TAX ID|MS-DRG |FY 2022 Final Post-Acute DRG|FY 2022 Final Special Pay DRG|MDC|TYPE|MS-DRG Title|Weights|Geometric mean LOS|Arithmetic mean LOS|DRG Allowable Amount|Base Rate|EFFECTIVE
71-1054290|001|No|No|PRE|SURG|HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC|28.9132|30.1|39.1|365867.63|12654.00|03/01/2022
71-1054290|002|No|No|PRE|SURG|HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC|14.9701|15.4|18.2|189431.65|12654.00|03/01/2022
71-1054290|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|19.1055|22.4|30.2|241761.00|12654.00|03/01/2022
71-1054290|004|Yes|No|PRE|SURG|TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE- MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES|11.9225|20.0|24.6|150867.32|12654.00|03/01/2022
71-1054290|005|No|No|PRE|SURG|LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT|10.2350|14.4|19.4|129513.69|12654.00|03/01/2022
71-1054290|006|No|No|PRE|SURG|LIVER TRANSPLANT WITHOUT MCC|4.6964|7.5|8.1|59428.25|12654.00|03/01/2022
71-1054290|007|No|No|PRE|SURG|LUNG TRANSPLANT|11.5800|17.4|20.8|146533.32|12654.00|03/01/2022
71-1054290|008|No|No|PRE|SURG|SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT|5.4333|9.0|10.2|68752.98|12654.00|03/01/2022
71-1054290|010|No|No|PRE|SURG|PANCREAS TRANSPLANT|3.6200|8.0|9.1|45807.48|12654.00|03/01/2022
71-1054290|011|No|No|PRE|SURG|TRACHEOSTOMY FOR FACE- MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC|5.0214|10.9|13.8|63540.80|12654.00|03/01/2022
71-1054290|012|No|No|PRE|SURG|TRACHEOSTOMY FOR FACE- MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC|3.8328|8.3|9.4|48500.25|12654.00|03/01/2022
71-1054290|013|No|No|PRE|SURG|TRACHEOSTOMY FOR FACE- MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC|2.7238|6.0|6.8|34466.97|12654.00|03/01/2022
71-1054290|014|No|No|PRE|MED|ALLOGENEIC BONE MARROW TRANSPLANT|10.6770|24.1|27.2|135106.76|12654.00|03/01/2022
71-1054290|016|No|No|PRE|MED|AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC|6.7363|17.1|18.3|85241.14|12654.00|03/01/2022
71-1054290|017|No|No|PRE|MED|AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC|4.8557|8.9|11.6|61444.03|12654.00|03/01/2022
71-1054290|018|No|No|PRE|MED|CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES|37.4501|15.6|17.6|473893.57|12654.00|03/01/2022
71-1054290|019|No|No|PRE|SURG|SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS|6.6797|11.0|12.9|84524.92|12654.00|03/01/2022
71-1054290|020|No|No|01|SURG|INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC|10.3370|12.7|16.1|130804.40|12654.00|03/01/2022
71-1054290|021|No|No|01|SURG|INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC|7.5435|10.0|12.3|95455.45|12654.00|03/01/2022
71-1054290|022|No|No|01|SURG|INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC|4.8428|4.0|5.8|61280.79|12654.00|03/01/2022
71-1054290|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|5.6719|7.1|9.8|71772.22|12654.00|03/01/2022
71-1054290|024|Yes|Yes|01|SURG|CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC|3.9390|4.1|5.2|49844.11|12654.00|03/01/2022
71-1054290|025|Yes|No|01|SURG|CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC|4.4974|6.6|8.8|56910.10|12654.00|03/01/2022
