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2019
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2019
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CMS Transmittals



--

2018 DRG Codes

DRG Code
MDC
Description
001
PRE
HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC
002
PRE
HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O MCC
003
PRE
ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.
004
PRE
TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.
005
PRE
LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT
006
PRE
LIVER TRANSPLANT W/O MCC
007
PRE
LUNG TRANSPLANT
008
PRE
SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT
010
PRE
PANCREAS TRANSPLANT
011
PRE
TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W MCC
012
PRE
TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W CC
013
PRE
TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W/O CC/MCC
014
PRE
ALLOGENEIC BONE MARROW TRANSPLANT
016
PRE
AUTOLOGOUS BONE MARROW TRANSPLANT W CC/MCC
017
PRE
AUTOLOGOUS BONE MARROW TRANSPLANT W/O CC/MCC
020
01
INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC
021
01
INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W CC
022
01
INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W/O CC/MCC
023
01
CRANIOTOMY W MAJOR DEVICE IMPLANT OR ACUTE CNS PDX W MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY W NEUROSTIMULATOR
024
01
CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC
025
01
CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC
026
01
CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC
027
01
CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC
028
01
SPINAL PROCEDURES W MCC
029
01
SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS
030
01
SPINAL PROCEDURES W/O CC/MCC
031
01
VENTRICULAR SHUNT PROCEDURES W MCC
032
01
VENTRICULAR SHUNT PROCEDURES W CC
033
01
VENTRICULAR SHUNT PROCEDURES W/O CC/MCC
034
01
CAROTID ARTERY STENT PROCEDURE W MCC
035
01
CAROTID ARTERY STENT PROCEDURE W CC
036
01
CAROTID ARTERY STENT PROCEDURE W/O CC/MCC
037
01
EXTRACRANIAL PROCEDURES W MCC
038
01
EXTRACRANIAL PROCEDURES W CC
039
01
EXTRACRANIAL PROCEDURES W/O CC/MCC
040
01
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC
041
01
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM
042
01
PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC
052
01
SPINAL DISORDERS & INJURIES W CC/MCC
053
01
SPINAL DISORDERS & INJURIES W/O CC/MCC
054
01
NERVOUS SYSTEM NEOPLASMS W MCC
055
01
NERVOUS SYSTEM NEOPLASMS W/O MCC
056
01
DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC
057
01
DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC
058
01
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC
059
01
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC
060
01
MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC
061
01
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC
062
01
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC
063
01
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC
064
01
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC
065
01
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS
066
01
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC
067
01
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC
068
01
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC
069
01
TRANSIENT ISCHEMIA W/O THROMBOLYTIC
070
01
NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC
071
01
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC
072
01
NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC
073
01
CRANIAL & PERIPHERAL NERVE DISORDERS W MCC
074
01
CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC
075
01
VIRAL MENINGITIS W CC/MCC
076
01
VIRAL MENINGITIS W/O CC/MCC
077
01
HYPERTENSIVE ENCEPHALOPATHY W MCC
078
01
HYPERTENSIVE ENCEPHALOPATHY W CC
079
01
HYPERTENSIVE ENCEPHALOPATHY W/O CC/MCC
080
01
NONTRAUMATIC STUPOR & COMA W MCC
081
01
NONTRAUMATIC STUPOR & COMA W/O MCC
082
01
TRAUMATIC STUPOR & COMA, COMA >1 HR W MCC
083
01
TRAUMATIC STUPOR & COMA, COMA >1 HR W CC
084
01
TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC
085
01
TRAUMATIC STUPOR & COMA, COMA <1 HR W MCC
086
01
TRAUMATIC STUPOR & COMA, COMA <1 HR W CC
087
01
TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC
088
01
CONCUSSION W MCC
089
01
CONCUSSION W CC
090
01
CONCUSSION W/O CC/MCC
091
01
OTHER DISORDERS OF NERVOUS SYSTEM W MCC
092
01
OTHER DISORDERS OF NERVOUS SYSTEM W CC
093
01
OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC
094
01
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W MCC
095
01
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC
096
01
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W/O CC/MCC
097
01
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC
098
01
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC
099
01
NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/MCC
100
01
SEIZURES W MCC
101
01
