Updated 12/09/2024 DRGs with fewer than 11 discharges have been suppressed DRG Code DRG Definition Average Charges 543 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $103,899 779 ABORTION WITHOUT D&C $38,545 564 ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $141,882 880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $71,360 193 ACUTE AND SUBACUTE ENDOCARDITIS $111,195 145 ACUTE BRONCHITIS AND RELATED SYMPTOMS $55,461 469 ACUTE KIDNEY INJURY $221,651 690 ACUTE LEUKEMIA $73,349 834 ACUTE LEUKEMIA WITH MCC $217,813 190 ACUTE MYOCARDIAL INFARCTION $99,767 281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $90,800 280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $143,689 282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $72,313 283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $194,186 614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $225,239 949 AFTERCARE WITH CC/MCC $127,483 560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $122,541 559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $147,287 561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $106,941 896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $159,444 897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $77,024 894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $70,240 811 ALLERGIC REACTIONS $139,880 916 ALLERGIC REACTIONS WITHOUT MCC $51,635 52 ALTERATION IN CONSCIOUSNESS $226,526 240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $280,525 239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $344,539 475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $157,125 474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $284,616 305 AMPUTATION OF LOWER LIMB EXCEPT TOES $67,679 617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $140,503 348 ANAL AND STOMAL PROCEDURES WITH CC $106,596 311 ANGINA PECTORIS $71,658 59 ANOXIC AND OTHER SEVERE BRAIN DAMAGE $94,237 268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $494,177 269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $196,343 233 APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS $568,574 234 APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS $390,933 398 APPENDIX PROCEDURES WITH CC $91,292 399 APPENDIX PROCEDURES WITHOUT CC/MCC $63,639 428 APPENDIX PROCEDURES WITHOUT CC/MCC $245,158 141 ASTHMA $144,007 303 ATHEROSCLEROSIS WITHOUT MCC $61,049 519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $138,625 518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $271,080 520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $96,271 478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $162,346 554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $81,274 56 BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA $164,803 585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $131,893 202 BRONCHITIS AND ASTHMA WITH CC/MCC $61,020 203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $20,829 196 CARDIAC ARREST AND SHOCK $140,774 296 CARDIAC ARREST, UNEXPLAINED WITH MCC $154,603 309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $70,017 308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $105,525 310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $51,547 191 CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE $74,906 192 CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS $62,262 275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $402,203 276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $395,262 277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $238,809 200 CARDIAC STRUCTURAL AND VALVULAR DISORDERS $84,252 217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $465,796 216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $701,147 220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $397,062 219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $588,877 163 CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS $242,996 205 CARDIOMYOPATHY $121,144 35 CAROTID ARTERY STENT PROCEDURES WITH CC $151,881 34 CAROTID ARTERY STENT PROCEDURES WITH MCC $196,447 36 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $104,880 602 CELLULITIS WITH MCC $108,676 603 CELLULITIS WITHOUT MCC $69,728 472 CERVICAL SPINAL FUSION WITH CC $173,291 471 CERVICAL SPINAL FUSION WITH MCC $329,867 473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $140,940 784 CESAREAN SECTION WITH STERILIZATION WITH CC $88,877 783 CESAREAN SECTION WITH STERILIZATION WITH MCC $119,834 785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $74,778 540 CESAREAN SECTION WITHOUT STERILIZATION $97,528 787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $91,714 786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $118,419 788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $78,251 847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $102,635 846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $230,403 313 CHEST PAIN $65,099 470 CHRONIC KIDNEY DISEASE $97,937 286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $185,895 287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $95,998 433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $87,144 432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $155,880 661 COAGULATION AND PLATELET DISORDERS $72,990 813 COAGULATION DISORDERS $158,217 430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $288,071 455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $225,944 381 COMPLICATED PEPTIC ULCER WITH CC $110,714 380 COMPLICATED PEPTIC ULCER WITH MCC $179,064 920 COMPLICATIONS OF TREATMENT WITH CC $75,570 919 COMPLICATIONS OF TREATMENT WITH MCC $141,920 921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $43,984 317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $322,464 57 CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA $126,008 546 CONNECTIVE TISSUE DISORDERS WITH CC $89,146 545 CONNECTIVE TISSUE DISORDERS WITH MCC $143,847 165 CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS $117,430 166 CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS $309,628 235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $407,969 236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $308,313 323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $297,636 