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2012 HCUP National Inpatient Sample (NIS) Comparison Report


HCUP Methods Series 2012 HCUP National Inpatient Sample (NIS) Comparison Report

Updated 4/18/16

Report #2015-04

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Healthcare Cost and Utilization Project (HCUP)
Agency for Healthcare Research and Quality
http://www.hcup-us.ahrq.gov


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Recommended Citation: Houchens R, Elixhauser A. 2012 National Inpatient Sample (NIS). HCUP Method Series Report # 2015-04. Online April 19, 2016. U.S. Agency for Healthcare Research and Quality.
Available: http://www.hcup-us.ahrq.gov/reports/methods/methods.jsp



ABSTRACT

This report presents national estimates of discharges from the 2012 HCUP National Inpatient Sample (NIS) for records with a primary expected payer of Medicare compared to data from the Fiscal Year 2012 100% Medicare Provider Analysis and Review (MedPAR) inpatient file from the Centers for Medicare & Medicaid Services (CMS). The sampling frame for the NIS includes all U.S. short-term, acute care general and specialty hospitals, excluding long term care, rehabilitation, psychiatric and substance abuse facilities while MedPAR data include Medicare discharges from all of these types of facilities.

On average, CMS numbers of discharges are about 5 percent higher than NIS estimates. Among frequent conditions (more than 30,000 discharges in the NIS), only eight MS-DRGs, all of which are often treated in facilities excluded from the NIS, exhibit more than a 10 percent difference from MedPAR counts: MS-DRG 945-rehabilitation (35.1 percent lower in the NIS), 207-respiratory diagnoses with ventilator support 96+ hours (32.5 percent lower), 885-psychoses (30.6 percent lower), 897-alcohol/drug abuse (28.0 percent lower), 946-rehabilitation (25.1 percent lower), 57-degenerative nervous system disorders (12.2 percent lower), 884-organic psychiatric disturbances (10.7 percent lower), and 473-cervical spinal fusion (10.5 percent lower).

For many common conditions, the NIS estimates and the CMS counts are remarkably similar. For the second most common DRG, 871-septicemia, the NIS estimates 1.5 percent more discharges than the CMS count. For 392-esophagitis, ranked 4th, the NIS estimates 2.9 percent fewer discharges. For 292-heart failure with complications and comorbidities (ranked 5th) and 690-kidney & urinary infections (ranked 6th), the NIS estimates 1.7 percent fewer discharges. For 194-pneumonia (ranked 7th) and 291-heart failure with major complications and comorbidities (ranked 8th), the NIS estimate and the CMS count differed by less than 1 percent.

The 2012 NIS appears to provide reliable national estimates of Medicare discharge counts when compared with MedPAR data.

 

INTRODUCTION

This report provides a brief analysis that compares estimates of discharge counts from the Healthcare Cost and Utilization Project (HCUP) National Inpatient Sample (NIS) for 2012 with the Medicare Provider Analysis and Review (MedPAR) inpatient data from the Centers for Medicare & Medicaid Services (CMS).1 Comparison reports for prior years have shown that estimates of several outcomes from the NIS tend to agree well with corresponding estimates from multiple national databases. For full information on these databases and complete details on prior years' findings, refer to earlier versions of this report on the HCUP-US Web site under the heading "NIS Comparison Reports" at http://www.hcup-us.ahrq.gov/db/nation/nis/nisrelatedreports.jsp.

This report compares just one estimated outcome from the 2012 NIS, Medicare discharge counts, with counts from just one other database, the 2012 MedPAR file. Although the scope of this comparison is more limited than comparisons in previous reports, it is nonetheless reassuring to see substantial agreement between estimates from these two data sources for such a significant subset of the inpatient population.

As shown in Figure 1, the 2012 NIS is selected from a sampling frame comprising 44 HCUP Partner organizations. Only six States, plus the District of Columbia, are not included in the 2012 NIS sampling frame: Idaho, Mississippi, Alabama, Maine, New Hampshire, and Delaware.

 

1 Source: Fiscal Year 2012 100% Medpar Short Stay Hospital Inpatient by DRG tables received by email from CMS on March 12, 2015.

Figure 1. HCUP State Partners Participating in the NIS, 2012 (text version)

Figure 1: Map of states participating in the 2012 NIS

The findings in this report are summarized in tables that highlight differences and similarities in estimates of the 2012 discharge counts between the NIS and the MedPAR.

Summary of NIS-MedPar Comparisons

In the complete tables contained in the appendices, there tend to be larger percentage differences for less common DRGs, but the same pattern continues as those found in Table 1: large differences tend to occur in DRGs that would be most affected by the exclusions of certain types of hospitals and facilities from the NIS sample (long-term acute care facilities, rehabilitation hospitals, and substance abuse and psychiatric facilities).

The 2012 NIS appears to provide reliable national estimates of Medicare discharge counts when compared with MedPAR data. Although the MedPAR data might be favored for studies addressing solely Medicare enrollees, the NIS would be favored for all-payer studies or even for special Medicare studies in which the all-payer context is important, such as analyses of the impact of total surgical volume on surgical outcomes for Medicare patients.

 

Tabel 1. Differences in Medicare Discharge Counts Between Estimates from HCUP NIS and Reports from CMS MedPAR data, 100 DRGs sorted from highest to lowest estimated number of NIS discharges, 2012

Rank MS-DRG # MS-DRG Discharges, n PercentDifference
CMS HCUP NIS
1 470 Major joint replacement or reattachment of lower extremity w/o mcc 576,788 547,955 -5.0
2 871 Septicemia or severe sepsis w/o mv 96+ hours w mcc 449,700 456,670 1.5
3 885 Psychoses 485,240 336,965 -30.6
4 392 Esophagitis, gastroent & misc digest disorders w/o mcc 330,175 320,465 -2.9
5 292 Heart failure & shock w cc 283,817 279,010 -1.7
6 690 Kidney & urinary tract infections w/o mcc 271,893 267,200 -1.7
7 194 Simple pneumonia & pleurisy w cc 253,195 253,290 0.0
8 291 Heart failure & shock w mcc 240,663 239,035 -0.7
9 945 Rehabilitation w cc/mcc 335,617 217,660 -35.1
10 683 Renal failure w cc 208,318 203,560 -2.3
11 641 Nutritional & misc metabolic disorders w/o mcc 196,348 192,050 -2.2
12 190 Chronic obstructive pulmonary disease w mcc 191,095 191,650 0.3
13 603 Cellulitis w/o mcc 196,150 188,725 -3.8
14 378 G.I. hemorrhage w cc 190,022 187,515 -1.3
15 191 Chronic obstructive pulmonary disease w cc 187,438 186,880 -0.3
16 312 Syncope & collapse 185,520 177,500 -4.3
17 313 Chest pain 175,802 172,520 -1.9
18 193 Simple pneumonia & pleurisy w mcc 168,484 170,450 1.2
19 872 Septicemia or severe sepsis w/o mv 96+ hours w/o mcc 165,200 167,300 1.3
20 310 Cardiac arrhythmia & conduction disorders w/o cc/mcc 156,700 151,075 -3.6
21 192 Chronic obstructive pulmonary disease w/o cc/mcc 147,606 144,965 -1.8
22 65 Intracranial hemorrhage or cerebral infarction w cc 150,597 144,900 -3.8
23 247 Perc cardiovasc proc w drug-eluting stent w/o mcc 152,601 144,880 -5.1
24 309 Cardiac arrhythmia & conduction disorders w cc 144,130 142,590 -1.1
25 287 Circulatory disorders except ami, w card cath w/o mcc 148,467 141,460 -4.7
26 189 Pulmonary edema & respiratory failure 150,014 139,120 -7.3
27 682 Renal failure w mcc 138,905 134,920 -2.9
28 812 Red blood cell disorders w/o mcc 125,846 120,100 -4.6
29 69 Transient ischemia 120,714 115,950 -3.9
30 293 Heart failure & shock w/o cc/mcc 117,900 114,680 -2.7
31 195 Simple pneumonia & pleurisy w/o cc/mcc 112,278 111,290 -0.9
32 481 Hip & femur procedures except major joint w cc 104,489 103,800 -0.7
33 689 Kidney & urinary tract infections w mcc 95,454 95,645 0.2
34 64 Intracranial hemorrhage or cerebral infarction w mcc 92,129 91,945 -0.2
35 208 Respiratory system diagnosis w ventilator support <96 hours 93,544 90,480 -3.3
36 308 Cardiac arrhythmia & conduction disorders w mcc 87,875 88,110 0.3
37 280 Acute myocardial infarction, discharged alive w mcc 87,327 87,970 0.7
38 177 Respiratory infections & inflammations w mcc 90,020 87,300 -3.0
39 552 Medical back problems w/o mcc 91,169 87,050 -4.5
40 460 Spinal fusion except cervical w/o mcc 91,505 84,915 -7.2
41 66 Intracranial hemorrhage or cerebral infarction w/o cc/mcc 86,967 83,315 -4.2
42 948 Signs & symptoms w/o mcc 76,565 76,500 -0.1
43 640 Nutritional & misc metabolic disorders w mcc 77,674 76,240 -1.8
44 330 Major small & large bowel procedures w cc 75,012 72,925 -2.8
45 57 Degenerative nervous system disorders w/o mcc 83,071 72,895 -12.2
46 178 Respiratory infections & inflammations w cc 72,979 71,920 -1.5
47 389 G.I. obstruction w cc 72,829 71,605 -1.7
48 638 Diabetes w cc 73,176 69,275 -5.3
49 377 G.I. hemorrhage w mcc 70,101 68,765 -1.9
50 101 Seizures w/o mcc 69,058 66,790 -3.3
51 281 Acute myocardial infarction, discharged alive w cc 64,518 63,940 -0.9
52 314 Other circulatory system diagnoses w mcc 68,084 63,285 -7.0
53 394 Other digestive system diagnoses w cc 64,134 63,040 -1.7
54 391 Esophagitis, gastroent & misc digest disorders w mcc 63,509 61,165 -3.7
55 853 Infectious & parasitic diseases w O.R. procedure w mcc 62,895 60,990 -3.0
56 300 Peripheral vascular disorders w cc 59,699 56,680 -5.1
57 946 Rehabilitation w/o cc/mcc 73,967 55,405 -25.1
58 176 Pulmonary embolism w/o mcc 56,057 54,160 -3.4
59 390 G.I. obstruction w/o cc/mcc 55,623 53,785 -3.3
60 897 Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o mcc 74,447 53,565 -28.0
61 329 Major small & large bowel procedures w mcc 55,139 53,420 -3.1
62 379 G.I. hemorrhage w/o cc/mcc 54,285 51,995 -4.2
63 253 Other vascular procedures w cc 53,412 51,530 -3.5
64 884 Organic disturbances & mental retardation 57,228 51,110 -10.7
65 372 Major gastrointestinal disorders & peritoneal infections w cc 49,209 49,215 0.0
66 202 Bronchitis & asthma w cc/mcc 49,319 48,730 -1.2
67 238 Major cardiovasc procedures w/o mcc 47,309 45,705 -3.4
68 305 Hypertension w/o mcc 46,393 45,470 -2.0
69 918 Poisoning & toxic effects of drugs w/o mcc 47,113 45,115 -4.2
70 491 Back & neck proc exc spinal fusion w/o cc/mcc 47,878 44,655 -6.7
71 39 Extracranial procedures w/o cc/mcc 46,972 44,610 -5.0
72 303 Atherosclerosis w/o mcc 46,462 43,630 -6.1
73 252 Other vascular procedures w mcc 45,039 43,300 -3.9
74 243 Permanent cardiac pacemaker implant w cc 43,029 42,680 -0.8
75 282 Acute myocardial infarction, discharged alive w/o cc/mcc 41,326 40,895 -1.0
76 811 Red blood cell disorders w mcc 42,171 40,775 -3.3
77 251 Perc cardiovasc proc w/o coronary artery stent w/o mcc 41,154 40,545 -1.5
78 699 Other kidney & urinary tract diagnoses w cc 40,422 40,255 -0.4
79 536 Fractures of hip & pelvis w/o mcc 42,408 39,675 -6.4
80 246 Perc cardiovasc proc w drug-eluting stent w mcc or 4+ vessels/stents 40,653 39,655 -2.5
81 207 Respiratory system diagnosis w ventilator support 96+ hours 58,338 39,390 -32.5
82 870 Septicemia or severe sepsis w mv 96+ hours 40,440 39,355 -2.7
83 684 Renal failure w/o cc/mcc 40,106 39,245 -2.1
84 698 Other kidney & urinary tract diagnoses w mcc 38,905 38,820 -0.2
85 149 Dysequilibrium 40,050 38,715 -3.3
86 244 Permanent cardiac pacemaker implant w/o cc/mcc 39,874 38,380 -3.7
87 254 Other vascular procedures w/o cc/mcc 40,577 38,175 -5.9
88 563 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o mcc 39,095 37,385 -4.4
89 439 Disorders of pancreas except malignancy w cc 38,014 36,880 -3.0
90 74 Cranial & peripheral nerve disorders w/o mcc 38,747 36,750 -5.2
91 249 Perc cardiovasc proc w non-drug-eluting stent w/o mcc 40,048 36,560 -8.7
92 469 Major joint replacement or reattachment of lower extremity w mcc 34,118 35,740 4.8
93 418 Laparoscopic cholecystectomy w/o c.d.e. w cc 36,064 35,420 -1.8
94 917 Poisoning & toxic effects of drugs w mcc 34,002 34,610 1.8
95 482 Hip & femur procedures except major joint w/o cc/mcc 36,226 34,490 -4.8
96 286 Circulatory disorders except ami, w card cath w mcc 34,853 34,145 -2.0
97 315 Other circulatory system diagnoses w cc 35,372 34,025 -3.8
98 602 Cellulitis w mcc 35,480 33,595 -5.3
99 473 Cervical spinal fusion w/o cc/mcc 37,029 33,145 -10.5
100 331 Major small & large bowel procedures w/o cc/mcc 34,493 32,525 -5.7
    Total Discharges 15,020,853 14,276,950 -5.0
Source: Fiscal Year 2012 100% Medpar Short Stay Hospital Inpatient by DRG tables received by email from CMS on March 12, 2015.
Abbreviations: cc, complications or comorbidities; CMS, Centers for Medicare & Medicaid Services; G.I., gastrointestinal; HCUP, Healthcare Cost and Utilization Project, mcc, major complications or comorbidities; NIS, National Inpatient Sample; OR, operating room

 

Appendix A

Differences in Medicare Discharge Counts Between Estimates from HCUP NIS and Reports from CMS MedPAR data, Sorted by MS-DRG Number, 2012