SEIZURES W/O MCC
102
01
HEADACHES W MCC
103
01
HEADACHES W/O MCC
113
02
ORBITAL PROCEDURES W CC/MCC
114
02
ORBITAL PROCEDURES W/O CC/MCC
115
02
EXTRAOCULAR PROCEDURES EXCEPT ORBIT
116
02
INTRAOCULAR PROCEDURES W CC/MCC
117
02
INTRAOCULAR PROCEDURES W/O CC/MCC
121
02
ACUTE MAJOR EYE INFECTIONS W CC/MCC
122
02
ACUTE MAJOR EYE INFECTIONS W/O CC/MCC
123
02
NEUROLOGICAL EYE DISORDERS
124
02
OTHER DISORDERS OF THE EYE W MCC
125
02
OTHER DISORDERS OF THE EYE W/O MCC
129
03
MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE
130
03
MAJOR HEAD & NECK PROCEDURES W/O CC/MCC
131
03
CRANIAL/FACIAL PROCEDURES W CC/MCC
132
03
CRANIAL/FACIAL PROCEDURES W/O CC/MCC
133
03
OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC
134
03
OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC
135
03
SINUS & MASTOID PROCEDURES W CC/MCC
136
03
SINUS & MASTOID PROCEDURES W/O CC/MCC
137
03
MOUTH PROCEDURES W CC/MCC
138
03
MOUTH PROCEDURES W/O CC/MCC
139
03
SALIVARY GLAND PROCEDURES
146
03
EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC
147
03
EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC
148
03
EAR, NOSE, MOUTH & THROAT MALIGNANCY W/O CC/MCC
149
03
DYSEQUILIBRIUM
150
03
EPISTAXIS W MCC
151
03
EPISTAXIS W/O MCC
152
03
OTITIS MEDIA & URI W MCC
153
03
OTITIS MEDIA & URI W/O MCC
154
03
OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC
155
03
OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC
156
03
OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC
157
03
DENTAL & ORAL DISEASES W MCC
158
03
DENTAL & ORAL DISEASES W CC
159
03
DENTAL & ORAL DISEASES W/O CC/MCC
163
04
MAJOR CHEST PROCEDURES W MCC
164
04
MAJOR CHEST PROCEDURES W CC
165
04
MAJOR CHEST PROCEDURES W/O CC/MCC
166
04
OTHER RESP SYSTEM O.R. PROCEDURES W MCC
167
04
OTHER RESP SYSTEM O.R. PROCEDURES W CC
168
04
OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC
175
04
PULMONARY EMBOLISM W MCC
176
04
PULMONARY EMBOLISM W/O MCC
177
04
RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC
178
04
RESPIRATORY INFECTIONS & INFLAMMATIONS W CC
179
04
RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC
180
04
RESPIRATORY NEOPLASMS W MCC
181
04
RESPIRATORY NEOPLASMS W CC
182
04
RESPIRATORY NEOPLASMS W/O CC/MCC
183
04
MAJOR CHEST TRAUMA W MCC
184
04
MAJOR CHEST TRAUMA W CC
185
04
MAJOR CHEST TRAUMA W/O CC/MCC
186
04
PLEURAL EFFUSION W MCC
187
04
PLEURAL EFFUSION W CC
188
04
PLEURAL EFFUSION W/O CC/MCC
189
04
PULMONARY EDEMA & RESPIRATORY FAILURE
190
04
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC
191
04
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC
192
04
CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC
193
04
SIMPLE PNEUMONIA & PLEURISY W MCC
194
04
SIMPLE PNEUMONIA & PLEURISY W CC
195
04
SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC
196
04
INTERSTITIAL LUNG DISEASE W MCC
197
04
INTERSTITIAL LUNG DISEASE W CC
198
04
INTERSTITIAL LUNG DISEASE W/O CC/MCC
199
04
PNEUMOTHORAX W MCC
200
04
PNEUMOTHORAX W CC
201
04
PNEUMOTHORAX W/O CC/MCC
202
04
BRONCHITIS & ASTHMA W CC/MCC
203
04
BRONCHITIS & ASTHMA W/O CC/MCC
204
04
RESPIRATORY SIGNS & SYMPTOMS
205
04
OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC
206
04
OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC
207
04
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS
208
04
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS
215
05
OTHER HEART ASSIST SYSTEM IMPLANT
216
05
CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC
217
05
CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W CC
218
05
CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W/O CC/MCC
219
05
CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC
220
05
CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC
221
05
CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W/O CC/MCC
222
05
CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W MCC
223
05
CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W/O MCC
224
05
CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W MCC
225
05
CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W/O MCC
226
05
CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC
227
05
CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC
228
05
OTHER CARDIOTHORACIC PROCEDURES W MCC
229
05
OTHER CARDIOTHORACIC PROCEDURES W/O MCC
231
05
CORONARY BYPASS W PTCA W MCC
232
05
CORONARY BYPASS W PTCA W/O MCC
233
05
CORONARY BYPASS W CARDIAC CATH W MCC
234
05
CORONARY BYPASS W CARDIAC CATH W/O MCC
235
05
CORONARY BYPASS W/O CARDIAC CATH W MCC
236
05
CORONARY BYPASS W/O CARDIAC CATH W/O MCC
239
05
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC
240
05
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC
241
05
AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC
242
05
PERMANENT CARDIAC PACEMAKER IMPLANT W MCC
243
05
PERMANENT CARDIAC PACEMAKER IMPLANT W CC
244
05
PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC
245
05
AICD GENERATOR PROCEDURES
246
05
