List of MS-DRGs v42

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This table contains a list of each MS-DRG with a specification of the MDC and whether the MS-DRG is medical or surgical. Some MS-DRGs which contain patients from multiple MDCs (e.g., 014 Allogeneic Bone Marrow Transplant) do not have an MDC specified.

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Diagnosis-Related Group Major Diagnostic Category Medicare Severity Description
001 Surgical Heart Transplant or Implant of Heart Assist System with MCC
002 Surgical Heart Transplant or Implant of Heart Assist System without MCC
003 Surgical ECMO or Tracheostomy with MV >96 Hours or Principal Diagnosis Except Face, Mouth and Neck with Major O.R. Procedures
004 Surgical Tracheostomy with MV >96 Hours or Principal Diagnosis Except Face, Mouth and Neck without Major O.R. Procedures
005 Surgical Liver Transplant with MCC or Intestinal Transplant
006 Surgical Liver Transplant without MCC
007 Surgical Lung Transplant
008 Surgical Simultaneous Pancreas and Kidney Transplant
010 Surgical Pancreas Transplant
011 Surgical Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC
012 Surgical Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC
013 Surgical Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC
014 Medical Allogeneic Bone Marrow Transplant
016 Medical Autologous Bone Marrow Transplant with CC/MCC
017 Medical Autologous Bone Marrow Transplant without CC/MCC
018 Medical Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies
019 Surgical Simultaneous Pancreas and Kidney Transplant with Hemodialysis
020 01 Surgical Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with MCC
021 01 Surgical Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with CC
022 01 Surgical Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage without CC/MCC
023 01 Surgical Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Chemotherapy Implant or Epilepsy with Neurostimulator
024 01 Surgical Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC
025 01 Surgical Craniotomy and Endovascular Intracranial Procedures with MCC
026 01 Surgical Craniotomy and Endovascular Intracranial Procedures with CC
027 01 Surgical Craniotomy and Endovascular Intracranial Procedures without CC/MCC
028 01 Surgical Spinal Procedures with MCC
029 01 Surgical Spinal Procedures with CC or Spinal Neurostimulators
030 01 Surgical Spinal Procedures without CC/MCC
031 01 Surgical Ventricular Shunt Procedures with MCC
032 01 Surgical Ventricular Shunt Procedures with CC
033 01 Surgical Ventricular Shunt Procedures without CC/MCC
034 01 Surgical Carotid Artery Stent Procedures with MCC
035 01 Surgical Carotid Artery Stent Procedures with CC
036 01 Surgical Carotid Artery Stent Procedures without CC/MCC
037 01 Surgical Extracranial Procedures with MCC
038 01 Surgical Extracranial Procedures with CC
039 01 Surgical Extracranial Procedures without CC/MCC
040 01 Surgical Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC
041 01 Surgical Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator
042 01 Surgical Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC
052 01 Medical Spinal Disorders and Injuries with CC/MCC
053 01 Medical Spinal Disorders and Injuries without CC/MCC
054 01 Medical Nervous System Neoplasms with MCC
055 01 Medical Nervous System Neoplasms without MCC
056 01 Medical Degenerative Nervous System Disorders with MCC
057 01 Medical Degenerative Nervous System Disorders without MCC
058 01 Medical Multiple Sclerosis and Cerebellar Ataxia with MCC
059 01 Medical Multiple Sclerosis and Cerebellar Ataxia with CC
060 01 Medical Multiple Sclerosis and Cerebellar Ataxia without CC/MCC
061 01 Medical Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent with MCC
062 01 Medical Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent with CC
063 01 Medical Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent without CC/MCC
064 01 Medical Intracranial Hemorrhage or Cerebral Infarction with MCC
065 01 Medical Intracranial Hemorrhage or Cerebral Infarction with CC or TPA in 24 Hours
066 01 Medical Intracranial Hemorrhage or Cerebral Infarction without CC/MCC
067 01 Medical Nonspecific CVA and Precerebral Occlusion without Infarction with MCC
068 01 Medical Nonspecific CVA and Precerebral Occlusion without Infarction without MCC
069 01 Medical Transient Ischemia without Thrombolytic
070 01 Medical Nonspecific Cerebrovascular Disorders with MCC
071 01 Medical Nonspecific Cerebrovascular Disorders with CC
072 01 Medical Nonspecific Cerebrovascular Disorders without CC/MCC
073 01 Medical Cranial and Peripheral Nerve Disorders with MCC
074 01 Medical Cranial and Peripheral Nerve Disorders without MCC
075 01 Medical Viral Meningitis with CC/MCC
076 01 Medical Viral Meningitis without CC/MCC
077 01 Medical Hypertensive Encephalopathy with MCC
078 01 Medical Hypertensive Encephalopathy with CC
079 01 Medical Hypertensive Encephalopathy without CC/MCC
080 01 Medical Nontraumatic Stupor and Coma with MCC
081 01 Medical Nontraumatic Stupor and Coma without MCC
082 01 Medical Traumatic Stupor and Coma >1 Hour with MCC
083 01 Medical Traumatic Stupor and Coma >1 Hour with CC
084 01 Medical Traumatic Stupor and Coma >1 Hour without CC/MCC
085 01 Medical Traumatic Stupor and Coma <1 Hour with MCC
086 01 Medical Traumatic Stupor and Coma <1 Hour with CC
087 01 Medical Traumatic Stupor and Coma <1 Hour without CC/MCC
088 01 Medical Concussion with MCC
089 01 Medical Concussion with CC
090 01 Medical Concussion without CC/MCC
091 01 Medical Other Disorders of Nervous System with MCC
092 01 Medical Other Disorders of Nervous System with CC
093 01 Medical Other Disorders of Nervous System without CC/MCC
094 01 Medical Bacterial and Tuberculous Infections of Nervous System with MCC
095 01 Medical Bacterial and Tuberculous Infections of Nervous System with CC
096 01 Medical Bacterial and Tuberculous Infections of Nervous System without CC/MCC
097 01 Medical Non-Bacterial Infection of Nervous System Except Viral Meningitis with MCC
098 01 Medical Non-Bacterial Infection of Nervous System Except Viral Meningitis with CC
099 01 Medical Non-Bacterial Infection of Nervous System Except Viral Meningitis without CC/MCC
100 01 Medical Seizures with MCC
101 01 Medical Seizures without MCC