MS-DRG# MS-DRG Discharges, n % Difference
CMS HCUP NIS
1 Heart transplant or implant of heart assist system w mcc 1,931 1,860 -3.7
2 Heart transplant or implant of heart assist system w/o mcc 411 435 5.8
3 Ecmo or trach w mv 96+ hrs or pdx exc face, mouth & neck w maj O.R. 24,224 23,470 -3.1
4 Trach w mv 96+ hrs or pdx exc face, mouth & neck w/o maj O.R. 26,996 24,250 -10.2
5 Liver transplant w mcc or intestinal transplant 1,268 1,120 -11.7
6 Liver transplant w/o mcc 410 380 -7.3
7 Lung transplant 685 630 -8.0
8 Simultaneous pancreas/kidney transplant 516 410 -20.5
10 Pancreas transplant 95 75 -21.1
11 Tracheostomy for face,mouth & neck diagnoses w mcc 2,246 2,090 -6.9
12 Tracheostomy for face,mouth & neck diagnoses w cc 2,655 2,585 -2.6
13 Tracheostomy for face,mouth & neck diagnoses w/o cc/mcc 1,199 1,200 0.1
14 Allogeneic bone marrow transplant 889 1,030 15.9
16 Autologous Bone Marrow Transplant w cc/mcc 2,064 2,300 11.4
17 Autologous Bone Marrow Transplant w/o cc/mcc 339 320 -5.6
20 Intracranial vascular procedures w pdx hemorrhage w mcc 1,626 1,635 0.6
21 Intracranial vascular procedures w pdx hemorrhage w cc 610 565 -7.4
22 Intracranial vascular procedures w pdx hemorrhage w/o cc/mcc 164 105 -36.0
23 Cranio w major dev impl/acute complex cns pdx w mcc or chemo implant 7,022 7,325 4.3
24 Cranio w major dev impl/acute complex cns pdx w/o mcc 2,421 2,485 2.6
25 Craniotomy & endovascular intracranial procedures w mcc 20,114 20,125 0.1
26 Craniotomy & endovascular intracranial procedures w cc 12,917 12,215 -5.4
27 Craniotomy & endovascular intracranial procedures w/o cc/mcc 14,832 14,445 -2.6
28 Spinal procedures w mcc 2,629 2,685 2.1
29 Spinal procedures w cc or spinal neurostimulators 5,098 4,860 -4.7
30 Spinal procedures w/o cc/mcc 4,207 4,120 -2.1
31 Ventricular shunt procedures w mcc 1,456 1,340 -8.0
32 Ventricular shunt procedures w cc 3,185 2,935 -7.8
33 Ventricular shunt procedures w/o cc/mcc 3,807 3,895 2.3
34 Carotid artery stent procedure w mcc 1,147 1,180 2.9
35 Carotid artery stent procedure w cc 3,084 3,075 -0.3
36 Carotid artery stent procedure w/o cc/mcc 7,068 6,675 -5.6
37 Extracranial procedures w mcc 6,274 6,060 -3.4
38 Extracranial procedures w cc 16,737 16,210 -3.1
39 Extracranial procedures w/o cc/mcc 46,972 44,610 -5.0
40 Periph/cranial nerve & other nerv syst proc w mcc 6,387 5,905 -7.5
41 Periph/cranial nerve & other nerv syst proc w cc or periph neurostim 9,024 8,600 -4.7
42 Periph/cranial nerve & other nerv syst proc w/o cc/mcc 3,672 3,665 -0.2
52 Spinal disorders & injuries w cc/mcc 1,982 1,490 -24.8
53 Spinal disorders & injuries w/o cc/mcc 643 585 -9.0
54 Nervous system neoplasms w mcc 14,113 14,165 0.4
55 Nervous system neoplasms w/o mcc 12,614 12,465 -1.2
56 Degenerative nervous system disorders w mcc 16,098 14,920 -7.3
57 Degenerative nervous system disorders w/o mcc 83,071 72,895 -12.2
58 Multiple sclerosis & cerebellar ataxia w mcc 1,229 1,060 -13.8
59 Multiple sclerosis & cerebellar ataxia w cc 4,559 4,005 -12.2
60 Multiple sclerosis & cerebellar ataxia w/o cc/mcc 4,516 4,110 -9.0
61 Acute ischemic stroke w use of thrombolytic agent w mcc 4,933 5,090 3.2
62 Acute ischemic stroke w use of thrombolytic agent w cc 7,658 7,680 0.3
63 Acute ischemic stroke w use of thrombolytic agent w/o cc/mcc 2,496 2,505 0.4
64 Intracranial hemorrhage or cerebral infarction w mcc 92,129 91,945 -0.2
65 Intracranial hemorrhage or cerebral infarction w cc 150,597 144,900 -3.8
66 Intracranial hemorrhage or cerebral infarction w cc 86,967 83,315 -4.2
67 Nonspecific cva & precerebral occlusion w/o infarct w mcc 1,600 1,625 1.6
68 Nonspecific cva & precerebral occlusion w/o infarct w/o mcc 10,987 10,435 -5.0
69 Transient ischemia 120,714 115,950 -3.9
70 Nonspecific cerebrovascular disorders w mcc 17,080 17,050 -0.2
71 Nonspecific cerebrovascular disorders w cc 21,489 20,665 -3.8
72 Nonspecific cerebrovascular disorders w/o cc/mcc 7,394 6,945 -6.1
73 Cranial & peripheral nerve disorders w mcc 11,203 10,390 -7.3
74 Cranial & peripheral nerve disorders w/o mcc 38,747 36,750 -5.2
75 Viral meningitis w cc/mcc 2,029 1,915 -5.6
76 Viral meningitis w/o cc/mcc 925 945 2.2
77 Hypertensive encephalopathy w mcc 2,258 2,165 -4.1
78 Hypertensive encephalopathy w cc 3,829 3,785 -1.1
79 Hypertensive encephalopathy w/o cc/mcc 1,219 1,255 3.0
80 Nontraumatic stupor & coma w mcc 2,277 2,180 -4.3
81 Nontraumatic stupor & coma w/o mcc 8,191 7,550 -7.8
82 Traumatic stupor & coma, coma >1 hr w mcc 3,925 3,945 0.5
83 Traumatic stupor & coma, coma >1 hr w cc 3,725 3,625 -2.7
84 Traumatic stupor & coma, coma >1 hr w/o cc/mcc 3,431 3,340 -2.7
85 Traumatic stupor & coma, coma >1 hr w mcc 12,964 13,115 1.2
86 Traumatic stupor & coma, coma >1 hr w cc 22,189 21,325 -3.9
87 Traumatic stupor & coma, coma >1 hr w/o cc/mcc 18,450 17,790 -3.6
88 Concussion w mcc 1,196 1,130 -5.5
89 Concussion w cc 3,845 3,660 -4.8
90 Concussion w/o cc/mcc 2,871 2,760 -3.9
91 Other disorders of nervous system w mcc 14,528 14,205 -2.2
92 Other disorders of nervous system w cc 26,981 26,745 -0.9
93 Other disorders of nervous system w/o cc/mcc 15,699 15,705 0.0
94 Bacterial & tuberculous infections of nervous system w mcc 2,092 1,810 -13.5
95 Bacterial & tuberculous infections of nervous system w cc 1,610 1,370 -14.9
96 Bacterial & tuberculous infections of nervous system w/o cc/mcc 707 705 -0.3
97 Non-bacterial infect of nervous sys exc viral meningitis w mcc 1,879 1,810 -3.7
98 Non-bacterial infect of nervous sys exc viral meningitis w cc 1,513 1,410 -6.8
99 Non-bacterial infect of nervous sys exc viral meningitis w/o cc/mcc 664 680 2.4
100 Seizures w mcc 28,460 28,305 -0.5
101 Seizures w/o mcc 69,058 66,790 -3.3
102 Headaches w mcc 1,873 1,770 -5.5
103 Headaches w/o mcc 17,434 16,540 -5.1
113 Orbital procedures w cc/mcc 824 895 8.6
114 Orbital procedures w/o cc/mcc 496 465 -6.3
115 Extraocular procedures except orbit 1,111 1,120 0.8
116 Intraocular procedures w cc/mcc 584 525 -10.1
117 Intraocular procedures w/o cc/mcc 507 520 2.6<
121 Acute major eye infections w cc/mcc 1,033 985 -4.6<
122 Acute major eye infections w/o cc/mcc 553 525 -5.1
123 Neurological eye disorders 4,125 4,175 1.2
124 Other disorders of the eye w mcc 1,084 1,110 2.4
125 Other disorders of the eye w/o mcc 5,858 5,715 -2.4
129 Major head & neck procedures w cc/mcc or major device 2,094 2,010 -4.0
130 Major head & neck procedures w/o cc/mcc 1,419 1,405 -1.0
131 Cranial/facial procedures w cc/mcc 1,576 1,370 -13.1
132 Cranial/facial procedures w/o cc/mcc 959 825 -14.0
133 Other ear, nose, mouth & throat O.R. procedures w cc/mcc 3,032 2,775 -8.5
134 Other ear, nose, mouth & throat O.R. procedures w/o cc/mcc 2,921 2,840 -2.8
135 Sinus & mastoid procedures w cc/mcc 519 430 -17.1
136 Sinus & mastoid procedures w/o cc/mcc 348 320 -8.0
137 Mouth procedures w cc/mcc 1,286 1,270 -1.2
138 Mouth procedures w/o cc/mcc 994 945 -4.9
139 Salivary gland procedures 1,288 1,260 -2.2
146 Ear, nose, mouth & throat malignancy w mcc 1,001 850 -15.1
147 Ear, nose, mouth & throat malignancy w cc 1,692 1,605 -5.1
148 Ear, nose, mouth & throat malignancy w/o cc/mcc 603 580 -3.8
149 Dysequilibrium 40,050 38,715 -3.3
150 Epistaxis w mcc 1,631 1,670 2.4
151 Epistaxis w/o mcc 7,057 6,880 -2.5
152 Otitis media & uri w mcc 2,794 3,680 31.7
153 Otitis media & uri w/o mcc 14,100 17,655 25.2
154 Other ear, nose, mouth & throat diagnoses w mcc (after Oct 1, 2008) 3,305 3,240 -2.0
155 Other ear, nose, mouth & throat diagnoses w cc (after Oct 1, 2008) 7,812 7,705 -1.4
156 Other ear, nose, mouth & throat diagnoses w/o cc/mcc (after Oct 1, 2008) 4,021 3,850 -4.3
157 Dental & oral diseases w mcc 2,060 1,955 -5.1
158 Dental & oral diseases w cc 4,904 4,800 -2.1
159 Dental & oral diseases w/o cc/mcc 1,942 1,970 1.4
163 Major chest procedures w mcc 16,220 15,840 -2.3
164 Major chest procedures w cc 23,724 23,125 -2.5
165 Major chest procedures w/o cc/mcc 13,730 13,040 -5.0
166 Other resp system O.R. procedures w mcc 27,994 25,365 -9.4
167 Other resp system O.R. procedures w cc 20,512 19,585 -4.5
168 Other resp system O.R. procedures w/o cc/mcc 4,683 4,450 -5.0
175 Pulmonary embolism w mcc 23,371 22,595 -3.3
176 Pulmonary embolism w/o mcc 56,057 54,160 -3.4
177 Respiratory infections & inflammations w mcc 90,020 87,300 -3.0
178 Respiratory infections & inflammations w cc 72,979 71,920 -1.5
179 Respiratory infections & inflammations w/o cc/mcc 18,207 18,165 -0.2
180 Respiratory neoplasms w mcc 27,147 27,015 -0.5
181 Respiratory neoplasms w cc 28,582 27,195 -4.9
182 Respiratory neoplasms w/o cc/mcc 3,206 3,260 1.7
183 Major chest trauma w mcc 4,083 3,745 -8.3
184 Major chest trauma w cc 9,297 8,635 -7.1
185 Major chest trauma w/o cc/mcc 3,055 2,660 -12.9
186 Pleural effusion w mcc 13,534 13,245 -2.1
187 Pleural effusion w cc 13,201 13,090 -0.8
188 Pleural effusion w/o cc/mcc 3,922 3,880 -1.1
189 Pulmonary edema & respiratory failure 150,014 139,120 -7.3
190 Chronic obstructive pulmonary disease w mcc 191,095 191,650 0.3
191 Chronic obstructive pulmonary disease w cc 187,438 186,880 -0.3
192 Chronic obstructive pulmonary disease w/o cc/mcc 147,606 144,965 -1.8
193 Simple pneumonia & pleurisy w mcc 168,484 170,450 1.2
194 Simple pneumonia & pleurisy w cc 253,195 253,290 0.0
195 Simple pneumonia & pleurisy w/o cc/mcc 112,278 111,290 -0.9
196 Interstitial lung disease w mcc 9,684 9,290 -4.1
197 Interstitial lung disease w cc 7,313 7,185 -1.8
198 Interstitial lung disease w/o cc/mcc 3,137 2,840 -9.5
199 Pneumothorax w mcc 5,340 5,295 -0.8
200 Pneumothorax w cc 10,886 10,740 -1.3
201 Pneumothorax w/o cc/mcc 3,843 3,640 -5.3
202 Bronchitis & asthma w cc/mcc 49,319 48,730 -1.2
203 Bronchitis & asthma w/o cc/mcc 32,569 31,500 -3.3
204 Respiratory signs & symptoms 26,974 25,460 -5.6
205 Other respiratory system diagnoses w mcc 10,524 9,805 -6.8
206 Other respiratory system diagnoses w/o mcc 24,522 23,710 -3.3
207 Respiratory system diagnosis w ventilator support 96+ hours 58,338 39,390 -32.5
208 Respiratory system diagnosis w ventilator support <96 hours 93,544 90,480 -3.3
215 Other heart assist system implant 330 325 -1.5
216 Cardiac valve & oth maj cardiothoracic proc w card cath w mcc 13,897 13,710 -1.3
217 Cardiac valve & oth maj cardiothoracic proc w card cath w cc 7,914 7,530 -4.9
218 Cardiac valve & oth maj cardiothoracic proc w card cath w/o cc/mcc 1,378 1,350 -2.0
219 Cardiac valve & oth maj cardiothoracic proc w/o card cath w mcc 22,183 22,180 0.0
220 Cardiac valve & oth maj cardiothoracic proc w/o card cath w cc 27,486 26,865 -2.3
221 Cardiac valve & oth maj cardiothoracic proc w/o card cath w/o cc/mcc 6,600 6,305 -4.5
222 Cardiac defib implant w cardiac cath w ami/hf/shock w mcc 2,261 2,070 -8.4
223 Cardiac defib implant w cardiac cath w ami/hf/shock w/o mcc 2,569 2,395 -6.8
224 Cardiac defib implant w cardiac cath w/o ami/hf/shock w mcc 3,158 2,970 -6.0
225 Cardiac defib implant w cardiac cath w/o ami/hf/shock w/o mcc 3,960 3,570 -9.8
226 Cardiac defibrillator implant w/o cardiac cath w mcc 6,611 6,390 -3.3
227 Cardiac defibrillator implant w/o cardiac cath w/o mcc 24,764 23,370 -5.6
228 Other cardiothoracic procedures w mcc 2,274 2,145 -5.7
229 Other cardiothoracic procedures w cc 2,686 2,610 -2.8
230 Other cardiothoracic procedures w/o cc/mcc 742 810 9.2
231 Coronary bypass w ptca w mcc 1,596 1,530 -4.1
232 Coronary bypass w ptca w/o mcc 1,361 1,275 -6.3
233 Coronary bypass w cardiac cath w mcc 17,413 16,230 -6.8
234 Coronary bypass w cardiac cath w/o mcc 28,078 25,670 -8.6
235 Coronary bypass w/o cardiac cath w mcc 10,719 10,565 -1.4
236 Coronary bypass w/o cardiac cath w/o mcc 26,572 25,265 -4.9
237 Major cardiovasc procedures w mcc or thoracic aortic aneurysm repair 25,575 25,015 -2.2
238 Major cardiovasc procedures w/o mcc 47,309 45,705 -3.4
239 Amputation for circ sys disorders exc upper limb & toe w mcc 11,930 10,995 -7.8
240 Amputation for circ sys disorders exc upper limb & toe w cc 12,245 11,590 -5.3
241 Amputation for circ sys disorders exc upper limb & toe w/o cc/mcc 1,783 1,555 -12.8
242 Permanent cardiac pacemaker implant w mcc 22,690 22,660 -0.1
243 Permanent cardiac pacemaker implant w cc 43,029 42,680 -0.8
244 Permanent cardiac pacemaker implant w/o cc/mcc 39,874 38,380 -3.7
245 Aicd generator procedures (after Oct 1, 2008) 3,078 3,000 -2.5
246 Perc cardiovasc proc w drug-eluting stent w mcc or 4+ vessels/stents 40,653 39,655 -2.5
247 Perc cardiovasc proc w drug-eluting stent w/o mcc 152,601 144,880 -5.1
248 Perc cardiovasc proc w non-drug-eluting stent w mcc or 4+ ves/stents 16,438 15,285 -7.0
249 Perc cardiovasc proc w non-drug-eluting stent w/o mcc 40,048 36,560 -8.7
250 Perc cardiovasc proc w/o coronary artery stent w mcc 11,963 11,610 -3.0
251 Perc cardiovasc proc w/o coronary artery stent w/o mcc 41,154 40,545 -1.5
252 Other vascular procedures w mcc 45,039 43,300 -3.9
253 Other vascular procedures w cc 53,412 51,530 -3.5
254 Other vascular procedures w/o cc/mcc 40,577 38,175 -5.9
255 Upper limb & toe amputation for circ system disorders w mcc 2,819 2,700 -4.2
256 Upper limb & toe amputation for circ system disorders w cc 4,050 3,750 -7.4
257 Upper limb & toe amputation for circ system disorders w/o cc/mcc 460 375 -18.5
258 Cardiac pacemaker device replacement w mcc 822 785 -4.5
259 Cardiac pacemaker device replacement w/o mcc 3,725 3,645 -2.1
260 Cardiac pacemaker revision except device replacement w mcc 2,342 2,250 -3.9
261 Cardiac pacemaker revision except device replacement w cc 4,483 4,420 -1.4
262 Cardiac pacemaker revision except device replacement w/o cc/mcc 2,267 2,140 -5.6
263 Vein ligation & stripping 559 535 -4.3
264 Other circulatory system O.R. procedures 24,010 21,970 -8.5
265 Aicd lead procedures 1,508 1,365 -9.5
280 Acute myocardial infarction, discharged alive w mcc 87,327 87,970 0.7
281 Acute myocardial infarction, discharged alive w cc 64,518 63,940 -0.9
282 Acute myocardial infarction, discharged alive w/o cc/mcc 41,326 40,895 -1.0
283 Acute myocardial infarction, expired w mcc 14,404 14,335 -0.5
284 Acute myocardial infarction, expired w cc 3,397 3,360 -1.1
285 Acute myocardial infarction, expired w/o cc/mcc 1,339 1,300 -2.9
286 Circulatory disorders except ami, w card cath w mcc 34,853 34,145 -2.0
287 Circulatory disorders except ami, w card cath w/o mcc 148,467 141,460 -4.7
288 Acute & subacute endocarditis w mcc 3,400 2,425 -28.7
289 Acute & subacute endocarditis w cc 1,539 1,260 -18.1
290 Acute & subacute endocarditis w/o cc/mcc 276 305 10.5
291 Heart failure & shock w mcc 240,663 239,035 -0.7
292 Heart failure & shock w cc 283,817 279,010 -1.7
293 Heart failure & shock w/o cc/mcc 117,900 114,680 -2.7
294 Deep vein thrombophlebitis w cc/mcc 1,074 1,000 -6.9
295 Deep vein thrombophlebitis w/o cc/mcc 380 270 -28.9
296 Cardiac arrest, unexplained w mcc 3,177 3,280 3.2
297 Cardiac arrest, unexplained w cc 883 820 -7.1
298 Cardiac arrest, unexplained w/o cc/mcc 469 430 -8.3
299 Peripheral vascular disorders w mcc 27,791 26,195 -5.7
300 Peripheral vascular disorders w cc 59,699 56,680 -5.1
301 Peripheral vascular disorders w/o cc/mcc 33,288 31,535 -5.3
302 Atherosclerosis w mcc 7,588 7,220 -4.8
303 Atherosclerosis w/o mcc 46,462 43,630 -6.1
304 Hypertension w mcc 3,902 4,055 3.9
305 Hypertension w/o mcc 46,393 45,470 -2.0
306 Cardiac congenital & valvular disorders w mcc 4,319 4,445 2.9
307 Cardiac congenital & valvular disorders w/o mcc 7,467 7,490 0.3
308 Cardiac arrhythmia & conduction disorders w mcc 87,875 88,110 0.3
309 Cardiac arrhythmia & conduction disorders w cc 144,130 142,590 -1.1
310 Cardiac arrhythmia & conduction disorders w/o cc/mcc 156,700 151,075 -3.6
311 Angina pectoris 16,126 14,250 -11.6
312 Syncope & collapse 185,520 177,500 -4.3
313 Chest pain 175,802 172,520 -1.9
314 Other circulatory system diagnoses w mcc 68,084 63,285 -7.0
315 Other circulatory system diagnoses w cc 35,372 34,025 -3.8
316 Other circulatory system diagnoses w/o cc/mcc 11,330 10,720 -5.4
326 Stomach, esophageal & duodenal proc w mcc 14,237 13,715 -3.7
327 Stomach, esophageal & duodenal proc w cc 13,829 13,570 -1.9
328 Stomach, esophageal & duodenal proc w/o cc/mcc 13,637 12,930 -5.2
329 Major small & large bowel procedures w mcc 55,139 53,420 -3.1