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS
247
05
PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC
248
05
PERCUTANEOUS CARDIOVASCULAR PROCEDURES W NON-DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS
249
05
PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC
250
05
PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W MCC
251
05
PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC
252
05
OTHER VASCULAR PROCEDURES W MCC
253
05
OTHER VASCULAR PROCEDURES W CC
254
05
OTHER VASCULAR PROCEDURES W/O CC/MCC
255
05
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC
256
05
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC
257
05
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W/O CC/MCC
258
05
CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC
259
05
CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC
260
05
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC
261
05
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC
262
05
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC
263
05
VEIN LIGATION & STRIPPING
264
05
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES
265
05
AICD LEAD PROCEDURES
266
05
ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC
267
05
ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC
268
05
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MCC
269
05
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC
270
05
OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC
271
05
OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC
272
05
OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC
273
05
PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC
274
05
PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC
280
05
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC
281
05
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC
282
05
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC
283
05
ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC
284
05
ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC
285
05
ACUTE MYOCARDIAL INFARCTION, EXPIRED W/O CC/MCC
286
05
CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC
287
05
CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC
288
05
ACUTE & SUBACUTE ENDOCARDITIS W MCC
289
05
ACUTE & SUBACUTE ENDOCARDITIS W CC
290
05
ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC
291
05
HEART FAILURE & SHOCK W MCC
292
05
HEART FAILURE & SHOCK W CC
293
05
HEART FAILURE & SHOCK W/O CC/MCC
294
05
DEEP VEIN THROMBOPHLEBITIS W CC/MCC
295
05
DEEP VEIN THROMBOPHLEBITIS W/O CC/MCC
296
05
CARDIAC ARREST, UNEXPLAINED W MCC
297
05
CARDIAC ARREST, UNEXPLAINED W CC
298
05
CARDIAC ARREST, UNEXPLAINED W/O CC/MCC
299
05
PERIPHERAL VASCULAR DISORDERS W MCC
300
05
PERIPHERAL VASCULAR DISORDERS W CC
301
05
PERIPHERAL VASCULAR DISORDERS W/O CC/MCC
302
05
ATHEROSCLEROSIS W MCC
303
05
ATHEROSCLEROSIS W/O MCC
304
05
HYPERTENSION W MCC
305
05
HYPERTENSION W/O MCC
306
05
CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC
307
05
CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC
308
05
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC
309
05
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC
310
05
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC
311
05
ANGINA PECTORIS
312
05
SYNCOPE & COLLAPSE
313
05
CHEST PAIN
314
05
OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC
315
05
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC
316
05
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC
326
06
STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC
327
06
STOMACH, ESOPHAGEAL & DUODENAL PROC W CC
328
06
STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC
329
06
MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC
330
06
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC
331
06
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC
332
06
RECTAL RESECTION W MCC
333
06
RECTAL RESECTION W CC
334
06
RECTAL RESECTION W/O CC/MCC
335
06
PERITONEAL ADHESIOLYSIS W MCC
336
06
PERITONEAL ADHESIOLYSIS W CC
337
06
PERITONEAL ADHESIOLYSIS W/O CC/MCC
338
06
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC
339
06
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC
340
06
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC
341
06
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC
342
06
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC
343
06
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC
344
06
MINOR SMALL & LARGE BOWEL PROCEDURES W MCC
345
06
MINOR SMALL & LARGE BOWEL PROCEDURES W CC
346
06
MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC
347
06
ANAL & STOMAL PROCEDURES W MCC
348
06
ANAL & STOMAL PROCEDURES W CC
349
06
ANAL & STOMAL PROCEDURES W/O CC/MCC
350
06
INGUINAL & FEMORAL HERNIA PROCEDURES W MCC
351
06
INGUINAL & FEMORAL HERNIA PROCEDURES W CC
352
06
INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC
353
06
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC
354
06
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC
355
06
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC
356
06
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC
357
06
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC
358
06
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC
368
06
MAJOR ESOPHAGEAL DISORDERS W MCC
369
06
MAJOR ESOPHAGEAL DISORDERS W CC
370
06
MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC
371
06
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC
372
06
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC
373
06
MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC
374
06
DIGESTIVE MALIGNANCY W MCC
375
06
DIGESTIVE MALIGNANCY W CC
376
06
DIGESTIVE MALIGNANCY W/O CC/MCC
377
06
G.I. HEMORRHAGE W MCC
378
06
G.I. HEMORRHAGE W CC
379
06
G.I. HEMORRHAGE W/O CC/MCC
380
06
COMPLICATED PEPTIC ULCER W MCC
381
06
COMPLICATED PEPTIC ULCER W CC
382
06
COMPLICATED PEPTIC ULCER W/O CC/MCC
383
06
UNCOMPLICATED PEPTIC ULCER W MCC
384
06
UNCOMPLICATED PEPTIC ULCER W/O MCC
385
06
INFLAMMATORY BOWEL DISEASE W MCC
386
06
INFLAMMATORY BOWEL DISEASE W CC
387
06
INFLAMMATORY BOWEL DISEASE W/O CC/MCC
388
06
G.I. OBSTRUCTION W MCC
389
06
G.I. OBSTRUCTION W CC
390
06
G.I. OBSTRUCTION W/O CC/MCC
391
06
ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC
392
06
ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC
393
06
OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC
394
06
OTHER DIGESTIVE SYSTEM DIAGNOSES W CC
395
06
OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC
405
07
PANCREAS, LIVER & SHUNT PROCEDURES W MCC
406
07
PANCREAS, LIVER & SHUNT PROCEDURES W CC
407
07
PANCREAS, LIVER & SHUNT PROCEDURES W/O CC/MCC
408
07
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC
409
07
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC
410
07
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CC/MCC
411
07
CHOLECYSTECTOMY W C.D.E. W MCC
412
07
CHOLECYSTECTOMY W C.D.E. W CC
413
07
CHOLECYSTECTOMY W C.D.E. W/O CC/MCC
414
07
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC
415
07
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC
416
07
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC
417
07
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC
418
07
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC
419
07
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC
420
07
HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC
421
07
HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC
422
07
HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC
423
07
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W MCC
424
07
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W CC
425
07
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W/O CC/MCC
432
07
CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC
433
07
CIRRHOSIS & ALCOHOLIC HEPATITIS W CC
434
07
CIRRHOSIS & ALCOHOLIC HEPATITIS W/O CC/MCC
435
07
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC
436
07
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC
437
07
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W/O CC/MCC
438
07
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC
439
07
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC
440
07
DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC
441
07
DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC
442
07
DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC
443
07
DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC
444
07
DISORDERS OF THE BILIARY TRACT W MCC
445
07
DISORDERS OF THE BILIARY TRACT W CC
446
07
DISORDERS OF THE BILIARY TRACT W/O CC/MCC
453
08
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC
454
08
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC
455
08
COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC
456
08
SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W MCC
457
08
SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W CC
458
08
SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W/O CC/MCC
459
08
SPINAL FUSION EXCEPT CERVICAL W MCC
460
08
SPINAL FUSION EXCEPT CERVICAL W/O MCC
461
08
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC
462
08
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC
463
08
WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC
464
08
WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC
465
08
WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC
466
08
REVISION OF HIP OR KNEE REPLACEMENT W MCC
467
08
REVISION OF HIP OR KNEE REPLACEMENT W CC
468
08
REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC
469
08
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT
470
08
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC
471
08
CERVICAL SPINAL FUSION W MCC
472
08
CERVICAL SPINAL FUSION W CC
473
08
CERVICAL SPINAL FUSION W/O CC/MCC
474
08
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC
475
08