324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $177,161 73 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $133,674 74 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $87,275 26 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $238,596 25 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $384,438 27 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $156,500 23 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $475,966 24 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $218,676 179 DEFIBRILLATOR IMPLANTS $42,724 158 DENTAL AND ORAL DISEASES WITH CC $70,049 638 DIABETES WITH CC $78,855 637 DIABETES WITH MCC $137,580 639 DIABETES WITHOUT CC/MCC $51,258 375 DIGESTIVE MALIGNANCY WITH CC $98,038 374 DIGESTIVE MALIGNANCY WITH MCC $172,885 517 DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES $93,696 442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $96,192 441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $168,135 443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $72,203 439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $90,410 438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $163,125 440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $53,128 445 DISORDERS OF THE BILIARY TRACT WITH CC $82,868 444 DISORDERS OF THE BILIARY TRACT WITH MCC $121,103 446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $66,735 244 DIVERTICULITIS AND DIVERTICULOSIS $110,419 304 DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK $96,257 149 DYSEQUILIBRIUM $75,144 146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $172,728 3 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $1,279,900 326 ELECTIVE KNEE JOINT REPLACEMENT $455,510 644 ENDOCRINE DISORDERS WITH CC $91,650 643 ENDOCRINE DISORDERS WITH MCC $132,786 645 ENDOCRINE DISORDERS WITHOUT CC/MCC $72,112 266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $332,666 267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $230,628 392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS AGE >17 WITHOUT MCC $66,456 391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $123,214 792 EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT $84,411 982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $190,081 981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $328,746 178 EXTERNAL HEART ASSIST DEVICES $95,467 38 EXTRACRANIAL PROCEDURES WITH CC $156,838 39 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $111,156 790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $1,470,841 82 EYE INFECTIONS AND OTHER EYE DISORDERS $206,978 92 FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES $98,794 864 FEVER AND INFLAMMATORY CONDITIONS $61,854 722 FEVER AND INFLAMMATORY CONDITIONS $179,663 314 FOOT AND TOE PROCEDURES $165,049 562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $151,466 563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $69,933 533 FRACTURES OF FEMUR WITH MCC $130,570 535 FRACTURES OF HIP AND PELVIS WITH MCC $101,266 536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $67,714 793 FULL TERM NEONATE WITH MAJOR PROBLEMS $112,254 378 GASTROINTESTINAL HEMORRHAGE WITH CC $84,125 377 GASTROINTESTINAL HEMORRHAGE WITH MCC $145,905 379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $55,264 389 GASTROINTESTINAL OBSTRUCTION WITH CC $64,350 388 GASTROINTESTINAL OBSTRUCTION WITH MCC $122,099 390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $50,947 511 GYNECOLOGIC PROCEDURES FOR MALIGNANCY $133,856 316 HAND AND WRIST PROCEDURES $67,830 55 HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE $109,805 103 HEADACHES WITHOUT MCC $63,746 194 HEART FAILURE $77,219 292 HEART FAILURE AND SHOCK WITH CC $73,127 291 HEART FAILURE AND SHOCK WITH MCC $116,364 293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $57,630 810 HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION $67,751 355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL AGE >17 WITHOUT CC/MCC $86,780 354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $132,381 481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $144,502 480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $193,628 482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $102,088 521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $195,168 522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $141,866 974 HIV WITH MAJOR RELATED CONDITION WITH MCC $230,994 199 HYPERTENSION $190,033 642 INBORN AND OTHER DISORDERS OF METABOLISM $288,558 423 INBORN ERRORS OF METABOLISM $314,323 854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $143,043 853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $363,166 727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $112,274 728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $74,861 386 INFLAMMATORY BOWEL DISEASE WITH CC $111,108 385 INFLAMMATORY BOWEL DISEASE WITH MCC $104,825 387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $78,322 351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $112,507 352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $74,489 228 INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES $318,406 176 INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES $89,345 142 INTERSTITIAL AND ALVEOLAR LUNG DISEASES $125,971 65 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $119,723 64 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $176,790 66 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $80,680 20 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $687,121 62 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $180,334 61 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $225,833 658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $95,270 660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $117,805 659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $191,359 463 KIDNEY AND URINARY TRACT INFECTIONS $329,119 689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $102,035 687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $70,602 696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $60,499 418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $125,371 417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $160,556 