102 01 Medical Headaches with MCC
103 01 Medical Headaches without MCC
113 02 Surgical Orbital Procedures with CC/MCC
114 02 Surgical Orbital Procedures without CC/MCC
115 02 Surgical Extraocular Procedures Except Orbit
116 02 Surgical Intraocular Procedures with CC/MCC
117 02 Surgical Intraocular Procedures without CC/MCC
121 02 Medical Acute Major Eye Infections with CC/MCC
122 02 Medical Acute Major Eye Infections without CC/MCC
123 02 Medical Neurological Eye Disorders
124 02 Medical Other Disorders of the Eye with MCC or Thrombolytic Agent
125 02 Medical Other Disorders of the Eye without MCC
135 03 Surgical Sinus and Mastoid Procedures with CC/MCC
136 03 Surgical Sinus and Mastoid Procedures without CC/MCC
137 03 Surgical Mouth Procedures with CC/MCC
138 03 Surgical Mouth Procedures without CC/MCC
139 03 Surgical Salivary Gland Procedures
140 03 Surgical Major Head and Neck Procedures with MCC
141 03 Surgical Major Head and Neck Procedures with CC
142 03 Surgical Major Head and Neck Procedures without CC/MCC
143 03 Surgical Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC
144 03 Surgical Other Ear, Nose, Mouth and Throat O.R. Procedures with CC
145 03 Surgical Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC
146 03 Medical Ear, Nose, Mouth and Throat Malignancy with MCC
147 03 Medical Ear, Nose, Mouth and Throat Malignancy with CC
148 03 Medical Ear, Nose, Mouth and Throat Malignancy without CC/MCC
149 03 Medical Dysequilibrium
150 03 Medical Epistaxis with MCC
151 03 Medical Epistaxis without MCC
152 03 Medical Otitis Media and URI with MCC
153 03 Medical Otitis Media and URI without MCC
154 03 Medical Other Ear, Nose, Mouth and Throat Diagnoses with MCC
155 03 Medical Other Ear, Nose, Mouth and Throat Diagnoses with CC
156 03 Medical Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCC
157 03 Medical Dental and Oral Diseases with MCC
158 03 Medical Dental and Oral Diseases with CC
159 03 Medical Dental and Oral Diseases without CC/MCC
163 04 Surgical Major Chest Procedures with MCC
164 04 Surgical Major Chest Procedures with CC
165 04 Surgical Major Chest Procedures without CC/MCC
166 04 Surgical Other Respiratory System O.R. Procedures with MCC
167 04 Surgical Other Respiratory System O.R. Procedures with CC
168 04 Surgical Other Respiratory System O.R. Procedures without CC/MCC
173 04 Surgical Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism
175 04 Medical Pulmonary Embolism with MCC or Acute Cor Pulmonale
176 04 Medical Pulmonary Embolism without MCC
177 04 Medical Respiratory Infections and Inflammations with MCC
178 04 Medical Respiratory Infections and Inflammations with CC
179 04 Medical Respiratory Infections and Inflammations without CC/MCC
180 04 Medical Respiratory Neoplasms with MCC
181 04 Medical Respiratory Neoplasms with CC
182 04 Medical Respiratory Neoplasms without CC/MCC
183 04 Medical Major Chest Trauma with MCC
184 04 Medical Major Chest Trauma with CC
185 04 Medical Major Chest Trauma without CC/MCC
186 04 Medical Pleural Effusion with MCC
187 04 Medical Pleural Effusion with CC
188 04 Medical Pleural Effusion without CC/MCC
189 04 Medical Pulmonary Edema and Respiratory Failure
190 04 Medical Chronic Obstructive Pulmonary Disease with MCC
191 04 Medical Chronic Obstructive Pulmonary Disease with CC
192 04 Medical Chronic Obstructive Pulmonary Disease without CC/MCC
193 04 Medical Simple Pneumonia and Pleurisy with MCC
194 04 Medical Simple Pneumonia and Pleurisy with CC
195 04 Medical Simple Pneumonia and Pleurisy without CC/MCC
196 04 Medical Interstitial Lung Disease with MCC
197 04 Medical Interstitial Lung Disease with CC
198 04 Medical Interstitial Lung Disease without CC/MCC
199 04 Medical Pneumothorax with MCC
200 04 Medical Pneumothorax with CC
201 04 Medical Pneumothorax without CC/MCC
202 04 Medical Bronchitis and Asthma with CC/MCC
203 04 Medical Bronchitis and Asthma without CC/MCC
204 04 Medical Respiratory Signs and Symptoms
205 04 Medical Other Respiratory System Diagnoses with MCC
206 04 Medical Other Respiratory System Diagnoses without MCC
207 04 Medical Respiratory System Diagnosis with Ventilator Support >96 Hours
208 04 Medical Respiratory System Diagnosis with Ventilator Support <=96 Hours
212 05 Surgical Concomitant Aortic and Mitral Valve Procedures
215 05 Surgical Other Heart Assist System Implant
216 05 Surgical Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC
217 05 Surgical Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC
218 05 Surgical Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC
219 05 Surgical Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC
220 05 Surgical Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC
221 05 Surgical Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization without CC/MCC
228 05 Surgical Other Cardiothoracic Procedures with MCC
229 05 Surgical Other Cardiothoracic Procedures without MCC
231 05 Surgical Coronary Bypass with PTCA with MCC
232 05 Surgical Coronary Bypass with PTCA without MCC
233 05 Surgical Coronary Bypass with Cardiac Catheterization or Open Ablation with MCC
234 05 Surgical Coronary Bypass with Cardiac Catheterization or Open Ablation without MCC
235 05 Surgical Coronary Bypass without Cardiac Catheterization with MCC
236 05 Surgical Coronary Bypass without Cardiac Catheterization without MCC
239 05 Surgical Amputation for Circulatory System Disorders Except Upper Limb and Toe with MCC
240 05 Surgical Amputation for Circulatory System Disorders Except Upper Limb and Toe with CC
241 05 Surgical Amputation for Circulatory System Disorders Except Upper Limb and Toe without CC/MCC
242 05 Surgical Permanent Cardiac Pacemaker Implant with MCC
243 05 Surgical Permanent Cardiac Pacemaker Implant with CC
244 05 Surgical Permanent Cardiac Pacemaker Implant without CC/MCC
245 05 Surgical AICD Generator Procedures
250 05 Surgical Percutaneous Cardiovascular Procedures without Intraluminal Device with MCC
251 05 Surgical Percutaneous Cardiovascular Procedures without Intraluminal Device without MCC
252 05 Surgical Other Vascular Procedures with MCC
253 05 Surgical Other Vascular Procedures with CC
254 05 Surgical Other Vascular Procedures without CC/MCC
255 05 Surgical Upper Limb and Toe Amputation for Circulatory System Disorders with MCC