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC
476
08
AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC
477
08
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC
478
08
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC
479
08
BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC
480
08
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC
481
08
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC
482
08
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC
483
08
MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES
485
08
KNEE PROCEDURES W PDX OF INFECTION W MCC
486
08
KNEE PROCEDURES W PDX OF INFECTION W CC
487
08
KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC
488
08
KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC
489
08
KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC
492
08
LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC
493
08
LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC
494
08
LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC
495
08
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W MCC
496
08
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC
497
08
LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC
498
08
LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W CC/MCC
499
08
LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W/O CC/MCC
500
08
SOFT TISSUE PROCEDURES W MCC
501
08
SOFT TISSUE PROCEDURES W CC
502
08
SOFT TISSUE PROCEDURES W/O CC/MCC
503
08
FOOT PROCEDURES W MCC
504
08
FOOT PROCEDURES W CC
505
08
FOOT PROCEDURES W/O CC/MCC
506
08
MAJOR THUMB OR JOINT PROCEDURES
507
08
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC
508
08
MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W/O CC/MCC
509
08
ARTHROSCOPY
510
08
SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W MCC
511
08
SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W CC
512
08
SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W/O CC/MCC
513
08
HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC
514
08
HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC
515
08
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC
516
08
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC
517
08
OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC
518
08
BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM
519
08
BACK & NECK PROC EXC SPINAL FUSION W CC
520
08
BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC
533
08
FRACTURES OF FEMUR W MCC
534
08
FRACTURES OF FEMUR W/O MCC
535
08
FRACTURES OF HIP & PELVIS W MCC
536
08
FRACTURES OF HIP & PELVIS W/O MCC
537
08
SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W CC/MCC
538
08
SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W/O CC/MCC
539
08
OSTEOMYELITIS W MCC
540
08
OSTEOMYELITIS W CC
541
08
OSTEOMYELITIS W/O CC/MCC
542
08
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC
543
08
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC
544
08
PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC
545
08
CONNECTIVE TISSUE DISORDERS W MCC
546
08
CONNECTIVE TISSUE DISORDERS W CC
547
08
CONNECTIVE TISSUE DISORDERS W/O CC/MCC
548
08
SEPTIC ARTHRITIS W MCC
549
08
SEPTIC ARTHRITIS W CC
550
08
SEPTIC ARTHRITIS W/O CC/MCC
551
08
MEDICAL BACK PROBLEMS W MCC
552
08
MEDICAL BACK PROBLEMS W/O MCC
553
08
BONE DISEASES & ARTHROPATHIES W MCC
554
08
BONE DISEASES & ARTHROPATHIES W/O MCC
555
08
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC
556
08
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC
557
08
TENDONITIS, MYOSITIS & BURSITIS W MCC
558
08
TENDONITIS, MYOSITIS & BURSITIS W/O MCC
559
08
AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC
560
08
AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC
561
08
AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC
562
08
FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC
563
08
FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC
564
08
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC
565
08
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC
566
08
OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC
570
09
SKIN DEBRIDEMENT W MCC
571
09
SKIN DEBRIDEMENT W CC
572
09
SKIN DEBRIDEMENT W/O CC/MCC
573
09
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W MCC
574
09
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC
575
09
SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W/O CC/MCC
576
09
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W MCC
577
09
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC
578
09
SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W/O CC/MCC
579
09
OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC
580
09
OTHER SKIN, SUBCUT TISS & BREAST PROC W CC
581
09
OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC
582
09
MASTECTOMY FOR MALIGNANCY W CC/MCC
583
09
MASTECTOMY FOR MALIGNANCY W/O CC/MCC
584
09
BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W CC/MCC