71-1054290|026|Yes|No|01|SURG|CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC|3.0620|3.8|5.3|38746.55|12654.00|03/01/2022
71-1054290|027|Yes|No|01|SURG|CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC|2.5143|1.9|2.5|31815.95|12654.00|03/01/2022
71-1054290|028|Yes|Yes|01|SURG|SPINAL PROCEDURES WITH MCC|5.8231|9.3|12.2|73685.51|12654.00|03/01/2022
71-1054290|029|Yes|Yes|01|SURG|SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS|3.2968|4.5|6.0|41717.71|12654.00|03/01/2022
71-1054290|030|Yes|Yes|01|SURG|SPINAL PROCEDURES WITHOUT CC/MCC|2.3568|2.4|3.1|29822.95|12654.00|03/01/2022
71-1054290|031|Yes|No|01|SURG|VENTRICULAR SHUNT PROCEDURES WITH MCC|4.3717|7.2|10.3|55319.49|12654.00|03/01/2022
71-1054290|032|Yes|No|01|SURG|VENTRICULAR SHUNT PROCEDURES WITH CC|2.2165|3.0|4.3|28047.59|12654.00|03/01/2022
71-1054290|033|Yes|No|01|SURG|VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC|1.7222|1.7|2.2|21792.72|12654.00|03/01/2022
71-1054290|034|No|No|01|SURG|CAROTID ARTERY STENT PROCEDURES WITH MCC|3.9781|4.7|7.0|50338.88|12654.00|03/01/2022
71-1054290|035|No|No|01|SURG|CAROTID ARTERY STENT PROCEDURES WITH CC|2.3397|2.1|3.0|29606.56|12654.00|03/01/2022
71-1054290|036|No|No|01|SURG|CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC|1.8523|1.2|1.4|23439.00|12654.00|03/01/2022
71-1054290|037|No|No|01|SURG|EXTRACRANIAL PROCEDURES WITH MCC|3.2776|5.0|7.3|41474.75|12654.00|03/01/2022
71-1054290|038|No|No|01|SURG|EXTRACRANIAL PROCEDURES WITH CC|1.6588|2.1|3.0|20990.46|12654.00|03/01/2022
71-1054290|039|No|No|01|SURG|EXTRACRANIAL PROCEDURES WITHOUT CC/MCC|1.1391|1.2|1.4|14414.17|12654.00|03/01/2022
71-1054290|040|Yes|Yes|01|SURG|PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC|3.8648|6.9|10.0|48905.18|12654.00|03/01/2022
71-1054290|041|Yes|Yes|01|SURG|PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR|2.3497|3.9|4.9|29733.10|12654.00|03/01/2022
71-1054290|042|Yes|Yes|01|SURG|PERIPHERAL- CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC|1.9012|2.4|2.9|24057.78|12654.00|03/01/2022
71-1054290|052|No|No|01|MED|SPINAL DISORDERS AND INJURIES WITH CC/MCC|1.8535|4.2|6.0|23454.19|12654.00|03/01/2022
71-1054290|053|No|No|01|MED|SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC|1.1364|2.8|3.7|14380.01|12654.00|03/01/2022
71-1054290|054|Yes|No|01|MED|NERVOUS SYSTEM NEOPLASMS WITH MCC|1.3683|3.8|5.2|17314.47|12654.00|03/01/2022
71-1054290|055|Yes|No|01|MED|NERVOUS SYSTEM NEOPLASMS WITHOUT MCC|1.0446|3.0|4.1|13218.37|12654.00|03/01/2022
71-1054290|056|Yes|No|01|MED|DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC|2.1953|5.5|8.3|27779.33|12654.00|03/01/2022
71-1054290|057|Yes|No|01|MED|DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC|1.2675|3.9|5.8|16038.95|12654.00|03/01/2022
71-1054290|058|No|No|01|MED|MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC|1.7378|4.9|7.1|21990.12|12654.00|03/01/2022
71-1054290|059|No|No|01|MED|MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC|1.1273|3.6|4.6|14264.85|12654.00|03/01/2022
71-1054290|060|No|No|01|MED|MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC|0.9177|3.0|3.6|11612.58|12654.00|03/01/2022
71-1054290|061|No|No|01|MED|ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC|2.8912|4.7|6.2|36585.24|12654.00|03/01/2022
