TIN|711045290|||||||||
NPI|1962435792|||||||||
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MS-DRG|FY2023 Final Post-Acute DRG|FY2023 Final Special Pay DRG|MDC|TYPE|MS-DRG Title|Weights|Geometric Mean LOS|Arithmetic mean LOS|DRG Allowable Amount|Base Rate
001|No|No|PRE|SURG|HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC|28.1461|29.9|39.3|$356|160.75 |12654.00
002|No|No|PRE|SURG|HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC|13.4731|12.3|14.9|$170|488.61 |12654.00
003|Yes|No|PRE|SURG|ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE| MOUTH AND NECK WITH MAJOR O.R. PROCEDURES|20.2371|24.7|33.2|$256|080.26 |12654.00
004|Yes|No|PRE|SURG|TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE| MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES|13.7317|24.2|29.2|$173|760.93 |12654.00
005|No|No|PRE|SURG|LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT|11.4070|15.0|20.6|$144|344.18 |12654.00
006|No|No|PRE|SURG|LIVER TRANSPLANT WITHOUT MCC|4.8093|7.6|8.4|$60|856.88 |12654.00
007|No|No|PRE|SURG|LUNG TRANSPLANT|12.2073|17.8|21.2|$154|471.17 |12654.00
008|No|No|PRE|SURG|SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT|5.5911|8.7|10.1|$70|749.78 |12654.00
010|No|No|PRE|SURG|PANCREAS TRANSPLANT|4.1468|7.4|7.8|$52|473.61 |12654.00
011|No|No|PRE|SURG|TRACHEOSTOMY FOR FACE| MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC|5.1652|11.7|14.5|$65|360.44 |12654.00
012|No|No|PRE|SURG|TRACHEOSTOMY FOR FACE| MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC|3.9095|8.4|9.6|$49|470.81 |12654.00
013|No|No|PRE|SURG|TRACHEOSTOMY FOR FACE| MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC|2.8283|6.4|7.2|$35|789.31 |12654.00
014|No|No|PRE|MED|ALLOGENEIC BONE MARROW TRANSPLANT|11.1930|25.7|28.6|$141|636.22 |12654.00
016|No|No|PRE|MED|AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC|6.0844|16.6|17.6|$76|992.00 |12654.00
017|No|No|PRE|MED|AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC|4.3701|7.3|10.5|$55|299.25 |12654.00
018|No|No|PRE|MED|CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES|36.1452|14.7|17.4|$457|381.36 |12654.00
019|No|No|PRE|SURG|SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS|7.1346|10.8|11.9|$90|281.23 |12654.00
020|No|No|01|SURG|INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC|9.3033|10.7|14.2|$117|723.96 |12654.00
021|No|No|01|SURG|INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC|6.7892|8.1|10.8|$85|910.54 |12654.00
022|No|No|01|SURG|INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC|4.3585|3.2|4.9|$55|152.46 |12654.00
023|Yes|Yes|01|SURG|CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR|5.7314|7.3|10.2|$72|525.14 |12654.00
024|Yes|Yes|01|SURG|CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC|3.9488|4.1|5.2|$49|968.12 |12654.00
025|Yes|No|01|SURG|CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC|4.5405|6.6|9.0|$57|455.49 |12654.00
026|Yes|No|01|SURG|CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC|3.0235|3.6|5.1|$38|259.37 |12654.00
027|Yes|No|01|SURG|CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC|2.4954|1.8|2.4|$31|576.79 |12654.00
028|Yes|Yes|01|SURG|SPINAL PROCEDURES WITH MCC|5.8775|9.8|12.3|$74|373.89 |12654.00
029|Yes|Yes|01|SURG|SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS|3.4176|4.9|6.3|$43|246.31 |12654.00
030|Yes|Yes|01|SURG|SPINAL PROCEDURES WITHOUT CC/MCC|2.3412|2.7|3.5|$29|625.54 |12654.00
031|Yes|No|01|SURG|VENTRICULAR SHUNT PROCEDURES WITH MCC|4.1210|6.9|10.4|$52|147.13 |12654.00
032|Yes|No|01|SURG|VENTRICULAR SHUNT PROCEDURES WITH CC|2.0545|2.7|3.9|$25|997.64 |12654.00
033|Yes|No|01|SURG|VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC|1.6985|1.6|2.0|$21|492.82 |12654.00
034|No|No|01|SURG|CAROTID ARTERY STENT PROCEDURES WITH MCC|3.9994|5.1|7.5|$50|608.41 |12654.00
035|No|No|01|SURG|CAROTID ARTERY STENT PROCEDURES WITH CC|2.2838|2.0|2.8|$28|899.21 |12654.00
036|No|No|01|SURG|CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC|1.8807|1.2|1.4|$23|798.38 |12654.00
037|No|No|01|SURG|EXTRACRANIAL PROCEDURES WITH MCC|3.3730|5.0|7.5|$42|681.94 |12654.00
038|No|No|01|SURG|EXTRACRANIAL PROCEDURES WITH CC|1.6355|1.9|2.8|$20|695.62 |12654.00
039|No|No|01|SURG|EXTRACRANIAL PROCEDURES WITHOUT CC/MCC|1.1527|1.2|1.4|$14|586.27 |12654.00
040|Yes|Yes|01|SURG|PERIPHERAL| CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC|3.7884|7.0|9.8|$47|938.41 |12654.00
041|Yes|Yes|01|SURG|PERIPHERAL| CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR|2.3381|3.9|5.0|$29|586.32 |12654.00
042|Yes|Yes|01|SURG|PERIPHERAL| CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC|1.8497|2.4|3.0|$23|406.10 |12654.00
052|No|No|01|MED|SPINAL DISORDERS AND INJURIES WITH CC/MCC|1.7803|4.1|6.0|$22|527.92 |12654.00
053|No|No|01|MED|SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC|1.0228|2.5|3.1|$12|942.51 |12654.00
054|Yes|No|01|MED|NERVOUS SYSTEM NEOPLASMS WITH MCC|1.3870|3.8|5.3|$17|551.10 |12654.00
055|Yes|No|01|MED|NERVOUS SYSTEM NEOPLASMS WITHOUT MCC|1.0083|2.9|3.9|$12|759.03 |12654.00
056|Yes|No|01|MED|DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC|2.2308|5.7|8.5|$28|228.54 |12654.00
057|Yes|No|01|MED|DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC|1.3015|3.8|5.8|$16|469.18 |12654.00
058|No|No|01|MED|MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC|1.7253|4.8|6.5|$21|831.95 |12654.00
059|No|No|01|MED|MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC|1.1435|3.5|4.6|$14|469.85 |12654.00
060|No|No|01|MED|MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC|0.9063|2.9|3.6|$11|468.32 |12654.00
061|No|No|01|MED|ISCHEMIC STROKE| PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC|2.9326|4.9|6.6|$37|109.12 |12654.00
062|No|No|01|MED|ISCHEMIC STROKE| PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC|1.9172|3.2|3.7|$24|260.25 |12654.00
063|No|No|01|MED|ISCHEMIC STROKE| PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC|1.5810|2.3|2.5|$20|005.97 |12654.00
064|Yes|No|01|MED|INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC|1.9720|4.5|6.3|$24|953.69 |12654.00
065|Yes|No|01|MED|INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS|1.0164|2.9|3.6|$12|861.53 |12654.00
066|Yes|No|01|MED|INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC|0.6985|1.9|2.3|$8|838.82 |12654.00
067|No|No|01|MED|NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC|1.4141|3.3|4.5|$17|894.02 |12654.00
068|No|No|01|MED|NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC|0.9037|2.1|2.6|$11|435.42 |12654.00
069|No|No|01|MED|TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC|0.7979|2.0|2.5|$10|096.63 |12654.00
070|Yes|No|01|MED|NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC|1.7242|4.6|6.5|$21|818.03 |12654.00
071|Yes|No|01|MED|NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC|1.0690|3.4|4.6|$13|527.13 |12654.00
072|Yes|No|01|MED|NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC|0.7720|2.3|2.9|$9|768.89 |12654.00
073|No|No|01|MED|CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC|1.4993|3.8|5.4|$18|972.14 |12654.00
074|No|No|01|MED|CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC|1.0236|2.8|3.7|$12|952.63 |12654.00
075|No|No|01|MED|VIRAL MENINGITIS WITH CC/MCC|1.8250|5.4|7.2|$23|093.55 |12654.00
076|No|No|01|MED|VIRAL MENINGITIS WITHOUT CC/MCC|0.9873|3.4|4.3|$12|493.29 |12654.00
077|No|No|01|MED|HYPERTENSIVE ENCEPHALOPATHY WITH MCC|1.5642|4.1|5.4|$19|793.39 |12654.00
078|No|No|01|MED|HYPERTENSIVE ENCEPHALOPATHY WITH CC|0.9928|2.8|3.6|$12|562.89 |12654.00
079|No|No|01|MED|HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC|0.7339|2.0|2.4|$9|286.77 |12654.00
080|No|No|01|MED|NONTRAUMATIC STUPOR AND COMA WITH MCC|2.0398|5.1|7.5|$25|811.63 |12654.00
081|No|No|01|MED|NONTRAUMATIC STUPOR AND COMA WITHOUT MCC|0.8985|2.7|3.7|$11|369.62 |12654.00
082|No|No|01|MED|TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC|2.2653|4.4|6.7|$28|665.11 |12654.00
083|No|No|01|MED|TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC|1.3482|3.3|4.3|$17|060.12 |12654.00
084|No|No|01|MED|TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC|0.9165|2.1|2.6|$11|597.39 |12654.00
085|Yes|No|01|MED|TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC|2.3357|4.6|6.5|$29|555.95 |12654.00
086|Yes|No|01|MED|TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC|1.2997|2.9|3.8|$16|446.40 |12654.00
087|Yes|No|01|MED|TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC|0.8724|2.0|2.4|$11|039.35 |12654.00
088|No|No|01|MED|CONCUSSION WITH MCC|1.5763|3.6|5.0|$19|946.50 |12654.00
089|No|No|01|MED|CONCUSSION WITH CC|1.1677|2.5|3.3|$14|776.08 |12654.00
090|No|No|01|MED|CONCUSSION WITHOUT CC/MCC|0.8231|1.8|2.1|$10|415.51 |12654.00
091|Yes|No|01|MED|OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC|1.7274|4.3|6.2|$21|858.52 |12654.00
092|Yes|No|01|MED|OTHER DISORDERS OF NERVOUS SYSTEM WITH CC|0.9943|2.9|3.9|$12|581.87 |12654.00
093|Yes|No|01|MED|OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC|0.7648|2.1|2.7|$9|677.78 |12654.00
094|No|No|01|MED|BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC|3.5735|8.1|10.9|$45|219.07 |12654.00
095|No|No|01|MED|BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC|2.5568|5.9|7.3|$32|353.75 |12654.00
096|No|No|01|MED|BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC|2.2843|4.5|5.4|$28|905.53 |12654.00
097|No|No|01|MED|NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC|3.8882|9.1|12.4|$49|201.28 |12654.00
098|No|No|01|MED|NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC|2.0842|5.8|7.6|$26|373.47 |12654.00
099|No|No|01|MED|NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC|1.3985|3.7|4.6|$17|696.62 |12654.00
100|Yes|No|01|MED|SEIZURES WITH MCC|1.9210|4.4|6.3|$24|308.33 |12654.00
101|Yes|No|01|MED|SEIZURES WITHOUT MCC|0.9015|2.6|3.4|$11|407.58 |12654.00
102|No|No|01|MED|HEADACHES WITH MCC|1.1499|3.0|4.1|$14|550.83 |12654.00
103|No|No|01|MED|HEADACHES WITHOUT MCC|0.8325|2.3|3.0|$10|534.46 |12654.00