330 Major small & large bowel procedures w cc 75,012 72,925 -2.8
331 Major small & large bowel procedures w/o cc/mcc 34,493 32,525 -5.7
332 Rectal resection w mcc 1,850 1,760 -4.9
333 Rectal resection w cc 5,893 5,685 -3.5
334 Rectal resection w/o cc/mcc 4,210 4,150 -1.4
335 Peritoneal adhesiolysis w mcc 9,111 8,960 -1.7
336 Peritoneal adhesiolysis w cc 17,274 16,705 -3.3
337 Peritoneal adhesiolysis w/o cc/mcc 10,130 9,435 -6.9
338 Appendectomy w complicated principal diag w mcc 1,597 1,575 -1.4
339 Appendectomy w complicated principal diag w cc 4,118 3,965 -3.7
340 Appendectomy w complicated principal diag w/o cc/mcc 4,117 4,040 -1.9
341 Appendectomy w/o complicated principal diag w mcc 1,181 1,105 -6.4
342 Appendectomy w/o complicated principal diag w cc 3,784 3,520 -7.0
343 Appendectomy w/o complicated principal diag w/o cc/mcc 7,872 7,595 -3.5
344 Minor small & large bowel procedures w mcc 1,210 1,245 2.9
345 Minor small & large bowel procedures w cc 4,402 4,355 -1.1
346 Minor small & large bowel procedures w/o cc/mcc 3,577 3,495 -2.3
347 Anal & stomal procedures w mcc 1,955 1,965 0.5
348 Anal & stomal procedures w cc 5,626 5,255 -6.6
349 Anal & stomal procedures w/o cc/mcc 4,379 4,105 -6.3
350 Inguinal & femoral hernia procedures w mcc 2,220 2,140 -3.6
351 Inguinal & femoral hernia procedures w cc 5,590 5,460 -2.3
352 Inguinal & femoral hernia procedures w/o cc/mcc 7,092 6,540 -7.8
353 Hernia procedures except inguinal & femoral w mcc 4,528 4,330 -4.4
354 Hernia procedures except inguinal & femoral w cc 12,837 12,280 -4.3
355 Hernia procedures except inguinal & femoral w/o cc/mcc 14,893 13,305 -10.7
356 Other digestive system O.R. procedures w mcc 9,856 9,370 -4.9
357 Other digestive system O.R. procedures w cc 9,730 9,320 -4.2
358 Other digestive system O.R. procedures w/o cc/mcc 2,568 2,530 -1.5
368 Major esophageal disorders w mcc 4,492 4,520 0.6
369 Major esophageal disorders w cc 7,047 6,895 -2.2
370 Major esophageal disorders w/o cc/mcc 1,999 1,940 -3.0
371 Major gastrointestinal disorders & peritoneal infections w mcc 31,115 29,435 -5.4
372 Major gastrointestinal disorders & peritoneal infections w cc 49,209 49,215 0.0
373 Major gastrointestinal disorders & peritoneal infections w/o cc/mcc 15,861 15,765 -0.6
374 Digestive malignancy w mcc 11,410 11,190 -1.9
375 Digestive malignancy w cc 22,490 21,945 -2.4
376 Digestive malignancy w/o cc/mcc 2,939 2,970 1.1
377 G.I. hemorrhage w mcc 70,101 68,765 -1.9
378 G.I. hemorrhage w cc 190,022 187,515 -1.3
379 G.I. hemorrhage w/o cc/mcc 54,285 51,995 -4.2
380 Complicated peptic ulcer w mcc 3,820 3,745 -2.0
381 Complicated peptic ulcer w cc 7,739 7,675 -0.8
382 Complicated peptic ulcer w/o cc/mcc 2,846 2,620 -7.9
383 Uncomplicated peptic ulcer w mcc 1,428 1,400 -2.0
384 Uncomplicated peptic ulcer w/o mcc 9,020 8,275 -8.3
385 Inflammatory bowel disease w mcc 2,833 2,865 1.1
386 Inflammatory bowel disease w cc 11,494 11,125 -3.2
387 Inflammatory bowel disease w/o cc/mcc 5,519 5,160 -6.5
388 G.I. obstruction w mcc 24,242 23,640 -2.5
389 G.I. obstruction w cc 72,829 71,605 -1.7
390 G.I. obstruction w/o cc/mcc 55,623 53,785 -3.3
391 Esophagitis, gastroent & misc digest disorders w mcc 63,509 61,165 -3.7
392 Esophagitis, gastroent & misc digest disorders w/o mcc 330,175 320,465 -2.9
393 Other digestive system diagnoses w mcc 30,675 29,005 -5.4
394 Other digestive system diagnoses w cc 64,134 63,040 -1.7
395 Other digestive system diagnoses w/o cc/mcc 25,570 24,850 -2.8
405 Pancreas, liver & shunt procedures w mcc 5,854 5,890 0.6
406 Pancreas, liver & shunt procedures w cc 7,060 6,710 -5.0
407 Pancreas, liver & shunt procedures w/o cc/mcc 2,788 2,605 -6.6
408 Biliary tract proc except only cholecyst w or w/o c.d.e. w mcc 1,457 1,325 -9.1
409 Biliary tract proc except only cholecyst w or w/o c.d.e. w cc 1,397 1,340 -4.1
410 Biliary tract proc except only cholecyst w or w/o c.d.e. w/o cc/mcc 469 390 -16.8
411 Cholecystectomy w c.d.e. w mcc 665 595 -10.5
412 Cholecystectomy w c.d.e. w cc 722 640 -11.4
413 Cholecystectomy w c.d.e. w/o cc/mcc 437 440 0.7
414 Cholecystectomy except by laparoscope w/o c.d.e. w mcc 4,774 4,425 -7.3
415 Cholecystectomy except by laparoscope w/o c.d.e. w cc 6,412 5,935 -7.4
416 Cholecystectomy except by laparoscope w/o c.d.e. w/o cc/mcc 4,314 3,945 -8.6
417 Laparoscopic cholecystectomy w/o c.d.e. w mcc 22,837 22,675 -0.7
418 Laparoscopic cholecystectomy w/o c.d.e. w cc 36,064 35,420 -1.8
419 Laparoscopic cholecystectomy w/o c.d.e. w/o cc/mcc 34,048 32,015 -6.0
420 Hepatobiliary diagnostic procedures w mcc 803 800 -0.4
421 Hepatobiliary diagnostic procedures w cc 1,088 1,005 -7.6
422 Hepatobiliary diagnostic procedures w/o cc/mcc 272 265 -2.6
423 Other hepatobiliary or pancreas O.R. procedures w mcc 1,793 1,760 -1.8
424 Other hepatobiliary or pancreas O.R. procedures w cc 967 980 1.3
425 Other hepatobiliary or pancreas O.R. procedures w/o cc/mcc 119 135 13.4
432 Cirrhosis & alcoholic hepatitis w mcc 15,102 14,870 -1.5
433 Cirrhosis & alcoholic hepatitis w cc 10,033 9,865 -1.7
434 Cirrhosis & alcoholic hepatitis w/o cc/mcc 391 435 11.3
435 Malignancy of hepatobiliary system or pancreas w mcc 16,624 16,215 -2.5
436 Malignancy of hepatobiliary system or pancreas w cc 15,165 14,700 -3.1
437 Malignancy of hepatobiliary system or pancreas w/o cc/mcc 2,458 2,590 5.4
438 Disorders of pancreas except malignancy w mcc 19,437 18,430 -5.2
439 Disorders of pancreas except malignancy w cc 38,014 36,880 -3.0
440 Disorders of pancreas except malignancy w/o cc/mcc 27,975 26,725 -4.5
441 Disorders of liver except malig,cirr,alc hepa w mcc 25,140 25,205 0.3
442 Disorders of liver except malig,cirr,alc hepa w cc 27,949 26,865 -3.9
443 Disorders of liver except malig,cirr,alc hepa w/o cc/mcc 6,318 6,320 0.0
444 Disorders of the biliary tract w mcc 16,720 16,500 -1.3
445 Disorders of the biliary tract w cc 25,505 25,350 -0.6
446 Disorders of the biliary tract w/o cc/mcc 15,086 14,975 -0.7
453 Combined anterior/posterior spinal fusion w mcc 1,821 1,770 -2.8
454 Combined anterior/posterior spinal fusion w cc 4,835 4,625 -4.3
455 Combined anterior/posterior spinal fusion w/o cc/mcc 4,302 4,080 -5.2
456 Spinal fus exc cerv w spinal curv/malig/infec or 9+ fus w mcc 1,712 1,755 2.5
457 Spinal fus exc cerv w spinal curv/malig/infec or 9+ fus w cc 4,690 4,530 -3.4
458 Spinal fus exc cerv w spinal curv/malig/infec or 9+ fus w/o cc/mcc 2,240 2,085 -6.9
459 Spinal fusion except cervical w mcc 5,646 5,470 -3.1
460 Spinal fusion except cervical w/o mcc 91,505 84,915 -7.2
461 Bilateral or multiple major joint procs of lower extremity w mcc 594 810 36.4
462 Bilateral or multiple major joint procs of lower extremity w/o mcc 12,536 14,200 13.3
463 Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w mcc 7,348 5,665 -22.9
464 Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w cc 11,524 10,995 -4.6
465 Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w/o cc/mcc 3,092 3,015 -2.5
466 Revision of hip or knee replacement w mcc 5,223 5,195 -0.5
467 Revision of hip or knee replacement w cc 30,028 28,650 -4.6
468 Revision of hip or knee replacement w/o cc/mcc 21,864 20,260 -7.3
469 Major joint replacement or reattachment of lower extremity w mcc 34,118 35,740 4.8
470 Major joint replacement or reattachment of lower extremity w/o mcc 576,788 547,955 -5.0
471 Cervical spinal fusion w mcc 4,263 4,110 -3.6
472 Cervical spinal fusion w cc 13,864 13,205 -4.8
473 Cervical spinal fusion w/o cc/mcc 37,029 33,145 -10.5
474 Amputation for musculoskeletal sys & conn tissue dis w mcc 3,877 3,625 -6.5
475 Amputation for musculoskeletal sys & conn tissue dis w cc 5,058 4,805 -5.0
476 Amputation for musculoskeletal sys & conn tissue dis w/o cc/mcc 1,469 1,415 -3.7
477 Biopsies of musculoskeletal system & connective tissue w mcc 3,364 3,355 -0.3
478 Biopsies of musculoskeletal system & connective tissue w cc 9,426 9,205 -2.3
479 Biopsies of musculoskeletal system & connective tissue w/o cc/mcc 4,008 3,710 -7.4
480 Hip & femur procedures except major joint w mcc 32,323 32,165 -0.5
481 Hip & femur procedures except major joint w cc 104,489 103,800 -0.7
482 Hip & femur procedures except major joint w/o cc/mcc 36,226 34,490 -4.8
483 Major joint & limb reattachment proc of upper extremity w cc/mcc 18,115 17,875 -1.3
484 Major joint & limb reattachment proc of upper extremity w/o cc/mcc 30,111 29,445 -2.2
485 Knee procedures w pdx of infection w mcc 1,553 1,395 -10.2
486 Knee procedures w pdx of infection w cc 3,576 3,530 -1.3
487 Knee procedures w pdx of infection w/o cc/mcc 1,451 1,260 -13.2
488 Knee procedures w/o pdx of infection w cc/mcc 4,556 4,135 -9.2
489 Knee procedures w/o pdx of infection w/o cc/mcc 5,834 5,295 -9.2
490 Back & neck proc exc spinal fusion w cc/mcc or disc device/neurostim 24,744 23,955 -3.2
491 Back & neck proc exc spinal fusion w/o cc/mcc 47,878 44,655 -6.7
492 Lower extrem & humer proc except hip,foot,femur w mcc 7,135 6,595 -7.6
493 Lower extrem & humer proc except hip,foot,femur w cc 27,206 25,780 -5.2
494 Lower extrem & humer proc except hip,foot,femur w/o cc/mcc 28,488 26,875 -5.7
495 Local excision & removal int fix devices exc hip & femur w mcc 2,396 2,065 -13.8
496 Local excision & removal int fix devices exc hip & femur w cc 6,527 6,195 -5.1
497 Local excision & removal int fix devices exc hip & femur w/o cc/mcc 5,649 5,185 -8.2
498 Local excision & removal int fix devices of hip & femur w cc/mcc 1,703 1,560 -8.4
499 Local excision & removal int fix devices of hip & femur w/o cc/mcc 854 750 -12.2
500 Soft tissue procedures w mcc 2,855 2,295 -19.6
501 Soft tissue procedures w cc 7,005 6,675 -4.7
502 Soft tissue procedures w/o cc/mcc 5,974 5,695 -4.7
503 Foot procedures w mcc 1,340 1,170 -12.7
504 Foot procedures w cc 4,139 3,680 -11.1
505 Foot procedures w/o cc/mcc 2,684 2,375 -11.5
506 Major thumb or joint procedures 812 735 -9.5
507 Major shoulder or elbow joint procedures w cc/mcc 818 740 -9.5
508 Major shoulder or elbow joint procedures w/o cc/mcc 870 840 -3.4
509 Arthroscopy 265 190 -28.3
510 Shoulder,elbow or forearm proc,exc major joint proc w mcc 1,371 1,235 -9.9
511 Shoulder,elbow or forearm proc,exc major joint proc w cc 5,145 4,750 -7.7
512 Shoulder,elbow or forearm proc,exc major joint proc w/o cc/mcc 7,377 6,900 -6.5
513 Hand or wrist proc, except major thumb or joint proc w cc/mcc 1,919 1,835 -4.4
514 Hand or wrist proc, except major thumb or joint proc w/o cc/mcc 1,162 1,145 -1.5
515 Other musculoskelet sys & conn tiss O.R. proc w mcc 4,851 4,715 -2.8
516 Other musculoskelet sys & conn tiss O.R. proc w cc 12,483 12,245 -1.9
517 Other musculoskelet sys & conn tiss O.R. proc w/o cc/mcc 9,449 9,160 -3.1
533 Fractures of femur w mcc 1,051 1,055 0.4
534 Fractures of femur w/o mcc 4,381 4,130 -5.7
535 Fractures of hip & pelvis w mcc 9,907 9,895 -0.1
536 Fractures of hip & pelvis w/o mcc 42,408 39,675 -6.4
537 Sprains, strains, & dislocations of hip, pelvis & thigh w cc/mcc 1,018 945 -7.2
538 Sprains, strains, & dislocations of hip, pelvis & thigh w/o cc/mcc 650 655 0.8
539 Osteomyelitis w mcc 6,438 3,450 -46.4
540 Osteomyelitis w cc 6,073 5,125 -15.6
541 Osteomyelitis w/o cc/mcc 1,615 1,350 -16.4
542 Pathological fractures & musculoskelet & conn tiss malig w mcc 6,771 6,655 -1.7
543 Pathological fractures & musculoskelet & conn tiss malig w cc 18,730 18,300 -2.3
544 Pathological fractures & musculoskelet & conn tiss malig w/o cc/mcc 6,089 5,760 -5.4
545 Connective tissue disorders w mcc 4,778 4,505 -5.7
546 Connective tissue disorders w cc 7,494 7,215 -3.7
547 Connective tissue disorders w/o cc/mcc 3,630 3,525 -2.9
548 Septic arthritis w mcc 1,008 670 -33.5
549 Septic arthritis w cc 1,958 1,755 -10.4
550 Septic arthritis w/o cc/mcc 786 745 -5.2
551 Medical back problems w mcc 15,990 15,275 -4.5
552 Medical back problems w/o mcc 91,169 87,050 -4.5
553 Bone diseases & arthropathies w mcc 3,249 3,100 -4.6
554 Bone diseases & arthropathies w/o mcc 25,441 22,570 -11.3
555 Signs & symptoms of musculoskeletal system & conn tissue w mcc 4,286 4,270 -0.4
556 Signs & symptoms of musculoskeletal system & conn tissue w/o mcc 23,410 23,960 2.3
557 Tendonitis, myositis & bursitis w mcc 5,840 5,695 -2.5
558 Tendonitis, myositis & bursitis w/o mcc 22,808 22,620 -0.8
559 Aftercare, musculoskeletal system & connective tissue w mcc 5,095 3,020 -40.7
560 Aftercare, musculoskeletal system & connective tissue w cc 8,853 8,535 -3.6
561 Aftercare, musculoskeletal system & connective tissue w/o cc/mcc 5,919 7,485 26.5
562 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w mcc 7,658 7,355 -4.0
563 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o mcc 39,095 37,385 -4.4
564 Other musculoskeletal sys & connective tissue diagnoses w mcc 3,041 2,345 -22.9
565 Other musculoskeletal sys & connective tissue diagnoses w cc 5,887 5,390 -8.4
566 Other musculoskeletal sys & connective tissue diagnoses w/o cc/mcc 1,889 2,060 9.1
570 Skin Debridement w mcc 7,514 5,340 -28.9
571 Debridement w cc 6,930 6,400 -7.6
572 Debridement w/o cc/mcc 3,115 2,850 -8.5
573 Skin graft &/or debrid for skn ulcer or cellulitis w mcc 3,878 3,120 -19.5
574 Skin graft &/or debrid for skn ulcer or cellulitis w cc 1,663 1,480 -11.0
575 Skin graft &/or debrid for skn ulcer or cellulitis w/o cc/mcc 642 565 -12.0
576 Skin graft &/or debrid exc for skin ulcer or cellulitis w mcc 595 570 -4.2
577 Skin graft &/or debrid exc for skin ulcer or cellulitis w cc 2,331 2,305 -1.1
578 Skin graft &/or debrid exc for skin ulcer or cellulitis w/o cc/mcc 2,591 2,380 -8.1
579 Other skin, subcut tiss & breast proc w mcc 8,328 6,815 -18.2
580 Other skin, subcut tiss & breast proc w cc 13,544 12,630 -6.7
581 Other skin, subcut tiss & breast proc w/o cc/mcc 12,338 11,270 -8.7
582 Mastectomy for malignancy w cc/mcc 4,876 4,475 -8.2
583 Mastectomy for malignancy w/o cc/mcc 7,094 6,605 -6.9
584 Breast biopsy, local excision & other breast procedures w cc/mcc 1,028 930 -9.5
585 Breast biopsy, local excision & other breast procedures w/o cc/mcc 1,739 1,630 -6.3
592 Skin ulcers w mcc 12,506 7,720 -38.3
593 Skin ulcers w cc 8,635 7,495 -13.2
594 Skin ulcers w/o cc/mcc 1,293 1,145 -11.4
595 Major skin disorders w mcc 1,590 1,560 -1.9
596 Major skin disorders w/o mcc 6,088 5,680 -6.7
597 Malignant breast disorders w mcc 939 955 1.7
598 Malignant breast disorders w cc 2,137 2,155 0.8
599 Malignant breast disorders w/o cc/mcc 237 325 37.1
600 Non-malignant breast disorders w cc/mcc 1,554 1,430 -8.0
601 Non-malignant breast disorders w/o cc/mcc 1,021 1,000 -2.1
602 Cellulitis w mcc 35,480 33,595 -5.3
603 Cellulitis w/o mcc 196,150 188,725 -3.8
604 Trauma to the skin, subcut tiss & breast w mcc 3,720 3,590 -3.5
605 Trauma to the skin, subcut tiss & breast w/o mcc 22,999 22,400 -2.6
606 Minor skin disorders w mcc 2,266 2,090 -7.8
607 Minor skin disorders w/o mcc 9,581 9,165 -4.3
614 Adrenal & pituitary procedures w cc/mcc 2,163 2,000 -7.5
615 Adrenal & pituitary procedures w/o cc/mcc 1,802 1,685 -6.5
616 Amputat of lower limb for endocrine,nutrit,& metabol dis w mcc 2,310 2,150 -6.9
617 Amputat of lower limb for endocrine,nutrit,& metabol dis w cc 11,651 11,310 -2.9
618 Amputat of lower limb for endocrine,nutrit,& metabol dis w/o cc/mcc 150 185 23.3
619 O.R. procedures for obesity w mcc 1,051 1,085 3.2
620 O.R. procedures for obesity w cc 4,193 4,310 2.8
621 O.R. procedures for obesity w/o cc/mcc 13,189 12,920 -2.0
622 Skin grafts & wound debrid for endoc, nutrit & metab dis w mcc 1,729 1,355 -21.6
623 Skin grafts & wound debrid for endoc, nutrit & metab dis w cc 4,105 3,610 -12.1
624 Skin grafts & wound debrid for endoc, nutrit & metab dis w/o cc/mcc 283 230 -18.7
625 Thyroid, parathyroid & thyroglossal procedures w mcc 1,373 1,330 -3.1
626 Thyroid, parathyroid & thyroglossal procedures w cc 3,446 3,230 -6.3
627 Thyroid, parathyroid & thyroglossal procedures w/o cc/mcc 11,842 10,820 -8.6
628 Other endocrine, nutrit & metab O.R. proc w mcc 4,590 4,385 -4.5
629 Other endocrine, nutrit & metab O.R. proc w cc 6,977 6,465 -7.3
630 Other endocrine, nutrit & metab O.R. proc w/o cc/mcc 441 450 2.0
637 Diabetes w mcc 29,245 27,570 -5.7
638 Diabetes w cc 73,176 69,275 -5.3
639 Diabetes w/o cc/mcc 28,467 26,765 -6.0