71-1054290|062|No|No|01|MED|ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC|1.9883|3.2|3.7|25159.95|12654.00|03/01/2022
71-1054290|063|No|No|01|MED|ISCHEMIC STROKE- PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC|1.7097|2.3|2.6|21634.54|12654.00|03/01/2022
71-1054290|064|Yes|No|01|MED|INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC|1.9189|4.4|6.1|24281.76|12654.00|03/01/2022
71-1054290|065|Yes|No|01|MED|INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS|1.0200|2.9|3.6|12907.08|12654.00|03/01/2022
71-1054290|066|Yes|No|01|MED|INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC|0.7116|2.0|2.4|9004.59|12654.00|03/01/2022
71-1054290|067|No|No|01|MED|NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC|1.4258|3.3|4.4|18042.07|12654.00|03/01/2022
71-1054290|068|No|No|01|MED|NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC|0.8889|2.1|2.6|11248.14|12654.00|03/01/2022
71-1054290|069|No|No|01|MED|TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC|0.7871|2.1|2.5|9959.96|12654.00|03/01/2022
71-1054290|070|Yes|No|01|MED|NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC|1.6796|4.5|6.2|21253.66|12654.00|03/01/2022
71-1054290|071|Yes|No|01|MED|NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC|1.0118|3.3|4.4|12803.32|12654.00|03/01/2022
71-1054290|072|Yes|No|01|MED|NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC|0.7717|2.3|2.9|9765.09|12654.00|03/01/2022
71-1054290|073|No|No|01|MED|CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC|1.4529|3.7|5.1|18385.00|12654.00|03/01/2022
71-1054290|074|No|No|01|MED|CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC|1.0190|2.9|3.6|12894.43|12654.00|03/01/2022
71-1054290|075|No|No|01|MED|VIRAL MENINGITIS WITH CC/MCC|1.6270|4.7|6.1|20588.06|12654.00|03/01/2022
71-1054290|076|No|No|01|MED|VIRAL MENINGITIS WITHOUT CC/MCC|0.9849|3.0|3.6|12462.92|12654.00|03/01/2022
71-1054290|077|No|No|01|MED|HYPERTENSIVE ENCEPHALOPATHY WITH MCC|1.5329|4.0|5.2|19397.32|12654.00|03/01/2022
71-1054290|078|No|No|01|MED|HYPERTENSIVE ENCEPHALOPATHY WITH CC|0.9499|2.8|3.5|12020.03|12654.00|03/01/2022
71-1054290|079|No|No|01|MED|HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC|0.7288|2.0|2.4|9222.24|12654.00|03/01/2022
71-1054290|080|No|No|01|MED|NONTRAUMATIC STUPOR AND COMA WITH MCC|2.0954|5.1|7.5|26515.19|12654.00|03/01/2022
71-1054290|081|No|No|01|MED|NONTRAUMATIC STUPOR AND COMA WITHOUT MCC|0.7732|2.5|3.3|9784.07|12654.00|03/01/2022
71-1054290|082|No|No|01|MED|TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC|2.2639|4.2|6.4|28647.39|12654.00|03/01/2022
71-1054290|083|No|No|01|MED|TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC|1.3440|3.3|4.3|17006.98|12654.00|03/01/2022
71-1054290|084|No|No|01|MED|TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC|0.9056|2.1|2.6|11459.46|12654.00|03/01/2022
71-1054290|085|Yes|No|01|MED|TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC|2.3117|4.6|6.5|29252.25|12654.00|03/01/2022
71-1054290|086|Yes|No|01|MED|TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC|1.2745|3.0|3.9|16127.52|12654.00|03/01/2022