113|No|No|02|SURG|ORBITAL PROCEDURES WITH CC/MCC|2.2453|4.5|6.1|$28|412.03 |12654.00
114|No|No|02|SURG|ORBITAL PROCEDURES WITHOUT CC/MCC|1.3028|2.3|2.9|$16|485.63 |12654.00
115|No|No|02|SURG|EXTRAOCULAR PROCEDURES EXCEPT ORBIT|1.5191|3.8|5.0|$19|222.69 |12654.00
116|No|No|02|SURG|INTRAOCULAR PROCEDURES WITH CC/MCC|1.8865|4.1|6.2|$23|871.77 |12654.00
117|No|No|02|SURG|INTRAOCULAR PROCEDURES WITHOUT CC/MCC|0.9928|2.1|2.7|$12|562.89 |12654.00
121|No|No|02|MED|ACUTE MAJOR EYE INFECTIONS WITH CC/MCC|1.2253|4.2|5.5|$15|504.95 |12654.00
122|No|No|02|MED|ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC|0.6908|2.8|3.5|$8|741.38 |12654.00
123|No|No|02|MED|NEUROLOGICAL EYE DISORDERS|0.7938|2.0|2.5|$10|044.75 |12654.00
124|No|No|02|MED|OTHER DISORDERS OF THE EYE WITH MCC|1.4007|3.6|5.3|$17|724.46 |12654.00
125|No|No|02|MED|OTHER DISORDERS OF THE EYE WITHOUT MCC|0.8621|2.5|3.4|$10|909.01 |12654.00
135|No|No|03|SURG|SINUS AND MASTOID PROCEDURES WITH CC/MCC|2.4507|4.7|6.8|$31|011.16 |12654.00
136|No|No|03|SURG|SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC|1.1603|1.6|2.1|$14|682.44 |12654.00
137|No|No|03|SURG|MOUTH PROCEDURES WITH CC/MCC|1.4996|3.4|4.9|$18|975.94 |12654.00
138|No|No|03|SURG|MOUTH PROCEDURES WITHOUT CC/MCC|0.8843|1.8|2.2|$11|189.93 |12654.00
139|No|No|03|SURG|SALIVARY GLAND PROCEDURES|1.2575|2.1|3.1|$15|912.41 |12654.00
140|No|No|03|SURG|MAJOR HEAD AND NECK PROCEDURES WITH MCC|4.1563|7.2|9.6|$52|593.82 |12654.00
141|No|No|03|SURG|MAJOR HEAD AND NECK PROCEDURES WITH CC|2.2326|3.3|4.4|$28|251.32 |12654.00
142|No|No|03|SURG|MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC|1.7017|2.1|2.7|$21|533.31 |12654.00
143|No|No|03|SURG|OTHER EAR| NOSE| MOUTH AND THROAT O.R. PROCEDURES WITH MCC|3.1726|5.8|8.5|$40|146.08 |12654.00
144|No|No|03|SURG|OTHER EAR| NOSE| MOUTH AND THROAT O.R. PROCEDURES WITH CC|1.8093|3.0|4.1|$22|894.88 |12654.00
145|No|No|03|SURG|OTHER EAR| NOSE| MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC|1.2078|1.8|2.3|$15|283.50 |12654.00
146|No|No|03|MED|EAR| NOSE| MOUTH AND THROAT MALIGNANCY WITH MCC|2.0142|5.4|7.8|$25|487.69 |12654.00
147|No|No|03|MED|EAR| NOSE| MOUTH AND THROAT MALIGNANCY WITH CC|1.2111|3.5|4.6|$15|325.26 |12654.00
148|No|No|03|MED|EAR| NOSE| MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC|0.8176|2.2|2.9|$10|345.91 |12654.00
149|No|No|03|MED|DYSEQUILIBRIUM|0.7550|1.9|2.4|$9|553.77 |12654.00
150|No|No|03|MED|EPISTAXIS WITH MCC|1.3793|3.5|4.8|$17|453.66 |12654.00
151|No|No|03|MED|EPISTAXIS WITHOUT MCC|0.7710|2.2|2.7|$9|756.23 |12654.00
152|No|No|03|MED|OTITIS MEDIA AND URI WITH MCC|1.1977|3.4|4.6|$15|155.70 |12654.00
153|No|No|03|MED|OTITIS MEDIA AND URI WITHOUT MCC|0.6905|2.2|2.7|$8|737.59 |12654.00
154|No|No|03|MED|OTHER EAR| NOSE| MOUTH AND THROAT DIAGNOSES WITH MCC|1.5029|4.0|5.6|$19|017.70 |12654.00
155|No|No|03|MED|OTHER EAR| NOSE| MOUTH AND THROAT DIAGNOSES WITH CC|0.9193|2.8|3.6|$11|632.82 |12654.00
156|No|No|03|MED|OTHER EAR| NOSE| MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC|0.6817|2.1|2.6|$8|626.23 |12654.00
157|No|No|03|MED|DENTAL AND ORAL DISEASES WITH MCC|1.6718|4.4|6.2|$21|154.96 |12654.00
158|No|No|03|MED|DENTAL AND ORAL DISEASES WITH CC|0.9291|2.8|3.5|$11|756.83 |12654.00
159|No|No|03|MED|DENTAL AND ORAL DISEASES WITHOUT CC/MCC|0.7499|2.2|2.7|$9|489.23 |12654.00
163|Yes|No|04|SURG|MAJOR CHEST PROCEDURES WITH MCC|4.8437|8.1|10.6|$61|292.18 |12654.00
164|Yes|No|04|SURG|MAJOR CHEST PROCEDURES WITH CC|2.5827|3.9|4.9|$32|681.49 |12654.00
165|Yes|No|04|SURG|MAJOR CHEST PROCEDURES WITHOUT CC/MCC|1.9269|2.3|2.8|$24|382.99 |12654.00
166|Yes|No|04|SURG|OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC|3.6658|7.4|10.0|$46|387.03 |12654.00
167|Yes|No|04|SURG|OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC|1.9011|3.5|4.6|$24|056.52 |12654.00
168|Yes|No|04|SURG|OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC|1.4176|1.9|2.4|$17|938.31 |12654.00
175|Yes|No|04|MED|PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE|1.3968|3.9|5.0|$17|675.11 |12654.00
176|Yes|No|04|MED|PULMONARY EMBOLISM WITHOUT MCC|0.8176|2.5|3.0|$10|345.91 |12654.00
177|Yes|No|04|MED|RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC|1.7799|5.2|6.8|$22|522.85 |12654.00
178|Yes|No|04|MED|RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC|1.0870|3.6|4.6|$13|754.90 |12654.00
179|Yes|No|04|MED|RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC|0.7854|2.7|3.5|$9|938.45 |12654.00
180|No|No|04|MED|RESPIRATORY NEOPLASMS WITH MCC|1.6939|4.7|6.3|$21|434.61 |12654.00
181|No|No|04|MED|RESPIRATORY NEOPLASMS WITH CC|1.1337|3.2|4.2|$14|345.84 |12654.00
182|No|No|04|MED|RESPIRATORY NEOPLASMS WITHOUT CC/MCC|0.8875|2.2|2.7|$11|230.43 |12654.00
183|No|No|04|MED|MAJOR CHEST TRAUMA WITH MCC|1.5022|4.3|5.5|$19|008.84 |12654.00
184|No|No|04|MED|MAJOR CHEST TRAUMA WITH CC|1.0452|3.0|3.7|$13|225.96 |12654.00
185|No|No|04|MED|MAJOR CHEST TRAUMA WITHOUT CC/MCC|0.7550|2.2|2.6|$9|553.77 |12654.00
186|Yes|No|04|MED|PLEURAL EFFUSION WITH MCC|1.5268|4.3|5.6|$19|320.13 |12654.00
187|Yes|No|04|MED|PLEURAL EFFUSION WITH CC|1.0459|3.1|3.9|$13|234.82 |12654.00
188|Yes|No|04|MED|PLEURAL EFFUSION WITHOUT CC/MCC|0.7240|2.3|2.8|$9|161.50 |12654.00
189|No|No|04|MED|PULMONARY EDEMA AND RESPIRATORY FAILURE|1.2070|3.5|4.7|$15|273.38 |12654.00
190|Yes|No|04|MED|CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC|1.0855|3.4|4.3|$13|735.92 |12654.00
191|Yes|No|04|MED|CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC|0.8642|2.7|3.3|$10|935.59 |12654.00
192|Yes|No|04|MED|CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC|0.6521|2.2|2.6|$8|251.67 |12654.00
193|Yes|No|04|MED|SIMPLE PNEUMONIA AND PLEURISY WITH MCC|1.2987|4.0|5.1|$16|433.75 |12654.00
194|Yes|No|04|MED|SIMPLE PNEUMONIA AND PLEURISY WITH CC|0.8402|2.9|3.6|$10|631.89 |12654.00
195|Yes|No|04|MED|SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC|0.6418|2.3|2.8|$8|121.34 |12654.00
196|Yes|No|04|MED|INTERSTITIAL LUNG DISEASE WITH MCC|1.7377|5.0|6.7|$21|988.86 |12654.00
197|Yes|No|04|MED|INTERSTITIAL LUNG DISEASE WITH CC|0.9836|3.0|4.0|$12|446.47 |12654.00
198|Yes|No|04|MED|INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC|0.7109|2.2|2.6|$8|995.73 |12654.00
199|No|No|04|MED|PNEUMOTHORAX WITH MCC|1.7586|5.1|6.6|$22|253.32 |12654.00
200|No|No|04|MED|PNEUMOTHORAX WITH CC|1.0720|3.1|3.9|$13|565.09 |12654.00
201|No|No|04|MED|PNEUMOTHORAX WITHOUT CC/MCC|0.7279|2.3|2.9|$9|210.85 |12654.00
202|No|No|04|MED|BRONCHITIS AND ASTHMA WITH CC/MCC|0.9258|2.8|3.5|$11|715.07 |12654.00
203|No|No|04|MED|BRONCHITIS AND ASTHMA WITHOUT CC/MCC|0.6671|2.1|2.5|$8|441.48 |12654.00
204|No|No|04|MED|RESPIRATORY SIGNS AND SYMPTOMS|0.8094|2.1|2.7|$10|242.15 |12654.00
205|Yes|No|04|MED|OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC|1.7810|4.4|6.1|$22|536.77 |12654.00
206|Yes|No|04|MED|OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC|0.8934|2.4|3.1|$11|305.08 |12654.00
207|Yes|No|04|MED|RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS|6.5659|13.8|16.1|$83|084.90 |12654.00
208|No|No|04|MED|RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS|2.6001|5.0|7.2|$32|901.67 |12654.00
215|No|No|05|SURG|OTHER HEART ASSIST SYSTEM IMPLANT|10.3032|4.9|8.6|$130|376.69 |12654.00
216|Yes|Yes|05|SURG|CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC|9.7419|11.3|14.5|$123|274.00 |12654.00
217|Yes|Yes|05|SURG|CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC|6.3488|5.5|7.3|$80|337.72 |12654.00
218|Yes|Yes|05|SURG|CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC|5.9387|2.3|3.4|$75|148.31 |12654.00
219|Yes|Yes|05|SURG|CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC|8.1283|8.9|11.0|$102|855.51 |12654.00
220|Yes|Yes|05|SURG|CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC|5.4351|5.8|6.5|$68|775.76 |12654.00
221|Yes|Yes|05|SURG|CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC|4.7316|3.3|4.0|$59|873.67 |12654.00
222|No|No|05|SURG|CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI| HF OR SHOCK WITH MCC|7.6566|8.9|11.0|$96|886.62 |12654.00
223|No|No|05|SURG|CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI| HF OR SHOCK WITHOUT MCC|5.2187|5.0|5.8|$66|037.43 |12654.00
224|No|No|05|SURG|CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI| HF OR SHOCK WITH MCC|7.0892|7.4|9.4|$89|706.74 |12654.00
225|No|No|05|SURG|CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI| HF OR SHOCK WITHOUT MCC|5.0577|4.0|4.7|$64|000.14 |12654.00
226|No|No|05|SURG|CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC|6.4009|6.0|7.9|$80|996.99 |12654.00
227|No|No|05|SURG|CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC|5.0207|2.9|3.8|$63|531.94 |12654.00
228|No|No|05|SURG|OTHER CARDIOTHORACIC PROCEDURES WITH MCC|4.9283|6.4|8.9|$62|362.71 |12654.00
229|No|No|05|SURG|OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC|3.3009|2.7|3.5|$41|769.59 |12654.00
231|No|No|05|SURG|CORONARY BYPASS WITH PTCA WITH MCC|8.3932|10.5|12.1|$106|207.55 |12654.00
232|No|No|05|SURG|CORONARY BYPASS WITH PTCA WITHOUT MCC|5.8578|7.6|8.3|$74|124.60 |12654.00
233|Yes|No|05|SURG|CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC|7.7449|11.3|12.7|$98|003.96 |12654.00
234|Yes|No|05|SURG|CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC|5.1863|7.9|8.5|$65|627.44 |12654.00
235|Yes|No|05|SURG|CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC|5.9900|8.3|9.6|$75|797.46 |12654.00
236|Yes|No|05|SURG|CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC|4.0784|5.9|6.3|$51|608.07 |12654.00
239|Yes|No|05|SURG|AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC|4.6501|10.3|13.0|$58|842.37 |12654.00
240|Yes|No|05|SURG|AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC|2.7142|6.8|8.3|$34|345.49 |12654.00
241|Yes|No|05|SURG|AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC|1.5489|4.1|5.0|$19|599.78 |12654.00
242|Yes|No|05|SURG|PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC|3.4735|5.0|6.5|$43|953.67 |12654.00
243|Yes|No|05|SURG|PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC|2.3440|2.9|3.5|$29|660.98 |12654.00