640 Nutritional & misc metabolic disorders w mcc 77,674 76,240 -1.8
641 Nutritional & misc metabolic disorders w/o mcc 196,348 192,050 -2.2
642 Inborn errors of metabolism 2,293 2,325 1.4
643 Endocrine disorders w mcc 9,022 9,005 -0.2
644 Endocrine disorders w cc 17,516 17,610 0.5
645 Endocrine disorders w/o cc/mcc 8,166 8,245 1.0
652 Kidney transplant 11,086 9,485 -14.4
653 Major bladder procedures w mcc 2,341 2,300 -1.8
654 Major bladder procedures w cc 5,263 5,200 -1.2
655 Major bladder procedures w/o cc/mcc 1,876 1,805 -3.8
656 Kidney & ureter procedures for neoplasm w mcc 4,571 4,290 -6.1
657 Kidney & ureter procedures for neoplasm w cc 11,439 11,210 -2.0
658 Kidney & ureter procedures for neoplasm w/o cc/mcc 9,562 9,305 -2.7
659 Kidney & ureter procedures for non-neoplasm w mcc 5,120 4,850 -5.3
660 Kidney & ureter procedures for non-neoplasm w cc 11,460 11,110 -3.1
661 Kidney & ureter procedures for non-neoplasm w/o cc/mcc 5,440 5,500 1.1
662 Minor bladder procedures w mcc 927 890 -4.0
663 Minor bladder procedures w cc 2,188 2,105 -3.8
664 Minor bladder procedures w/o cc/mcc 2,440 2,135 -12.5
665 Prostatectomy w mcc 734 700 -4.6
666 Prostatectomy w cc 2,209 2,035 -7.9
667 Prostatectomy w/o cc/mcc 2,057 1,825 -11.3
668 Transurethral procedures w mcc 4,496 4,350 -3.2
669 Transurethral procedures w cc 20,128 19,990 -0.7
670 Transurethral procedures w/o cc/mcc 8,140 7,680 -5.7
671 Urethral procedures w cc/mcc 951 910 -4.3
672 Urethral procedures w/o cc/mcc 698 610 -12.6
673 Other kidney & urinary tract procedures w mcc 14,051 12,695 -9.7
674 Other kidney & urinary tract procedures w cc 10,167 9,175 -9.8
675 Other kidney & urinary tract procedures w/o cc/mcc 2,152 1,970 -8.5
682 Renal failure w mcc 138,905 134,920 -2.9
683 Renal failure w cc 208,318 203,560 -2.3
684 Renal failure w/o cc/mcc 40,106 39,245 -2.1
685 Admit for renal dialysis 3,445 3,535 2.6
686 Kidney & urinary tract neoplasms w mcc 1,727 1,585 -8.2
687 Kidney & urinary tract neoplasms w cc 4,171 4,130 -1.0
688 Kidney & urinary tract neoplasms w/o cc/mcc 707 790 11.7
689 Kidney & urinary tract infections w mcc 95,454 95,645 0.2
690 Kidney & urinary tract infections w/o mcc 271,893 267,200 -1.7
691 Urinary stones w esw lithotripsy w cc/mcc 1,298 1,210 -6.8
692 Urinary stones w esw lithotripsy w/o cc/mcc 351 320 -8.8
693 Urinary stones w/o esw lithotripsy w mcc 2,939 2,820 -4.0
694 Urinary stones w/o esw lithotripsy w/o mcc 24,507 23,400 -4.5
695 Kidney & urinary tract signs & symptoms w mcc 1,994 1,910 -4.2
696 Kidney & urinary tract signs & symptoms w/o mcc 14,200 13,900 -2.1
697 Urethral stricture 725 670 -7.6
698 Other kidney & urinary tract diagnoses w mcc 38,905 38,820 -0.2
699 Other kidney & urinary tract diagnoses w cc 40,422 40,255 -0.4
700 Other kidney & urinary tract diagnoses w/o cc/mcc 9,332 9,305 -0.3
707 Major male pelvic procedures w cc/mcc 6,308 5,675 -10.0
708 Major male pelvic procedures w/o cc/mcc 20,492 18,135 -11.5
709 Penis procedures w cc/mcc 946 875 -7.5
710 Penis procedures w/o cc/mcc 1,321 1,160 -12.2
711 Testes procedures w cc/mcc 833 780 -6.4
712 Testes procedures w/o cc/mcc 375 355 -5.3
713 Transurethral prostatectomy w cc/mcc 9,143 8,985 -1.7
714 Transurethral prostatectomy w/o cc/mcc 15,893 13,880 -12.7
715 Other male reproductive system O.R. proc for malignancy w cc/mcc 537 455 -15.3
716 Other male reproductive system O.R. proc for malignancy w/o cc/mcc 374 275 -26.5
717 Other male reproductive system O.R. proc exc malignancy w cc/mcc 1,010 940 -6.9
718 Other male reproductive system O.R. proc exc malignancy w/o cc/mcc 449 420 -6.5
722 Malignancy, male reproductive system w mcc 680 650 -4.4
723 Malignancy, male reproductive system w cc 2,092 2,030 -3.0
724 Malignancy, male reproductive system w/o cc/mcc 266 325 22.2
725 Benign prostatic hypertrophy w mcc 813 800 -1.6
726 Benign prostatic hypertrophy w/o mcc 5,325 5,330 0.1
727 Inflammation of the male reproductive system w mcc 2,157 1,980 -8.2
728 Inflammation of the male reproductive system w/o mcc 8,266 7,740 -6.4
729 Other male reproductive system diagnoses w cc/mcc 1,185 1,090 -8.0
730 Other male reproductive system diagnoses w/o cc/mcc 383 335 -12.5
734 Pelvic evisceration, rad hysterectomy & rad vulvectomy w cc/mcc 2,000 1,965 -1.8
735 Pelvic evisceration, rad hysterectomy & rad vulvectomy w/o cc/mcc 1,542 1,440 -6.6
736 Uterine & adnexa proc for ovarian or adnexal malignancy w mcc 1,074 1,155 7.5
737 Uterine & adnexa proc for ovarian or adnexal malignancy w cc 4,159 3,980 -4.3
738 Uterine & adnexa proc for ovarian or adnexal malignancy w/o cc/mcc 918 795 -13.4
739 Uterine,adnexa proc for non-ovarian/adnexal malig w mcc 1,099 1,050 -4.5
740 Uterine,adnexa proc for non-ovarian/adnexal malig w cc 5,497 5,240 -4.7
741 Uterine,adnexa proc for non-ovarian/adnexal malig w/o cc/mcc 6,191 5,805 -6.2
742 Uterine & adnexa proc for non-malignancy w cc/mcc 11,696 10,695 -8.6
743 Uterine & adnexa proc for non-malignancy w/o cc/mcc 27,246 24,420 -10.4
744 D&C, conization, laparoscopy & tubal interruption w cc/mcc 2,072 2,110 1.8
745 D&C, conization, laparoscopy & tubal interruption w/o cc/mcc 1,101 1,045 -5.1
746 Vagina, cervix & vulva procedures w cc/mcc 2,742 2,640 -3.7
747 Vagina, cervix & vulva procedures w/o cc/mcc 5,853 5,275 -9.9
748 Female reproductive system reconstructive procedures 12,261 10,935 -10.8
749 Other female reproductive system O.R. procedures w cc/mcc 1,404 1,300 -7.4
750 Other female reproductive system O.R. procedures w/o cc/mcc 416 375 -9.9
754 Malignancy, female reproductive system w mcc 1,692 1,590 -6.0
755 Malignancy, female reproductive system w cc 4,440 4,355 -1.9
756 Malignancy, female reproductive system w/o cc/mcc 466 500 7.3
757 Infections, female reproductive system w mcc 1,781 1,610 -9.6
758 Infections, female reproductive system w cc 2,744 2,835 3.3
759 Infections, female reproductive system w/o cc/mcc 1,161 1,045 -10.0
760 Menstrual & other female reproductive system disorders w cc/mcc 2,667 2,740 2.7
761 Menstrual & other female reproductive system disorders w/o cc/mcc 1,207 1,205 -0.2
765 Cesarean section w cc/mcc 4,609 5,790 25.6
766 Cesarean section w/o cc/mcc 3,334 5,705 71.1
767 Vaginal delivery w sterilization &/or d&c 188 835 344.1
768 Vaginal delivery w O.R. proc except steril &/or d&c 14    
769 Postpartum & post abortion diagnoses w O.R. procedure 118 155 31.4
770 Abortion w d&c, aspiration curettage or hysterotomy 188 180 -4.3
774 Vaginal delivery w complicating diagnoses 2,375 3,225 35.8
775 Vaginal delivery w/o complicating diagnoses 7,411 13,220 78.4
776 Postpartum & post abortion diagnoses w/o O.R. procedure 891 970 8.9
777 Ectopic pregnancy 267 300 12.4
778 Threatened abortion 564 735 30.3
779 Abortion w/o d&c 115 170 47.8
780 False labor 53 65 22.6
781 Other antepartum diagnoses w medical complications 4,459 4,720 5.9
782 Other antepartum diagnoses w/o medical complications 213 255 19.7
789 Neonates, died or transferred to another acute care facility - 445 -
790 Extreme immaturity or respiratory distress syndrome, neonate - 225 -
791 Prematurity w major problems - 210 -
792 Prematurity w/o major problems - 540 -
793 Full term neonate w major problems - 425 -
794 Neonate w other significant problems - 2,390 -
795 Normal newborn - 8,925 -
799 Splenectomy w mcc 606 570 -5.9
800 Splenectomy w cc 697 670 -3.9
801 Splenectomy w/o cc/mcc 448 345 -23.0
802 Other O.R. proc of the blood & blood forming organs w mcc 1,076 1,095 1.8
803 Other O.R. proc of the blood & blood forming organs w cc 1,361 1,245 -8.5
804 Other O.R. proc of the blood & blood forming organs w/o cc/mcc 804 665 -17.3
808 Major hematol/immun diag exc sickle cell crisis & coagul w mcc 10,924 10,515 -3.7
809 Major hematol/immun diag exc sickle cell crisis & coagul w cc 26,171 24,680 -5.7
810 Major hematol/immun diag exc sickle cell crisis & coagul w/o cc/mcc 4,396 4,190 -4.7
811 Red blood cell disorders w mcc 42,171 40,775 -3.3
812 Red blood cell disorders w/o mcc 125,846 120,100 -4.6
813 Coagulation disorders 12,503 12,330 -1.4
814 Reticuloendothelial & immunity disorders w mcc 2,000 1,995 -0.3
815 Reticuloendothelial & immunity disorders w cc 4,376 4,130 -5.6
816 Reticuloendothelial & immunity disorders w/o cc/mcc 1,844 1,740 -5.6
820 Lymphoma & leukemia w major O.R. procedure w mcc 1,539 1,485 -3.5
821 Lymphoma & leukemia w major O.R. procedure w cc 2,328 2,245 -3.6
822 Lymphoma & leukemia w major O.R. procedure w/o cc/mcc 2,138 2,050 -4.1
823 Lymphoma & non-acute leukemia w other O.R. proc w mcc 2,356 2,305 -2.2
824 Lymphoma & non-acute leukemia w other O.R. proc w cc 3,572 3,275 -8.3
825 Lymphoma & non-acute leukemia w other O.R. proc w/o cc/mcc 1,451 1,460 0.6
826 Myeloprolif disord or poorly diff neopl w maj O.R. proc w mcc 813 790 -2.8
827 Myeloprolif disord or poorly diff neopl w maj O.R. proc w cc 1,899 1,890 -0.5
828 Myeloprolif disord or poorly diff neopl w maj O.R. proc w/o cc/mcc 1,229 1,185 -3.6
829 Myeloprolif disord or poorly diff neopl w other O.R. proc w cc/mcc 1,623 1,585 -2.3
830 Myeloprolif disord or poorly diff neopl w other O.R. proc w/o cc/mcc 453 440 -2.9
834 Acute leukemia w/o major O.R. procedure w mcc 5,075 5,330 5.0
835 Acute leukemia w/o major O.R. procedure w cc 3,721 3,655 -1.8
836 Acute leukemia w/o major O.R. procedure w/o cc/mcc 1,331 1,385 4.1
837 Chemo w acute leukemia as sdx or w high dose chemo agent w mcc 2,303 2,320 0.7
838 Chemo w acute leukemia as sdx w cc or high dose chemo agent 2,004 2,120 5.8
839 Chemo w acute leukemia as sdx w/o cc/mcc 1,807 1,830 1.3
840 Lymphoma & non-acute leukemia w mcc 10,064 9,970 -0.9
841 Lymphoma & non-acute leukemia w cc 12,513 12,485 -0.2
842 Lymphoma & non-acute leukemia w/o cc/mcc 3,999 3,860 -3.5
843 Other myeloprolif dis or poorly diff neopl diag w mcc 2,235 2,230 -0.2
844 Other myeloprolif dis or poorly diff neopl diag w cc 3,698 3,505 -5.2
845 Other myeloprolif dis or poorly diff neopl diag w/o cc/mcc 799 850 6.4
846 Chemotherapy w/o acute leukemia as secondary diagnosis w mcc 3,486 3,345 -4.0
847 Chemotherapy w/o acute leukemia as secondary diagnosis w cc 26,431 24,565 -7.1
848 Chemotherapy w/o acute leukemia as secondary diagnosis w/o cc/mcc 1,302 1,345 3.3
849 Radiotherapy 1,072 965 -10.0
853 Infectious & parasitic diseases w O.R. procedure w mcc 62,895 60,990 -3.0
854 Infectious & parasitic diseases w O.R. procedure w cc 13,568 13,645 0.6
855 Infectious & parasitic diseases w O.R. procedure w/o cc/mcc 412 430 4.4
856 Postoperative or post-traumatic infections w O.R. proc w mcc 8,063 7,295 -9.5
857 Postoperative or post-traumatic infections w O.R. proc w cc 12,390 11,705 -5.5
858 Postoperative or post-traumatic infections w O.R. proc w/o cc/mcc 2,549 2,345 -8.0
862 Postoperative & post-traumatic infections w mcc 15,213 12,815 -15.8
863 Postoperative & post-traumatic infections w/o mcc 27,298 25,400 -7.0
864 Fever 23,868 22,625 -5.2
865 Viral illness w mcc 3,107 3,235 4.1
866 Viral illness w/o mcc 8,748 9,005 2.9
867 Other infectious & parasitic diseases diagnoses w mcc 6,906 6,675 -3.3
868 Other infectious & parasitic diseases diagnoses w cc 3,320 3,195 -3.8
869 Other infectious & parasitic diseases diagnoses w/o cc/mcc 903 870 -3.7
870 Septicemia or severe sepsis w mv 96+ hours 40,440 39,355 -2.7
871 Septicemia or severe sepsis w/o mv 96+ hours w mcc 449,700 456,670 1.5
872 Septicemia or severe sepsis w/o mv 96+ hours w/o mcc 165,200 167,300 1.3
876 O.R. procedure w principal diagnoses of mental illness 1,241 1,095 -11.8
880 Acute adjustment reaction & psychosocial dysfunction 13,549 12,485 -7.9
881 Depressive neuroses 23,684 18,390 -22.4
882 Neuroses except depressive 8,478 5,740 -32.3
883 Disorders of personality & impulse control 3,208 2,230 -30.5
884 Organic disturbances & mental retardation 57,228 51,110 -10.7
885 Psychoses 485,240 336,965 -30.6
886 Behavioral & developmental disorders 2,534 1,665 -34.3
887 Other mental disorder diagnoses 1,104 715 -35.2
894 Alcohol/drug abuse or dependence, left ama 7,863 5,975 -24.0
895 Alcohol/drug abuse or dependence w rehabilitation therapy 15,247 6,265 -58.9
896 Alcohol/drug abuse or dependence w/o rehabilitation therapy w mcc 10,947 10,320 -5.7
897 Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o mcc 74,447 53,565 -28.0
901 Wound debridements for injuries w mcc 1,327 850 -35.9
902 Wound debridements for injuries w cc 2,392 2,075 -13.3
903 Wound debridements for injuries w/o cc/mcc 995 920 -7.5
904 Skin grafts for injuries w cc/mcc 2,704 2,430 -10.1
905 Skin grafts for injuries w/o cc/mcc 1,012 955 -5.6
906 Hand procedures for injuries 1,031 980 -4.9
907 Other O.R. procedures for injuries w mcc 11,285 10,545 -6.6
908 Other O.R. procedures for injuries w cc 12,148 11,950 -1.6
909 Other O.R. procedures for injuries w/o cc/mcc 5,963 5,620 -5.8
913 Traumatic injury w mcc 1,296 1,275 -1.6
914 Traumatic injury w/o mcc 7,522 6,925 -7.9
915 Allergic reactions w mcc 2,515 2,550 1.4
916 Allergic reactions w/o mcc 8,448 8,005 -5.2
917 Poisoning & toxic effects of drugs w mcc 34,002 34,610 1.8
918 Poisoning & toxic effects of drugs w/o mcc 47,113 45,115 -4.2
919 Complications of treatment w mcc 16,948 14,310 -15.6
920 Complications of treatment w cc 21,172 19,995 -5.6
921 Complications of treatment w/o cc/mcc 8,243 8,135 -1.3
922 Other injury, poisoning & toxic effect diag w mcc 1,507 1,425 -5.4
923 Other injury, poisoning & toxic effect diag w/o mcc 3,772 3,670 -2.7
927 Extensive burns or full thickness burns w mv 96+ hrs w skin graft 213 190 -10.8
928 Full thickness burn w skin graft or inhal inj w cc/mcc 1,305 1,210 -7.3
929 Full thickness burn w skin graft or inhal inj w/o cc/mcc 481 410 -14.8
933 Extensive burns or full thickness burns w mv 96+ hrs w/o skin graft 185 160 -13.5
934 Full thickness burn w/o skin grft or inhal inj 813 765 -5.9
935 Non-extensive burns 2,932 2,435 -17.0
939 O.R. proc w diagnoses of other contact w health services w mcc 2,685 2,100 -21.8
940 O.R. proc w diagnoses of other contact w health services w cc 3,695 3,320 -10.1
941 O.R. proc w diagnoses of other contact w health services w/o cc/mcc 1,607 1,370 -14.7
945 Rehabilitation w cc/mcc 335,617 217,660 -35.1
946 Rehabilitation w/o cc/mcc 73,967 55,405 -25.1
947 Signs & symptoms w mcc 18,330 18,550 1.2
948 Signs & symptoms w/o mcc 76,565 76,500 -0.1
949 Aftercare w cc/mcc 4,460 4,160 -6.7
950 Aftercare w/o cc/mcc 559 1,155 106.6
951 Other factors influencing health status 2,017 7,530 273.3
955 Craniotomy for multiple significant trauma 591 450 -23.9
956 Limb reattachment, hip & femur proc for multiple significant trauma 6,011 5,855 -2.6
957 Other O.R. procedures for multiple significant trauma w mcc 2,341 1,710 -27.0
958 Other O.R. procedures for multiple significant trauma w cc 1,694 1,515 -10.6
959 Other O.R. procedures for multiple significant trauma w/o cc/mcc 240 210 -12.5
963 Other multiple significant trauma w mcc 2,783 2,265 -18.6
964 Other multiple significant trauma w cc 4,365 3,455 -20.8
965 Other multiple significant trauma w/o cc/mcc 1,214 1,135 -6.5
969 HIV w extensive O.R. procedure w mcc 661 595 -10.0
970 HIV w extensive O.R. procedure w/o mcc 87 70 -19.5
974 HIV w major related condition w mcc 6,220 5,585 -10.2
975 HIV w major related condition w cc 4,229 4,175 -1.3
976 HIV w major related condition w/o cc/mcc 1,414 1,325 -6.3
977 HIV w or w/o other related condition 3,307 3,105 -6.1
981 Extensive O.R. procedure unrelated to principal diagnosis w mcc 31,012 28,860 -6.9
982 Extensive O.R. procedure unrelated to principal diagnosis w cc 22,216 20,330 -8.5
983 Extensive O.R. procedure unrelated to principal diagnosis w/o cc/mcc 5,346 5,035 -5.8
984 Prostatic O.R. procedure unrelated to principal diagnosis w mcc 577 580 0.5
985 Prostatic O.R. procedure unrelated to principal diagnosis w cc 1,069 1,005 -6.0
986 Prostatic O.R. procedure unrelated to principal diagnosis w/o cc/mcc 513 485 -5.5
987 Non-extensive O.R. proc unrelated to principal diagnosis w mcc 10,154 8,960 -11.8
988 Non-extensive O.R. proc unrelated to principal diagnosis w cc 11,627 10,435 -10.3
989 Non-extensive O.R. proc unrelated to principal diagnosis w/o cc/mcc 3,929 3,395 -13.6
999 Ungroupable 152 13,490 8775.0

