss O.R. proc w CC517 08 SURG Other
53308MEDFractures of femur w MCC
53408MEDFractures of femur w/o MCC
53508MEDFractures of hip & pelvis w MCC
53608MEDFractures of hip & pelvis w/o MCC
53708MEDSprains, strains, & dislocations of hip, pelvis & thigh w CC/MCC
53808MEDSprains, strains, & dislocations of hip, pelvis & thigh w/o CC/MCC
53908MEDOsteomyelitis w MCC
54008MEDOsteomyelitis w CC
54108MEDOsteomyelitis w/o CC/MCC
54208MEDPathological fractures & musculoskelet & conn tiss malig w MCC
54308MEDPathological fractures & musculoskelet & conn tiss malig w CC
54408MEDPathological fractures & musculoskelet & conn tiss malig w/o CC/MCC
54508MEDConnective tissue disorders w MCC
54608MEDConnective tissue disorders w CC
54708MEDConnective tissue disorders w/o CC/MCC
54808MEDSeptic arthritis w MCC
54908MEDSeptic arthritis w CC
55008MEDSeptic arthritis w/o CC/MCC
55108MEDMedical back problems w MCC
55208MEDMedical back problems w/o MCC
55308MEDBone diseases & arthropathies w MCC
55408MEDBone diseases & arthropathies w/o MCC
55508MEDSigns & symptoms of musculoskeletal system & conn tissue w MCC
55608MEDSigns & symptoms of musculoskeletal system & conn tissue w/o MCC
55708MEDTendonitis, myositis & bursitis w MCC
55808MEDTendonitis, myositis & bursitis w/o MCC
55908MEDAftercare, musculoskeletal system & connective tissue w MCC
56008MEDAftercare, musculoskeletal system & connective tissue w CC
56108MEDAftercare, musculoskeletal system & connective tissue w/o CC/MCC , y
56208MEDFx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC
56308MEDFx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC
56408MEDOther musculoskeletal sys & connective tissue diagnoses w MCC
56508MEDOther musculoskeletal sys & connective tissue diagnoses w CC
56608MEDOther musculoskeletal sys & connective tissue diagnoses w/o CC/MCC
57309SURGSkin graft &/or debrid for skn ulcer or cellulitis w MCC
57409SURGSkin graft &/or debrid for skn ulcer or cellulitis w CC
57509SURGSkin graft &/or debrid for skn ulcer or cellulitis w/o CC/MCC
57609SURGSkin graft &/or debrid exc for skin ulcer or cellulitis w MCC
57709SURGSkin graft &/or debrid exc for skin ulcer or cellulitis w CC
57809SURGSkin graft &/or debrid exc for skin ulcer or cellulitis w/o CC/MCC
57909SURGOther skin, subcut tiss & breast proc w MCC
58009SURGOther skin, subcut tiss & breast proc w CC
58109SURGOther skin, subcut tiss & breast proc w/o CC/MCC
58209SURGMastectomy for malignancy w CC/MCC
58309SURGMastectomy for malignancy w/o CC/MCC
58409SURGBreast biopsy, local excision & other breast procedures w CC/MCC
58509SURGBreast biopsy, local excision & other breast procedures w/o CC/MCC
59209MEDSkin ulcers w MCC
59309MEDSkin ulcers w CC
59409MEDSkin ulcers w/o CC/MCC
59509MEDMajor skin disorders w MCC596 09 MED Major skin disorders w/o MCC
59709MEDMalignant breast disorders w MCC
59809MEDMalignant breast disorders w CC
59909MEDMalignant breast disorders w/o CC/MCC
60009MEDNon-malignant breast disorders w CC/MCC
60109MEDNon-malignant breast disorders w/o CC/MCC
60209MEDCellulitis w MCC
60309MEDCellulitis w/o MCC
60409MEDTrauma to the skin, subcut tiss & breast w MCC
60509MEDTrauma to the skin, subcut tiss & breast w/o MCC
60609MEDMinor skin disorders w MCC
60709MEDMinor skin disorders w/o MCC
61410SURGAdrenal & pituitary procedures w CC/MCC
61510SURGAdrenal & pituitary procedures w/o CC/MCC
61610SURGAmputat of lower limb for endocrine,nutrit,& metabol dis w MCC
61710SURGAmputat of lower limb for endocrine,nutrit,& metabol dis w CC