585
09
BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC
592
09
SKIN ULCERS W MCC
593
09
SKIN ULCERS W CC
594
09
SKIN ULCERS W/O CC/MCC
595
09
MAJOR SKIN DISORDERS W MCC
596
09
MAJOR SKIN DISORDERS W/O MCC
597
09
MALIGNANT BREAST DISORDERS W MCC
598
09
MALIGNANT BREAST DISORDERS W CC
599
09
MALIGNANT BREAST DISORDERS W/O CC/MCC
600
09
NON-MALIGNANT BREAST DISORDERS W CC/MCC
601
09
NON-MALIGNANT BREAST DISORDERS W/O CC/MCC
602
09
CELLULITIS W MCC
603
09
CELLULITIS W/O MCC
604
09
TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC
605
09
TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC
606
09
MINOR SKIN DISORDERS W MCC
607
09
MINOR SKIN DISORDERS W/O MCC
614
10
ADRENAL & PITUITARY PROCEDURES W CC/MCC
615
10
ADRENAL & PITUITARY PROCEDURES W/O CC/MCC
616
10
AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W MCC
617
10
AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC
618
10
AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W/O CC/MCC
619
10
O.R. PROCEDURES FOR OBESITY W MCC
620
10
O.R. PROCEDURES FOR OBESITY W CC
621
10
O.R. PROCEDURES FOR OBESITY W/O CC/MCC
622
10
SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC
623
10
SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC
624
10
SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/MCC
625
10
THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W MCC
626
10
THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W CC
627
10
THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC
628
10
OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC
629
10
OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC
630
10
OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC/MCC
637
10
DIABETES W MCC
638
10
DIABETES W CC
639
10
DIABETES W/O CC/MCC
640
10
MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC
641
10
MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC
642
10
INBORN AND OTHER DISORDERS OF METABOLISM
643
10
ENDOCRINE DISORDERS W MCC
644
10
ENDOCRINE DISORDERS W CC
645
10
ENDOCRINE DISORDERS W/O CC/MCC
652
11
KIDNEY TRANSPLANT
653
11
MAJOR BLADDER PROCEDURES W MCC
654
11
MAJOR BLADDER PROCEDURES W CC
655
11
MAJOR BLADDER PROCEDURES W/O CC/MCC
656
11
KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC
657
11
KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC
658
11
KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC
659
11
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC
660
11
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC
661
11
KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC
662
11
MINOR BLADDER PROCEDURES W MCC
663
11
MINOR BLADDER PROCEDURES W CC
664
11
MINOR BLADDER PROCEDURES W/O CC/MCC
665
11
PROSTATECTOMY W MCC
666
11
PROSTATECTOMY W CC
667
11
PROSTATECTOMY W/O CC/MCC
668
11
TRANSURETHRAL PROCEDURES W MCC
669
11
TRANSURETHRAL PROCEDURES W CC
670
11
TRANSURETHRAL PROCEDURES W/O CC/MCC
671
11
URETHRAL PROCEDURES W CC/MCC
672
11
URETHRAL PROCEDURES W/O CC/MCC
673
11
OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC
674
11
OTHER KIDNEY & URINARY TRACT PROCEDURES W CC
675
11
OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC
682
11
RENAL FAILURE W MCC
683
11
RENAL FAILURE W CC
684
11
RENAL FAILURE W/O CC/MCC
685
11
ADMIT FOR RENAL DIALYSIS
686
11
KIDNEY & URINARY TRACT NEOPLASMS W MCC
687
11
KIDNEY & URINARY TRACT NEOPLASMS W CC
688
11
KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC
689
11
KIDNEY & URINARY TRACT INFECTIONS W MCC
690
11
KIDNEY & URINARY TRACT INFECTIONS W/O MCC
691
11
URINARY STONES W ESW LITHOTRIPSY W CC/MCC
692
11
URINARY STONES W ESW LITHOTRIPSY W/O CC/MCC
693
11
URINARY STONES W/O ESW LITHOTRIPSY W MCC
694
11
URINARY STONES W/O ESW LITHOTRIPSY W/O MCC
695
11
KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W MCC
696
11
KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC
697
11
URETHRAL STRICTURE
698
11
OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC
699
11
OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC
700
11
OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC
707
12
MAJOR MALE PELVIC PROCEDURES W CC/MCC
708
12
MAJOR MALE PELVIC PROCEDURES W/O CC/MCC
709
12
PENIS PROCEDURES W CC/MCC
710
12
PENIS PROCEDURES W/O CC/MCC
711
12
TESTES PROCEDURES W CC/MCC
712
12
TESTES PROCEDURES W/O CC/MCC
713
12
TRANSURETHRAL PROSTATECTOMY W CC/MCC
714
12
TRANSURETHRAL PROSTATECTOMY W/O CC/MCC
715
12
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W CC/MCC
716
12
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W/O CC/MCC
717
12
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC
718
12
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC
722
12
MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MCC
723
12
MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC
724
12
MALIGNANCY, MALE REPRODUCTIVE SYSTEM W/O CC/MCC
725
12
BENIGN PROSTATIC HYPERTROPHY W MCC
726
12
BENIGN PROSTATIC HYPERTROPHY W/O MCC
727
12