256 05 Surgical Upper Limb and Toe Amputation for Circulatory System Disorders with CC
257 05 Surgical Upper Limb and Toe Amputation for Circulatory System Disorders without CC/MCC
258 05 Surgical Cardiac Pacemaker Device Replacement with MCC
259 05 Surgical Cardiac Pacemaker Device Replacement without MCC
260 05 Surgical Cardiac Pacemaker Revision Except Device Replacement with MCC
261 05 Surgical Cardiac Pacemaker Revision Except Device Replacement with CC
262 05 Surgical Cardiac Pacemaker Revision Except Device Replacement without CC/MCC
263 05 Surgical Vein Ligation and Stripping
264 05 Surgical Other Circulatory System O.R. Procedures
265 05 Surgical AICD Lead Procedures
266 05 Surgical Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC
267 05 Surgical Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC
268 05 Surgical Aortic and Heart Assist Procedures Except Pulsation Balloon with MCC
269 05 Surgical Aortic and Heart Assist Procedures Except Pulsation Balloon without MCC
270 05 Surgical Other Major Cardiovascular Procedures with MCC
271 05 Surgical Other Major Cardiovascular Procedures with CC
272 05 Surgical Other Major Cardiovascular Procedures without CC/MCC
273 05 Surgical Percutaneous and Other Intracardiac Procedures with MCC
274 05 Surgical Percutaneous and Other Intracardiac Procedures without MCC
275 05 Surgical Cardiac Defibrillator Implant with Cardiac Catheterization and MCC
276 05 Surgical Cardiac Defibrillator Implant with MCC or Carotid Sinus Neurostimulator
277 05 Surgical Cardiac Defibrillator Implant without MCC
278 05 Surgical Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC
279 05 Surgical Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC
280 05 Medical Acute Myocardial Infarction, Discharged Alive with MCC
281 05 Medical Acute Myocardial Infarction, Discharged Alive with CC
282 05 Medical Acute Myocardial Infarction, Discharged Alive without CC/MCC
283 05 Medical Acute Myocardial Infarction, Expired with MCC
284 05 Medical Acute Myocardial Infarction, Expired with CC
285 05 Medical Acute Myocardial Infarction, Expired without CC/MCC
286 05 Medical Circulatory Disorders Except AMI, with Cardiac Catheterization with MCC
287 05 Medical Circulatory Disorders Except AMI, with Cardiac Catheterization without MCC
288 05 Medical Acute and Subacute Endocarditis with MCC
289 05 Medical Acute and Subacute Endocarditis with CC
290 05 Medical Acute and Subacute Endocarditis without CC/MCC
291 05 Medical Heart Failure and Shock with MCC
292 05 Medical Heart Failure and Shock with CC
293 05 Medical Heart Failure and Shock without CC/MCC
294 05 Medical Deep Vein Thrombophlebitis with CC/MCC
295 05 Medical Deep Vein Thrombophlebitis without CC/MCC
296 05 Medical Cardiac Arrest, Unexplained with MCC
297 05 Medical Cardiac Arrest, Unexplained with CC
298 05 Medical Cardiac Arrest, Unexplained without CC/MCC
299 05 Medical Peripheral Vascular Disorders with MCC
300 05 Medical Peripheral Vascular Disorders with CC
301 05 Medical Peripheral Vascular Disorders without CC/MCC
302 05 Medical Atherosclerosis with MCC
303 05 Medical Atherosclerosis without MCC
304 05 Medical Hypertension with MCC
305 05 Medical Hypertension without MCC
306 05 Medical Cardiac Congenital and Valvular Disorders with MCC
307 05 Medical Cardiac Congenital and Valvular Disorders without MCC
308 05 Medical Cardiac Arrhythmia and Conduction Disorders with MCC
309 05 Medical Cardiac Arrhythmia and Conduction Disorders with CC
310 05 Medical Cardiac Arrhythmia and Conduction Disorders without CC/MCC
311 05 Medical Angina Pectoris
312 05 Medical Syncope and Collapse
313 05 Medical Chest Pain
314 05 Medical Other Circulatory System Diagnoses with MCC
315 05 Medical Other Circulatory System Diagnoses with CC
316 05 Medical Other Circulatory System Diagnoses without CC/MCC
317 05 Surgical Concomitant Left Atrial Appendage Closure and Cardiac Ablation
319 05 Surgical Other Endovascular Cardiac Valve Procedures with MCC
320 05 Surgical Other Endovascular Cardiac Valve Procedures without MCC
321 05 Surgical Percutaneous Cardiovascular Procedures with Intraluminal Device with MCC or 4+ Arteries/Intraluminal Devices
322 05 Surgical Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC
323 05 Surgical Coronary Intravascular Lithotripsy with Intraluminal Device with MCC
324 05 Surgical Coronary Intravascular Lithotripsy with Intraluminal Device without MCC
325 05 Surgical Coronary Intravascular Lithotripsy without Intraluminal Device
326 06 Surgical Stomach, Esophageal and Duodenal Procedures with MCC
327 06 Surgical Stomach, Esophageal and Duodenal Procedures with CC
328 06 Surgical Stomach, Esophageal and Duodenal Procedures without CC/MCC
329 06 Surgical Major Small and Large Bowel Procedures with MCC
330 06 Surgical Major Small and Large Bowel Procedures with CC
331 06 Surgical Major Small and Large Bowel Procedures without CC/MCC
332 06 Surgical Rectal Resection with MCC
333 06 Surgical Rectal Resection with CC
334 06 Surgical Rectal Resection without CC/MCC
335 06 Surgical Peritoneal Adhesiolysis with MCC
336 06 Surgical Peritoneal Adhesiolysis with CC
337 06 Surgical Peritoneal Adhesiolysis without CC/MCC
344 06 Surgical Minor Small and Large Bowel Procedures with MCC
345 06 Surgical Minor Small and Large Bowel Procedures with CC
346 06 Surgical Minor Small and Large Bowel Procedures without CC/MCC
347 06 Surgical Anal and Stomal Procedures with MCC
348 06 Surgical Anal and Stomal Procedures with CC
349 06 Surgical Anal and Stomal Procedures without CC/MCC
350 06 Surgical Inguinal and Femoral Hernia Procedures with MCC
351 06 Surgical Inguinal and Femoral Hernia Procedures with CC
352 06 Surgical Inguinal and Femoral Hernia Procedures without CC/MCC
353 06 Surgical Hernia Procedures Except Inguinal and Femoral with MCC
354 06 Surgical Hernia Procedures Except Inguinal and Femoral with CC
355 06 Surgical Hernia Procedures Except Inguinal and Femoral without CC/MCC
356 06 Surgical Other Digestive System O.R. Procedures with MCC
357 06 Surgical Other Digestive System O.R. Procedures with CC
358 06 Surgical Other Digestive System O.R. Procedures without CC/MCC
368 06 Medical Major Esophageal Disorders with MCC
369 06 Medical Major Esophageal Disorders with CC