61810SURGAmputat of lower limb for endocrine,nutrit,& metabol dis w/o CC/MCC
61910SURGO.R. procedures for obesity w MCC
62010SURGO.R. procedures for obesity w CC
62110SURGO.R. procedures for obesity w/o CC/MCC
62210SURGSkin grafts & wound debrid for endoc, nutrit & metab dis w MCC
62310SURGSkin grafts & wound debrid for endoc, nutrit & metab dis w CC
62410SURGSkin grafts & wound debrid for endoc, nutrit & metab dis w/o CC/MCC
62510SURGThyroid, parathyroid & thyroglossal procedures w MCC
62610SURGThyroid, parathyroid & thyroglossal procedures w CC
62710SURGThyroid, parathyroid & thyroglossal procedures w/o CC/MCC
62810SURGOther endocrine, nutrit & metab O.R. proc w MCC
62910SURGOther endocrine, nutrit & metab O.R. proc w CC
63010SURGOther endocrine, nutrit & metab O.R. proc w/o CC/MCC
63710MEDDiabetes w MCC
63810MEDDiabetes w CC
63910MEDDiabetes w/o CC/MCC
64010MEDNutritional & misc metabolic disorders w MCC
64110MEDNutritional & misc metabolic disorders w/o MCC
64210MEDInborn errors of metabolism
64310MEDEndocrine disorders w MCC
64410MEDEndocrine disorders w CC
64510MEDEndocrine disorders w/o CC/MCC
65211SURGKidney transplant
65311SURGMajor bladder procedures w MCC
65411SURGMajor bladder procedures w CC
65511SURGMajor bladder procedures w/o CC/MCC
65611SURGKidney & ureter procedures for neoplasm w MCC
65711SURGKidney & ureter procedures for neoplasm w CC
65811SURGKidney & ureter procedures for neoplasm w/o CC/MCC
65911SURGKidney & ureter procedures for non-neoplasm w MCC
66011SURGKidney & ureter procedures for non-neoplasm w CC
66111SURGKidney & ureter procedures for non-neoplasm w/o CC/MCC
66211SURGMinor bladder procedures w MCC
66311SURGMinor bladder procedures w CC
66411SURGMinor bladder procedures w/o CC/MCC
66511SURGProstatectomy w MCC666 11 SURG Prostatectomy w CC
66711SURGProstatectomy w/o CC/MCC
66811SURGTransurethral procedures w MCC
66911SURGTransurethral procedures w CC
67011SURGTransurethral procedures w/o CC/MCC
67111SURGUrethral procedures w CC/MCC
67211SURGUrethral procedures w/o CC/MCC
67311SURGOther kidney & urinary tract procedures w MCC
67411SURGOther kidney & urinary tract procedures w CC
67511SURGOther kidney & urinary tract procedures w/o CC/MCC
68211MEDRenal failure w MCC
68311MEDRenal failure w CC
68411MEDRenal failure w/o CC/MCC
68511MEDAdmit for renal dialysis
68611MEDKidney & urinary tract neoplasms w MCC
68711MEDKidney & urinary tract neoplasms w CC
68811MEDKidney & urinary tract neoplasms w/o CC/MCC
68911MEDKidney & urinary tract infections w MCC
69011MEDKidney & urinary tract infections w/o MCC
69111MEDUrinary stones w esw lithotripsy w CC/MCC
69211MEDUrinary stones w esw lithotripsy w/o CC/MCC
69311MEDUrinary stones w/o esw lithotripsy w MCC
69411MEDUrinary stones w/o esw lithotripsy w/o MCC
69511MEDKidney & urinary tract signs & symptoms w MCC
69611MEDKidney & urinary tract signs & symptoms w/o MCC
69711MEDUrethral stricture
69811MEDOther kidney & urinary tract diagnoses w MCC
69911MEDOther kidney & urinary tract diagnoses w CC
70011MEDOther kidney & urinary tract diagnoses w/o CC/MCC
70712SURGMajor male pelvic procedures w CC/MCC j p p
70812SURGMajor male pelvic procedures w/o CC/MCC
70912SURGPenis procedures w CC/MCC
71012SURGPenis procedures w/o CC/MCC
71112SURGTestes procedures w CC/MCC
71212SURGTestes procedures w/o CC/MCC
71312SURGTransurethral prostatectomy w CC/MCC
71412SURGTransurethral prostatectomy w/o CC/MCC