244|Yes|No|05|SURG|PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC|1.9011|2.1|2.4|$24|056.52 |12654.00
245|No|No|05|SURG|AICD GENERATOR PROCEDURES|4.8760|3.9|5.4|$61|700.90 |12654.00
246|No|No|05|SURG|PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS|2.9954|3.8|5.1|$37|903.79 |12654.00
247|No|No|05|SURG|PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC|1.9095|2.0|2.4|$24|162.81 |12654.00
248|No|No|05|SURG|PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS|3.0098|4.3|5.8|$38|086.01 |12654.00
249|No|No|05|SURG|PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC|1.8167|2.2|2.7|$22|988.52 |12654.00
250|No|No|05|SURG|PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC|2.4197|3.4|4.7|$30|618.88 |12654.00
251|No|No|05|SURG|PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC|1.6253|2.0|2.4|$20|566.55 |12654.00
252|No|No|05|SURG|OTHER VASCULAR PROCEDURES WITH MCC|3.3433|5.2|7.6|$42|306.12 |12654.00
253|No|No|05|SURG|OTHER VASCULAR PROCEDURES WITH CC|2.6740|3.9|5.2|$33|836.80 |12654.00
254|No|No|05|SURG|OTHER VASCULAR PROCEDURES WITHOUT CC/MCC|1.8285|1.9|2.4|$23|137.84 |12654.00
255|Yes|No|05|SURG|UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC|2.5656|6.3|8.1|$32|465.10 |12654.00
256|Yes|No|05|SURG|UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC|1.6322|4.8|5.9|$20|653.86 |12654.00
257|Yes|No|05|SURG|UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC|1.0487|3.4|4.0|$13|270.25 |12654.00
258|No|No|05|SURG|CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC|2.8513|4.7|6.3|$36|080.35 |12654.00
259|No|No|05|SURG|CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC|1.9941|2.5|3.0|$25|233.34 |12654.00
260|No|No|05|SURG|CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC|3.4986|6.0|8.6|$44|271.28 |12654.00
261|No|No|05|SURG|CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC|1.9108|3.0|3.8|$24|179.26 |12654.00
262|No|No|05|SURG|CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC|1.6768|2.1|2.5|$21|218.23 |12654.00
263|No|No|05|SURG|VEIN LIGATION AND STRIPPING|2.7860|4.6|7.9|$35|254.04 |12654.00
264|Yes|No|05|SURG|OTHER CIRCULATORY SYSTEM O.R. PROCEDURES|3.3097|6.6|9.4|$41|880.94 |12654.00
265|No|No|05|SURG|AICD LEAD PROCEDURES|3.3821|4.2|6.1|$42|797.09 |12654.00
266|Yes|Yes|05|SURG|ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC|6.6007|2.8|4.9|$83|525.26 |12654.00
267|Yes|Yes|05|SURG|ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC|5.1606|1.4|1.7|$65|302.23 |12654.00
268|No|No|05|SURG|AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC|6.9208|6.0|9.4|$87|575.80 |12654.00
269|No|No|05|SURG|AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC|4.2763|1.5|2.1|$54|112.30 |12654.00
270|No|No|05|SURG|OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC|5.1126|6.5|9.5|$64|694.84 |12654.00
271|No|No|05|SURG|OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC|3.4838|3.9|5.3|$44|084.01 |12654.00
272|No|No|05|SURG|OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC|2.5964|1.8|2.3|$32|854.85 |12654.00
273|No|No|05|SURG|PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC|4.0130|3.8|5.8|$50|780.50 |12654.00
274|No|No|05|SURG|PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC|3.3595|1.3|1.6|$42|511.11 |12654.00
280|Yes|No|05|MED|ACUTE MYOCARDIAL INFARCTION| DISCHARGED ALIVE WITH MCC|1.6064|4.1|5.4|$20|327.39 |12654.00
281|Yes|No|05|MED|ACUTE MYOCARDIAL INFARCTION| DISCHARGED ALIVE WITH CC|0.9186|2.4|2.9|$11|623.96 |12654.00
282|Yes|No|05|MED|ACUTE MYOCARDIAL INFARCTION| DISCHARGED ALIVE WITHOUT CC/MCC|0.7167|1.7|2.0|$9|069.12 |12654.00
283|No|No|05|MED|ACUTE MYOCARDIAL INFARCTION| EXPIRED WITH MCC|1.9186|3.1|5.1|$24|277.96 |12654.00
284|No|No|05|MED|ACUTE MYOCARDIAL INFARCTION| EXPIRED WITH CC|0.7354|1.6|2.1|$9|305.75 |12654.00
285|No|No|05|MED|ACUTE MYOCARDIAL INFARCTION| EXPIRED WITHOUT CC/MCC|0.5418|1.3|1.5|$6|855.94 |12654.00
286|No|No|05|MED|CIRCULATORY DISORDERS EXCEPT AMI| WITH CARDIAC CATHETERIZATION WITH MCC|2.1210|5.2|7.0|$26|839.13 |12654.00
287|No|No|05|MED|CIRCULATORY DISORDERS EXCEPT AMI| WITH CARDIAC CATHETERIZATION WITHOUT MCC|1.1002|2.1|2.7|$13|921.93 |12654.00
288|Yes|No|05|MED|ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC|2.6965|7.3|9.7|$34|121.51 |12654.00
289|Yes|No|05|MED|ACUTE AND SUBACUTE ENDOCARDITIS WITH CC|1.6071|5.3|6.5|$20|336.24 |12654.00
290|Yes|No|05|MED|ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC|1.2057|3.7|4.4|$15|256.93 |12654.00
291|Yes|No|05|MED|HEART FAILURE AND SHOCK WITH MCC|1.2798|3.9|5.0|$16|194.59 |12654.00
292|Yes|No|05|MED|HEART FAILURE AND SHOCK WITH CC|0.8628|3.0|3.8|$10|917.87 |12654.00
293|Yes|No|05|MED|HEART FAILURE AND SHOCK WITHOUT CC/MCC|0.5603|2.1|2.5|$7|090.04 |12654.00
294|No|No|05|MED|DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC|1.1545|3.3|4.1|$14|609.04 |12654.00
295|No|No|05|MED|DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC|0.8857|2.1|2.5|$11|207.65 |12654.00
296|No|No|05|MED|CARDIAC ARREST| UNEXPLAINED WITH MCC|1.6383|2.1|3.4|$20|731.05 |12654.00
297|No|No|05|MED|CARDIAC ARREST| UNEXPLAINED WITH CC|0.6363|1.3|1.5|$8|051.74 |12654.00
298|No|No|05|MED|CARDIAC ARREST| UNEXPLAINED WITHOUT CC/MCC|0.4885|1.1|1.3|$6|181.48 |12654.00
299|Yes|No|05|MED|PERIPHERAL VASCULAR DISORDERS WITH MCC|1.5380|3.9|5.3|$19|461.85 |12654.00
300|Yes|No|05|MED|PERIPHERAL VASCULAR DISORDERS WITH CC|1.0311|3.0|3.9|$13|047.54 |12654.00
301|Yes|No|05|MED|PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC|0.7162|2.1|2.5|$9|062.79 |12654.00
302|No|No|05|MED|ATHEROSCLEROSIS WITH MCC|1.2058|2.7|3.9|$15|258.19 |12654.00
303|No|No|05|MED|ATHEROSCLEROSIS WITHOUT MCC|0.6761|1.8|2.2|$8|555.37 |12654.00
304|No|No|05|MED|HYPERTENSION WITH MCC|1.0986|2.9|3.9|$13|901.68 |12654.00
305|No|No|05|MED|HYPERTENSION WITHOUT MCC|0.7456|2.1|2.6|$9|434.82 |12654.00
306|No|No|05|MED|CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC|1.4758|3.8|5.2|$18|674.77 |12654.00
307|No|No|05|MED|CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC|0.9114|2.2|2.9|$11|532.86 |12654.00
308|No|No|05|MED|CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC|1.1726|3.4|4.5|$14|838.08 |12654.00
309|No|No|05|MED|CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC|0.7376|2.3|2.8|$9|333.59 |12654.00
310|No|No|05|MED|CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC|0.5512|1.8|2.1|$6|974.88 |12654.00
311|No|No|05|MED|ANGINA PECTORIS|0.6681|1.9|2.4|$8|454.14 |12654.00
312|No|No|05|MED|SYNCOPE AND COLLAPSE|0.8527|2.3|3.0|$10|790.07 |12654.00
313|No|No|05|MED|CHEST PAIN|0.7234|1.7|2.1|$9|153.90 |12654.00
314|Yes|No|05|MED|OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC|2.0826|4.9|6.8|$26|353.22 |12654.00
315|Yes|No|05|MED|OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC|0.9685|2.7|3.5|$12|255.40 |12654.00
316|Yes|No|05|MED|OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC|0.6820|1.8|2.2|$8|630.03 |12654.00
319|No|No|05|SURG|OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC|4.3066|7.3|9.8|$54|495.72 |12654.00
320|No|No|05|SURG|OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC|2.4714|2.1|3.1|$31|273.10 |12654.00
326|Yes|No|06|SURG|STOMACH| ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC|5.1188|9.4|12.9|$64|773.30 |12654.00
327|Yes|No|06|SURG|STOMACH| ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC|2.5613|4.3|5.9|$32|410.69 |12654.00
328|Yes|No|06|SURG|STOMACH| ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC|1.6577|2.2|2.8|$20|976.54 |12654.00
329|Yes|No|06|SURG|MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC|4.6233|9.8|12.6|$58|503.24 |12654.00
330|Yes|No|06|SURG|MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC|2.4554|5.3|6.5|$31|070.63 |12654.00
331|Yes|No|06|SURG|MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC|1.7088|3.0|3.5|$21|623.16 |12654.00
332|Yes|No|06|SURG|RECTAL RESECTION WITH MCC|4.0603|7.4|10.0|$51|379.04 |12654.00
333|Yes|No|06|SURG|RECTAL RESECTION WITH CC|2.2331|4.0|5.0|$28|257.65 |12654.00
334|Yes|No|06|SURG|RECTAL RESECTION WITHOUT CC/MCC|1.7145|2.4|2.9|$21|695.28 |12654.00
335|Yes|No|06|SURG|PERITONEAL ADHESIOLYSIS WITH MCC|3.6838|8.9|11.2|$46|614.81 |12654.00
336|Yes|No|06|SURG|PERITONEAL ADHESIOLYSIS WITH CC|2.1270|5.6|6.9|$26|915.06 |12654.00
337|Yes|No|06|SURG|PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC|1.5755|3.6|4.4|$19|936.38 |12654.00
338|No|No|06|SURG|APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC|2.6565|5.9|7.6|$33|615.35 |12654.00
339|No|No|06|SURG|APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC|1.6284|3.7|4.6|$20|605.77 |12654.00
340|No|No|06|SURG|APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC|1.1999|2.3|2.7|$15|183.53 |12654.00
341|No|No|06|SURG|APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC|2.2590|4.4|6.0|$28|585.39 |12654.00
342|No|No|06|SURG|APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC|1.4532|2.5|3.2|$18|388.79 |12654.00
343|No|No|06|SURG|APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC|1.0927|1.6|1.9|$13|827.03 |12654.00
344|No|No|06|SURG|MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC|2.6325|6.6|9.0|$33|311.66 |12654.00
345|No|No|06|SURG|MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC|1.5515|4.2|5.3|$19|632.68 |12654.00
346|No|No|06|SURG|MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC|1.2507|2.9|3.4|$15|826.36 |12654.00
347|No|No|06|SURG|ANAL AND STOMAL PROCEDURES WITH MCC|2.5382|5.6|7.8|$32|118.38 |12654.00
348|No|No|06|SURG|ANAL AND STOMAL PROCEDURES WITH CC|1.3810|3.4|4.3|$17|475.17 |12654.00
349|No|No|06|SURG|ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC|0.9972|1.9|2.3|$12|618.57 |12654.00
350|No|No|06|SURG|INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC|2.3570|5.1|6.6|$29|825.48 |12654.00
351|No|No|06|SURG|INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC|1.4702|3.0|3.8|$18|603.91 |12654.00
352|No|No|06|SURG|INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC|1.1021|2.0|2.4|$13|945.97 |12654.00