71-1054290|087|Yes|No|01|MED|TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC|0.8636|2.0|2.4|10927.99|12654.00|03/01/2022
71-1054290|088|No|No|01|MED|CONCUSSION WITH MCC|1.4552|3.6|4.7|18414.10|12654.00|03/01/2022
71-1054290|089|No|No|01|MED|CONCUSSION WITH CC|1.0635|2.7|3.3|13457.53|12654.00|03/01/2022
71-1054290|090|No|No|01|MED|CONCUSSION WITHOUT CC/MCC|0.8546|1.9|2.3|10814.11|12654.00|03/01/2022
71-1054290|091|Yes|No|01|MED|OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC|1.6508|4.2|5.8|20889.22|12654.00|03/01/2022
71-1054290|092|Yes|No|01|MED|OTHER DISORDERS OF NERVOUS SYSTEM WITH CC|0.9889|3.0|3.9|12513.54|12654.00|03/01/2022
71-1054290|093|Yes|No|01|MED|OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC|0.7822|2.2|2.8|9897.96|12654.00|03/01/2022
71-1054290|094|No|No|01|MED|BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC|3.6379|8.0|10.7|46033.99|12654.00|03/01/2022
71-1054290|095|No|No|01|MED|BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC|2.5073|5.8|7.2|31727.37|12654.00|03/01/2022
71-1054290|096|No|No|01|MED|BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC|2.3327|4.2|5.0|29517.99|12654.00|03/01/2022
71-1054290|097|No|No|01|MED|NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC|3.7604|8.7|11.9|47584.10|12654.00|03/01/2022
71-1054290|098|No|No|01|MED|NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC|2.1125|5.6|7.3|26731.58|12654.00|03/01/2022
71-1054290|099|No|No|01|MED|NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC|1.4019|3.9|4.8|17739.64|12654.00|03/01/2022
71-1054290|100|Yes|No|01|MED|SEIZURES WITH MCC|1.8764|4.3|6.0|23743.97|12654.00|03/01/2022
71-1054290|101|Yes|No|01|MED|SEIZURES WITHOUT MCC|0.8884|2.6|3.4|11241.81|12654.00|03/01/2022
71-1054290|102|No|No|01|MED|HEADACHES WITH MCC|1.1531|3.0|4.1|14591.33|12654.00|03/01/2022
71-1054290|103|No|No|01|MED|HEADACHES WITHOUT MCC|0.8295|2.3|3.0|10496.49|12654.00|03/01/2022
71-1054290|113|No|No|02|SURG|ORBITAL PROCEDURES WITH CC/MCC|2.1944|4.5|6.3|27767.94|12654.00|03/01/2022
71-1054290|114|No|No|02|SURG|ORBITAL PROCEDURES WITHOUT CC/MCC|1.4476|2.3|2.8|18317.93|12654.00|03/01/2022
71-1054290|115|No|No|02|SURG|EXTRAOCULAR PROCEDURES EXCEPT ORBIT|1.4566|3.5|4.5|18431.82|12654.00|03/01/2022
71-1054290|116|No|No|02|SURG|INTRAOCULAR PROCEDURES WITH CC/MCC|1.8827|4.1|6.1|23823.69|12654.00|03/01/2022
71-1054290|117|No|No|02|SURG|INTRAOCULAR PROCEDURES WITHOUT CC/MCC|1.0412|2.1|2.8|13175.34|12654.00|03/01/2022
71-1054290|121|No|No|02|MED|ACUTE MAJOR EYE INFECTIONS WITH CC/MCC|1.1906|4.2|5.5|15065.85|12654.00|03/01/2022
71-1054290|122|No|No|02|MED|ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC|0.6455|3.0|3.8|8168.16|12654.00|03/01/2022
71-1054290|123|No|No|02|MED|NEUROLOGICAL EYE DISORDERS|0.7668|2.0|2.5|9703.09|12654.00|03/01/2022
71-1054290|124|No|No|02|MED|OTHER DISORDERS OF THE EYE WITH MCC|1.4020|3.7|5.1|17740.91|12654.00|03/01/2022
71-1054290|125|No|No|02|MED|OTHER DISORDERS OF THE EYE WITHOUT MCC|0.8370|2.5|3.3|10591.40|12654.00|03/01/2022
71-1054290|135|No|No|03|SURG|SINUS AND MASTOID PROCEDURES WITH CC/MCC|2.1435|4.0|5.7|27123.85|12654.00|03/01/2022
71-1054290|136|No|No|03|SURG|SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC|1.2555|1.6|2.2|15887.10|12654.00|03/01/2022