370 06 Medical Major Esophageal Disorders without CC/MCC
371 06 Medical Major Gastrointestinal Disorders and Peritoneal Infections with MCC
372 06 Medical Major Gastrointestinal Disorders and Peritoneal Infections with CC
373 06 Medical Major Gastrointestinal Disorders and Peritoneal Infections without CC/MCC
374 06 Medical Digestive Malignancy with MCC
375 06 Medical Digestive Malignancy with CC
376 06 Medical Digestive Malignancy without CC/MCC
377 06 Medical Gastrointestinal Hemorrhage with MCC
378 06 Medical Gastrointestinal Hemorrhage with CC
379 06 Medical Gastrointestinal Hemorrhage without CC/MCC
380 06 Medical Complicated Peptic Ulcer with MCC
381 06 Medical Complicated Peptic Ulcer with CC
382 06 Medical Complicated Peptic Ulcer without CC/MCC
383 06 Medical Uncomplicated Peptic Ulcer with MCC
384 06 Medical Uncomplicated Peptic Ulcer without MCC
385 06 Medical Inflammatory Bowel Disease with MCC
386 06 Medical Inflammatory Bowel Disease with CC
387 06 Medical Inflammatory Bowel Disease without CC/MCC
388 06 Medical Gastrointestinal Obstruction with MCC
389 06 Medical Gastrointestinal Obstruction with CC
390 06 Medical Gastrointestinal Obstruction without CC/MCC
391 06 Medical Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with MCC
392 06 Medical Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC
393 06 Medical Other Digestive System Diagnoses with MCC
394 06 Medical Other Digestive System Diagnoses with CC
395 06 Medical Other Digestive System Diagnoses without CC/MCC
397 06 Surgical Appendix Procedures with MCC
398 06 Surgical Appendix Procedures with CC
399 06 Surgical Appendix Procedures without CC/MCC
402 08 Surgical Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
405 07 Surgical Pancreas, Liver and Shunt Procedures with MCC
406 07 Surgical Pancreas, Liver and Shunt Procedures with CC
407 07 Surgical Pancreas, Liver and Shunt Procedures without CC/MCC
408 07 Surgical Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. with MCC
409 07 Surgical Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. with CC
410 07 Surgical Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. without CC/MCC
411 07 Surgical Cholecystectomy with C.D.E. with MCC
412 07 Surgical Cholecystectomy with C.D.E. with CC
413 07 Surgical Cholecystectomy with C.D.E. without CC/MCC
414 07 Surgical Cholecystectomy Except By Laparoscope without C.D.E. with MCC
415 07 Surgical Cholecystectomy Except By Laparoscope without C.D.E. with CC
416 07 Surgical Cholecystectomy Except By Laparoscope without C.D.E. without CC/MCC
417 07 Surgical Laparoscopic Cholecystectomy without C.D.E. with MCC
418 07 Surgical Laparoscopic Cholecystectomy without C.D.E. with CC
419 07 Surgical Laparoscopic Cholecystectomy without C.D.E. without CC/MCC
420 07 Surgical Hepatobiliary Diagnostic Procedures with MCC
421 07 Surgical Hepatobiliary Diagnostic Procedures with CC
422 07 Surgical Hepatobiliary Diagnostic Procedures without CC/MCC
423 07 Surgical Other Hepatobiliary or Pancreas O.R. Procedures with MCC
424 07 Surgical Other Hepatobiliary or Pancreas O.R. Procedures with CC
425 07 Surgical Other Hepatobiliary or Pancreas O.R. Procedures without CC/MCC
426 08 Surgical Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with MCC or Custom-Made Anatomically Designed Interbody Fusion Device
427 08 Surgical Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with CC
428 08 Surgical Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical without CC/MCC
429 08 Surgical Combined Anterior and Posterior Cervical Spinal Fusion with MCC
430 08 Surgical Combined Anterior and Posterior Cervical Spinal Fusion without MCC
432 07 Medical Cirrhosis and Alcoholic Hepatitis with MCC
433 07 Medical Cirrhosis and Alcoholic Hepatitis with CC
434 07 Medical Cirrhosis and Alcoholic Hepatitis without CC/MCC
435 07 Medical Malignancy of Hepatobiliary System or Pancreas with MCC
436 07 Medical Malignancy of Hepatobiliary System or Pancreas with CC
437 07 Medical Malignancy of Hepatobiliary System or Pancreas without CC/MCC
438 07 Medical Disorders of Pancreas Except Malignancy with MCC
439 07 Medical Disorders of Pancreas Except Malignancy with CC
440 07 Medical Disorders of Pancreas Except Malignancy without CC/MCC
441 07 Medical Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC
442 07 Medical Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with CC
443 07 Medical Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis without CC/MCC
444 07 Medical Disorders of the Biliary Tract with MCC
445 07 Medical Disorders of the Biliary Tract with CC
446 07 Medical Disorders of the Biliary Tract without CC/MCC
447 08 Surgical Multiple Level Spinal Fusion Except Cervical with MCC or Custom-Made Anatomically Designed Interbody Fusion Device
448 08 Surgical Multiple Level Spinal Fusion Except Cervical without MCC
450 08 Surgical Single Level Spinal Fusion Except Cervical with MCC or Custom-Made Anatomically Designed Interbody Fusion Device
451 08 Surgical Single Level Spinal Fusion Except Cervical without MCC
456 08 Surgical Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with MCC
457 08 Surgical Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with CC
458 08 Surgical Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions without CC/MCC
461 08 Surgical Bilateral or Multiple Major Joint Procedures of Lower Extremity with MCC
462 08 Surgical Bilateral or Multiple Major Joint Procedures of Lower Extremity without MCC
463 08 Surgical Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders with MCC
464 08 Surgical Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders with CC
465 08 Surgical Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders without CC/MCC
466 08 Surgical Revision of Hip or Knee Replacement with MCC
467 08 Surgical Revision of Hip or Knee Replacement with CC
468 08 Surgical Revision of Hip or Knee Replacement without CC/MCC
469 08 Surgical Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with MCC or Total Ankle Replacement
470 08 Surgical Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC
471 08 Surgical Cervical Spinal Fusion with MCC
472 08 Surgical Cervical Spinal Fusion with CC
473 08 Surgical Cervical Spinal Fusion without CC/MCC
474 08 Surgical Amputation for Musculoskeletal System and Connective Tissue Disorders with MCC