353|No|No|06|SURG|HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC|2.8678|5.7|7.7|$36|289.14 |12654.00
354|No|No|06|SURG|HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC|1.7520|3.6|4.5|$22|169.81 |12654.00
355|No|No|06|SURG|HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC|1.3723|2.3|2.7|$17|365.08 |12654.00
356|Yes|No|06|SURG|OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC|4.2225|7.7|10.2|$53|431.52 |12654.00
357|Yes|No|06|SURG|OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC|2.2462|4.4|5.6|$28|423.41 |12654.00
358|Yes|No|06|SURG|OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC|1.3872|2.7|3.3|$17|553.63 |12654.00
368|No|No|06|MED|MAJOR ESOPHAGEAL DISORDERS WITH MCC|1.7542|4.2|5.4|$22|197.65 |12654.00
369|No|No|06|MED|MAJOR ESOPHAGEAL DISORDERS WITH CC|1.0221|3.0|3.6|$12|933.65 |12654.00
370|No|No|06|MED|MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC|0.7487|2.1|2.6|$9|474.05 |12654.00
371|Yes|No|06|MED|MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC|1.6918|5.2|6.9|$21|408.04 |12654.00
372|Yes|No|06|MED|MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC|1.0180|3.7|4.6|$12|881.77 |12654.00
373|Yes|No|06|MED|MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC|0.7260|2.8|3.3|$9|186.80 |12654.00
374|Yes|No|06|MED|DIGESTIVE MALIGNANCY WITH MCC|1.9933|5.3|7.2|$25|223.22 |12654.00
375|Yes|No|06|MED|DIGESTIVE MALIGNANCY WITH CC|1.2046|3.5|4.5|$15|243.01 |12654.00
376|Yes|No|06|MED|DIGESTIVE MALIGNANCY WITHOUT CC/MCC|0.8778|2.4|3.0|$11|107.68 |12654.00
377|Yes|No|06|MED|GASTROINTESTINAL HEMORRHAGE WITH MCC|1.7780|4.5|5.8|$22|498.81 |12654.00
378|Yes|No|06|MED|GASTROINTESTINAL HEMORRHAGE WITH CC|0.9850|3.0|3.5|$12|464.19 |12654.00
379|Yes|No|06|MED|GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC|0.6338|2.1|2.4|$8|020.11 |12654.00
380|Yes|No|06|MED|COMPLICATED PEPTIC ULCER WITH MCC|1.9041|5.0|6.5|$24|094.48 |12654.00
381|Yes|No|06|MED|COMPLICATED PEPTIC ULCER WITH CC|1.0555|3.1|3.8|$13|356.30 |12654.00
382|Yes|No|06|MED|COMPLICATED PEPTIC ULCER WITHOUT CC/MCC|0.7698|2.3|2.8|$9|741.05 |12654.00
383|No|No|06|MED|UNCOMPLICATED PEPTIC ULCER WITH MCC|1.3600|3.9|5.1|$17|209.44 |12654.00
384|No|No|06|MED|UNCOMPLICATED PEPTIC ULCER WITHOUT MCC|0.9016|2.6|3.1|$11|408.85 |12654.00
385|No|No|06|MED|INFLAMMATORY BOWEL DISEASE WITH MCC|1.6287|5.0|6.7|$20|609.57 |12654.00
386|No|No|06|MED|INFLAMMATORY BOWEL DISEASE WITH CC|0.9898|3.4|4.3|$12|524.93 |12654.00
387|No|No|06|MED|INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC|0.6916|2.6|3.2|$8|751.51 |12654.00
388|Yes|No|06|MED|GASTROINTESTINAL OBSTRUCTION WITH MCC|1.4674|4.6|6.1|$18|568.48 |12654.00
389|Yes|No|06|MED|GASTROINTESTINAL OBSTRUCTION WITH CC|0.8071|3.0|3.7|$10|213.04 |12654.00
390|Yes|No|06|MED|GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC|0.5655|2.3|2.7|$7|155.84 |12654.00
391|No|No|06|MED|ESOPHAGITIS| GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC|1.2840|3.8|5.1|$16|247.74 |12654.00
392|No|No|06|MED|ESOPHAGITIS| GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC|0.7876|2.6|3.2|$9|966.29 |12654.00
393|No|No|06|MED|OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC|1.6113|4.3|5.9|$20|389.39 |12654.00
394|No|No|06|MED|OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC|0.9430|3.0|3.8|$11|932.72 |12654.00
395|No|No|06|MED|OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC|0.6449|2.1|2.5|$8|160.56 |12654.00
405|Yes|No|07|SURG|PANCREAS| LIVER AND SHUNT PROCEDURES WITH MCC|5.5419|9.1|12.3|$70|127.20 |12654.00
406|Yes|No|07|SURG|PANCREAS| LIVER AND SHUNT PROCEDURES WITH CC|2.9297|5.1|6.3|$37|072.42 |12654.00
407|Yes|No|07|SURG|PANCREAS| LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC|2.2257|3.6|4.2|$28|164.01 |12654.00
408|No|No|07|SURG|BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC|3.6695|7.9|10.3|$46|433.85 |12654.00
409|No|No|07|SURG|BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC|2.1314|4.8|5.9|$26|970.74 |12654.00
410|No|No|07|SURG|BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC|1.6977|3.3|3.9|$21|482.70 |12654.00
411|No|No|07|SURG|CHOLECYSTECTOMY WITH C.D.E. WITH MCC|3.3782|6.0|7.9|$42|747.74 |12654.00
412|No|No|07|SURG|CHOLECYSTECTOMY WITH C.D.E. WITH CC|2.2957|4.5|5.8|$29|049.79 |12654.00
413|No|No|07|SURG|CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC|1.6204|2.9|3.4|$20|504.54 |12654.00
414|Yes|No|07|SURG|CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC|3.5347|7.6|9.8|$44|728.09 |12654.00
415|Yes|No|07|SURG|CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC|2.0000|4.7|5.6|$25|308.00 |12654.00
416|Yes|No|07|SURG|CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC|1.3764|2.9|3.4|$17|416.97 |12654.00
417|No|No|07|SURG|LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC|2.3777|5.0|6.3|$30|087.42 |12654.00
418|No|No|07|SURG|LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC|1.6610|3.4|4.1|$21|018.29 |12654.00
419|No|No|07|SURG|LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC|1.3050|2.3|2.7|$16|513.47 |12654.00
420|No|No|07|SURG|HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC|3.2612|6.7|9.3|$41|267.22 |12654.00
421|No|No|07|SURG|HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC|1.8116|3.7|5.1|$22|923.99 |12654.00
422|No|No|07|SURG|HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC|1.3856|2.2|2.8|$17|533.38 |12654.00
423|No|No|07|SURG|OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC|3.9319|7.8|10.9|$49|754.26 |12654.00
424|No|No|07|SURG|OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC|2.3686|4.5|6.1|$29|972.26 |12654.00
425|No|No|07|SURG|OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC|1.4306|2.2|2.8|$18|102.81 |12654.00
432|No|No|07|MED|CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC|1.8882|4.9|6.6|$23|893.28 |12654.00
433|No|No|07|MED|CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC|1.0398|3.3|4.2|$13|157.63 |12654.00
434|No|No|07|MED|CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC|0.6277|2.1|2.5|$7|942.92 |12654.00
435|No|No|07|MED|MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC|1.7482|4.7|6.2|$22|121.72 |12654.00
436|No|No|07|MED|MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC|1.1004|3.3|4.2|$13|924.46 |12654.00
437|No|No|07|MED|MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC|0.8459|2.3|2.8|$10|704.02 |12654.00
438|No|No|07|MED|DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC|1.6574|4.7|6.4|$20|972.74 |12654.00
439|No|No|07|MED|DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC|0.8698|3.1|3.8|$11|006.45 |12654.00
440|No|No|07|MED|DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC|0.6064|2.3|2.7|$7|673.39 |12654.00
441|Yes|No|07|MED|DISORDERS OF LIVER EXCEPT MALIGNANCY| CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC|1.8948|4.7|6.5|$23|976.80 |12654.00
442|Yes|No|07|MED|DISORDERS OF LIVER EXCEPT MALIGNANCY| CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC|0.9460|3.1|4.0|$11|970.68 |12654.00
443|Yes|No|07|MED|DISORDERS OF LIVER EXCEPT MALIGNANCY| CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC|0.6519|2.4|2.9|$8|249.14 |12654.00
444|No|No|07|MED|DISORDERS OF THE BILIARY TRACT WITH MCC|1.6647|4.4|5.7|$21|065.11 |12654.00
445|No|No|07|MED|DISORDERS OF THE BILIARY TRACT WITH CC|1.0996|3.0|3.8|$13|914.34 |12654.00
446|No|No|07|MED|DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC|0.8117|2.2|2.6|$10|271.25 |12654.00
453|No|No|08|SURG|COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC|9.1548|7.5|9.7|$115|844.84 |12654.00
454|No|No|08|SURG|COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC|6.0909|3.7|4.4|$77|074.25 |12654.00
455|No|No|08|SURG|COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC|4.7880|2.4|2.8|$60|587.35 |12654.00
456|No|No|08|SURG|SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE| MALIGNANCY| INFECTION OR EXTENSIVE FUSIONS WITH MCC|8.4492|9.7|12.2|$106|916.18 |12654.00
457|No|No|08|SURG|SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE| MALIGNANCY| INFECTION OR EXTENSIVE FUSIONS WITH CC|6.0368|5.2|6.3|$76|389.67 |12654.00
458|No|No|08|SURG|SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE| MALIGNANCY| INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC|4.8131|2.8|3.3|$60|904.97 |12654.00
459|Yes|No|08|SURG|SPINAL FUSION EXCEPT CERVICAL WITH MCC|6.6330|7.3|9.3|$83|933.98 |12654.00
460|Yes|No|08|SURG|SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC|3.7660|2.8|3.5|$47|654.96 |12654.00
461|No|No|08|SURG|BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC|6.4152|6.4|8.8|$81|177.94 |12654.00
462|No|No|08|SURG|BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC|2.9856|2.4|2.8|$37|779.78 |12654.00
463|Yes|No|08|SURG|WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC|5.2416|10.1|13.5|$66|327.21 |12654.00
464|Yes|No|08|SURG|WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC|2.9872|5.5|7.3|$37|800.03 |12654.00
465|Yes|No|08|SURG|WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC|1.9927|2.7|3.5|$25|215.63 |12654.00
466|Yes|No|08|SURG|REVISION OF HIP OR KNEE REPLACEMENT WITH MCC|5.2451|7.1|9.0|$66|371.50 |12654.00
467|Yes|No|08|SURG|REVISION OF HIP OR KNEE REPLACEMENT WITH CC|3.6259|3.4|4.3|$45|882.14 |12654.00
468|Yes|No|08|SURG|REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC|2.7893|1.8|2.2|$35|295.80 |12654.00
469|Yes|No|08|SURG|MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT|3.2314|3.1|4.5|$40|890.14 |12654.00
470|Yes|No|08|SURG|MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC|1.9119|1.7|2.0|$24|193.18 |12654.00
471|No|No|08|SURG|CERVICAL SPINAL FUSION WITH MCC|5.0370|7.0|9.3|$63|738.20 |12654.00
472|No|No|08|SURG|CERVICAL SPINAL FUSION WITH CC|3.0710|2.6|3.6|$38|860.43 |12654.00
473|No|No|08|SURG|CERVICAL SPINAL FUSION WITHOUT CC/MCC|2.5351|1.7|2.1|$32|079.16 |12654.00
474|Yes|No|08|SURG|AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC|4.0969|9.2|11.7|$51|842.17 |12654.00