Source: Fiscal Year 2012 100% Medpar Short Stay Hospital Inpatient by DRG tables received by email from CMS on March 12, 2015.
Abbreviations: cc, complications or comorbidities; CMS, Centers for Medicare & Medicaid Services; G.I., gastrointestinal; HCUP, Healthcare Cost and Utilization Project, mcc, major complications or comorbidities; NIS, National Inpatient Sample; O.R., operating room; ptca, percutaneous transluminal coronary angioplasty

Appendix B

Differences in Medicare Discharge Counts Between Estimates from HCUP NIS and Reports from CMS MedPAR Data, Sorted From Highest to Lowest Estimated Number of NIS Discharges, 2012

Rank MS-DRG Discharges, n % difference
CMS HCUP NIS
1 470 Major joint replacement or reattachment of lower extremity w/o mcc 576,788 547,955 -5.0
2 871 Septicemia or severe sepsis w/o mv 96+ hours w mcc 449,700 456,670 1.5
3 885 Psychoses 485,240 336,965 -30.6
4 392 Esophagitis, gastroent & misc digest disorders w/o mcc 330,175 320,465 -2.9
5 292 Heart failure & shock w cc 283,817 279,010 -1.7
6 690 Kidney & urinary tract infections w/o mcc 271,893 267,200 -1.7
7 194 Simple pneumonia & pleurisy w cc 253,195 253,290 0.0
8 291 Heart failure & shock w mcc 240,663 239,035 -0.7
9 945 Rehabilitation w cc/mcc 335,617 217,660 -35.1
10 683 Renal failure w cc 208,318 203,560 -2.3
11 641 Nutritional & misc metabolic disorders w/o mcc 196,348 192,050 -2.2
12 190 Chronic obstructive pulmonary disease w mcc 191,095 191,650 0.3
13 603 Cellulitis w/o mcc 196,150 188,725 -3.8
14 378 G.I. hemorrhage w cc 190,022 187,515 -1.3
15 191 Chronic obstructive pulmonary disease w cc 187,438 186,880 -0.3
16 312 Syncope & collapse 185,520 177,500 -4.3
17 313 Chest pain 175,802 172,520 -1.9
18 193 Simple pneumonia & pleurisy w mcc 168,484 170,450 1.2
19 872 Septicemia or severe sepsis w/o mv 96+ hours w/o mcc 165,200 167,300 1.3
20 310 Cardiac arrhythmia & conduction disorders w/o cc/mcc 156,700 151,075 -3.6
21 192 Chronic obstructive pulmonary disease w/o cc/mcc 147,606 144,965 -1.8
22 65 Intracranial hemorrhage or cerebral infarction w cc 150,597 144,900 -3.8
23 247 Perc cardiovasc proc w drug-eluting stent w/o mcc 152,601 144,880 -5.1
24 309 Cardiac arrhythmia & conduction disorders w cc 144,130 142,590 -1.1
25 287 Circulatory disorders except ami, w card cath w/o mcc 148,467 141,460 -4.7
26 189 Pulmonary edema & respiratory failure 150,014 139,120 -7.3
27 682 Renal failure w mcc 138,905 134,920 -2.9
28 812 Red blood cell disorders w/o mcc 125,846 120,100 -4.6
29 69 Transient ischemia 120,714 115,950 -3.9
30 293 Heart failure & shock w/o cc/mcc 117,900 114,680 -2.7
31 195 Simple pneumonia & pleurisy w/o cc/mcc 112,278 111,290 -0.9
32 481 Hip & femur procedures except major joint w cc 104,489 103,800 -0.7
33 689 Kidney & urinary tract infections w mcc 95,454 95,645 0.2
34 64 Intracranial hemorrhage or cerebral infarction w mcc 92,129 91,945 -0.2
35 208 Respiratory system diagnosis w ventilator support <96 hours 93,544 90,480 -3.3
36 308 Cardiac arrhythmia & conduction disorders w mcc 87,875 88,110 0.3
37 280 Acute myocardial infarction, discharged alive w mcc 87,327 87,970 0.7
38 177 Respiratory infections & inflammations w mcc 90,020 87,300 -3.0
39 552 Medical back problems w/o mcc 91,169 87,050 -4.5
40 460 Spinal fusion except cervical w/o mcc 91,505 84,915 -7.2
41 66 Intracranial hemorrhage or cerebral infarction w/o cc/mcc 86,967 83,315 -4.2
42 948 Signs & symptoms w/o mcc 76,565 76,500 -0.1
43 640 Nutritional & misc metabolic disorders w mcc 77,674 76,240 -1.8
44 330 Major small & large bowel procedures w cc 75,012 72,925 -2.8
45 57 Degenerative nervous system disorders w/o mcc 83,071 72,895 -12.2
46 178 Respiratory infections & inflammations w cc 72,979 71,920 -1.5
47 389 G.I. obstruction w cc 72,829 71,605 -1.7
48 638 Diabetes w cc 73,176 69,275 -5.3
49 377 G.I. hemorrhage w mcc 70,101 68,765 -1.9
50 101 Seizures w/o mcc 69,058 66,790 -3.3
51 281 Acute myocardial infarction, discharged alive w cc 64,518 63,940 -0.9
52 314 Other circulatory system diagnoses w mcc 68,084 63,285 -7.0
53 394 Other digestive system diagnoses w cc 64,134 63,040 -1.7
54 391 Esophagitis, gastroent & misc digest disorders w mcc 63,509 61,165 -3.7
55 853 Infectious & parasitic diseases w O.R. procedure w mcc 62,895 60,990 -3.0
56 300 Peripheral vascular disorders w cc 59,699 56,680 -5.1
57 946 Rehabilitation w/o cc/mcc 73,967 55,405 -25.1
58 176 Pulmonary embolism w/o mcc 56,057 54,160 -3.4
59 390 G.I. obstruction w/o cc/mcc 55,623 53,785 -3.3
60 897 Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o mcc 74,447 53,565 -28.0
61 329 Major small & large bowel procedures w mcc 55,139 53,420 -3.1
62 379 G.I. hemorrhage w/o cc/mcc 54,285 51,995 -4.2
63 253 Other vascular procedures w cc 53,412 51,530 -3.5
64 884 Organic disturbances & mental retardation 57,228 51,110 -10.7
65 372 Major gastrointestinal disorders & peritoneal infections w cc 49,209 49,215 0.0
66 202 Bronchitis & asthma w cc/mcc 49,319 48,730 -1.2
67 238 Major cardiovasc procedures w/o mcc 47,309 45,705 -3.4
68 305 Hypertension w/o mcc 46,393 45,470 -2.0
69 918 Poisoning & toxic effects of drugs w/o mcc 47,113 45,115 -4.2
70 491 Back & neck proc exc spinal fusion w/o cc/mcc 47,878 44,655 -6.7
71 39 Extracranial procedures w/o cc/mcc 46,972 44,610 -5.0
72 303 Atherosclerosis w/o mcc 46,462 43,630 -6.1
73 252 Other vascular procedures w mcc 45,039 43,300 -3.9
74 243 Permanent cardiac pacemaker implant w cc 43,029 42,680 -0.8
75 282 Acute myocardial infarction, discharged alive w/o cc/mcc 41,326 40,895 -1.0
76 811 Red blood cell disorders w mcc 42,171 40,775 -3.3
77 251 Perc cardiovasc proc w/o coronary artery stent w/o mcc 41,154 40,545 -1.5
78 699 Other kidney & urinary tract diagnoses w cc 40,422 40,255 -0.4
79 536 Fractures of hip & pelvis w/o mcc 42,408 39,675 -6.4
80 246 Perc cardiovasc proc w drug-eluting stent w mcc or 4+ vessels/stents 40,653 39,655 -2.5
81 207 Respiratory system diagnosis w ventilator support 96+ hours 58,338 39,390 -32.5
82 870 Septicemia or severe sepsis w mv 96+ hours 40,440 39,355 -2.7
83 684 Renal failure w/o cc/mcc 40,106 39,245 -2.1
84 698 Other kidney & urinary tract diagnoses w mcc 38,905 38,820 -0.2
85 149 Dysequilibrium 40,050 38,715 -3.3
86 244 Permanent cardiac pacemaker implant w/o cc/mcc 39,874 38,380 -3.7
87 254 Other vascular procedures w/o cc/mcc 40,577 38,175 -5.9
88 563 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o mcc 39,095 37,385 -4.4
89 439 Disorders of pancreas except malignancy w cc 38,014 36,880 -3.0
90 74 Cranial & peripheral nerve disorders w/o mcc 38,747 36,750 -5.2
91 249 Perc cardiovasc proc w non-drug-eluting stent w/o mcc 40,048 36,560 -8.7
92 469 Major joint replacement or reattachment of lower extremity w mcc 34,118 35,740 4.8
93 418 Laparoscopic cholecystectomy w/o c.d.e. w cc 36,064 35,420 -1.8
94 917 Poisoning & toxic effects of drugs w mcc 34,002 34,610 1.8
95 482 Hip & femur procedures except major joint w/o cc/mcc 36,226 34,490 -4.8
96 286 Circulatory disorders except ami, w card cath w mcc 34,853 34,145 -2.0
97 315 Other circulatory system diagnoses w cc 35,372 34,025 -3.8
98 602 Cellulitis w mcc 35,480 33,595 -5.3
99 473 Cervical spinal fusion w/o cc/mcc 37,029 33,145 -10.5
100 331 Major small & large bowel procedures w/o cc/mcc 34,493 32,525 -5.7
101 480 Hip & femur procedures except major joint w mcc 32,323 32,165 -0.5
102 419 Laparoscopic cholecystectomy w/o c.d.e. w/o cc/mcc 34,048 32,015 -6.0
103 301 Peripheral vascular disorders w/o cc/mcc 33,288 31,535 -5.3
104 203 Bronchitis & asthma w/o cc/mcc 32,569 31,500 -3.3
105 484 Major joint & limb reattachment proc of upper extremity w/o cc/mcc 30,111 29,445 -2.2
106 371 Major gastrointestinal disorders & peritoneal infections w mcc 31,115 29,435 -5.4
107 393 Other digestive system diagnoses w mcc 30,675 29,005 -5.4
108 981 Extensive O.R. procedure unrelated to principal diagnosis w mcc 31,012 28,860 -6.9
109 467 Revision of hip or knee replacement w cc 30,028 28,650 -4.6
110 100 Seizures w mcc 28,460 28,305 -0.5
111 637 Diabetes w mcc 29,245 27,570 -5.7
112 181 Respiratory neoplasms w cc 28,582 27,195 -4.9
113 180 Respiratory neoplasms w mcc 27,147 27,015 -0.5
114 494 Lower extrem & humer proc except hip,foot,femur w/o cc/mcc 28,488 26,875 -5.7
115 220 Cardiac valve & oth maj cardiothoracic proc w/o card cath w cc 27,486 26,865 -2.3
116 442 Disorders of liver except malig,cirr,alc hepa w cc 27,949 26,865 -3.9
117 639 Diabetes w/o cc/mcc 28,467 26,765 -6.0
118 92 Other disorders of nervous system w cc 26,981 26,745 -0.9
119 440 Disorders of pancreas except malignancy w/o cc/mcc 27,975 26,725 -4.5
120 299 Peripheral vascular disorders w mcc 27,791 26,195 -5.7
121 493 Lower extrem & humer proc except hip,foot,femur w cc 27,206 25,780 -5.2
122 234 Coronary bypass w cardiac cath w/o mcc 28,078 25,670 -8.6
123 204 Respiratory signs & symptoms 26,974 25,460 -5.6
124 863 Postoperative & post-traumatic infections w/o mcc 27,298 25,400 -7.0
125 166 Other resp system O.R. procedures w mcc 27,994 25,365 -9.4
126 445 Disorders of the biliary tract w cc 25,505 25,350 -0.6
127 236 Coronary bypass w/o cardiac cath w/o mcc 26,572 25,265 -4.9
128 441 Disorders of liver except malig,cirr,alc hepa w mcc 25,140 25,205 0.3
129 237 Major cardiovasc procedures w mcc or thoracic aortic aneurysm repair 25,575 25,015 -2.2
130 395 Other digestive system diagnoses w/o cc/mcc 25,570 24,850 -2.8
131 809 Major hematol/immun diag exc sickle cell crisis & coagul w cc 26,171 24,680 -5.7
132 847 Chemotherapy w/o acute leukemia as secondary diagnosis w cc 26,431 24,565 -7.1
133 743 Uterine & adnexa proc for non-malignancy w/o cc/mcc 27,246 24,420 -10.4
134 4 Trach w mv 96+ hrs or pdx exc face, mouth & neck w/o maj O.R. 26,996 24,250 -10.2
135 556 Signs & symptoms of musculoskeletal system & conn tissue w/o mcc 23,410 23,960 2.3
136 490 Back & neck proc exc spinal fusion w cc/mcc or disc device/neurostim 24,744 23,955 -3.2
137 206 Other respiratory system diagnoses w/o mcc 24,522 23,710 -3.3
138 388 G.I. obstruction w mcc 24,242 23,640 -2.5
139 3 Ecmo or trach w mv 96+ hrs or pdx exc face, mouth & neck w maj O.R. 24,224 23,470 -3.1
140 694 Urinary stones w/o esw lithotripsy w/o mcc 24,507 23,400 -4.5
141 227 Cardiac defibrillator implant w/o cardiac cath w/o mcc 24,764 23,370 -5.6
142 164 Major chest procedures w cc 23,724 23,125 -2.5
143 417 Laparoscopic cholecystectomy w/o c.d.e. w mcc 22,837 22,675 -0.7
144 242 Permanent cardiac pacemaker implant w mcc 22,690 22,660 -0.1
145 864 Fever 23,868 22,625 -5.2
146 558 Tendonitis, myositis & bursitis w/o mcc 22,808 22,620 -0.8
147 175 Pulmonary embolism w mcc 23,371 22,595 -3.3
148 554 Bone diseases & arthropathies w/o mcc 25,441 22,570 -11.3
149 605 Trauma to the skin, subcut tiss & breast w/o mcc 22,999 22,400 -2.6
150 219 Cardiac valve & oth maj cardiothoracic proc w/o card cath w mcc 22,183 22,180 0.0
151 264 Other circulatory system O.R. procedures 24,010 21,970 -8.5
152 375 Digestive malignancy w cc 22,490 21,945 -2.4
153 86 Traumatic stupor & coma, coma <1 hr w cc 22,189 21,325 -3.9
154 71 Nonspecific cerebrovascular disorders w cc 21,489 20,665 -3.8
155 982 Extensive O.R. procedure unrelated to principal diagnosis w cc 22,216 20,330 -8.5
156 468 Revision of hip or knee replacement w/o cc/mcc 21,864 20,260 -7.3
157 25 Craniotomy & endovascular intracranial procedures w mcc 20,114 20,125 0.1
158 920 Complications of treatment w cc 21,172 19,995 -5.6
159 669 Transurethral procedures w cc 20,128 19,990 -0.7
160 167 Other resp system O.R. procedures w cc 20,512 19,585 -4.5
161 947 Signs & symptoms w mcc 18,330 18,550 1.2
162 438 Disorders of pancreas except malignancy w mcc 19,437 18,430 -5.2
163 881 Depressive neuroses 23,684 18,390 -22.4
164 543 Pathological fractures & musculoskelet & conn tiss malig w cc 18,730 18,300 -2.3
165 179 Respiratory infections & inflammations w/o cc/mcc 18,207 18,165 -0.2
166 708 Major male pelvic procedures w/o cc/mcc 20,492 18,135 -11.5
167 483 Major joint & limb reattachment proc of upper extremity w cc/mcc 18,115 17,875 -1.3
168 87 Traumatic stupor & coma, coma <1 hr w/o cc/mcc 18,450 17,790 -3.6
169 153 Otitis media & uri w/o mcc 14,100 17,655 25.2
170 644 Endocrine disorders w cc 17,516 17,610 0.5
171 70 Nonspecific cerebrovascular disorders w mcc 17,080 17,050 -0.2
172 336 Peritoneal adhesiolysis w cc 17,274 16,705 -3.3
173 103 Headaches w/o mcc 17,434 16,540 -5.1
174 444 Disorders of the biliary tract w mcc 16,720 16,500 -1.3
175 233 Coronary bypass w cardiac cath w mcc 17,413 16,230 -6.8
176 435 Malignancy of hepatobiliary system or pancreas w mcc 16,624 16,215 -2.5
177 38 Extracranial procedures w cc 16,737 16,210 -3.1
178 163 Major chest procedures w mcc 16,220 15,840 -2.3
179 373 Major gastrointestinal disorders & peritoneal infections w/o cc/mcc 15,861 15,765 -0.6
180 93 Other disorders of nervous system w/o cc/mcc 15,699 15,705 0.0
181 248 Perc cardiovasc proc w non-drug-eluting stent w mcc or 4+ ves/stents 16,438 15,285 -7.0
182 551 Medical back problems w mcc 15,990 15,275 -4.5
183 446 Disorders of the biliary tract w/o cc/mcc 15,086 14,975 -0.7
184 56 Degenerative nervous system disorders w mcc 16,098 14,920 -7.3