71-1054290|137|No|No|03|SURG|MOUTH PROCEDURES WITH CC/MCC|1.5097|3.7|5.0|19103.74|12654.00|03/01/2022
71-1054290|138|No|No|03|SURG|MOUTH PROCEDURES WITHOUT CC/MCC|0.8565|1.9|2.4|10838.15|12654.00|03/01/2022
71-1054290|139|No|No|03|SURG|SALIVARY GLAND PROCEDURES|1.2341|2.3|3.2|15616.30|12654.00|03/01/2022
71-1054290|140|No|No|03|SURG|MAJOR HEAD AND NECK PROCEDURES WITH MCC|3.9779|7.0|9.2|50336.35|12654.00|03/01/2022
71-1054290|141|No|No|03|SURG|MAJOR HEAD AND NECK PROCEDURES WITH CC|2.2061|3.3|4.4|27915.99|12654.00|03/01/2022
71-1054290|142|No|No|03|SURG|MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC|1.6051|2.1|2.7|20310.94|12654.00|03/01/2022
71-1054290|143|No|No|03|SURG|OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH MCC|2.9798|5.8|8.0|37706.39|12654.00|03/01/2022
71-1054290|144|No|No|03|SURG|OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITH CC|1.7615|3.1|4.2|22290.02|12654.00|03/01/2022
71-1054290|145|No|No|03|SURG|OTHER EAR- NOSE- MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC|1.2246|1.9|2.4|15496.09|12654.00|03/01/2022
71-1054290|146|No|No|03|MED|EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH MCC|2.0411|5.1|7.4|25828.08|12654.00|03/01/2022
71-1054290|147|No|No|03|MED|EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITH CC|1.3011|3.4|4.9|16464.12|12654.00|03/01/2022
71-1054290|148|No|No|03|MED|EAR- NOSE- MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC|0.7870|2.2|3.0|9958.70|12654.00|03/01/2022
71-1054290|149|No|No|03|MED|DYSEQUILIBRIUM|0.7370|2.0|2.4|9326.00|12654.00|03/01/2022
71-1054290|150|No|No|03|MED|EPISTAXIS WITH MCC|1.3275|3.4|4.6|16798.19|12654.00|03/01/2022
71-1054290|151|No|No|03|MED|EPISTAXIS WITHOUT MCC|0.7384|2.1|2.6|9343.71|12654.00|03/01/2022
71-1054290|152|No|No|03|MED|OTITIS MEDIA AND URI WITH MCC|1.0805|3.1|4.0|13672.65|12654.00|03/01/2022
71-1054290|153|No|No|03|MED|OTITIS MEDIA AND URI WITHOUT MCC|0.7132|2.3|2.8|9024.83|12654.00|03/01/2022
71-1054290|154|No|No|03|MED|OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH MCC|1.5468|3.9|5.3|19573.21|12654.00|03/01/2022
71-1054290|155|No|No|03|MED|OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITH CC|0.9095|2.9|3.5|11508.81|12654.00|03/01/2022
71-1054290|156|No|No|03|MED|OTHER EAR- NOSE- MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC|0.6584|2.1|2.5|8331.39|12654.00|03/01/2022
71-1054290|157|No|No|03|MED|DENTAL AND ORAL DISEASES WITH MCC|1.5762|4.3|5.8|19945.23|12654.00|03/01/2022
71-1054290|158|No|No|03|MED|DENTAL AND ORAL DISEASES WITH CC|0.9002|2.8|3.4|11391.13|12654.00|03/01/2022
71-1054290|159|No|No|03|MED|DENTAL AND ORAL DISEASES WITHOUT CC/MCC|0.6631|2.1|2.4|8390.87|12654.00|03/01/2022
71-1054290|163|Yes|No|04|SURG|MAJOR CHEST PROCEDURES WITH MCC|5.0068|9.2|11.6|63356.05|12654.00|03/01/2022
71-1054290|164|Yes|No|04|SURG|MAJOR CHEST PROCEDURES WITH CC|2.6556|4.4|5.4|33603.96|12654.00|03/01/2022
71-1054290|165|Yes|No|04|SURG|MAJOR CHEST PROCEDURES WITHOUT CC/MCC|1.9166|2.6|3.1|24252.66|12654.00|03/01/2022
71-1054290|166|Yes|No|04|SURG|OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC|3.7235|7.9|10.6|47117.17|12654.00|03/01/2022