71512SURGOther male reproductive system O.R. proc for malignancy w CC/MCC
71612SURGOther male reproductive system O.R. proc for malignancy w/o CC/MCC
71712SURGOther male reproductive system O.R. proc exc malignancy w CC/MCC
71812SURGOther male reproductive system O.R. proc exc malignancy w/o CC/MCC
72212MEDMalignancy, male reproductive system w MCC
72312MEDMalignancy, male reproductive system w CC
72412MEDMalignancy, male reproductive system w/o CC/MCC
72512MEDBenign prostatic hypertrophy w MCC
72612MEDBenign prostatic hypertrophy w/o MCC
72712MEDInflammation of the male reproductive system w MCC
72812MEDInflammation of the male reproductive system w/o MCC
72912MEDOther male reproductive system diagnoses w CC/MCC
73012MEDOther male reproductive system diagnoses w/o CC/MCC
73413SURGPelvic evisceration, rad hysterectomy & rad vulvectomy w CC/MCC
73513SURGPelvic evisceration, rad hysterectomy & rad vulvectomy w/o CC/MCC736 13 SURG Uterine &
73713SURGUterine & adnexa proc for ovarian or adnexal malignancy w CC
73813SURGUterine & adnexa proc for ovarian or adnexal malignancy w/o CC/MCC
73913SURGUterine,adnexa proc for non-ovarian/adnexal malig w MCC
74013SURGUterine,adnexa proc for non-ovarian/adnexal malig w CC
74113SURGUterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC
74213SURGUterine & adnexa proc for non-malignancy w CC/MCC
74313SURGUterine & adnexa proc for non-malignancy w/o CC/MCC
74413SURGD&C, conization, laparascopy & tubal interruption w CC/MCC
74513SURGD&C, conization, laparascopy & tubal interruption w/o CC/MCC
74613SURGVagina, cervix & vulva procedures w CC/MCC
74713SURGVagina, cervix & vulva procedures w/o CC/MCC
74813SURGFemale reproductive system reconstructive procedures
74913SURGOther female reproductive system O.R. procedures w CC/MCC
75013SURGOther female reproductive system O.R. procedures w/o CC/MCC
75413MEDMalignancy, female reproductive system w MCC
75513MEDMalignancy, female reproductive system w CC
75613MEDMalignancy, female reproductive system w/o CC/MCC
75713MEDInfections, female reproductive system w MCC
75813MEDInfections, female reproductive system w CC
75913MEDInfections, female reproductive system w/o CC/MCC
76013MEDMenstrual & other female reproductive system disorders w CC/MCC
76113MEDMenstrual & other female reproductive system disorders w/o CC/MCC
76514SURGCesarean section w CC/MCC
76614SURGCesarean section w/o CC/MCC
76714SURGVaginal delivery w sterilization &/or D&C
76814SURGVaginal delivery w O.R. proc except steril &/or D&C
76914SURGPostpartum & post abortion diagnoses w O.R. procedure
77014SURGAbortion w D&C, aspiration curettage or hysterotomy
77414MEDVaginal delivery w complicating diagnoses g y p g g
77514MEDVaginal delivery w/o complicating diagnoses
77614MEDPostpartum & post abortion diagnoses w/o O.R. procedure
77714MEDEctopic pregnancy
77814MEDThreatened abortion
77914MEDAbortion w/o D&C
78014MEDFalse labor
78114MEDOther antepartum diagnoses w medical complications
78214MEDOther antepartum diagnoses w/o medical complications
78915MEDNeonates, died or transferred to another acute care facility
79015MEDExtreme immaturity or respiratory distress syndrome, neonate
79115MEDPrematurity w major problems
79215MEDPrematurity w/o major problems
79315MEDFull term neonate w major problems
79415MEDNeonate w other significant problems
79515MEDNormal newborn
79916SURGSplenectomy w MCC
80016SURGSplenectomy w CC
80116SURGSplenectomy w/o CC/MCC
80216SURGOther O.R. proc of the blood & blood forming organs w MCC