185 432 Cirrhosis & alcoholic hepatitis w mcc 15,102 14,870 -1.5
186 436 Malignancy of hepatobiliary system or pancreas w cc 15,165 14,700 -3.1
187 27 Craniotomy & endovascular intracranial procedures w/o cc/mcc 14,832 14,445 -2.6
188 283 Acute myocardial infarction, expired w mcc 14,404 14,335 -0.5
189 919 Complications of treatment w mcc 16,948 14,310 -15.6
190 311 Angina pectoris 16,126 14,250 -11.6
191 91 Other disorders of nervous system w mcc 14,528 14,205 -2.2
192 462 Bilateral or multiple major joint procs of lower extremity w/o mcc 12,536 14,200 13.3
193 54 Nervous system neoplasms w mcc 14,113 14,165 0.4
194 696 Kidney & urinary tract signs & symptoms w/o mcc 14,200 13,900 -2.1
195 714 Transurethral prostatectomy w/o cc/mcc 15,893 13,880 -12.7
196 326 Stomach, esophageal & duodenal proc w mcc 14,237 13,715 -3.7
197 216 Cardiac valve & oth maj cardiothoracic proc w card cath w mcc 13,897 13,710 -1.3
198 854 Infectious & parasitic diseases w O.R. procedure w cc 13,568 13,645 0.6
199 327 Stomach, esophageal & duodenal proc w cc 13,829 13,570 -1.9
200 999 Ungroupable 152 13,490 8775.0
201 355 Hernia procedures except inguinal & femoral w/o cc/mcc 14,893 13,305 -10.7
202 186 Pleural effusion w mcc 13,534 13,245 -2.1
203 775 Vaginal delivery w/o complicating diagnoses 7,411 13,220 78.4
204 472 Cervical spinal fusion w cc 13,864 13,205 -4.8
205 85 Traumatic stupor & coma, coma <1 hr w mcc 12,964 13,115 1.2
206 187 Pleural effusion w cc 13,201 13,090 -0.8
207 165 Major chest procedures w/o cc/mcc 13,730 13,040 -5.0
208 328 Stomach, esophageal & duodenal proc w/o cc/mcc 13,637 12,930 -5.2
209 621 O.R. procedures for obesity w/o cc/mcc 13,189 12,920 -2.0
210 862 Postoperative & post-traumatic infections w mcc 15,213 12,815 -15.8
211 673 Other kidney & urinary tract procedures w mcc 14,051 12,695 -9.7
212 580 Other skin, subcut tiss & breast proc w cc 13,544 12,630 -6.7
213 841 Lymphoma & non-acute leukemia w cc 12,513 12,485 -0.2
214 880 Acute adjustment reaction & psychosocial dysfunction 13,549 12,485 -7.9
215 55 Nervous system neoplasms w/o mcc 12,614 12,465 -1.2
216 813 Coagulation disorders 12,503 12,330 -1.4
217 354 Hernia procedures except inguinal & femoral w cc 12,837 12,280 -4.3
218 516 Other musculoskelet sys & conn tiss O.R. proc w cc 12,483 12,245 -1.9
219 26 Craniotomy & endovascular intracranial procedures w cc 12,917 12,215 -5.4
220 908 Other O.R. procedures for injuries w cc 12,148 11,950 -1.6
221 857 Postoperative or post-traumatic infections w O.R. proc w cc 12,390 11,705 -5.5
222 250 Perc cardiovasc proc w/o coronary artery stent w mcc 11,963 11,610 -3.0
223 240 Amputation for circ sys disorders exc upper limb & toe w cc 12,245 11,590 -5.3
224 617 Amputat of lower limb for endocrine,nutrit,& metabol dis w cc 11,651 11,310 -2.9
225 581 Other skin, subcut tiss & breast proc w/o cc/mcc 12,338 11,270 -8.7
226 657 Kidney & ureter procedures for neoplasm w cc 11,439 11,210 -2.0
227 374 Digestive malignancy w mcc 11,410 11,190 -1.9
228 386 Inflammatory bowel disease w cc 11,494 11,125 -3.2
229 660 Kidney & ureter procedures for non-neoplasm w cc 11,460 11,110 -3.1
230 239 Amputation for circ sys disorders exc upper limb & toe w mcc 11,930 10,995 -7.8
231 464 Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w cc 11,524 10,995 -4.6
232 748 Female reproductive system reconstructive procedures 12,261 10,935 -10.8
233 627 Thyroid, parathyroid & thyroglossal procedures w/o cc/mcc 11,842 10,820 -8.6
234 200 Pneumothorax w cc 10,886 10,740 -1.3
235 316 Other circulatory system diagnoses w/o cc/mcc 11,330 10,720 -5.4
236 742 Uterine & adnexa proc for non-malignancy w cc/mcc 11,696 10,695 -8.6
237 235 Coronary bypass w/o cardiac cath w mcc 10,719 10,565 -1.4
238 907 Other O.R. procedures for injuries w mcc 11,285 10,545 -6.6
239 808 Major hematol/immun diag exc sickle cell crisis & coagul w mcc 10,924 10,515 -3.7
240 68 Nonspecific cva & precerebral occlusion w/o infarct w/o mcc 10,987 10,435 -5.0
241 988 Non-extensive O.R. proc unrelated to principal diagnosis w cc 11,627 10,435 -10.3
242 73 Cranial & peripheral nerve disorders w mcc 11,203 10,390 -7.3
243 896 Alcohol/drug abuse or dependence w/o rehabilitation therapy w mcc 10,947 10,320 -5.7
244 840 Lymphoma & non-acute leukemia w mcc 10,064 9,970 -0.9
245 535 Fractures of hip & pelvis w mcc 9,907 9,895 -0.1
246 433 Cirrhosis & alcoholic hepatitis w cc 10,033 9,865 -1.7
247 205 Other respiratory system diagnoses w mcc 10,524 9,805 -6.8
248 652 Kidney transplant 11,086 9,485 -14.4
249 337 Peritoneal adhesiolysis w/o cc/mcc 10,130 9,435 -6.9
250 356 Other digestive system O.R. procedures w mcc 9,856 9,370 -4.9
251 357 Other digestive system O.R. procedures w cc 9,730 9,320 -4.2
252 658 Kidney & ureter procedures for neoplasm w/o cc/mcc 9,562 9,305 -2.7
253 700 Other kidney & urinary tract diagnoses w/o cc/mcc 9,332 9,305 -0.3
254 196 Interstitial lung disease w mcc 9,684 9,290 -4.1
255 478 Biopsies of musculoskeletal system & connective tissue w cc 9,426 9,205 -2.3
256 674 Other kidney & urinary tract procedures w cc 10,167 9,175 -9.8
257 607 Minor skin disorders w/o mcc 9,581 9,165 -4.3
258 517 Other musculoskelet sys & conn tiss O.R. proc w/o cc/mcc 9,449 9,160 -3.1
259 643 Endocrine disorders w mcc 9,022 9,005 -0.2
260 866 Viral illness w/o mcc 8,748 9,005 2.9
261 713 Transurethral prostatectomy w cc/mcc 9,143 8,985 -1.7
262 335 Peritoneal adhesiolysis w mcc 9,111 8,960 -1.7
263 987 Non-extensive O.R. proc unrelated to principal diagnosis w mcc 10,154 8,960 -11.8
264 795 Normal newborn - 8,925 -
265 184 Major chest trauma w cc 9,297 8,635 -7.1
266 41 Periph/cranial nerve & other nerv syst proc w cc or periph neurostim 9,024 8,600 -4.7
267 560 Aftercare, musculoskeletal system & connective tissue w cc 8,853 8,535 -3.6
268 384 Uncomplicated peptic ulcer w/o mcc 9,020 8,275 -8.3
269 645 Endocrine disorders w/o cc/mcc 8,166 8,245 1.0
270 921 Complications of treatment w/o cc/mcc 8,243 8,135 -1.3
271 916 Allergic reactions w/o mcc 8,448 8,005 -5.2
272 728 Inflammation of the male reproductive system w/o mcc 8,266 7,740 -6.4
273 592 Skin ulcers w mcc 12,506 7,720 -38.3
274 155 Other ear, nose, mouth & throat diagnoses w cc (after Oct 1, 2008) 7,812 7,705 -1.4
275 62 Acute ischemic stroke w use of thrombolytic agent w cc 7,658 7,680 0.3
276 670 Transurethral procedures w/o cc/mcc 8,140 7,680 -5.7
277 381 Complicated peptic ulcer w cc 7,739 7,675 -0.8
278 343 Appendectomy w/o complicated principal diag w/o cc/mcc 7,872 7,595 -3.5
279 81 Nontraumatic stupor & coma w/o mcc 8,191 7,550 -7.8
280 217 Cardiac valve & oth maj cardiothoracic proc w card cath w cc 7,914 7,530 -4.9
281 951 Other factors influencing health status 2,017 7,530 273.3
282 593 Skin ulcers w cc 8,635 7,495 -13.2
283 307 Cardiac congenital & valvular disorders w/o mcc 7,467 7,490 0.3
284 561 Aftercare, musculoskeletal system & connective tissue w/o cc/mcc 5,919 7,485 26.5
285 562 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w mcc 7,658 7,355 -4.0
286 23 Cranio w major dev impl/acute complex cns pdx w mcc or chemo implant 7,022 7,325 4.3
287 856 Postoperative or post-traumatic infections w O.R. proc w mcc 8,063 7,295 -9.5
288 302 Atherosclerosis w mcc 7,588 7,220 -4.8
289 546 Connective tissue disorders w cc 7,494 7,215 -3.7
290 197 Interstitial lung disease w cc 7,313 7,185 -1.8
291 72 Nonspecific cerebrovascular disorders w/o cc/mcc 7,394 6,945 -6.1
292 914 Traumatic injury w/o mcc 7,522 6,925 -7.9
293 512 Shoulder,elbow or forearm proc,exc major joint proc w/o cc/mcc 7,377 6,900 -6.5
294 369 Major esophageal disorders w cc 7,047 6,895 -2.2
295 151 Epistaxis w/o mcc 7,057 6,880 -2.5
296 579 Other skin, subcut tiss & breast proc w mcc 8,328 6,815 -18.2
297 406 Pancreas, liver & shunt procedures w cc 7,060 6,710 -5.0
298 36 Carotid artery stent procedure w/o cc/mcc 7,068 6,675 -5.6
299 501 Soft tissue procedures w cc 7,005 6,675 -4.7
300 867 Other infectious & parasitic diseases diagnoses w mcc 6,906 6,675 -3.3
301 542 Pathological fractures & musculoskelet & conn tiss malig w mcc 6,771 6,655 -1.7
302 583 Mastectomy for malignancy w/o cc/mcc 7,094 6,605 -6.9
303 492 Lower extrem & humer proc except hip,foot,femur w mcc 7,135 6,595 -7.6
304 352 Inguinal & femoral hernia procedures w/o cc/mcc 7,092 6,540 -7.8
305 629 Other endocrine, nutrit & metab O.R. proc w cc 6,977 6,465 -7.3
306 571 Debridement w cc 6,930 6,400 -7.6
307 226 Cardiac defibrillator implant w/o cardiac cath w mcc 6,611 6,390 -3.3
308 443 Disorders of liver except malig,cirr,alc hepa w/o cc/mcc 6,318 6,320 0.0
309 221 Cardiac valve & oth maj cardiothoracic proc w/o card cath w/o cc/mcc 6,600 6,305 -4.5
310 895 Alcohol/drug abuse or dependence w rehabilitation therapy 15,247 6,265 -58.9
311 496 Local excision & removal int fix devices exc hip & femur w cc 6,527 6,195 -5.1
312 37 Extracranial procedures w mcc 6,274 6,060 -3.4
313 894 Alcohol/drug abuse or dependence, left ama 7,863 5,975 -24.0
314 415 Cholecystectomy except by laparoscope w/o c.d.e. w cc 6,412 5,935 -7.4
315 40 Periph/cranial nerve & other nerv syst proc w mcc 6,387 5,905 -7.5
316 405 Pancreas, liver & shunt procedures w mcc 5,854 5,890 0.6
317 956 Limb reattachment, hip & femur proc for multiple significant trauma 6,011 5,855 -2.6
318 741 Uterine,adnexa proc for non-ovarian/adnexal malig w/o cc/mcc 6,191 5,805 -6.2
319 765 Cesarean section w cc/mcc 4,609 5,790 25.6
320 544 Pathological fractures & musculoskelet & conn tiss malig w/o cc/mcc 6,089 5,760 -5.4
321 882 Neuroses except depressive 8,478 5,740 -32.3
322 125 Other disorders of the eye w/o mcc 5,858 5,715 -2.4
323 766 Cesarean section w/o cc/mcc 3,334 5,705 71.1
324 502 Soft tissue procedures w/o cc/mcc 5,974 5,695 -4.7
325 557 Tendonitis, myositis & bursitis w mcc 5,840 5,695 -2.5
326 333 Rectal resection w cc 5,893 5,685 -3.5
327 596 Major skin disorders w/o mcc 6,088 5,680 -6.7
328 707 Major male pelvic procedures w cc/mcc 6,308 5,675 -10.0
329 463 Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w mcc 7,348 5,665 -22.9
330 909 Other O.R. procedures for injuries w/o cc/mcc 5,963 5,620 -5.8
331 974 HIV w major related condition w mcc 6,220 5,585 -10.2
332 661 Kidney & ureter procedures for non-neoplasm w/o cc/mcc 5,440 5,500 1.1
333 459 Spinal fusion except cervical w mcc 5,646 5,470 -3.1
334 351 Inguinal & femoral hernia procedures w cc 5,590 5,460 -2.3
335 565 Other musculoskeletal sys & connective tissue diagnoses w cc 5,887 5,390 -8.4
336 570 Skin Debridement w mcc 7,514 5,340 -28.9
337 726 Benign prostatic hypertrophy w/o mcc 5,325 5,330 0.1
338 834 Acute leukemia w/o major O.R. procedure w mcc 5,075 5,330 5.0
339 199 Pneumothorax w mcc 5,340 5,295 -0.8
340 489 Knee procedures w/o pdx of infection w/o cc/mcc 5,834 5,295 -9.2
341 747 Vagina, cervix & vulva procedures w/o cc/mcc 5,853 5,275 -9.9
342 348 Anal & stomal procedures w cc 5,626 5,255 -6.6
343 740 Uterine,adnexa proc for non-ovarian/adnexal malig w cc 5,497 5,240 -4.7
344 654 Major bladder procedures w cc 5,263 5,200 -1.2
345 466 Revision of hip or knee replacement w mcc 5,223 5,195 -0.5
346 497 Local excision & removal int fix devices exc hip & femur w/o cc/mcc 5,649 5,185 -8.2
347 387 Inflammatory bowel disease w/o cc/mcc 5,519 5,160 -6.5
348 540 Osteomyelitis w cc 6,073 5,125 -15.6
349 61 Acute ischemic stroke w use of thrombolytic agent w mcc 4,933 5,090 3.2
350 983 Extensive O.R. procedure unrelated to principal diagnosis w/o cc/mcc 5,346 5,035 -5.8
351 29 Spinal procedures w cc or spinal neurostimulators 5,098 4,860 -4.7
352 659 Kidney & ureter procedures for non-neoplasm w mcc 5,120 4,850 -5.3
353 475 Amputation for musculoskeletal sys & conn tissue dis w cc 5,058 4,805 -5.0
354 158 Dental & oral diseases w cc 4,904 4,800 -2.1
355 511 Shoulder,elbow or forearm proc,exc major joint proc w cc 5,145 4,750 -7.7
356 781 Other antepartum diagnoses w medical complications 4,459 4,720 5.9
357 515 Other musculoskelet sys & conn tiss O.R. proc w mcc 4,851 4,715 -2.8
358 454 Combined anterior/posterior spinal fusion w cc 4,835 4,625 -4.3
359 457 Spinal fus exc cerv w spinal curv/malig/infec or 9+ fus w cc 4,690 4,530 -3.4
360 368 Major esophageal disorders w mcc 4,492 4,520 0.6
361 545 Connective tissue disorders w mcc 4,778 4,505 -5.7
362 582 Mastectomy for malignancy w cc/mcc 4,876 4,475 -8.2
363 168 Other resp system O.R. procedures w/o cc/mcc 4,683 4,450 -5.0
364 306 Cardiac congenital & valvular disorders w mcc 4,319 4,445 2.9
365 414 Cholecystectomy except by laparoscope w/o c.d.e. w mcc 4,774 4,425 -7.3
366 261 Cardiac pacemaker revision except device replacement w cc 4,483 4,420 -1.4
367 628 Other endocrine, nutrit & metab O.R. proc w mcc 4,590 4,385 -4.5
368 345 Minor small & large bowel procedures w cc 4,402 4,355 -1.1
369 755 Malignancy, female reproductive system w cc 4,440 4,355 -1.9
370 668 Transurethral procedures w mcc 4,496 4,350 -3.2
371 353 Hernia procedures except inguinal & femoral w mcc 4,528 4,330 -4.4
372 620 O.R. procedures for obesity w cc 4,193 4,310 2.8
373 656 Kidney & ureter procedures for neoplasm w mcc 4,571 4,290 -6.1
374 555 Signs & symptoms of musculoskeletal system & conn tissue w mcc 4,286 4,270 -0.4