475|Yes|No|08|SURG|AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC|2.2212|5.8|7.2|$28|107.06 |12654.00
476|Yes|No|08|SURG|AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC|1.2275|3.0|3.7|$15|532.79 |12654.00
477|Yes|Yes|08|SURG|BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC|3.4028|8.6|10.7|$43|059.03 |12654.00
478|Yes|Yes|08|SURG|BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC|2.3489|5.2|6.4|$29|722.98 |12654.00
479|Yes|Yes|08|SURG|BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC|1.7684|3.2|4.1|$22|377.33 |12654.00
480|Yes|Yes|08|SURG|HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC|2.9660|6.2|7.4|$37|531.76 |12654.00
481|Yes|Yes|08|SURG|HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC|2.1124|4.4|4.9|$26|730.31 |12654.00
482|Yes|Yes|08|SURG|HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC|1.6461|3.2|3.6|$20|829.75 |12654.00
483|No|No|08|SURG|MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES|2.3576|1.4|1.8|$29|833.07 |12654.00
485|No|No|08|SURG|KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC|3.2510|8.0|9.7|$41|138.15 |12654.00
486|No|No|08|SURG|KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC|2.0860|4.9|5.7|$26|396.24 |12654.00
487|No|No|08|SURG|KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC|1.6040|3.5|4.1|$20|297.02 |12654.00
488|Yes|No|08|SURG|KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC|2.2692|3.5|4.8|$28|714.46 |12654.00
489|Yes|No|08|SURG|KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC|1.3295|1.7|2.1|$16|823.49 |12654.00
492|Yes|Yes|08|SURG|LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP| FOOT AND FEMUR WITH MCC|3.4859|6.3|8.1|$44|110.58 |12654.00
493|Yes|Yes|08|SURG|LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP| FOOT AND FEMUR WITH CC|2.3758|4.0|4.8|$30|063.37 |12654.00
494|Yes|Yes|08|SURG|LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP| FOOT AND FEMUR WITHOUT CC/MCC|1.8888|2.7|3.2|$23|900.88 |12654.00
495|Yes|Yes|08|SURG|LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC|3.7144|7.8|9.9|$47|002.02 |12654.00
496|Yes|Yes|08|SURG|LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC|2.0997|3.6|4.7|$26|569.60 |12654.00
497|Yes|Yes|08|SURG|LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC|1.5217|1.9|2.4|$19|255.59 |12654.00
498|No|No|08|SURG|LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC|2.5631|5.8|7.7|$32|433.47 |12654.00
499|No|No|08|SURG|LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC|1.3187|2.1|2.6|$16|686.83 |12654.00
500|Yes|Yes|08|SURG|SOFT TISSUE PROCEDURES WITH MCC|3.2045|7.4|10.0|$40|549.74 |12654.00
501|Yes|Yes|08|SURG|SOFT TISSUE PROCEDURES WITH CC|1.7578|4.1|5.3|$22|243.20 |12654.00
502|Yes|Yes|08|SURG|SOFT TISSUE PROCEDURES WITHOUT CC/MCC|1.3745|2.3|2.9|$17|392.92 |12654.00
503|No|No|08|SURG|FOOT PROCEDURES WITH MCC|2.5333|7.0|8.5|$32|056.38 |12654.00
504|No|No|08|SURG|FOOT PROCEDURES WITH CC|1.7748|4.5|5.6|$22|458.32 |12654.00
505|No|No|08|SURG|FOOT PROCEDURES WITHOUT CC/MCC|1.7668|2.5|3.0|$22|357.09 |12654.00
506|No|No|08|SURG|MAJOR THUMB OR JOINT PROCEDURES|1.4098|3.8|4.7|$17|839.61 |12654.00
507|No|No|08|SURG|MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC|1.8548|4.7|6.0|$23|470.64 |12654.00
508|No|No|08|SURG|MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC|1.4482|2.2|2.8|$18|325.52 |12654.00
509|No|No|08|SURG|ARTHROSCOPY|1.5179|3.6|4.9|$19|207.51 |12654.00
510|Yes|No|08|SURG|SHOULDER| ELBOW OR FOREARM PROCEDURES| EXCEPT MAJOR JOINT PROCEDURES WITH MCC|2.8881|5.0|6.5|$36|546.02 |12654.00
511|Yes|No|08|SURG|SHOULDER| ELBOW OR FOREARM PROCEDURES| EXCEPT MAJOR JOINT PROCEDURES WITH CC|1.9790|3.2|3.9|$25|042.27 |12654.00
512|Yes|No|08|SURG|SHOULDER| ELBOW OR FOREARM PROCEDURES| EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC|1.6065|2.1|2.5|$20|328.65 |12654.00
513|No|No|08|SURG|HAND OR WRIST PROCEDURES| EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC|1.5940|3.9|5.1|$20|170.48 |12654.00
514|No|No|08|SURG|HAND OR WRIST PROCEDURES| EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC|1.0327|2.2|2.9|$13|067.79 |12654.00
515|Yes|Yes|08|SURG|OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC|3.1178|6.6|8.5|$39|452.64 |12654.00
516|Yes|Yes|08|SURG|OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC|2.0338|3.8|4.8|$25|735.71 |12654.00
517|Yes|Yes|08|SURG|OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC|1.5099|2.2|2.8|$19|106.27 |12654.00
518|Yes|Yes|08|SURG|BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR|3.7277|5.2|7.5|$47|170.32 |12654.00
519|Yes|Yes|08|SURG|BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC|1.9993|3.2|4.2|$25|299.14 |12654.00
520|Yes|Yes|08|SURG|BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC|1.4798|2.0|2.5|$18|725.39 |12654.00
521|Yes|Yes|08|SURG|HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC|3.0192|6.2|7.3|$38|204.96 |12654.00
522|Yes|Yes|08|SURG|HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC|2.1729|4.0|4.5|$27|495.88 |12654.00
533|Yes|No|08|MED|FRACTURES OF FEMUR WITH MCC|1.4263|4.1|5.4|$18|048.40 |12654.00
534|Yes|No|08|MED|FRACTURES OF FEMUR WITHOUT MCC|0.7959|2.7|3.3|$10|071.32 |12654.00
535|Yes|No|08|MED|FRACTURES OF HIP AND PELVIS WITH MCC|1.2895|3.8|4.9|$16|317.33 |12654.00
536|Yes|No|08|MED|FRACTURES OF HIP AND PELVIS WITHOUT MCC|0.7771|2.7|3.3|$9|833.42 |12654.00
537|No|No|08|MED|SPRAINS| STRAINS| AND DISLOCATIONS OF HIP| PELVIS AND THIGH WITH CC/MCC|0.9934|3.1|3.9|$12|570.48 |12654.00
538|No|No|08|MED|SPRAINS| STRAINS| AND DISLOCATIONS OF HIP| PELVIS AND THIGH WITHOUT CC/MCC|0.6962|2.3|2.8|$8|809.71 |12654.00
539|Yes|No|08|MED|OSTEOMYELITIS WITH MCC|1.9959|6.2|8.2|$25|256.12 |12654.00
540|Yes|No|08|MED|OSTEOMYELITIS WITH CC|1.3466|4.4|5.7|$17|039.88 |12654.00
541|Yes|No|08|MED|OSTEOMYELITIS WITHOUT CC/MCC|0.8180|2.9|3.6|$10|350.97 |12654.00
542|Yes|No|08|MED|PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC|1.8280|5.1|6.8|$23|131.51 |12654.00
543|Yes|No|08|MED|PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC|1.0890|3.4|4.5|$13|780.21 |12654.00
544|Yes|No|08|MED|PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC|0.7781|2.6|3.1|$9|846.08 |12654.00
545|Yes|No|08|MED|CONNECTIVE TISSUE DISORDERS WITH MCC|2.5086|5.6|8.1|$31|743.82 |12654.00
546|Yes|No|08|MED|CONNECTIVE TISSUE DISORDERS WITH CC|1.2056|3.4|4.4|$15|255.66 |12654.00
547|Yes|No|08|MED|CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC|0.9148|2.6|3.1|$11|575.88 |12654.00
548|No|No|08|MED|SEPTIC ARTHRITIS WITH MCC|1.9399|5.8|7.5|$24|547.49 |12654.00
549|No|No|08|MED|SEPTIC ARTHRITIS WITH CC|1.2117|4.0|5.1|$15|332.85 |12654.00
550|No|No|08|MED|SEPTIC ARTHRITIS WITHOUT CC/MCC|1.0483|2.8|3.6|$13|265.19 |12654.00
551|Yes|No|08|MED|MEDICAL BACK PROBLEMS WITH MCC|1.6734|4.4|5.9|$21|175.20 |12654.00
552|Yes|No|08|MED|MEDICAL BACK PROBLEMS WITHOUT MCC|0.9605|2.8|3.5|$12|154.17 |12654.00
553|No|No|08|MED|BONE DISEASES AND ARTHROPATHIES WITH MCC|1.3259|4.0|5.4|$16|777.94 |12654.00
554|No|No|08|MED|BONE DISEASES AND ARTHROPATHIES WITHOUT MCC|0.8202|2.7|3.4|$10|378.81 |12654.00
555|No|No|08|MED|SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC|1.3312|3.7|5.0|$16|845.00 |12654.00
556|No|No|08|MED|SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC|0.8080|2.5|3.1|$10|224.43 |12654.00
557|Yes|No|08|MED|TENDONITIS| MYOSITIS AND BURSITIS WITH MCC|1.4319|4.5|5.9|$18|119.26 |12654.00
558|Yes|No|08|MED|TENDONITIS| MYOSITIS AND BURSITIS WITHOUT MCC|0.8690|3.0|3.8|$10|996.33 |12654.00
559|Yes|No|08|MED|AFTERCARE| MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC|1.7850|4.8|6.7|$22|587.39 |12654.00
560|Yes|No|08|MED|AFTERCARE| MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC|1.0956|3.7|4.9|$13|863.72 |12654.00
561|Yes|No|08|MED|AFTERCARE| MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC|0.7902|2.7|3.9|$9|999.19 |12654.00
562|Yes|No|08|MED|FRACTURE| SPRAIN| STRAIN AND DISLOCATION EXCEPT FEMUR| HIP| PELVIS AND THIGH WITH MCC|1.4628|4.0|5.3|$18|510.27 |12654.00
563|Yes|No|08|MED|FRACTURE| SPRAIN| STRAIN AND DISLOCATION EXCEPT FEMUR| HIP| PELVIS AND THIGH WITHOUT MCC|0.8612|2.7|3.3|$10|897.62 |12654.00
564|No|No|08|MED|OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC|1.5533|4.7|6.1|$19|655.46 |12654.00
565|No|No|08|MED|OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC|0.9874|3.3|4.1|$12|494.56 |12654.00
566|No|No|08|MED|OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC|0.7427|2.5|3.0|$9|398.13 |12654.00
570|Yes|No|09|SURG|SKIN DEBRIDEMENT WITH MCC|2.9171|7.5|9.9|$36|912.98 |12654.00
571|Yes|No|09|SURG|SKIN DEBRIDEMENT WITH CC|1.6486|4.8|6.2|$20|861.38 |12654.00
572|Yes|No|09|SURG|SKIN DEBRIDEMENT WITHOUT CC/MCC|1.2036|2.9|3.7|$15|230.35 |12654.00
573|Yes|No|09|SURG|SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC|5.8705|11.3|15.8|$74|285.31 |12654.00
574|Yes|No|09|SURG|SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC|3.6046|8.1|11.4|$45|612.61 |12654.00
575|Yes|No|09|SURG|SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC|2.0496|4.4|5.9|$25|935.64 |12654.00
576|No|No|09|SURG|SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC|5.6490|9.6|14.6|$71|482.45 |12654.00
577|No|No|09|SURG|SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC|2.6187|4.5|6.5|$33|137.03 |12654.00
578|No|No|09|SURG|SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC|1.7125|2.7|3.7|$21|669.98 |12654.00
579|Yes|No|09|SURG|OTHER SKIN| SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC|3.1517|7.2|9.8|$39|881.61 |12654.00
580|Yes|No|09|SURG|OTHER SKIN| SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC|1.7362|4.0|5.4|$21|969.87 |12654.00
581|Yes|No|09|SURG|OTHER SKIN| SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC|1.4115|2.0|2.6|$17|861.12 |12654.00
582|No|No|09|SURG|MASTECTOMY FOR MALIGNANCY WITH CC/MCC|1.9348|2.4|3.4|$24|482.96 |12654.00
583|No|No|09|SURG|MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC|1.5108|1.7|2.0|$19|117.66 |12654.00