475 08 Surgical Amputation for Musculoskeletal System and Connective Tissue Disorders with CC
476 08 Surgical Amputation for Musculoskeletal System and Connective Tissue Disorders without CC/MCC
477 08 Surgical Biopsies of Musculoskeletal System and Connective Tissue with MCC
478 08 Surgical Biopsies of Musculoskeletal System and Connective Tissue with CC
479 08 Surgical Biopsies of Musculoskeletal System and Connective Tissue without CC/MCC
480 08 Surgical Hip and Femur Procedures Except Major Joint with MCC
481 08 Surgical Hip and Femur Procedures Except Major Joint with CC
482 08 Surgical Hip and Femur Procedures Except Major Joint without CC/MCC
483 08 Surgical Major Joint or Limb Reattachment Procedures of Upper Extremities
485 08 Surgical Knee Procedures with Principal Diagnosis of Infection with MCC
486 08 Surgical Knee Procedures with Principal Diagnosis of Infection with CC
487 08 Surgical Knee Procedures with Principal Diagnosis of Infection without CC/MCC
488 08 Surgical Knee Procedures without Principal Diagnosis of Infection with CC/MCC
489 08 Surgical Knee Procedures without Principal Diagnosis of Infection without CC/MCC
492 08 Surgical Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC
493 08 Surgical Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC
494 08 Surgical Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without CC/MCC
495 08 Surgical Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC
496 08 Surgical Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC
497 08 Surgical Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC/MCC
498 08 Surgical Local Excision and Removal of Internal Fixation Devices of Hip and Femur with CC/MCC
499 08 Surgical Local Excision and Removal of Internal Fixation Devices of Hip and Femur without CC/MCC
500 08 Surgical Soft Tissue Procedures with MCC
501 08 Surgical Soft Tissue Procedures with CC
502 08 Surgical Soft Tissue Procedures without CC/MCC
503 08 Surgical Foot Procedures with MCC
504 08 Surgical Foot Procedures with CC
505 08 Surgical Foot Procedures without CC/MCC
506 08 Surgical Major Thumb or Joint Procedures
507 08 Surgical Major Shoulder or Elbow Joint Procedures with CC/MCC
508 08 Surgical Major Shoulder or Elbow Joint Procedures without CC/MCC
509 08 Surgical Arthroscopy
510 08 Surgical Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with MCC
511 08 Surgical Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with CC
512 08 Surgical Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures without CC/MCC
513 08 Surgical Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with CC/MCC
514 08 Surgical Hand or Wrist Procedures, Except Major Thumb or Joint Procedures without CC/MCC
515 08 Surgical Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC
516 08 Surgical Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC
517 08 Surgical Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC
518 08 Surgical Back and Neck Procedures Except Spinal Fusion with MCC or Disc Device or Neurostimulator
519 08 Surgical Back and Neck Procedures Except Spinal Fusion with CC
520 08 Surgical Back and Neck Procedures Except Spinal Fusion without CC/MCC
521 08 Surgical Hip Replacement with Principal Diagnosis of Hip Fracture with MCC
522 08 Surgical Hip Replacement with Principal Diagnosis of Hip Fracture without MCC
533 08 Medical Fractures of Femur with MCC
534 08 Medical Fractures of Femur without MCC
535 08 Medical Fractures of Hip and Pelvis with MCC
536 08 Medical Fractures of Hip and Pelvis without MCC
537 08 Medical Sprains, Strains, and Dislocations of Hip, Pelvis and Thigh with CC/MCC
538 08 Medical Sprains, Strains, and Dislocations of Hip, Pelvis and Thigh without CC/MCC
539 08 Medical Osteomyelitis with MCC
540 08 Medical Osteomyelitis with CC
541 08 Medical Osteomyelitis without CC/MCC
542 08 Medical Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with MCC
543 08 Medical Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with CC
544 08 Medical Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy without CC/MCC
545 08 Medical Connective Tissue Disorders with MCC
546 08 Medical Connective Tissue Disorders with CC
547 08 Medical Connective Tissue Disorders without CC/MCC
548 08 Medical Septic Arthritis with MCC
549 08 Medical Septic Arthritis with CC
550 08 Medical Septic Arthritis without CC/MCC
551 08 Medical Medical Back Problems with MCC
552 08 Medical Medical Back Problems without MCC
553 08 Medical Bone Diseases and Arthropathies with MCC
554 08 Medical Bone Diseases and Arthropathies without MCC
555 08 Medical Signs and Symptoms of Musculoskeletal System and Connective Tissue with MCC
556 08 Medical Signs and Symptoms of Musculoskeletal System and Connective Tissue without MCC
557 08 Medical Tendonitis, Myositis and Bursitis with MCC
558 08 Medical Tendonitis, Myositis and Bursitis without MCC
559 08 Medical Aftercare, Musculoskeletal System and Connective Tissue with MCC
560 08 Medical Aftercare, Musculoskeletal System and Connective Tissue with CC
561 08 Medical Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC
562 08 Medical Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCC
563 08 Medical Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCC
564 08 Medical Other Musculoskeletal System and Connective Tissue Diagnoses with MCC
565 08 Medical Other Musculoskeletal System and Connective Tissue Diagnoses with CC
566 08 Medical Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC
570 09 Surgical Skin Debridement with MCC
571 09 Surgical Skin Debridement with CC
572 09 Surgical Skin Debridement without CC/MCC
573 09 Surgical Skin Graft for Skin Ulcer or Cellulitis with MCC
574 09 Surgical Skin Graft for Skin Ulcer or Cellulitis with CC
575 09 Surgical Skin Graft for Skin Ulcer or Cellulitis without CC/MCC
576 09 Surgical Skin Graft Except for Skin Ulcer or Cellulitis with MCC
577 09 Surgical Skin Graft Except for Skin Ulcer or Cellulitis with CC
578 09 Surgical Skin Graft Except for Skin Ulcer or Cellulitis without CC/MCC
579 09 Surgical Other Skin, Subcutaneous Tissue and Breast Procedures with MCC
580 09 Surgical Other Skin, Subcutaneous Tissue and Breast Procedures with CC
581 09 Surgical Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC
582 09 Surgical Mastectomy for Malignancy with CC/MCC