375 810 Major hematol/immun diag exc sickle cell crisis & coagul w/o cc/mcc 4,396 4,190 -4.7
376 123 Neurological eye disorders 4,125 4,175 1.2
377 975 HIV w major related condition w cc 4,229 4,175 -1.3
378 949 Aftercare w cc/mcc 4,460 4,160 -6.7
379 334 Rectal resection w/o cc/mcc 4,210 4,150 -1.4
380 488 Knee procedures w/o pdx of infection w cc/mcc 4,556 4,135 -9.2
381 534 Fractures of femur w/o mcc 4,381 4,130 -5.7
382 687 Kidney & urinary tract neoplasms w cc 4,171 4,130 -1.0
383 815 Reticuloendothelial & immunity disorders w cc 4,376 4,130 -5.6
384 30 Spinal procedures w/o cc/mcc 4,207 4,120 -2.1
385 60 Multiple sclerosis & cerebellar ataxia w/o cc/mcc 4,516 4,110 -9.0
386 471 Cervical spinal fusion w mcc 4,263 4,110 -3.6
387 349 Anal & stomal procedures w/o cc/mcc 4,379 4,105 -6.3
388 455 Combined anterior/posterior spinal fusion w/o cc/mcc 4,302 4,080 -5.2
389 304 Hypertension w mcc 3,902 4,055 3.9
390 340 Appendectomy w complicated principal diag w/o cc/mcc 4,117 4,040 -1.9
391 59 Multiple sclerosis & cerebellar ataxia w cc 4,559 4,005 -12.2
392 737 Uterine & adnexa proc for ovarian or adnexal malignancy w cc 4,159 3,980 -4.3
393 339 Appendectomy w complicated principal diag w cc 4,118 3,965 -3.7
394 82 Traumatic stupor & coma, coma >1 hr w mcc 3,925 3,945 0.5
395 416 Cholecystectomy except by laparoscope w/o c.d.e. w/o cc/mcc 4,314 3,945 -8.6
396 33 Ventricular shunt procedures w/o cc/mcc 3,807 3,895 2.3
397 188 Pleural effusion w/o cc/mcc 3,922 3,880 -1.1
398 842 Lymphoma & non-acute leukemia w/o cc/mcc 3,999 3,860 -3.5
399 156 Other ear, nose, mouth & throat diagnoses w/o cc/mcc (after Oct 1, 2008) 4,021 3,850 -4.3
400 78 Hypertensive encephalopathy w cc 3,829 3,785 -1.1
401 256 Upper limb & toe amputation for circ system disorders w cc 4,050 3,750 -7.4
402 183 Major chest trauma w mcc 4,083 3,745 -8.3
403 380 Complicated peptic ulcer w mcc 3,820 3,745 -2.0
404 479 Biopsies of musculoskeletal system & connective tissue w/o cc/mcc 4,008 3,710 -7.4
405 152 Otitis media & uri w mcc 2,794 3,680 31.7
406 504 Foot procedures w cc 4,139 3,680 -11.1
407 923 Other injury, poisoning & toxic effect diag w/o mcc 3,772 3,670 -2.7
408 42 Periph/cranial nerve & other nerv syst proc w/o cc/mcc 3,672 3,665 -0.2
409 89 Concussion w cc 3,845 3,660 -4.8
410 835 Acute leukemia w/o major O.R. procedure w cc 3,721 3,655 -1.8
411 259 Cardiac pacemaker device replacement w/o mcc 3,725 3,645 -2.1
412 201 Pneumothorax w/o cc/mcc 3,843 3,640 -5.3
413 83 Traumatic stupor & coma, coma >1 hr w cc 3,725 3,625 -2.7
414 474 Amputation for musculoskeletal sys & conn tissue dis w mcc 3,877 3,625 -6.5
415 623 Skin grafts & wound debrid for endoc, nutrit & metab dis w cc 4,105 3,610 -12.1
416 604 Trauma to the skin, subcut tiss & breast w mcc 3,720 3,590 -3.5
417 225 Cardiac defib implant w cardiac cath w/o ami/hf/shock w/o mcc 3,960 3,570 -9.8
418 685 Admit for renal dialysis 3,445 3,535 2.6
419 486 Knee procedures w pdx of infection w cc 3,576 3,530 -1.3
420 547 Connective tissue disorders w/o cc/mcc 3,630 3,525 -2.9
421 342 Appendectomy w/o complicated principal diag w cc 3,784 3,520 -7.0
422 844 Other myeloprolif dis or poorly diff neopl diag w cc 3,698 3,505 -5.2
423 346 Minor small & large bowel procedures w/o cc/mcc 3,577 3,495 -2.3
424 964 Other multiple significant trauma w cc 4,365 3,455 -20.8
425 539 Osteomyelitis w mcc 6,438 3,450 -46.4
426 989 Non-extensive O.R. proc unrelated to principal diagnosis w/o cc/mcc 3,929 3,395 -13.6
427 284 Acute myocardial infarction, expired w cc 3,397 3,360 -1.1
428 477 Biopsies of musculoskeletal system & connective tissue w mcc 3,364 3,355 -0.3
429 846 Chemotherapy w/o acute leukemia as secondary diagnosis w mcc 3,486 3,345 -4.0
430 84 Traumatic stupor & coma, coma >1 hr w/o cc/mcc 3,431 3,340 -2.7
431 940 O.R. proc w diagnoses of other contact w health services w cc 3,695 3,320 -10.1
432 296 Cardiac arrest, unexplained w mcc 3,177 3,280 3.2
433 824 Lymphoma & non-acute leukemia w other O.R. proc w cc 3,572 3,275 -8.3
434 182 Respiratory neoplasms w/o cc/mcc 3,206 3,260 1.7
435 154 Other ear, nose, mouth & throat diagnoses w mcc (after Oct 1, 2008) 3,305 3,240 -2.0
436 865 Viral illness w mcc 3,107 3,235 4.1
437 626 Thyroid, parathyroid & thyroglossal procedures w cc 3,446 3,230 -6.3
438 774 Vaginal delivery w complicating diagnoses 2,375 3,225 35.8
439 868 Other infectious & parasitic diseases diagnoses w cc 3,320 3,195 -3.8
440 573 Skin graft &/or debrid for skn ulcer or cellulitis w mcc 3,878 3,120 -19.5
441 977 HIV w or w/o other related condition 3,307 3,105 -6.1
442 553 Bone diseases & arthropathies w mcc 3,249 3,100 -4.6
443 35 Carotid artery stent procedure w cc 3,084 3,075 -0.3
444 559 Aftercare, musculoskeletal system & connective tissue w mcc 5,095 3,020 -40.7
445 465 Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w/o cc/mcc 3,092 3,015 -2.5
446 245 Aicd generator procedures (after Oct 1, 2008) 3,078 3,000 -2.5
447 224 Cardiac defib implant w cardiac cath w/o ami/hf/shock w mcc 3,158 2,970 -6.0
448 376 Digestive malignancy w/o cc/mcc 2,939 2,970 1.1
449 32 Ventricular shunt procedures w cc 3,185 2,935 -7.8
450 385 Inflammatory bowel disease w mcc 2,833 2,865 1.1
451 572 Debridement w/o cc/mcc 3,115 2,850 -8.5
452 134 Other ear, nose, mouth & throat O.R. procedures w/o cc/mcc 2,921 2,840 -2.8
453 198 Interstitial lung disease w/o cc/mcc 3,137 2,840 -9.5
454 758 Infections, female reproductive system w cc 2,744 2,835 3.3
455 693 Urinary stones w/o esw lithotripsy w mcc 2,939 2,820 -4.0
456 133 Other ear, nose, mouth & throat O.R. procedures w cc/mcc 3,032 2,775 -8.5
457 90 Concussion w/o cc/mcc 2,871 2,760 -3.9
458 760 Menstrual & other female reproductive system disorders w cc/mcc 2,667 2,740 2.7
459 255 Upper limb & toe amputation for circ system disorders w mcc 2,819 2,700 -4.2
460 28 Spinal procedures w mcc 2,629 2,685 2.1
461 185 Major chest trauma w/o cc/mcc 3,055 2,660 -12.9
462 746 Vagina, cervix & vulva procedures w cc/mcc 2,742 2,640 -3.7
463 382 Complicated peptic ulcer w/o cc/mcc 2,846 2,620 -7.9
464 229 Other cardiothoracic procedures w cc 2,686 2,610 -2.8
465 407 Pancreas, liver & shunt procedures w/o cc/mcc 2,788 2,605 -6.6
466 437 Malignancy of hepatobiliary system or pancreas w/o cc/mcc 2,458 2,590 5.4
467 12 Tracheostomy for face,mouth & neck diagnoses w cc 2,655 2,585 -2.6
468 915 Allergic reactions w mcc 2,515 2,550 1.4
469 358 Other digestive system O.R. procedures w/o cc/mcc 2,568 2,530 -1.5
470 63 Acute ischemic stroke w use of thrombolytic agent w/o cc/mcc 2,496 2,505 0.4
471 24 Cranio w major dev impl/acute complex cns pdx w/o mcc 2,421 2,485 2.6
472 935 Non-extensive burns 2,932 2,435 -17.0
473 904 Skin grafts for injuries w cc/mcc 2,704 2,430 -10.1
474 288 Acute & subacute endocarditis w mcc 3,400 2,425 -28.7
475 223 Cardiac defib implant w cardiac cath w ami/hf/shock w/o mcc 2,569 2,395 -6.8
476 794 Neonate w other significant problems - 2,390 -
477 578 Skin graft &/or debrid exc for skin ulcer or cellulitis w/o cc/mcc 2,591 2,380 -8.1
478 505 Foot procedures w/o cc/mcc 2,684 2,375 -11.5
479 564 Other musculoskeletal sys & connective tissue diagnoses w mcc 3,041 2,345 -22.9
480 858 Postoperative or post-traumatic infections w O.R. proc w/o cc/mcc 2,549 2,345 -8.0
481 642 Inborn errors of metabolism 2,293 2,325 1.4
482 837 Chemo w acute leukemia as sdx or w high dose chemo agent w mcc 2,303 2,320 0.7
483 577 Skin graft &/or debrid exc for skin ulcer or cellulitis w cc 2,331 2,305 -1.1
484 823 Lymphoma & non-acute leukemia w other O.R. proc w mcc 2,356 2,305 -2.2
485 16 Autologous Bone Marrow Transplant w cc/mcc 2,064 2,300 11.4
486 653 Major bladder procedures w mcc 2,341 2,300 -1.8
487 500 Soft tissue procedures w mcc 2,855 2,295 -19.6
488 963 Other multiple significant trauma w mcc 2,783 2,265 -18.6
489 260 Cardiac pacemaker revision except device replacement w mcc 2,342 2,250 -3.9
490 821 Lymphoma & leukemia w major O.R. procedure w cc 2,328 2,245 -3.6
491 843 Other myeloprolif dis or poorly diff neopl diag w mcc 2,235 2,230 -0.2
492 883 Disorders of personality & impulse control 3,208 2,230 -30.5
493 80 Nontraumatic stupor & coma w mcc 2,277 2,180 -4.3
494 77 Hypertensive encephalopathy w mcc 2,258 2,165 -4.1
495 598 Malignant breast disorders w cc 2,137 2,155 0.8
496 616 Amputat of lower limb for endocrine,nutrit,& metabol dis w mcc 2,310 2,150 -6.9
497 228 Other cardiothoracic procedures w mcc 2,274 2,145 -5.7
498 262 Cardiac pacemaker revision except device replacement w/o cc/mcc 2,267 2,140 -5.6
499 350 Inguinal & femoral hernia procedures w mcc 2,220 2,140 -3.6
500 664 Minor bladder procedures w/o cc/mcc 2,440 2,135 -12.5
501 838 Chemo w acute leukemia as sdx w cc or high dose chemo agent 2,004 2,120 5.8
502 744 D&C, conization, laparoscopy & tubal interruption w cc/mcc 2,072 2,110 1.8
503 663 Minor bladder procedures w cc 2,188 2,105 -3.8
504 939 O.R. proc w diagnoses of other contact w health services w mcc 2,685 2,100 -21.8
505 11 Tracheostomy for face,mouth & neck diagnoses w mcc 2,246 2,090 -6.9
506 606 Minor skin disorders w mcc 2,266 2,090 -7.8
507 458 Spinal fus exc cerv w spinal curv/malig/infec or 9+ fus w/o cc/mcc 2,240 2,085 -6.9
508 902 Wound debridements for injuries w cc 2,392 2,075 -13.3
509 222 Cardiac defib implant w cardiac cath w ami/hf/shock w mcc 2,261 2,070 -8.4
510 495 Local excision & removal int fix devices exc hip & femur w mcc 2,396 2,065 -13.8
511 566 Other musculoskeletal sys & connective tissue diagnoses w/o cc/mcc 1,889 2,060 9.1
512 822 Lymphoma & leukemia w major O.R. procedure w/o cc/mcc 2,138 2,050 -4.1
513 666 Prostatectomy w cc 2,209 2,035 -7.9
514 723 Malignancy, male reproductive system w cc 2,092 2,030 -3.0
515 129 Major head & neck procedures w cc/mcc or major device 2,094 2,010 -4.0
516 614 Adrenal & pituitary procedures w cc/mcc 2,163 2,000 -7.5
517 814 Reticuloendothelial & immunity disorders w mcc 2,000 1,995 -0.3
518 727 Inflammation of the male reproductive system w mcc 2,157 1,980 -8.2
519 159 Dental & oral diseases w/o cc/mcc 1,942 1,970 1.4
520 675 Other kidney & urinary tract procedures w/o cc/mcc 2,152 1,970 -8.5
521 347 Anal & stomal procedures w mcc 1,955 1,965 0.5
522 734 Pelvic evisceration, rad hysterectomy & rad vulvectomy w cc/mcc 2,000 1,965 -1.8
523 157 Dental & oral diseases w mcc 2,060 1,955 -5.1
524 370 Major esophageal disorders w/o cc/mcc 1,999 1,940 -3.0
525 75 Viral meningitis w cc/mcc 2,029 1,915 -5.6
526 695 Kidney & urinary tract signs & symptoms w mcc 1,994 1,910 -4.2
527 827 Myeloprolif disord or poorly diff neopl w maj O.R. proc w cc 1,899 1,890 -0.5
528 1 Heart transplant or implant of heart assist system w mcc 1,931 1,860 -3.7
529 513 Hand or wrist proc, except major thumb or joint proc w cc/mcc 1,919 1,835 -4.4
530 839 Chemo w acute leukemia as sdx w/o cc/mcc 1,807 1,830 1.3
531 667 Prostatectomy w/o cc/mcc 2,057 1,825 -11.3
532 94 Bacterial & tuberculous infections of nervous system w mcc 2,092 1,810 -13.5
533 97 Non-bacterial infect of nervous sys exc viral meningitis w mcc 1,879 1,810 -3.7
534 655 Major bladder procedures w/o cc/mcc 1,876 1,805 -3.8
535 102 Headaches w mcc 1,873 1,770 -5.5
536 453 Combined anterior/posterior spinal fusion w mcc 1,821 1,770 -2.8
537 332 Rectal resection w mcc 1,850 1,760 -4.9
538 423 Other hepatobiliary or pancreas O.R. procedures w mcc 1,793 1,760 -1.8
539 456 Spinal fus exc cerv w spinal curv/malig/infec or 9+ fus w mcc 1,712 1,755 2.5
540 549 Septic arthritis w cc 1,958 1,755 -10.4
541 816 Reticuloendothelial & immunity disorders w/o cc/mcc 1,844 1,740 -5.6
542 957 Other O.R. procedures for multiple significant trauma w mcc 2,341 1,710 -27.0
543 615 Adrenal & pituitary procedures w/o cc/mcc 1,802 1,685 -6.5
544 150 Epistaxis w mcc 1,631 1,670 2.4
545 886 Behavioral & developmental disorders 2,534 1,665 -34.3
546 20 Intracranial vascular procedures w pdx hemorrhage w mcc 1,626 1,635 0.6
547 585 Breast biopsy, local excision & other breast procedures w/o cc/mcc 1,739 1,630 -6.3
548 67 Nonspecific cva & precerebral occlusion w/o infarct w mcc 1,600 1,625 1.6
549 757 Infections, female reproductive system w mcc 1,781 1,610 -9.6
550 147 Ear, nose, mouth & throat malignancy w cc 1,692 1,605 -5.1
551 754 Malignancy, female reproductive system w mcc 1,692 1,590 -6.0
552 686 Kidney & urinary tract neoplasms w mcc 1,727 1,585 -8.2
553 829 Myeloprolif disord or poorly diff neopl w other O.R. proc w cc/mcc 1,623 1,585 -2.3
554 338 Appendectomy w complicated principal diag w mcc 1,597 1,575 -1.4
555 498 Local excision & removal int fix devices of hip & femur w cc/mcc 1,703 1,560 -8.4
556 595 Major skin disorders w mcc 1,590 1,560 -1.9
557 241 Amputation for circ sys disorders exc upper limb & toe w/o cc/mcc 1,783 1,555 -12.8
558 231 Coronary bypass w ptca w mcc 1,596 1,530 -4.1
559 958 Other O.R. procedures for multiple significant trauma w cc 1,694 1,515 -10.6
560 52 Spinal disorders & injuries w cc/mcc 1,982 1,490 -24.8
561 820 Lymphoma & leukemia w major O.R. procedure w mcc 1,539 1,485 -3.5
562 574 Skin graft &/or debrid for skn ulcer or cellulitis w cc 1,663 1,480 -11.0
563 825 Lymphoma & non-acute leukemia w other O.R. proc w/o cc/mcc 1,451 1,460 0.6
564 735 Pelvic evisceration, rad hysterectomy & rad vulvectomy w/o cc/mcc 1,542 1,440 -6.6