80316SURGOther O.R. proc of the blood & blood forming organs w CC
80416SURGOther O.R. proc of the blood & blood forming organs w/o CC/MCC
80816MEDMajor hematol/immun diag exc sickle cell crisis & coagul w MCC809 16 MED
81016MEDMajor hematol/immun diag exc sickle cell crisis & coagul w/o CC/MCC
81116MEDRed blood cell disorders w MCC
81216MEDRed blood cell disorders w/o MCC
81316MEDCoagulation disorders
81416MEDReticuloendothelial & immunity disorders w MCC
81516MEDReticuloendothelial & immunity disorders w CC
81616MEDReticuloendothelial & immunity disorders w/o CC/MCC
82017SURGLymphoma & leukemia w major O.R. procedure w MCC
82117SURGLymphoma & leukemia w major O.R. procedure w CC
82217SURGLymphoma & leukemia w major O.R. procedure w/o CC/MCC
82317SURGLymphoma & non-acute leukemia w other O.R. proc w MCC
82417SURGLymphoma & non-acute leukemia w other O.R. proc w CC
82517SURGLymphoma & non-acute leukemia w other O.R. proc w/o CC/MCC
82617SURGMyeloprolif disord or poorly diff neopl w maj O.R. proc w MCC
82717SURGMyeloprolif disord or poorly diff neopl w maj O.R. proc w CC
82817SURGMyeloprolif disord or poorly diff neopl w maj O.R. proc w/o CC/MCC
82917SURGMyeloprolif disord or poorly diff neopl w other O.R. proc w CC/MCC
83017SURGMyeloprolif disord or poorly diff neopl w other O.R. proc w/o CC/MCC
83417MEDAcute leukemia w/o major O.R. procedure w MCC
83517MEDAcute leukemia w/o major O.R. procedure w CC
83617MEDAcute leukemia w/o major O.R. procedure w/o CC/MCC
83717MEDChemo w acute leukemia as sdx or w high dose chemo agent w
83817MEDChemo w acute leukemia as sdx w CC or high dose chemo agent
83917MEDChemo w acute leukemia as sdx w/o CC/MCC
84017MEDLymphoma & non-acute leukemia w MCC
84117MEDLymphoma & non-acute leukemia w CC
84217MEDLymphoma & non-acute leukemia w/o CC/MCC
84317MEDOther myeloprolif dis or poorly diff neopl diag w MCC
84417MEDOther myeloprolif dis or poorly diff neopl diag w CC y p p
84517MEDOther myeloprolif dis or poorly diff neopl diag w/o CC/MCC
84617MEDChemotherapy w/o acute leukemia as secondary diagnosis w MCC
84717MEDChemotherapy w/o acute leukemia as secondary diagnosis w CC
84817MEDChemotherapy w/o acute leukemia as secondary diagnosis w/o CC/MCC
84917MEDRadiotherapy
85318SURGInfectious & parasitic diseases w O.R. procedure w MCC
85418SURGInfectious & parasitic diseases w O.R. procedure w CC
85518SURGInfectious & parasitic diseases w O.R. procedure w/o CC/MCC
85618SURGPostoperative or post-traumatic infections w O.R. proc w MCC
85718SURGPostoperative or post-traumatic infections w O.R. proc w CC
85818SURGPostoperative or post-traumatic infections w O.R. proc w/o CC/MCC
86218MEDPostoperative & post-traumatic infections w MCC
86318MEDPostoperative & post-traumatic infections w/o MCC
86418MEDFever of unknown origin
86518MEDViral illness w MCC
86618MEDViral illness w/o MCC
86718MEDOther infectious & parasitic diseases diagnoses w MCC
86818MEDOther infectious & parasitic diseases diagnoses w CC
86918MEDOther infectious & parasitic diseases diagnoses w/o CC/MCC
87018MEDSepticemia w MV 96+ hours
87118MEDSepticemia w/o MV 96+ hours w MCC
87218MEDSepticemia w/o MV 96+ hours w/o MCC876 19 SURG O.R. procedure w principal
88019MEDAcute adjustment reaction & psychosocial dysfunction
88119MEDDepressive neuroses
88219MEDNeuroses except depressive
88319MEDDisorders of personality & impulse control
88419MEDOrganic disturbances & mental retardation
88519MEDPsychoses