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC
728
12
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC
729
12
OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC/MCC
730
12
OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W/O CC/MCC
734
13
PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W CC/MCC
735
13
PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC
736
13
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC
737
13
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC
738
13
UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC
739
13
UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC
740
13
UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC
741
13
UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC
742
13
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC
743
13
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC
744
13
D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC
745
13
D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W/O CC/MCC
746
13
VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC
747
13
VAGINA, CERVIX & VULVA PROCEDURES W/O CC/MCC
748
13
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
749
13
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W CC/MCC
750
13
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC
754
13
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC
755
13
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC
756
13
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC
757
13
INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC
758
13
INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC
759
13
INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC
760
13
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC
761
13
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC
765
14
CESAREAN SECTION W CC/MCC
766
14
CESAREAN SECTION W/O CC/MCC
767
14
VAGINAL DELIVERY W STERILIZATION &/OR D&C
768
14
VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C
769
14
POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE
770
14
ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
774
14
VAGINAL DELIVERY W COMPLICATING DIAGNOSES
775
14
VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES
776
14
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE
777
14
ECTOPIC PREGNANCY
778
14
THREATENED ABORTION
779
14
ABORTION W/O D&C
780
14
FALSE LABOR
781
14
OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS
782
14
OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS
789
15
NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY
790
15
EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE
791
15
PREMATURITY W MAJOR PROBLEMS
792
15
PREMATURITY W/O MAJOR PROBLEMS
793
15
FULL TERM NEONATE W MAJOR PROBLEMS
794
15
NEONATE W OTHER SIGNIFICANT PROBLEMS
795
15
NORMAL NEWBORN
799
16
SPLENECTOMY W MCC
800
16
SPLENECTOMY W CC
801
16
SPLENECTOMY W/O CC/MCC
802
16
OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC
803
16
OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC
804
16
OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W/O CC/MCC
808
16
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC
809
16
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC
810
16
MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC
811
16
RED BLOOD CELL DISORDERS W MCC
812
16
RED BLOOD CELL DISORDERS W/O MCC
813
16
COAGULATION DISORDERS
814
16
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC
815
16
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC
816
16
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC
820
17
LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC
821
17
LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC
822
17
LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W/O CC/MCC
823
17
LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W MCC
824
17
LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W CC
825
17
LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W/O CC/MCC
826
17
MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC
827
17
MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W CC
828
17
MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W/O CC/MCC
829
17
MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W CC/MCC
830
17
MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W/O CC/MCC
834
17
ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC
835
17
ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W CC
836
17
ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W/O CC/MCC
837
17
CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC
838
17
CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT
839
17
CHEMO W ACUTE LEUKEMIA AS SDX W/O CC/MCC
840
17
LYMPHOMA & NON-ACUTE LEUKEMIA W MCC
841
17
LYMPHOMA & NON-ACUTE LEUKEMIA W CC
842
17
LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC
843
17
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC
844
17