583 09 Surgical Mastectomy for Malignancy without CC/MCC
584 09 Surgical Breast Biopsy, Local Excision and Other Breast Procedures with CC/MCC
585 09 Surgical Breast Biopsy, Local Excision and Other Breast Procedures without CC/MCC
592 09 Medical Skin Ulcers with MCC
593 09 Medical Skin Ulcers with CC
594 09 Medical Skin Ulcers without CC/MCC
595 09 Medical Major Skin Disorders with MCC
596 09 Medical Major Skin Disorders without MCC
597 09 Medical Malignant Breast Disorders with MCC
598 09 Medical Malignant Breast Disorders with CC
599 09 Medical Malignant Breast Disorders without CC/MCC
600 09 Medical Non-Malignant Breast Disorders with CC/MCC
601 09 Medical Non-Malignant Breast Disorders without CC/MCC
602 09 Medical Cellulitis with MCC
603 09 Medical Cellulitis without MCC
604 09 Medical Trauma to the Skin, Subcutaneous Tissue and Breast with MCC
605 09 Medical Trauma to the Skin, Subcutaneous Tissue and Breast without MCC
606 09 Medical Minor Skin Disorders with MCC
607 09 Medical Minor Skin Disorders without MCC
614 10 Surgical Adrenal and Pituitary Procedures with CC/MCC
615 10 Surgical Adrenal and Pituitary Procedures without CC/MCC
616 10 Surgical Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with MCC
617 10 Surgical Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with CC
618 10 Surgical Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders without CC/MCC
619 10 Surgical O.R. Procedures for Obesity with MCC
620 10 Surgical O.R. Procedures for Obesity with CC
621 10 Surgical O.R. Procedures for Obesity without CC/MCC
622 10 Surgical Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders with MCC
623 10 Surgical Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders with CC
624 10 Surgical Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders without CC/MCC
625 10 Surgical Thyroid, Parathyroid and Thyroglossal Procedures with MCC
626 10 Surgical Thyroid, Parathyroid and Thyroglossal Procedures with CC
627 10 Surgical Thyroid, Parathyroid and Thyroglossal Procedures without CC/MCC
628 10 Surgical Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC
629 10 Surgical Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC
630 10 Surgical Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC
637 10 Medical Diabetes with MCC
638 10 Medical Diabetes with CC
639 10 Medical Diabetes without CC/MCC
640 10 Medical Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC
641 10 Medical Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC
642 10 Medical Inborn and Other Disorders of Metabolism
643 10 Medical Endocrine Disorders with MCC
644 10 Medical Endocrine Disorders with CC
645 10 Medical Endocrine Disorders without CC/MCC
650 11 Surgical Kidney Transplant with Hemodialysis with MCC
651 11 Surgical Kidney Transplant with Hemodialysis without MCC
652 11 Surgical Kidney Transplant
653 11 Surgical Major Bladder Procedures with MCC
654 11 Surgical Major Bladder Procedures with CC
655 11 Surgical Major Bladder Procedures without CC/MCC
656 11 Surgical Kidney and Ureter Procedures for Neoplasm with MCC
657 11 Surgical Kidney and Ureter Procedures for Neoplasm with CC
658 11 Surgical Kidney and Ureter Procedures for Neoplasm without CC/MCC
659 11 Surgical Kidney and Ureter Procedures for Non-Neoplasm with MCC
660 11 Surgical Kidney and Ureter Procedures for Non-Neoplasm with CC
661 11 Surgical Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC
662 11 Surgical Minor Bladder Procedures with MCC
663 11 Surgical Minor Bladder Procedures with CC
664 11 Surgical Minor Bladder Procedures without CC/MCC
665 11 Surgical Prostatectomy with MCC
666 11 Surgical Prostatectomy with CC
667 11 Surgical Prostatectomy without CC/MCC
668 11 Surgical Transurethral Procedures with MCC
669 11 Surgical Transurethral Procedures with CC
670 11 Surgical Transurethral Procedures without CC/MCC
671 11 Surgical Urethral Procedures with CC/MCC
672 11 Surgical Urethral Procedures without CC/MCC
673 11 Surgical Other Kidney and Urinary Tract Procedures with MCC
674 11 Surgical Other Kidney and Urinary Tract Procedures with CC
675 11 Surgical Other Kidney and Urinary Tract Procedures without CC/MCC
682 11 Medical Renal Failure with MCC
683 11 Medical Renal Failure with CC
684 11 Medical Renal Failure without CC/MCC
686 11 Medical Kidney and Urinary Tract Neoplasms with MCC
687 11 Medical Kidney and Urinary Tract Neoplasms with CC
688 11 Medical Kidney and Urinary Tract Neoplasms without CC/MCC
689 11 Medical Kidney and Urinary Tract Infections with MCC
690 11 Medical Kidney and Urinary Tract Infections without MCC
693 11 Medical Urinary Stones with MCC
694 11 Medical Urinary Stones without MCC
695 11 Medical Kidney and Urinary Tract Signs and Symptoms with MCC
696 11 Medical Kidney and Urinary Tract Signs and Symptoms without MCC
697 11 Medical Urethral Stricture
698 11 Medical Other Kidney and Urinary Tract Diagnoses with MCC
699 11 Medical Other Kidney and Urinary Tract Diagnoses with CC
700 11 Medical Other Kidney and Urinary Tract Diagnoses without CC/MCC
707 12 Surgical Major Male Pelvic Procedures with CC/MCC
708 12 Surgical Major Male Pelvic Procedures without CC/MCC
709 12 Surgical Penis Procedures with CC/MCC
710 12 Surgical Penis Procedures without CC/MCC
711 12 Surgical Testes Procedures with CC/MCC
712 12 Surgical Testes Procedures without CC/MCC
713 12 Surgical Transurethral Prostatectomy with CC/MCC
714 12 Surgical Transurethral Prostatectomy without CC/MCC
715 12 Surgical Other Male Reproductive System O.R. Procedures for Malignancy with CC/MCC
716 12 Surgical Other Male Reproductive System O.R. Procedures for Malignancy without CC/MCC
717 12 Surgical Other Male Reproductive System O.R. Procedures Except Malignancy with CC/MCC
718 12 Surgical Other Male Reproductive System O.R. Procedures Except Malignancy without CC/MCC
722 12 Medical Malignancy, Male Reproductive System with MCC
723 12 Medical Malignancy, Male Reproductive System with CC
724 12 Medical Malignancy, Male Reproductive System without CC/MCC
725 12 Medical Benign Prostatic Hypertrophy with MCC
726 12 Medical Benign Prostatic Hypertrophy without MCC
727 12 Medical Inflammation of the Male Reproductive System with MCC
728 12 Medical Inflammation of the Male Reproductive System without MCC