419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $92,814 956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $220,639 493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR AGE >17 WITH CC $144,250 492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR AGE >17 WITH MCC $203,493 494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $95,338 181 LOWER VASCULAR PROCEDURES $109,113 694 LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR $46,826 841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $180,335 840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $218,443 824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $231,389 823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $348,131 164 MAJOR CHEST PROCEDURES WITH CC $170,447 184 MAJOR CHEST TRAUMA WITH CC $90,440 183 MAJOR CHEST TRAUMA WITH MCC $133,326 242 MAJOR ESOPHAGEAL DISORDERS $203,449 369 MAJOR ESOPHAGEAL DISORDERS WITH CC $106,839 368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $170,313 372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $92,448 371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $153,731 373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $56,265 809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $86,758 808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $211,148 483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $127,973 596 MAJOR SKIN DISORDERS WITHOUT MCC $66,103 330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $165,937 329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $343,657 331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $103,319 501 MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY $126,972 252 MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE $221,101 206 MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE $67,517 466 MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE $334,507 436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $105,501 435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $138,606 755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $102,761 754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $152,122 551 MEDICAL BACK PROBLEMS WITH MCC $142,264 552 MEDICAL BACK PROBLEMS WITHOUT MCC $83,947 760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $52,191 761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $28,759 54 MIGRAINE AND OTHER HEADACHES $146,216 607 MINOR SKIN DISORDERS WITHOUT MCC $80,235 345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $121,668 641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES AGE >17 WITHOUT MCC $70,298 640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $107,931 951 MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS $36,586 299 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $145,581 427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $320,268 426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $510,333 447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $409,808 448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $201,124 60 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $70,170 828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $91,033 829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $260,074 863 NEONATAL AFTERCARE $70,418 623 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION $118,765 621 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY $60,955 593 NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE $67,239 794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $15,681 791 NEONATE, BIRTH WEIGHT >2499 GRAMS, WITHOUT SIGNIFICANT O.R. PROCEDURES, WITH MINOR PROBLEM $527,325 789 NEONATE, BIRTH WEIGHT >2499 GRAMS, WITHOUT SIGNIFICANT O.R. PROCEDURES, WITH MULTIPLE MAJOR PROBLEMS $404,736 581 NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE $134,933 41 NERVOUS SYSTEM MALIGNANCY $241,536 123 NEUROLOGICAL EYE DISORDERS $55,921 988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $153,318 987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $245,635 795 NORMAL NEWBORN $7,592 620 O.R. PROCEDURES FOR OBESITY WITH CC $68,376 884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $111,466 862 OTHER AFTERCARE AND CONVALESCENCE $112,028 253 OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE $205,336 818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $77,470 832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $34,698 831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $49,396 833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $37,774 167 OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES $178,074 229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $217,161 71 OTHER CEREBROVASCULAR DISORDERS WITH CC $117,976 70 OTHER CEREBROVASCULAR DISORDERS WITH MCC $128,758 207 OTHER CIRCULATORY SYSTEM DIAGNOSES $489,246 315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $73,583 264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $225,096 254 OTHER DIGESTIVE SYSTEM DIAGNOSES $99,169 394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $81,035 393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $125,492 395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $46,801 357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $155,534 356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $267,051 358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $106,265 91 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $163,868 93 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $69,996 125 OTHER DISORDERS OF THE EYE WITHOUT MCC $88,350 776 OTHER DRUG ABUSE AND DEPENDENCE $37,865 155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $64,975 156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $51,209 144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $135,781 629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $162,084 628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $223,590 243 OTHER ESOPHAGEAL DISORDERS $144,448 749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $181,223 215 OTHER HEART ASSIST SYSTEM IMPLANT $608,139 867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $225,399 699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $81,131 698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $144,906 