584|No|No|09|SURG|BREAST BIOPSY| LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC|2.1358|3.5|4.7|$27|026.41 |12654.00
585|No|No|09|SURG|BREAST BIOPSY| LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC|1.8411|2.1|2.5|$23|297.28 |12654.00
592|Yes|No|09|MED|SKIN ULCERS WITH MCC|1.7840|5.5|7.5|$22|574.74 |12654.00
593|Yes|No|09|MED|SKIN ULCERS WITH CC|1.1519|4.1|5.3|$14|576.14 |12654.00
594|Yes|No|09|MED|SKIN ULCERS WITHOUT CC/MCC|0.7739|3.0|3.8|$9|792.93 |12654.00
595|No|No|09|MED|MAJOR SKIN DISORDERS WITH MCC|2.1414|5.4|7.7|$27|097.28 |12654.00
596|No|No|09|MED|MAJOR SKIN DISORDERS WITHOUT MCC|1.0918|3.5|4.6|$13|815.64 |12654.00
597|No|No|09|MED|MALIGNANT BREAST DISORDERS WITH MCC|1.6840|4.8|6.5|$21|309.34 |12654.00
598|No|No|09|MED|MALIGNANT BREAST DISORDERS WITH CC|1.0681|3.3|4.3|$13|515.74 |12654.00
599|No|No|09|MED|MALIGNANT BREAST DISORDERS WITHOUT CC/MCC|0.7476|2.1|2.4|$9|460.13 |12654.00
600|No|No|09|MED|NON-MALIGNANT BREAST DISORDERS WITH CC/MCC|1.0411|3.4|4.3|$13|174.08 |12654.00
601|No|No|09|MED|NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC|0.7039|2.6|3.1|$8|907.15 |12654.00
602|Yes|No|09|MED|CELLULITIS WITH MCC|1.4412|4.6|5.9|$18|236.94 |12654.00
603|Yes|No|09|MED|CELLULITIS WITHOUT MCC|0.8818|3.2|3.9|$11|158.30 |12654.00
604|No|No|09|MED|TRAUMA TO THE SKIN| SUBCUTANEOUS TISSUE AND BREAST WITH MCC|1.5092|3.8|5.3|$19|097.42 |12654.00
605|No|No|09|MED|TRAUMA TO THE SKIN| SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC|0.9104|2.5|3.2|$11|520.20 |12654.00
606|No|No|09|MED|MINOR SKIN DISORDERS WITH MCC|1.5349|4.4|6.1|$19|422.62 |12654.00
607|No|No|09|MED|MINOR SKIN DISORDERS WITHOUT MCC|0.8482|2.9|3.7|$10|733.12 |12654.00
614|No|No|10|SURG|ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC|2.3499|3.0|4.4|$29|735.63 |12654.00
615|No|No|10|SURG|ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC|1.4758|1.6|1.9|$18|674.77 |12654.00
616|Yes|No|10|SURG|AMPUTATION OF LOWER LIMB FOR ENDOCRINE| NUTRITIONAL AND METABOLIC DISORDERS WITH MCC|3.7645|9.7|12.0|$47|635.98 |12654.00
617|Yes|No|10|SURG|AMPUTATION OF LOWER LIMB FOR ENDOCRINE| NUTRITIONAL AND METABOLIC DISORDERS WITH CC|1.9440|5.6|6.7|$24|599.38 |12654.00
618|Yes|No|10|SURG|AMPUTATION OF LOWER LIMB FOR ENDOCRINE| NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC|1.1729|3.5|4.0|$14|841.88 |12654.00
619|No|No|10|SURG|O.R. PROCEDURES FOR OBESITY WITH MCC|2.8917|2.8|4.7|$36|591.57 |12654.00
620|No|No|10|SURG|O.R. PROCEDURES FOR OBESITY WITH CC|1.6856|1.7|2.0|$21|329.58 |12654.00
621|No|No|10|SURG|O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC|1.5550|1.3|1.4|$19|676.97 |12654.00
622|Yes|No|10|SURG|SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE| NUTRITIONAL AND METABOLIC DISORDERS WITH MCC|3.6211|8.6|11.6|$45|821.40 |12654.00
623|Yes|No|10|SURG|SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE| NUTRITIONAL AND METABOLIC DISORDERS WITH CC|1.8846|5.4|6.6|$23|847.73 |12654.00
624|Yes|No|10|SURG|SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE| NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC|0.9890|2.6|3.1|$12|514.81 |12654.00
625|No|No|10|SURG|THYROID| PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC|2.8772|4.7|7.2|$36|408.09 |12654.00
626|No|No|10|SURG|THYROID| PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC|1.6192|2.1|2.9|$20|489.36 |12654.00
627|No|No|10|SURG|THYROID| PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC|1.2759|1.4|1.6|$16|145.24 |12654.00
628|Yes|No|10|SURG|OTHER ENDOCRINE| NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC|3.6448|7.7|10.5|$46|121.30 |12654.00
629|Yes|No|10|SURG|OTHER ENDOCRINE| NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC|2.2438|5.9|7.1|$28|393.05 |12654.00
630|Yes|No|10|SURG|OTHER ENDOCRINE| NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC|1.4042|2.2|2.9|$17|768.75 |12654.00
637|Yes|No|10|MED|DIABETES WITH MCC|1.3957|3.9|5.2|$17|661.19 |12654.00
638|Yes|No|10|MED|DIABETES WITH CC|0.8760|2.9|3.6|$11|084.90 |12654.00
639|Yes|No|10|MED|DIABETES WITHOUT CC/MCC|0.6008|2.0|2.4|$7|602.52 |12654.00
640|Yes|No|10|MED|MISCELLANEOUS DISORDERS OF NUTRITION| METABOLISM| FLUIDS AND ELECTROLYTES WITH MCC|1.2653|3.4|4.8|$16|011.11 |12654.00
641|Yes|No|10|MED|MISCELLANEOUS DISORDERS OF NUTRITION| METABOLISM| FLUIDS AND ELECTROLYTES WITHOUT MCC|0.7702|2.6|3.3|$9|746.11 |12654.00
642|No|No|10|MED|INBORN AND OTHER DISORDERS OF METABOLISM|1.4033|3.3|4.9|$17|757.36 |12654.00
643|Yes|No|10|MED|ENDOCRINE DISORDERS WITH MCC|1.6437|5.1|6.4|$20|799.38 |12654.00
644|Yes|No|10|MED|ENDOCRINE DISORDERS WITH CC|1.0191|3.5|4.3|$12|895.69 |12654.00
645|Yes|No|10|MED|ENDOCRINE DISORDERS WITHOUT CC/MCC|0.7426|2.6|3.1|$9|396.86 |12654.00
650|No|No|11|SURG|KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC|4.6439|6.6|8.1|$58|763.91 |12654.00
651|No|No|11|SURG|KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC|3.5462|5.6|6.4|$44|873.61 |12654.00
652|No|No|11|SURG|KIDNEY TRANSPLANT|3.0851|4.5|5.0|$39|038.86 |12654.00
653|Yes|No|11|SURG|MAJOR BLADDER PROCEDURES WITH MCC|5.5567|10.1|13.1|$70|314.48 |12654.00
654|Yes|No|11|SURG|MAJOR BLADDER PROCEDURES WITH CC|2.8425|5.4|6.4|$35|969.00 |12654.00
655|Yes|No|11|SURG|MAJOR BLADDER PROCEDURES WITHOUT CC/MCC|2.1587|3.4|4.1|$27|316.19 |12654.00
656|No|No|11|SURG|KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC|3.3053|5.3|7.6|$41|825.27 |12654.00
657|No|No|11|SURG|KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC|1.8780|2.8|3.6|$23|764.21 |12654.00
658|No|No|11|SURG|KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC|1.5790|1.8|2.1|$19|980.67 |12654.00
659|Yes|No|11|SURG|KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC|2.5769|5.9|7.9|$32|608.09 |12654.00
660|Yes|No|11|SURG|KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC|1.4112|3.0|3.9|$17|857.32 |12654.00
661|Yes|No|11|SURG|KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC|1.0779|1.8|2.1|$13|639.75 |12654.00
662|No|No|11|SURG|MINOR BLADDER PROCEDURES WITH MCC|3.0387|7.0|10.1|$38|451.71 |12654.00
663|No|No|11|SURG|MINOR BLADDER PROCEDURES WITH CC|1.5250|3.5|4.6|$19|297.35 |12654.00
664|No|No|11|SURG|MINOR BLADDER PROCEDURES WITHOUT CC/MCC|1.1267|1.8|2.3|$14|257.26 |12654.00
665|No|No|11|SURG|PROSTATECTOMY WITH MCC|3.0603|7.4|9.8|$38|725.04 |12654.00
666|No|No|11|SURG|PROSTATECTOMY WITH CC|1.7219|3.6|5.0|$21|788.92 |12654.00
667|No|No|11|SURG|PROSTATECTOMY WITHOUT CC/MCC|0.9839|1.9|2.4|$12|450.27 |12654.00
668|No|No|11|SURG|TRANSURETHRAL PROCEDURES WITH MCC|2.8229|7.0|9.1|$35|720.98 |12654.00
669|No|No|11|SURG|TRANSURETHRAL PROCEDURES WITH CC|1.5742|3.7|4.9|$19|919.93 |12654.00
670|No|No|11|SURG|TRANSURETHRAL PROCEDURES WITHOUT CC/MCC|0.9875|2.0|2.5|$12|495.83 |12654.00
671|No|No|11|SURG|URETHRAL PROCEDURES WITH CC/MCC|1.8315|3.7|5.4|$23|175.80 |12654.00
672|No|No|11|SURG|URETHRAL PROCEDURES WITHOUT CC/MCC|1.0417|1.6|2.1|$13|181.67 |12654.00
673|No|No|11|SURG|OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC|3.4940|8.0|10.9|$44|213.08 |12654.00
674|No|No|11|SURG|OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC|2.3705|6.0|7.6|$29|996.31 |12654.00
675|No|No|11|SURG|OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC|1.6864|3.0|3.8|$21|339.71 |12654.00
682|Yes|No|11|MED|RENAL FAILURE WITH MCC|1.4866|4.3|5.8|$18|811.44 |12654.00
683|Yes|No|11|MED|RENAL FAILURE WITH CC|0.8949|3.1|3.9|$11|324.06 |12654.00
684|Yes|No|11|MED|RENAL FAILURE WITHOUT CC/MCC|0.6048|2.2|2.6|$7|653.14 |12654.00
686|No|No|11|MED|KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC|1.6978|4.7|6.4|$21|483.96 |12654.00
687|No|No|11|MED|KIDNEY AND URINARY TRACT NEOPLASMS WITH CC|1.0398|3.2|4.2|$13|157.63 |12654.00
688|No|No|11|MED|KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC|0.8664|2.0|2.4|$10|963.43 |12654.00
689|Yes|No|11|MED|KIDNEY AND URINARY TRACT INFECTIONS WITH MCC|1.1471|3.8|4.9|$14|515.40 |12654.00
690|Yes|No|11|MED|KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC|0.7956|2.8|3.5|$10|067.52 |12654.00
693|No|No|11|MED|URINARY STONES WITH MCC|1.4308|3.7|5.2|$18|105.34 |12654.00
694|No|No|11|MED|URINARY STONES WITHOUT MCC|0.7971|2.0|2.6|$10|086.50 |12654.00
695|No|No|11|MED|KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC|1.1483|3.6|4.7|$14|530.59 |12654.00
696|No|No|11|MED|KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC|0.6930|2.3|2.9|$8|769.22 |12654.00
697|No|No|11|MED|URETHRAL STRICTURE|0.9924|2.6|3.5|$12|557.83 |12654.00
698|Yes|No|11|MED|OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC|1.6025|4.8|6.1|$20|278.04 |12654.00
699|Yes|No|11|MED|OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC|1.0121|3.2|4.0|$12|807.11 |12654.00
700|Yes|No|11|MED|OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC|0.7408|2.3|2.9|$9|374.08 |12654.00
707|No|No|12|SURG|MAJOR MALE PELVIC PROCEDURES WITH CC/MCC|1.9953|2.3|3.3|$25|248.53 |12654.00
708|No|No|12|SURG|MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC|1.4847|1.4|1.5|$18|787.39 |12654.00
709|No|No|12|SURG|PENIS PROCEDURES WITH CC/MCC|2.4120|4.3|7.4|$30|521.45 |12654.00
710|No|No|12|SURG|PENIS PROCEDURES WITHOUT CC/MCC|1.4414|1.9|2.5|$18|239.48 |12654.00
711|No|No|12|SURG|TESTES PROCEDURES WITH CC/MCC|2.0434|5.1|7.2|$25|857.18 |12654.00
712|No|No|12|SURG|TESTES PROCEDURES WITHOUT CC/MCC|1.2416|2.5|3.5|$15|711.21 |12654.00
713|No|No|12|SURG|TRANSURETHRAL PROSTATECTOMY WITH CC/MCC|1.4819|2.6|3.9|$18|751.96 |12654.00
714|No|No|12|SURG|TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC|0.9582|1.5|1.8|$12|125.06 |12654.00
715|No|No|12|SURG|OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC|2.2332|5.2|7.4|$28|258.91 |12654.00
716|No|No|12|SURG|OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC|1.3143|1.5|1.7|$16|631.15 |12654.00
717|No|No|12|SURG|OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC|1.7703|3.4|4.8|$22|401.38 |12654.00
718|No|No|12|SURG|OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC|1.2690|1.9|2.3|$16|057.93 |12654.00
722|No|No|12|MED|MALIGNANCY| MALE REPRODUCTIVE SYSTEM WITH MCC|1.6977|4.9|6.5|$21|482.70 |12654.00