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC
845
17
OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC/MCC
846
17
CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC
847
17
CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC
848
17
CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W/O CC/MCC
849
17
RADIOTHERAPY
853
18
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC
854
18
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC
855
18
INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W/O CC/MCC
856
18
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC
857
18
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC
858
18
POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC
862
18
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC
863
18
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC
864
18
FEVER
865
18
VIRAL ILLNESS W MCC
866
18
VIRAL ILLNESS W/O MCC
867
18
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC
868
18
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC
869
18
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O CC/MCC
870
18
SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS
871
18
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC
872
18
SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC
876
19
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS
880
19
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION
881
19
DEPRESSIVE NEUROSES
882
19
NEUROSES EXCEPT DEPRESSIVE
883
19
DISORDERS OF PERSONALITY & IMPULSE CONTROL
884
19
ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY
885
19
PSYCHOSES
886
19
BEHAVIORAL & DEVELOPMENTAL DISORDERS
887
19
OTHER MENTAL DISORDER DIAGNOSES
894
20
ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA
895
20
ALCOHOL/DRUG ABUSE OR DEPENDENCE W REHABILITATION THERAPY
896
20
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC
897
20
ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC
901
21
WOUND DEBRIDEMENTS FOR INJURIES W MCC
902
21
WOUND DEBRIDEMENTS FOR INJURIES W CC
903
21
WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC
904
21
SKIN GRAFTS FOR INJURIES W CC/MCC
905
21
SKIN GRAFTS FOR INJURIES W/O CC/MCC
906
21
HAND PROCEDURES FOR INJURIES
907
21
OTHER O.R. PROCEDURES FOR INJURIES W MCC
908
21
OTHER O.R. PROCEDURES FOR INJURIES W CC
909
21
OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC
913
21
TRAUMATIC INJURY W MCC
914
21
TRAUMATIC INJURY W/O MCC
915
21
ALLERGIC REACTIONS W MCC
916
21
ALLERGIC REACTIONS W/O MCC
917
21
POISONING & TOXIC EFFECTS OF DRUGS W MCC
918
21
POISONING & TOXIC EFFECTS OF DRUGS W/O MCC
919
21
COMPLICATIONS OF TREATMENT W MCC
920
21
COMPLICATIONS OF TREATMENT W CC
921
21
COMPLICATIONS OF TREATMENT W/O CC/MCC
922
21
OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC
923
21
OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC
927
22
EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV >96 HRS W SKIN GRAFT
928
22
FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W CC/MCC
929
22
FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W/O CC/MCC
933
22
EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV >96 HRS W/O SKIN GRAFT
934
22
FULL THICKNESS BURN W/O SKIN GRFT OR INHAL INJ
935
22
NON-EXTENSIVE BURNS
939
23
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W MCC
940
23
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC
941
23
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC
945
23
REHABILITATION W CC/MCC
946
23
REHABILITATION W/O CC/MCC
947
23
SIGNS & SYMPTOMS W MCC
948
23
SIGNS & SYMPTOMS W/O MCC
949
23
AFTERCARE W CC/MCC
950
23
AFTERCARE W/O CC/MCC
951
23
OTHER FACTORS INFLUENCING HEALTH STATUS
955
24
CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
956
24
LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA
957
24
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC
958
24
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC
959
24
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC
963
24
OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC
964
24
OTHER MULTIPLE SIGNIFICANT TRAUMA W CC
965
24
OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC
969
25
HIV W EXTENSIVE O.R. PROCEDURE W MCC
970
25
HIV W EXTENSIVE O.R. PROCEDURE W/O MCC
974
25
HIV W MAJOR RELATED CONDITION W MCC
975
25
HIV W MAJOR RELATED CONDITION W CC
976
25
HIV W MAJOR RELATED CONDITION W/O CC/MCC
977
25
HIV W OR W/O OTHER RELATED CONDITION
981
PRE
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC
982
PRE
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC
983
PRE
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC
987
PRE
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC
988
PRE
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC
989
PRE
NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC
998
PRE
PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS
999
PRE
UNGROUPABLE



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