729 12 Medical Other Male Reproductive System Diagnoses with CC/MCC
730 12 Medical Other Male Reproductive System Diagnoses without CC/MCC
734 13 Surgical Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with CC/MCC
735 13 Surgical Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy without CC/MCC
736 13 Surgical Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with MCC
737 13 Surgical Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with CC
738 13 Surgical Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy without CC/MCC
739 13 Surgical Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with MCC
740 13 Surgical Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with CC
741 13 Surgical Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy without CC/MCC
742 13 Surgical Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC
743 13 Surgical Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC
744 13 Surgical D&C, Conization, Laparoscopy and Tubal Interruption with CC/MCC
745 13 Surgical D&C, Conization, Laparoscopy and Tubal Interruption without CC/MCC
746 13 Surgical Vagina, Cervix and Vulva Procedures with CC/MCC
747 13 Surgical Vagina, Cervix and Vulva Procedures without CC/MCC
748 13 Surgical Female Reproductive System Reconstructive Procedures
749 13 Surgical Other Female Reproductive System O.R. Procedures with CC/MCC
750 13 Surgical Other Female Reproductive System O.R. Procedures without CC/MCC
754 13 Medical Malignancy, Female Reproductive System with MCC
755 13 Medical Malignancy, Female Reproductive System with CC
756 13 Medical Malignancy, Female Reproductive System without CC/MCC
757 13 Medical Infections, Female Reproductive System with MCC
758 13 Medical Infections, Female Reproductive System with CC
759 13 Medical Infections, Female Reproductive System without CC/MCC
760 13 Medical Menstrual and Other Female Reproductive System Disorders with CC/MCC
761 13 Medical Menstrual and Other Female Reproductive System Disorders without CC/MCC
768 14 Surgical Vaginal Delivery with O.R. Procedures Except Sterilization and/or D&C
769 14 Surgical Postpartum and Post Abortion Diagnoses with O.R. Procedures
770 14 Surgical Abortion with D&C, Aspiration Curettage or Hysterotomy
776 14 Medical Postpartum and Post Abortion Diagnoses without O.R. Procedures
779 14 Medical Abortion without D&C
783 14 Surgical Cesarean Section with Sterilization with MCC
784 14 Surgical Cesarean Section with Sterilization with CC
785 14 Surgical Cesarean Section with Sterilization without CC/MCC
786 14 Surgical Cesarean Section without Sterilization with MCC
787 14 Surgical Cesarean Section without Sterilization with CC
788 14 Surgical Cesarean Section without Sterilization without CC/MCC
789 15 Medical Neonates, Died or Transferred to Another Acute Care Facility
790 15 Medical Extreme Immaturity or Respiratory Distress Syndrome, Neonate
791 15 Medical Prematurity with Major Problems
792 15 Medical Prematurity without Major Problems
793 15 Medical Full Term Neonate with Major Problems
794 15 Medical Neonate with Other Significant Problems
795 15 Medical Normal Newborn
796 14 Surgical Vaginal Delivery with Sterilization and/or D&C with MCC
797 14 Surgical Vaginal Delivery with Sterilization and/or D&C with CC
798 14 Surgical Vaginal Delivery with Sterilization and/or D&C without CC/MCC
799 16 Surgical Splenic Procedures with MCC
800 16 Surgical Splenic Procedures with CC
801 16 Surgical Splenic Procedures without CC/MCC
802 16 Surgical Other O.R. Procedures of the Blood and Blood Forming Organs with MCC
803 16 Surgical Other O.R. Procedures of the Blood and Blood Forming Organs with CC
804 16 Surgical Other O.R. Procedures of the Blood and Blood Forming Organs without CC/MCC
805 14 Medical Vaginal Delivery without Sterilization or D&C with MCC
806 14 Medical Vaginal Delivery without Sterilization or D&C with CC
807 14 Medical Vaginal Delivery without Sterilization or D&C without CC/MCC
808 16 Medical Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders with MCC
809 16 Medical Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders with CC
810 16 Medical Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders without CC/MCC
811 16 Medical Red Blood Cell Disorders with MCC
812 16 Medical Red Blood Cell Disorders without MCC
813 16 Medical Coagulation Disorders
814 16 Medical Reticuloendothelial and Immunity Disorders with MCC
815 16 Medical Reticuloendothelial and Immunity Disorders with CC
816 16 Medical Reticuloendothelial and Immunity Disorders without CC/MCC
817 14 Surgical Other Antepartum Diagnoses with O.R. Procedures with MCC
818 14 Surgical Other Antepartum Diagnoses with O.R. Procedures with CC
819 14 Surgical Other Antepartum Diagnoses with O.R. Procedures without CC/MCC
820 17 Surgical Lymphoma and Leukemia with Major O.R. Procedures with MCC
821 17 Surgical Lymphoma and Leukemia with Major O.R. Procedures with CC
822 17 Surgical Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC
823 17 Surgical Lymphoma and Non-Acute Leukemia with Other Procedures with MCC
824 17 Surgical Lymphoma and Non-Acute Leukemia with Other Procedures with CC
825 17 Surgical Lymphoma and Non-Acute Leukemia with Other Procedures without CC/MCC
826 17 Surgical Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC
827 17 Surgical Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CC
828 17 Surgical Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCC
829 17 Surgical Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures with CC/MCC
830 17 Surgical Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures without CC/MCC
831 14 Medical Other Antepartum Diagnoses without O.R. Procedures with MCC
832 14 Medical Other Antepartum Diagnoses without O.R. Procedures with CC
833 14 Medical Other Antepartum Diagnoses without O.R. Procedures without CC/MCC
834 17 Medical Acute Leukemia with MCC
835 17 Medical Acute Leukemia with CC
836 17 Medical Acute Leukemia without CC/MCC
837 17 Medical Chemotherapy with Acute Leukemia as Secondary Diagnosis or with High Dose Chemotherapy Agent with MCC
838 17 Medical Chemotherapy with Acute Leukemia as Secondary Diagnosis with CC or High Dose Chemotherapy Agent
839 17 Medical Chemotherapy with Acute Leukemia as Secondary Diagnosis without CC/MCC
840 17 Medical Lymphoma and Non-Acute Leukemia with MCC