723|No|No|12|MED|MALIGNANCY| MALE REPRODUCTIVE SYSTEM WITH CC|1.1524|3.3|4.5|$14|582.47 |12654.00
724|No|No|12|MED|MALIGNANCY| MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC|0.7651|1.8|2.1|$9|681.58 |12654.00
725|No|No|12|MED|BENIGN PROSTATIC HYPERTROPHY WITH MCC|1.2493|4.0|5.2|$15|808.64 |12654.00
726|No|No|12|MED|BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC|0.7716|2.5|3.1|$9|763.83 |12654.00
727|No|No|12|MED|INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC|1.4368|4.6|5.9|$18|181.27 |12654.00
728|No|No|12|MED|INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC|0.8217|2.9|3.6|$10|397.79 |12654.00
729|No|No|12|MED|OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC|1.0778|3.3|4.5|$13|638.48 |12654.00
730|No|No|12|MED|OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC|0.6558|2.0|2.4|$8|298.49 |12654.00
734|No|No|13|SURG|PELVIC EVISCERATION| RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC|2.1852|3.4|4.8|$27|651.52 |12654.00
735|No|No|13|SURG|PELVIC EVISCERATION| RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC|1.2722|1.7|2.0|$16|098.42 |12654.00
736|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC|4.2652|8.0|10.6|$53|971.84 |12654.00
737|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC|2.0235|4.0|4.7|$25|605.37 |12654.00
738|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC|1.4038|2.3|2.6|$17|763.69 |12654.00
739|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC|3.9023|6.5|9.5|$49|379.70 |12654.00
740|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC|1.8024|2.7|3.5|$22|807.57 |12654.00
741|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC|1.3129|1.6|1.9|$16|613.44 |12654.00
742|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC|1.8021|2.8|3.9|$22|803.77 |12654.00
743|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC|1.1706|1.6|1.8|$14|812.77 |12654.00
744|No|No|13|SURG|D&C| CONIZATION| LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC|1.8983|4.4|6.2|$24|021.09 |12654.00
745|No|No|13|SURG|D&C| CONIZATION| LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC|1.1508|2.0|2.5|$14|562.22 |12654.00
746|No|No|13|SURG|VAGINA| CERVIX AND VULVA PROCEDURES WITH CC/MCC|1.5634|3.3|4.9|$19|783.26 |12654.00
747|No|No|13|SURG|VAGINA| CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC|0.9786|1.5|1.9|$12|383.20 |12654.00
748|No|No|13|SURG|FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES|1.4172|1.5|2.0|$17|933.25 |12654.00
749|No|No|13|SURG|OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC|2.5262|5.3|7.3|$31|966.53 |12654.00
750|No|No|13|SURG|OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC|1.4270|2.1|3.1|$18|057.26 |12654.00
754|No|No|13|MED|MALIGNANCY| FEMALE REPRODUCTIVE SYSTEM WITH MCC|1.7369|4.8|6.6|$21|978.73 |12654.00
755|No|No|13|MED|MALIGNANCY| FEMALE REPRODUCTIVE SYSTEM WITH CC|1.0811|3.1|4.2|$13|680.24 |12654.00
756|No|No|13|MED|MALIGNANCY| FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC|0.9968|2.1|2.4|$12|613.51 |12654.00
757|No|No|13|MED|INFECTIONS| FEMALE REPRODUCTIVE SYSTEM WITH MCC|1.3722|4.7|6.0|$17|363.82 |12654.00
758|No|No|13|MED|INFECTIONS| FEMALE REPRODUCTIVE SYSTEM WITH CC|0.9555|3.5|4.4|$12|090.90 |12654.00
759|No|No|13|MED|INFECTIONS| FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC|0.6204|2.5|3.0|$7|850.54 |12654.00
760|No|No|13|MED|MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC|0.9666|2.6|3.5|$12|231.36 |12654.00
761|No|No|13|MED|MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC|0.5657|1.5|1.8|$7|158.37 |12654.00
768|No|No|14|SURG|VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C|1.1468|2.8|3.8|$14|511.61 |12654.00
769|No|No|14|SURG|POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES|1.6613|2.9|4.3|$21|022.09 |12654.00
770|No|No|14|SURG|ABORTION WITH D&C| ASPIRATION CURETTAGE OR HYSTEROTOMY|0.8658|1.6|2.1|$10|955.83 |12654.00
776|No|No|14|MED|POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES|0.6971|2.2|2.8|$8|821.10 |12654.00
779|No|No|14|MED|ABORTION WITHOUT D&C|1.0186|2.2|3.0|$12|889.36 |12654.00
783|No|No|14|SURG|CESAREAN SECTION WITH STERILIZATION WITH MCC|1.9297|4.7|8.0|$24|418.42 |12654.00
784|No|No|14|SURG|CESAREAN SECTION WITH STERILIZATION WITH CC|1.0440|3.1|3.8|$13|210.78 |12654.00
785|No|No|14|SURG|CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC|0.9121|2.6|2.9|$11|541.71 |12654.00
786|No|No|14|SURG|CESAREAN SECTION WITHOUT STERILIZATION WITH MCC|1.6150|4.2|5.9|$20|436.21 |12654.00
787|No|No|14|SURG|CESAREAN SECTION WITHOUT STERILIZATION WITH CC|1.0653|3.2|3.9|$13|480.31 |12654.00
788|No|No|14|SURG|CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC|0.8724|2.7|3.0|$11|039.35 |12654.00
789|No|No|15|MED|NEONATES| DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY|1.8258|1.8|1.8|$23|103.67 |12654.00
790|No|No|15|MED|EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME| NEONATE|6.0211|17.9|17.9|$76|191.00 |12654.00
791|No|No|15|MED|PREMATURITY WITH MAJOR PROBLEMS|4.1121|13.3|13.3|$52|034.51 |12654.00
792|No|No|15|MED|PREMATURITY WITHOUT MAJOR PROBLEMS|2.4812|8.6|8.6|$31|397.10 |12654.00
793|No|No|15|MED|FULL TERM NEONATE WITH MAJOR PROBLEMS|4.2240|4.7|4.7|$53|450.50 |12654.00
794|No|No|15|MED|NEONATE WITH OTHER SIGNIFICANT PROBLEMS|1.4951|3.4|3.4|$18|919.00 |12654.00
795|No|No|15|MED|NORMAL NEWBORN|0.2024|3.1|3.1|$2|561.17 |12654.00
796|No|No|14|SURG|VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC|1.3130|3.6|4.5|$16|614.70 |12654.00
797|No|No|14|SURG|VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC|0.9279|2.1|2.3|$11|741.65 |12654.00
798|No|No|14|SURG|VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC|0.9279|2.1|2.3|$11|741.65 |12654.00
799|No|No|16|SURG|SPLENECTOMY WITH MCC|5.2077|7.6|10.3|$65|898.24 |12654.00
800|No|No|16|SURG|SPLENECTOMY WITH CC|2.6585|4.4|5.7|$33|640.66 |12654.00
801|No|No|16|SURG|SPLENECTOMY WITHOUT CC/MCC|1.7960|2.6|3.1|$22|726.58 |12654.00
802|No|No|16|SURG|OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC|3.8120|8.2|11.5|$48|237.05 |12654.00
803|No|No|16|SURG|OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC|2.0533|4.1|5.7|$25|982.46 |12654.00
804|No|No|16|SURG|OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC|1.2618|1.8|2.3|$15|966.82 |12654.00
805|No|No|14|MED|VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC|1.0056|2.8|3.7|$12|724.86 |12654.00
806|No|No|14|MED|VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC|0.6978|2.3|2.6|$8|829.96 |12654.00
807|No|No|14|MED|VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC|0.6314|2.0|2.2|$7|989.74 |12654.00
808|No|No|16|MED|MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC|2.1410|5.1|7.0|$27|092.21 |12654.00
809|No|No|16|MED|MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC|1.2157|3.4|4.3|$15|383.47 |12654.00
810|No|No|16|MED|MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC|0.9388|2.5|3.1|$11|879.58 |12654.00
811|No|No|16|MED|RED BLOOD CELL DISORDERS WITH MCC|1.3903|3.6|4.9|$17|592.86 |12654.00
812|No|No|16|MED|RED BLOOD CELL DISORDERS WITHOUT MCC|0.8980|2.7|3.5|$11|363.29 |12654.00
813|No|No|16|MED|COAGULATION DISORDERS|1.5651|3.6|4.8|$19|804.78 |12654.00
814|No|No|16|MED|RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC|1.8791|4.6|6.6|$23|778.13 |12654.00
815|No|No|16|MED|RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC|1.0311|3.0|3.9|$13|047.54 |12654.00
816|No|No|16|MED|RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC|0.7290|2.2|2.7|$9|224.77 |12654.00
817|No|No|14|SURG|OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC|3.1298|3.7|6.8|$39|604.49 |12654.00
818|No|No|14|SURG|OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC|1.5901|3.6|4.8|$20|121.13 |12654.00
819|No|No|14|SURG|OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC|0.8885|1.6|1.8|$11|243.08 |12654.00
820|No|No|17|SURG|LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC|5.3176|10.3|14.4|$67|288.91 |12654.00
821|No|No|17|SURG|LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC|2.1624|3.4|5.2|$27|363.01 |12654.00
822|No|No|17|SURG|LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC|1.2050|1.6|2.0|$15|248.07 |12654.00
823|No|No|17|SURG|LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC|4.3264|9.9|13.1|$54|746.27 |12654.00
824|No|No|17|SURG|LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC|2.2903|5.1|6.9|$28|981.46 |12654.00
825|No|No|17|SURG|LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC|1.3166|2.3|3.1|$16|660.26 |12654.00
826|No|No|17|SURG|MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC|5.1419|9.4|12.7|$65|065.60 |12654.00
827|No|No|17|SURG|MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC|2.4347|4.3|5.6|$30|808.69 |12654.00
828|No|No|17|SURG|MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC|1.7391|2.6|3.3|$22|006.57 |12654.00
829|No|No|17|SURG|MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC|3.1647|5.9|8.6|$40|046.11 |12654.00
830|No|No|17|SURG|MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC|1.4705|2.2|2.8|$18|607.71 |12654.00
831|No|No|14|MED|OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC|1.1948|3.4|4.9|$15|119.00 |12654.00
832|No|No|14|MED|OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC|0.7005|2.5|3.7|$8|864.13 |12654.00
833|No|No|14|MED|OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC|0.5040|1.9|2.5|$6|377.62 |12654.00
834|No|No|17|MED|ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC|5.5300|9.4|15.7|$69|976.62 |12654.00
835|No|No|17|MED|ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC|2.0971|4.3|6.6|$26|536.70 |12654.00
836|No|No|17|MED|ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC|1.5688|2.8|4.4|$19|851.60 |12654.00
837|No|No|17|MED|CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC|5.3822|11.2|16.6|$68|106.36 |12654.00
838|No|No|17|MED|CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT|2.2241|5.3|6.8|$28|143.76 |12654.00
839|No|No|17|MED|CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC|1.3747|4.5|4.9|$17|395.45 |12654.00