88619MEDBehavioral & developmental disorders
88719MEDOther mental disorder diagnoses
89420MEDAlcohol/drug abuse or dependence, left ama
89520MEDAlcohol/drug abuse or dependence w rehabilitation therapy
89620MEDAlcohol/drug abuse or dependence w/o rehabilitation therapy w MCC
89720MEDAlcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC
90121SURGWound debridements for injuries w MCC
90221SURGWound debridements for injuries w CC
90321SURGWound debridements for injuries w/o CC/MCC
90421SURGSkin grafts for injuries w CC/MCC
90521SURGSkin grafts for injuries w/o CC/MCC
90621SURGHand procedures for injuries
90721SURGOther O.R. procedures for injuries w MCC
90821SURGOther O.R. procedures for injuries w CC
90921SURGOther O.R. procedures for injuries w/o CC/MCC
91321MEDTraumatic injury w MCC
91421MEDTraumatic injury w/o MCC
91521MEDAllergic reactions w MCC
91621MEDAllergic reactions w/o MCC
91721MEDPoisoning & toxic effects of drugs w MCC
91821MEDPoisoning & toxic effects of drugs w/o MCC
91921MEDComplications of treatment w MCC
92021MEDComplications of treatment w CC p
92121MEDComplications of treatment w/o CC/MCC
92221MEDOther injury, poisoning & toxic effect diag w MCC
92321MEDOther injury, poisoning & toxic effect diag w/o MCC
92722SURGExtensive burns or full thickness burns w MV 96+ hrs w skin graft
92822SURGFull thickness burn w skin graft or inhal inj w CC/MCC
92922SURGFull thickness burn w skin graft or inhal inj w/o CC/MCC
93322MEDExtensive burns or full thickness burns w MV 96+ hrs w/o skin graft
93422MEDFull thickness burn w/o skin grft or inhal inj
93522MEDNon-extensive burns
93923SURGO.R. proc w diagnoses of other contact w health services w MCC
94023SURGO.R. proc w diagnoses of other contact w health services w CC
94123SURGO.R. proc w diagnoses of other contact w health services w/o CC/MCC
94523MEDRehabilitation w CC/MCC
94623MEDRehabilitation w/o CC/MCC
94723MEDSigns & symptoms w MCC
94823MEDSigns & symptoms w/o MCC
94923MEDAftercare w CC/MCC
95023MEDAftercare w/o CC/MCC
95123MEDOther factors influencing health status
95524SURGCraniotomy for multiple significant trauma
95624SURGLimb reattachment, hip & femur proc for multiple significant trauma
95724SURGOther O.R. procedures for multiple significant trauma w MCC958 24 SURG Other O.R.
95924SURGOther O.R. procedures for multiple significant trauma w/o CC/MCC
96324MEDOther multiple significant trauma w MCC
96424MEDOther multiple significant trauma w CC
96524MEDOther multiple significant trauma w/o CC/MCC
96925SURGHIV w extensive O.R. procedure w MCC
97025SURGHIV w extensive O.R. procedure w/o MCC
97425MEDHIV w major related condition w MCC
97525MEDHIV w major related condition w CC
97625MEDHIV w major related condition w/o CC/MCC
97725MEDHIV w or w/o other related condition
981SURGExtensiveO.R. procedure unrelated to principal diagnosis w MCC
982SURGExtensiveO.R. procedure unrelated to principal diagnosis w CC
983SURGExtensiveO.R. procedure unrelated to principal diagnosis w/o CC/MCC
984SURGProstaticO.R. procedure unrelated to principal diagnosis w MCC
985SURGProstaticO.R. procedure unrelated to principal diagnosis w CC
986SURGProstaticO.R. procedure unrelated to principal diagnosis w/o CC/MCC
987SURGNon-extensiveO.R. proc unrelated to principal diagnosis w MCC
988SURGNon-extensiveO.R. proc unrelated to principal diagnosis w CC
989SURGNon-extensiveO.R. proc unrelated to principal diagnosis w/o CC/MCC
998**Principaldiagnosis invalid as discharge diagnosis
999**Ungroupable