841 17 Medical Lymphoma and Non-Acute Leukemia with CC
842 17 Medical Lymphoma and Non-Acute Leukemia without CC/MCC
843 17 Medical Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with MCC
844 17 Medical Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with CC
845 17 Medical Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses without CC/MCC
846 17 Medical Chemotherapy without Acute Leukemia as Secondary Diagnosis with MCC
847 17 Medical Chemotherapy without Acute Leukemia as Secondary Diagnosis with CC
848 17 Medical Chemotherapy without Acute Leukemia as Secondary Diagnosis without CC/MCC
849 17 Medical Radiotherapy
850 17 Surgical Acute Leukemia with Other Procedures
853 18 Surgical Infectious and Parasitic Diseases with O.R. Procedures with MCC
854 18 Surgical Infectious and Parasitic Diseases with O.R. Procedures with CC
855 18 Surgical Infectious and Parasitic Diseases with O.R. Procedures without CC/MCC
856 18 Surgical Postoperative or Post-Traumatic Infections with O.R. Procedures with MCC
857 18 Surgical Postoperative or Post-Traumatic Infections with O.R. Procedures with CC
858 18 Surgical Postoperative or Post-Traumatic Infections with O.R. Procedures without CC/MCC
862 18 Medical Postoperative and Post-Traumatic Infections with MCC
863 18 Medical Postoperative and Post-Traumatic Infections without MCC
864 18 Medical Fever and Inflammatory Conditions
865 18 Medical Viral Illness with MCC
866 18 Medical Viral Illness without MCC
867 18 Medical Other Infectious and Parasitic Diseases Diagnoses with MCC
868 18 Medical Other Infectious and Parasitic Diseases Diagnoses with CC
869 18 Medical Other Infectious and Parasitic Diseases Diagnoses without CC/MCC
870 18 Medical Septicemia or Severe Sepsis with MV >96 Hours
871 18 Medical Septicemia or Severe Sepsis without MV >96 Hours with MCC
872 18 Medical Septicemia or Severe Sepsis without MV >96 Hours without MCC
876 19 Surgical O.R. Procedures with Principal Diagnosis of Mental Illness
880 19 Medical Acute Adjustment Reaction and Psychosocial Dysfunction
881 19 Medical Depressive Neuroses
882 19 Medical Neuroses Except Depressive
883 19 Medical Disorders of Personality and Impulse Control
884 19 Medical Organic Disturbances and Intellectual Disability
885 19 Medical Psychoses
886 19 Medical Behavioral and Developmental Disorders
887 19 Medical Other Mental Disorder Diagnoses
894 20 Medical Alcohol, Drug Abuse or Dependence, Left AMA
895 20 Medical Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy
896 20 Medical Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with MCC
897 20 Medical Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC
901 21 Surgical Wound Debridements for Injuries with MCC
902 21 Surgical Wound Debridements for Injuries with CC
903 21 Surgical Wound Debridements for Injuries without CC/MCC
904 21 Surgical Skin Grafts for Injuries with CC/MCC
905 21 Surgical Skin Grafts for Injuries without CC/MCC
906 21 Surgical Hand Procedures for Injuries
907 21 Surgical Other O.R. Procedures for Injuries with MCC
908 21 Surgical Other O.R. Procedures for Injuries with CC
909 21 Surgical Other O.R. Procedures for Injuries without CC/MCC
913 21 Medical Traumatic Injury with MCC
914 21 Medical Traumatic Injury without MCC
915 21 Medical Allergic Reactions with MCC
916 21 Medical Allergic Reactions without MCC
917 21 Medical Poisoning and Toxic Effects of Drugs with MCC
918 21 Medical Poisoning and Toxic Effects of Drugs without MCC
919 21 Medical Complications of Treatment with MCC
920 21 Medical Complications of Treatment with CC
921 21 Medical Complications of Treatment without CC/MCC
922 21 Medical Other Injury, Poisoning and Toxic Effect Diagnoses with MCC
923 21 Medical Other Injury, Poisoning and Toxic Effect Diagnoses without MCC
927 22 Surgical Extensive Burns or Full Thickness Burns with MV >96 Hours with Skin Graft
928 22 Surgical Full Thickness Burn with Skin Graft or Inhalation Injury with CC/MCC
929 22 Surgical Full Thickness Burn with Skin Graft or Inhalation Injury without CC/MCC
933 22 Medical Extensive Burns or Full Thickness Burns with MV >96 Hours without Skin Graft
934 22 Medical Full Thickness Burn without Skin Graft or Inhalation Injury
935 22 Medical Non-Extensive Burns
939 23 Surgical O.R. Procedures with Diagnoses of Other Contact with Health Services with MCC
940 23 Surgical O.R. Procedures with Diagnoses of Other Contact with Health Services with CC
941 23 Surgical O.R. Procedures with Diagnoses of Other Contact with Health Services without CC/MCC
945 23 Medical Rehabilitation with CC/MCC
946 23 Medical Rehabilitation without CC/MCC
947 23 Medical Signs and Symptoms with MCC
948 23 Medical Signs and Symptoms without MCC
949 23 Medical Aftercare with CC/MCC
950 23 Medical Aftercare without CC/MCC
951 23 Medical Other Factors Influencing Health Status
955 24 Surgical Craniotomy for Multiple Significant Trauma
956 24 Surgical Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma
957 24 Surgical Other O.R. Procedures for Multiple Significant Trauma with MCC
958 24 Surgical Other O.R. Procedures for Multiple Significant Trauma with CC
959 24 Surgical Other O.R. Procedures for Multiple Significant Trauma without CC/MCC
963 24 Medical Other Multiple Significant Trauma with MCC
964 24 Medical Other Multiple Significant Trauma with CC
965 24 Medical Other Multiple Significant Trauma without CC/MCC
969 25 Surgical HIV with Extensive O.R. Procedures with MCC
970 25 Surgical HIV with Extensive O.R. Procedures without MCC
974 25 Medical HIV with Major Related Condition with MCC
975 25 Medical HIV with Major Related Condition with CC
976 25 Medical HIV with Major Related Condition without CC/MCC
977 25 Medical HIV with or without Other Related Condition
981 Surgical Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
982 Surgical Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
983 Surgical Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC
987 Surgical Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC
988 Surgical Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
989 Surgical Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC
998 Principal Diagnosis Invalid as Discharge Diagnosis
999 Ungroupable

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