840|Yes|No|17|MED|LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC|3.1070|6.6|9.4|$39|315.98 |12654.00
841|Yes|No|17|MED|LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC|1.5948|4.0|5.3|$20|180.60 |12654.00
842|Yes|No|17|MED|LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC|1.1037|2.6|3.4|$13|966.22 |12654.00
843|No|No|17|MED|OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC|1.9374|5.4|7.4|$24|515.86 |12654.00
844|No|No|17|MED|OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC|1.1406|3.5|4.6|$14|433.15 |12654.00
845|No|No|17|MED|OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC|0.8455|2.5|3.2|$10|698.96 |12654.00
846|No|No|17|MED|CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC|2.4090|5.7|7.6|$30|483.49 |12654.00
847|No|No|17|MED|CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC|1.2181|3.6|4.1|$15|413.84 |12654.00
848|No|No|17|MED|CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC|0.9291|2.7|3.1|$11|756.83 |12654.00
849|No|No|17|MED|RADIOTHERAPY|2.3389|6.4|9.2|$29|596.44 |12654.00
853|Yes|No|18|SURG|INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC|4.9010|9.6|12.6|$62|017.25 |12654.00
854|Yes|No|18|SURG|INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC|2.0556|5.1|6.4|$26|011.56 |12654.00
855|Yes|No|18|SURG|INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC|1.5277|3.2|4.2|$19|331.52 |12654.00
856|Yes|No|18|SURG|POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC|4.4127|9.0|11.9|$55|838.31 |12654.00
857|Yes|No|18|SURG|POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC|2.1090|5.3|6.6|$26|687.29 |12654.00
858|Yes|No|18|SURG|POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC|1.4146|3.5|4.2|$17|900.35 |12654.00
862|Yes|No|18|MED|POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC|1.8291|5.0|6.7|$23|145.43 |12654.00
863|Yes|No|18|MED|POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC|1.0059|3.4|4.2|$12|728.66 |12654.00
864|No|No|18|MED|FEVER AND INFLAMMATORY CONDITIONS|0.8482|2.6|3.2|$10|733.12 |12654.00
865|No|No|18|MED|VIRAL ILLNESS WITH MCC|1.6728|4.2|6.3|$21|167.61 |12654.00
866|No|No|18|MED|VIRAL ILLNESS WITHOUT MCC|0.8997|2.8|3.7|$11|384.80 |12654.00
867|Yes|No|18|MED|OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC|2.1134|5.5|7.6|$26|742.96 |12654.00
868|Yes|No|18|MED|OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC|1.0557|3.5|4.4|$13|358.83 |12654.00
869|Yes|No|18|MED|OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC|0.7408|2.5|3.0|$9|374.08 |12654.00
870|Yes|No|18|MED|SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS|6.7909|13.2|15.5|$85|932.05 |12654.00
871|Yes|No|18|MED|SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC|1.9572|5.0|6.6|$24|766.41 |12654.00
872|Yes|No|18|MED|SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC|1.0280|3.5|4.2|$13|008.31 |12654.00
876|No|No|19|SURG|O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS|3.1963|6.2|12.1|$40|445.98 |12654.00
880|No|No|19|MED|ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION|0.9062|2.7|3.9|$11|467.05 |12654.00
881|No|No|19|MED|DEPRESSIVE NEUROSES|0.8555|3.9|5.6|$10|825.50 |12654.00
882|No|No|19|MED|NEUROSES EXCEPT DEPRESSIVE|0.8735|3.3|4.9|$11|053.27 |12654.00
883|No|No|19|MED|DISORDERS OF PERSONALITY AND IMPULSE CONTROL|1.6145|5.2|9.4|$20|429.88 |12654.00
884|Yes|No|19|MED|ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY|1.5700|4.7|8.0|$19|866.78 |12654.00
885|No|No|19|MED|PSYCHOSES|1.2955|6.2|9.2|$16|393.26 |12654.00
886|No|No|19|MED|BEHAVIORAL AND DEVELOPMENTAL DISORDERS|1.3650|4.6|9.7|$17|272.71 |12654.00
887|No|No|19|MED|OTHER MENTAL DISORDER DIAGNOSES|1.2965|3.3|6.2|$16|405.91 |12654.00
894|No|No|20|MED|ALCOHOL| DRUG ABUSE OR DEPENDENCE| LEFT AMA|0.5718|2.0|2.8|$7|235.56 |12654.00
895|No|No|20|MED|ALCOHOL| DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY|1.5587|8.4|11.3|$19|723.79 |12654.00
896|Yes|No|20|MED|ALCOHOL| DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC|1.7556|5.0|7.1|$22|215.36 |12654.00
897|Yes|No|20|MED|ALCOHOL| DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC|0.8513|3.3|4.3|$10|772.35 |12654.00
901|No|No|21|SURG|WOUND DEBRIDEMENTS FOR INJURIES WITH MCC|4.3986|9.1|14.0|$55|659.88 |12654.00
902|No|No|21|SURG|WOUND DEBRIDEMENTS FOR INJURIES WITH CC|1.9818|4.7|6.6|$25|077.70 |12654.00
903|No|No|21|SURG|WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC|1.2156|2.7|3.5|$15|382.20 |12654.00
904|No|No|21|SURG|SKIN GRAFTS FOR INJURIES WITH CC/MCC|3.5519|6.7|10.0|$44|945.74 |12654.00
905|No|No|21|SURG|SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC|1.5599|3.1|4.0|$19|738.97 |12654.00
906|No|No|21|SURG|HAND PROCEDURES FOR INJURIES|1.7878|2.9|4.4|$22|622.82 |12654.00
907|Yes|No|21|SURG|OTHER O.R. PROCEDURES FOR INJURIES WITH MCC|3.8657|6.8|9.6|$48|916.57 |12654.00
908|Yes|No|21|SURG|OTHER O.R. PROCEDURES FOR INJURIES WITH CC|2.0565|3.8|5.1|$26|022.95 |12654.00
909|Yes|No|21|SURG|OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC|1.3647|2.3|3.0|$17|268.91 |12654.00
913|No|No|21|MED|TRAUMATIC INJURY WITH MCC|1.5141|3.9|5.6|$19|159.42 |12654.00
914|No|No|21|MED|TRAUMATIC INJURY WITHOUT MCC|0.8891|2.4|3.1|$11|250.67 |12654.00
915|No|No|21|MED|ALLERGIC REACTIONS WITH MCC|1.8201|3.8|5.4|$23|031.55 |12654.00
916|No|No|21|MED|ALLERGIC REACTIONS WITHOUT MCC|0.6642|1.8|2.2|$8|404.79 |12654.00
917|Yes|No|21|MED|POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC|1.5225|3.6|5.2|$19|265.72 |12654.00
918|Yes|No|21|MED|POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC|0.8177|2.4|3.3|$10|347.18 |12654.00
919|No|No|21|MED|COMPLICATIONS OF TREATMENT WITH MCC|1.7936|4.3|5.9|$22|696.21 |12654.00
920|No|No|21|MED|COMPLICATIONS OF TREATMENT WITH CC|1.0218|2.9|3.7|$12|929.86 |12654.00
921|No|No|21|MED|COMPLICATIONS OF TREATMENT WITHOUT CC/MCC|0.7279|2.1|2.6|$9|210.85 |12654.00
922|No|No|21|MED|OTHER INJURY| POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC|1.5558|4.1|6.7|$19|687.09 |12654.00
923|No|No|21|MED|OTHER INJURY| POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC|0.9432|2.8|4.6|$11|935.25 |12654.00
927|No|No|22|SURG|EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT|18.9822|23.3|32.5|$240|200.76 |12654.00
928|No|No|22|SURG|FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC|6.1913|12.1|16.1|$78|344.71 |12654.00
929|No|No|22|SURG|FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC|2.9388|6.1|8.5|$37|187.58 |12654.00
933|No|No|22|MED|EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT|3.0330|2.3|4.3|$38|379.58 |12654.00
934|No|No|22|MED|FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY|1.8760|4.5|6.8|$23|738.90 |12654.00
935|No|No|22|MED|NON-EXTENSIVE BURNS|2.0241|3.7|5.8|$25|612.96 |12654.00
939|No|No|23|SURG|O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC|3.0971|6.1|9.3|$39|190.70 |12654.00
940|No|No|23|SURG|O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC|2.2033|3.2|4.6|$27|880.56 |12654.00
941|No|No|23|SURG|O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC|1.8874|2.0|2.6|$23|883.16 |12654.00
945|Yes|No|23|MED|REHABILITATION WITH CC/MCC|1.5052|4.4|6.2|$19|046.80 |12654.00
946|Yes|No|23|MED|REHABILITATION WITHOUT CC/MCC|1.1226|3.1|4.2|$14|205.38 |12654.00
947|Yes|No|23|MED|SIGNS AND SYMPTOMS WITH MCC|1.2156|3.5|4.9|$15|382.20 |12654.00
948|Yes|No|23|MED|SIGNS AND SYMPTOMS WITHOUT MCC|0.7776|2.5|3.2|$9|839.75 |12654.00
949|No|No|23|MED|AFTERCARE WITH CC/MCC|1.1920|4.9|7.6|$15|083.57 |12654.00
950|No|No|23|MED|AFTERCARE WITHOUT CC/MCC|0.7095|3.3|4.7|$8|978.01 |12654.00
951|No|No|23|MED|OTHER FACTORS INFLUENCING HEALTH STATUS|0.5692|1.8|2.7|$7|202.66 |12654.00
955|No|No|24|SURG|CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA|6.7360|8.1|12.1|$85|237.34 |12654.00
956|Yes|No|24|SURG|LIMB REATTACHMENT| HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA|3.8042|6.1|7.7|$48|138.35 |12654.00
957|No|No|24|SURG|OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC|7.4105|9.7|13.7|$93|772.47 |12654.00
958|No|No|24|SURG|OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC|4.1705|6.6|8.0|$52|773.51 |12654.00
959|No|No|24|SURG|OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC|2.5687|3.8|4.4|$32|504.33 |12654.00
963|No|No|24|MED|OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC|2.7732|5.3|7.9|$35|092.07 |12654.00
964|No|No|24|MED|OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC|1.4645|3.9|4.9|$18|531.78 |12654.00
965|No|No|24|MED|OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC|0.9099|2.5|3.0|$11|513.87 |12654.00
969|No|No|25|SURG|HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC|7.2476|13.2|18.6|$91|711.13 |12654.00
970|No|No|25|SURG|HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC|3.0884|6.2|8.7|$39|080.61 |12654.00
974|No|No|25|MED|HIV WITH MAJOR RELATED CONDITION WITH MCC|2.8730|6.9|10.0|$36|354.94 |12654.00
975|No|No|25|MED|HIV WITH MAJOR RELATED CONDITION WITH CC|1.3757|4.2|5.8|$17|408.11 |12654.00
976|No|No|25|MED|HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC|0.9228|3.3|4.1|$11|677.11 |12654.00
977|No|No|25|MED|HIV WITH OR WITHOUT OTHER RELATED CONDITION|1.2999|3.6|5.0|$16|448.93 |12654.00
981|Yes|No| |SURG|EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC|4.5804|8.5|11.9|$57|960.38 |12654.00
982|Yes|No| |SURG|EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC|2.5082|4.3|5.9|$31|738.76 |12654.00
983|Yes|No| |SURG|EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC|1.6702|2.1|2.7|$21|134.71 |12654.00
987|Yes|Yes| |SURG|NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC|3.3184|7.8|10.8|$41|991.03 |12654.00
988|Yes|Yes| |SURG|NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC|1.6964|4.2|5.6|$21|466.25 |12654.00
989|Yes|Yes| |SURG|NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC|1.1024|2.1|2.7|$13|949.77 |12654.00
998|No|No| |**|PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS|.|.|.||12654.00
999|No|No| |**|UNGROUPABLE|.|.|.||12654.00