700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $52,475 468 OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS $201,254 674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $160,072 673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $292,065 271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $222,989 270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $405,919 272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $179,081 964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $102,402 963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $200,693 565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $74,929 516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $151,966 515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $260,478 843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $145,662 908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $165,857 907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $228,082 958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $224,651 957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $612,268 29 OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES $265,738 180 OTHER PERIPHERAL VASCULAR AND CIRCULATORY PROCEDURES $159,279 405 OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS $333,898 580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $168,438 579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $236,176 153 OTITIS MEDIA AND URI WITHOUT MCC $37,949 406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $179,885 407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $113,295 542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $184,748 544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $77,288 273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $209,602 274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $134,677 175 PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI $150,347 321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $215,989 322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $137,463 250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $161,422 30 PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES $160,536 300 PERIPHERAL VASCULAR DISORDERS WITH CC $91,713 301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $70,834 40 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $383,580 336 PERITONEAL ADHESIOLYSIS WITH CC $158,574 335 PERITONEAL ADHESIOLYSIS WITH MCC $210,093 187 PLEURAL EFFUSION WITH CC $117,437 186 PLEURAL EFFUSION WITH MCC $151,896 917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $116,150 918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $64,227 812 POISONING OF MEDICINAL AGENTS $69,870 857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $113,045 856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $360,311 769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $71,829 68 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $87,430 885 PSYCHOSES $146,771 189 PULMONARY EDEMA AND RESPIRATORY FAILURE $93,878 945 REHABILITATION WITH CC/MCC $141,232 683 RENAL FAILURE WITH CC $81,924 682 RENAL FAILURE WITH MCC $137,381 684 RENAL FAILURE WITHOUT CC/MCC $67,494 177 RESPIRATORY INFECTIONS AND INFLAMMATIONS AGE >17 WITH MCC $140,383 204 RESPIRATORY SIGNS AND SYMPTOMS $79,426 208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $200,520 467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $236,934 100 SEIZURES WITH MCC $169,066 101 SEIZURES WITHOUT MCC $74,024 870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $479,516 871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS AGE >17 WITH MCC $158,899 872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS AGE >17 WITHOUT MCC $89,007 512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $71,216 556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $57,909 947 SIGNS AND SYMPTOMS WITH MCC $119,155 948 SIGNS AND SYMPTOMS WITHOUT MCC $72,398 195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $43,544 402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $192,092 451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $161,174 571 SKIN DEBRIDEMENT WITH CC $173,431 312 SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES $80,470 904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $193,158 502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $97,783 457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $314,006 458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $259,167 460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $166,665 327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $156,220 328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $81,368 558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $71,425 627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $81,324 4 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $996,409 69 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $96,181 713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $109,464 714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $55,504 605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $74,064 86 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $97,769 85 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $168,266 87 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $76,942 83 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $156,200 84 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $78,679 742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $150,136 743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $78,552 740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $151,314 737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $207,633 768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $57,795 798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $87,637 806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $47,744 805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $62,425 807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $43,086 33 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $81,505 865 VIRAL ILLNESS WITH MCC $79,222 866 VIRAL ILLNESS WITHOUT MCC $48,406 464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $219,837