565 600 Non-malignant breast disorders w cc/mcc 1,554 1,430 -8.0
566 922 Other injury, poisoning & toxic effect diag w mcc 1,507 1,425 -5.4
567 476 Amputation for musculoskeletal sys & conn tissue dis w/o cc/mcc 1,469 1,415 -3.7
568 98 Non-bacterial infect of nervous sys exc viral meningitis w cc 1,513 1,410 -6.8
569 130 Major head & neck procedures w/o cc/mcc 1,419 1,405 -1.0
570 383 Uncomplicated peptic ulcer w mcc 1,428 1,400 -2.0
571 485 Knee procedures w pdx of infection w mcc 1,553 1,395 -10.2
572 836 Acute leukemia w/o major O.R. procedure w/o cc/mcc 1,331 1,385 4.1
573 95 Bacterial & tuberculous infections of nervous system w cc 1,610 1,370 -14.9
574 131 Cranial/facial procedures w cc/mcc 1,576 1,370 -13.1
575 941 O.R. proc w diagnoses of other contact w health services w/o cc/mcc 1,607 1,370 -14.7
576 265 Aicd lead procedures 1,508 1,365 -9.5
577 622 Skin grafts & wound debrid for endoc, nutrit & metab dis w mcc 1,729 1,355 -21.6
578 218 Cardiac valve & oth maj cardiothoracic proc w card cath w/o cc/mcc 1,378 1,350 -2.0
579 541 Osteomyelitis w/o cc/mcc 1,615 1,350 -16.4
580 848 Chemotherapy w/o acute leukemia as secondary diagnosis w/o cc/mcc 1,302 1,345 3.3
581 31 Ventricular shunt procedures w mcc 1,456 1,340 -8.0
582 409 Biliary tract proc except only cholecyst w or w/o c.d.e. w cc 1,397 1,340 -4.1
583 625 Thyroid, parathyroid & thyroglossal procedures w mcc 1,373 1,330 -3.1
584 408 Biliary tract proc except only cholecyst w or w/o c.d.e. w mcc 1,457 1,325 -9.1
585 976 HIV w major related condition w/o cc/mcc 1,414 1,325 -6.3
586 285 Acute myocardial infarction, expired w/o cc/mcc 1,339 1,300 -2.9
587 749 Other female reproductive system O.R. procedures w cc/mcc 1,404 1,300 -7.4
588 232 Coronary bypass w ptca w/o mcc 1,361 1,275 -6.3
589 913 Traumatic injury w mcc 1,296 1,275 -1.6
590 137 Mouth procedures w cc/mcc 1,286 1,270 -1.2
591 139 Salivary gland procedures 1,288 1,260 -2.2
592 289 Acute & subacute endocarditis w cc 1,539 1,260 -18.1
593 487 Knee procedures w pdx of infection w/o cc/mcc 1,451 1,260 -13.2
594 79 Hypertensive encephalopathy w/o cc/mcc 1,219 1,255 3.0
595 344 Minor small & large bowel procedures w mcc 1,210 1,245 2.9
596 803 Other O.R. proc of the blood & blood forming organs w cc 1,361 1,245 -8.5
597 510 Shoulder,elbow or forearm proc,exc major joint proc w mcc 1,371 1,235 -9.9
598 691 Urinary stones w esw lithotripsy w cc/mcc 1,298 1,210 -6.8
599 928 Full thickness burn w skin graft or inhal inj w cc/mcc 1,305 1,210 -7.3
600 761 Menstrual & other female reproductive system disorders w/o cc/mcc 1,207 1,205 -0.2
601 13 Tracheostomy for face,mouth & neck diagnoses w/o cc/mcc 1,199 1,200 0.1
602 828 Myeloprolif disord or poorly diff neopl w maj O.R. proc w/o cc/mcc 1,229 1,185 -3.6
603 34 Carotid artery stent procedure w mcc 1,147 1,180 2.9
604 503 Foot procedures w mcc 1,340 1,170 -12.7
605 710 Penis procedures w/o cc/mcc 1,321 1,160 -12.2
606 736 Uterine & adnexa proc for ovarian or adnexal malignancy w mcc 1,074 1,155 7.5
607 950 Aftercare w/o cc/mcc 559 1,155 106.6
608 514 Hand or wrist proc, except major thumb or joint proc w/o cc/mcc 1,162 1,145 -1.5
609 594 Skin ulcers w/o cc/mcc 1,293 1,145 -11.4
610 965 Other multiple significant trauma w/o cc/mcc 1,214 1,135 -6.5
611 88 Concussion w mcc 1,196 1,130 -5.5
612 5 Liver transplant w mcc or intestinal transplant 1,268 1,120 -11.7
613 115 Extraocular procedures except orbit 1,111 1,120 0.8
614 124 Other disorders of the eye w mcc 1,084 1,110 2.4
615 341 Appendectomy w/o complicated principal diag w mcc 1,181 1,105 -6.4
616 802 Other O.R. proc of the blood & blood forming organs w mcc 1,076 1,095 1.8
617 876 O.R. procedure w principal diagnoses of mental illness 1,241 1,095 -11.8
618 729 Other male reproductive system diagnoses w cc/mcc 1,185 1,090 -8.0
619 619 O.R. procedures for obesity w mcc 1,051 1,085 3.2
620 58 Multiple sclerosis & cerebellar ataxia w mcc 1,229 1,060 -13.8
621 533 Fractures of femur w mcc 1,051 1,055 0.4
622 739 Uterine,adnexa proc for non-ovarian/adnexal malig w mcc 1,099 1,050 -4.5
623 745 D&C, conization, laparoscopy & tubal interruption w/o cc/mcc 1,101 1,045 -5.1
624 759 Infections, female reproductive system w/o cc/mcc 1,161 1,045 -10.0
625 14 Allogeneic bone marrow transplant 889 1,030 15.9
626 421 Hepatobiliary diagnostic procedures w cc 1,088 1,005 -7.6
627 985 Prostatic O.R. procedure unrelated to principal diagnosis w cc 1,069 1,005 -6.0
628 294 Deep vein thrombophlebitis w cc/mcc 1,074 1,000 -6.9
629 601 Non-malignant breast disorders w/o cc/mcc 1,021 1,000 -2.1
630 121 Acute major eye infections w cc/mcc 1,033 985 -4.6
631 424 Other hepatobiliary or pancreas O.R. procedures w cc 967 980 1.3
632 906 Hand procedures for injuries 1,031 980 -4.9
633 776 Postpartum & post abortion diagnoses w/o O.R. procedure 891 970 8.9
634 849 Radiotherapy 1,072 965 -10.0
635 597 Malignant breast disorders w mcc 939 955 1.7
636 905 Skin grafts for injuries w/o cc/mcc 1,012 955 -5.6
637 76 Viral meningitis w/o cc/mcc 925 945 2.2
638 138 Mouth procedures w/o cc/mcc 994 945 -4.9
639 537 Sprains, strains, & dislocations of hip, pelvis & thigh w cc/mcc 1,018 945 -7.2
640 717 Other male reproductive system O.R. proc exc malignancy w cc/mcc 1,010 940 -6.9
641 584 Breast biopsy, local excision & other breast procedures w cc/mcc 1,028 930 -9.5
642 903 Wound debridements for injuries w/o cc/mcc 995 920 -7.5
643 671 Urethral procedures w cc/mcc 951 910 -4.3
644 113 Orbital procedures w cc/mcc 824 895 8.6
645 662 Minor bladder procedures w mcc 927 890 -4.0
646 709 Penis procedures w cc/mcc 946 875 -7.5
647 869 Other infectious & parasitic diseases diagnoses w/o cc/mcc 903 870 -3.7
648 146 Ear, nose, mouth & throat malignancy w mcc 1,001 850 -15.1
649 845 Other myeloprolif dis or poorly diff neopl diag w/o cc/mcc 799 850 6.4
650 901 Wound debridements for injuries w mcc 1,327 850 -35.9
651 508 Major shoulder or elbow joint procedures w/o cc/mcc 870 840 -3.4
652 767 Vaginal delivery w sterilization &/or d&c 188 835 344.1
653 132 Cranial/facial procedures w/o cc/mcc 959 825 -14.0
654 297 Cardiac arrest, unexplained w cc 883 820 -7.1
655 230 Other cardiothoracic procedures w/o cc/mcc 742 810 9.2
656 461 Bilateral or multiple major joint procs of lower extremity w mcc 594 810 36.4
657 420 Hepatobiliary diagnostic procedures w mcc 803 800 -0.4
658 725 Benign prostatic hypertrophy w mcc 813 800 -1.6
659 738 Uterine & adnexa proc for ovarian or adnexal malignancy w/o cc/mcc 918 795 -13.4
660 688 Kidney & urinary tract neoplasms w/o cc/mcc 707 790 11.7
661 826 Myeloprolif disord or poorly diff neopl w maj O.R. proc w mcc 813 790 -2.8
662 258 Cardiac pacemaker device replacement w mcc 822 785 -4.5
663 711 Testes procedures w cc/mcc 833 780 -6.4
664 934 Full thickness burn w/o skin grft or inhal inj 813 765 -5.9
665 499 Local excision & removal int fix devices of hip & femur w/o cc/mcc 854 750 -12.2
666 550 Septic arthritis w/o cc/mcc 786 745 -5.2
667 507 Major shoulder or elbow joint procedures w cc/mcc 818 740 -9.5
668 506 Major thumb or joint procedures 812 735 -9.5
669 778 Threatened abortion 564 735 30.3
670 887 Other mental disorder diagnoses 1,104 715 -35.2
671 96 Bacterial & tuberculous infections of nervous system w/o cc/mcc 707 705 -0.3
672 665 Prostatectomy w mcc 734 700 -4.6
673 99 Non-bacterial infect of nervous sys exc viral meningitis w/o cc/mcc 664 680 2.4
674 548 Septic arthritis w mcc 1,008 670 -33.5
675 697 Urethral stricture 725 670 -7.6
676 800 Splenectomy w cc 697 670 -3.9
677 804 Other O.R. proc of the blood & blood forming organs w/o cc/mcc 804 665 -17.3
678 538 Sprains, strains, & dislocations of hip, pelvis & thigh w/o cc/mcc 650 655 0.8
679 722 Malignancy, male reproductive system w mcc 680 650 -4.4
680 412 Cholecystectomy w c.d.e. w cc 722 640 -11.4
681 7 Lung transplant 685 630 -8.0
682 672 Urethral procedures w/o cc/mcc 698 610 -12.6
683 411 Cholecystectomy w c.d.e. w mcc 665 595 -10.5
684 969 HIV w extensive O.R. procedure w mcc 661 595 -10.0
685 53 Spinal disorders & injuries w/o cc/mcc 643 585 -9.0
686 148 Ear, nose, mouth & throat malignancy w/o cc/mcc 603 580 -3.8
687 984 Prostatic O.R. procedure unrelated to principal diagnosis w mcc 577 580 0.5
688 576 Skin graft &/or debrid exc for skin ulcer or cellulitis w mcc 595 570 -4.2
689 799 Splenectomy w mcc 606 570 -5.9
690 21 Intracranial vascular procedures w pdx hemorrhage w cc 610 565 -7.4
691 575 Skin graft &/or debrid for skn ulcer or cellulitis w/o cc/mcc 642 565 -12.0
692 792 Prematurity w/o major problems - 540 -
693 263 Vein ligation & stripping 559 535 -4.3
694 116 Intraocular procedures w cc/mcc 584 525 -10.1
695 122 Acute major eye infections w/o cc/mcc 553 525 -5.1
696 117 Intraocular procedures w/o cc/mcc 507 520 2.6
697 756 Malignancy, female reproductive system w/o cc/mcc 466 500 7.3
698 986 Prostatic O.R. procedure unrelated to principal diagnosis w/o cc/mcc 513 485 -5.5
699 114 Orbital procedures w/o cc/mcc 496 465 -6.3
700 715 Other male reproductive system O.R. proc for malignancy w cc/mcc 537 455 -15.3
701 630 Other endocrine, nutrit & metab O.R. proc w/o cc/mcc 441 450 2.0
702 955 Craniotomy for multiple significant trauma 591 450 -23.9
703 789 Neonates, died or transferred to another acute care facility - 445 -
704 413 Cholecystectomy w c.d.e. w/o cc/mcc 437 440 0.7
705 830 Myeloprolif disord or poorly diff neopl w other O.R. proc w/o cc/mcc 453 440 -2.9
706 2 Heart transplant or implant of heart assist system w/o mcc 411 435 5.8
707 434 Cirrhosis & alcoholic hepatitis w/o cc/mcc 391 435 11.3
708 135 Sinus & mastoid procedures w cc/mcc 519 430 -17.1
709 298 Cardiac arrest, unexplained w/o cc/mcc 469 430 -8.3
710 855 Infectious & parasitic diseases w O.R. procedure w/o cc/mcc 412 430 4.4
711 793 Full term neonate w major problems - 425 -
712 718 Other male reproductive system O.R. proc exc malignancy w/o cc/mcc 449 420 -6.5
713 8 Simultaneous pancreas/kidney transplant 516 410 -20.5
714 929 Full thickness burn w skin graft or inhal inj w/o cc/mcc 481 410 -14.8
715 410 Biliary tract proc except only cholecyst w or w/o c.d.e. w/o cc/mcc 469 390 -16.8
716 6 Liver transplant w/o mcc 410 380 -7.3
717 257 Upper limb & toe amputation for circ system disorders w/o cc/mcc 460 375 -18.5
718 750 Other female reproductive system O.R. procedures w/o cc/mcc 416 375 -9.9
719 712 Testes procedures w/o cc/mcc 375 355 -5.3
720 801 Splenectomy w/o cc/mcc 448 345 -23.0
721 730 Other male reproductive system diagnoses w/o cc/mcc 383 335 -12.5
722 215 Other heart assist system implant 330 325 -1.5
723 599 Malignant breast disorders w/o cc/mcc 237 325 37.1
724 724 Malignancy, male reproductive system w/o cc/mcc 266 325 22.2
725 17 Autologous Bone Marrow Transplant w/o cc/mcc 339 320 -5.6
726 136 Sinus & mastoid procedures w/o cc/mcc 348 320 -8.0
727 692 Urinary stones w esw lithotripsy w/o cc/mcc 351 320 -8.8
728 290 Acute & subacute endocarditis w/o cc/mcc 276 305 10.5
729 777 Ectopic pregnancy 267 300 12.4
730 716 Other male reproductive system O.R. proc for malignancy w/o cc/mcc 374 275 -26.5
731 295 Deep vein thrombophlebitis w/o cc/mcc 380 270 -28.9
732 422 Hepatobiliary diagnostic procedures w/o cc/mcc 272 265 -2.6
733 782 Other antepartum diagnoses w/o medical complications 213 255 19.7
734 624 Skin grafts & wound debrid for endoc, nutrit & metab dis w/o cc/mcc 283 230 -18.7
735 790 Extreme immaturity or respiratory distress syndrome, neonate - 225 -
736 791 Prematurity w major problems - 210 -
737 959 Other O.R. procedures for multiple significant trauma w/o cc/mcc 240 210 -12.5
738 509 Arthroscopy 265 190 -28.3
739 927 Extensive burns or full thickness burns w mv 96+ hrs w skin graft 213 190 -10.8
740 618 Amputat of lower limb for endocrine,nutrit,& metabol dis w/o cc/mcc 150 185 23.3
741 770 Abortion w d&c, aspiration curettage or hysterotomy 188 180 -4.3
742 779 Abortion w/o d&c 115 170 47.8
743 933 Extensive burns or full thickness burns w mv 96+ hrs w/o skin graft 185 160 -13.5
744 769 Postpartum & post abortion diagnoses w O.R. procedure 118 155 31.4
745 425 Other hepatobiliary or pancreas O.R. procedures w/o cc/mcc 119 135 13.4
746 22 Intracranial vascular procedures w pdx hemorrhage w/o cc/mcc 164 105 -36.0
747 10 Pancreas transplant 95 75 -21.1
748 970 HIV w extensive O.R. procedure w/o mcc 87 70 -19.5
749 780 False labor 53 65 22.6
750 768 Vaginal delivery w O.R. proc except steril &/or d&c 14 - -
Source: Fiscal Year 2012 100% Medpar Short Stay Hospital Inpatient by DRG tables received by email from CMS on March 12, 2015.
Abbreviations: cc, complications or comorbidities; CMS, Centers for Medicare & Medicaid Services; G.I., gastrointestinal; HCUP, Healthcare Cost and Utilization Project, mcc, major complications or comorbidities; NIS, National Inpatient Sample; O.R., operating room; ptca, percutaneous transluminal coronary angioplasty

Internet Citation: HCUP NIS 2012 NIS Comparison Report. Healthcare Cost and Utilization Project (HCUP). April 2016. Agency for Healthcare Research and Quality, Rockville, MD. www.hcup-us.ahrq.gov/db/nation/nis/reports/2012niscomparisonrpt.jsp.
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