71-1054290|167|Yes|No|04|SURG|OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC|1.8187|3.7|5.0|23013.83|12654.00|03/01/2022
71-1054290|168|Yes|No|04|SURG|OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC|1.3544|2.0|2.5|17138.58|12654.00|03/01/2022
71-1054290|175|Yes|No|04|MED|PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE|1.5460|4.1|5.1|19563.08|12654.00|03/01/2022
71-1054290|176|Yes|No|04|MED|PULMONARY EMBOLISM WITHOUT MCC|0.8878|2.6|3.2|11234.22|12654.00|03/01/2022
71-1054290|177|Yes|No|04|MED|RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC|1.8491|5.4|6.8|23398.51|12654.00|03/01/2022
71-1054290|178|Yes|No|04|MED|RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC|1.2078|4.0|5.0|15283.50|12654.00|03/01/2022
71-1054290|179|Yes|No|04|MED|RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC|0.8727|3.0|3.7|11043.15|12654.00|03/01/2022
71-1054290|180|No|No|04|MED|RESPIRATORY NEOPLASMS WITH MCC|1.7399|4.9|6.4|22016.69|12654.00|03/01/2022
71-1054290|181|No|No|04|MED|RESPIRATORY NEOPLASMS WITH CC|1.1201|3.3|4.2|14173.75|12654.00|03/01/2022
71-1054290|182|No|No|04|MED|RESPIRATORY NEOPLASMS WITHOUT CC/MCC|0.7920|2.2|2.7|10021.97|12654.00|03/01/2022
71-1054290|183|No|No|04|MED|MAJOR CHEST TRAUMA WITH MCC|1.5589|4.3|5.5|19726.32|12654.00|03/01/2022
71-1054290|184|No|No|04|MED|MAJOR CHEST TRAUMA WITH CC|1.0409|3.1|3.7|13171.55|12654.00|03/01/2022
71-1054290|185|No|No|04|MED|MAJOR CHEST TRAUMA WITHOUT CC/MCC|0.7749|2.4|2.8|9805.58|12654.00|03/01/2022
71-1054290|186|Yes|No|04|MED|PLEURAL EFFUSION WITH MCC|1.5438|4.3|5.6|19535.25|12654.00|03/01/2022
71-1054290|187|Yes|No|04|MED|PLEURAL EFFUSION WITH CC|1.0329|3.2|4.0|13070.32|12654.00|03/01/2022
71-1054290|188|Yes|No|04|MED|PLEURAL EFFUSION WITHOUT CC/MCC|0.7295|2.4|3.0|9231.09|12654.00|03/01/2022
71-1054290|189|No|No|04|MED|PULMONARY EDEMA AND RESPIRATORY FAILURE|1.2261|3.6|4.6|15515.07|12654.00|03/01/2022
71-1054290|190|Yes|No|04|MED|CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC|1.1251|3.6|4.4|14237.02|12654.00|03/01/2022
71-1054290|191|Yes|No|04|MED|CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC|0.8843|2.9|3.5|11189.93|12654.00|03/01/2022
71-1054290|192|Yes|No|04|MED|CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC|0.6956|2.4|2.8|8802.12|12654.00|03/01/2022
71-1054290|193|Yes|No|04|MED|SIMPLE PNEUMONIA AND PLEURISY WITH MCC|1.3120|4.1|5.1|16602.05|12654.00|03/01/2022
71-1054290|194|Yes|No|04|MED|SIMPLE PNEUMONIA AND PLEURISY WITH CC|0.8639|3.1|3.7|10931.79|12654.00|03/01/2022
71-1054290|195|Yes|No|04|MED|SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC|0.6658|2.5|2.9|8425.03|12654.00|03/01/2022
71-1054290|196|Yes|No|04|MED|INTERSTITIAL LUNG DISEASE WITH MCC|1.7386|4.8|6.4|22000.24|12654.00|03/01/2022
71-1054290|197|Yes|No|04|MED|INTERSTITIAL LUNG DISEASE WITH CC|1.0070|3.2|4.0|12742.58|12654.00|03/01/2022
71-1054290|198|Yes|No|04|MED|INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC|0.7434|2.4|2.9|9406.98|12654.00|03/01/2022
71-1054290|199|No|No|04|MED|PNEUMOTHORAX WITH MCC|1.7900|5.1|6.6|22650.66|12654.00|03/01/2022
71-1054290|200|No|No|04|MED|PNEUMOTHORAX WITH CC|1.0765|3.2|4.0|13622.03|12654.00|03/01/2022
71-1054290|201|No|No|04|MED|PNEUMOTHORAX WITHOUT CC/MCC|0.7096|2.3|2.9|8979.28|12654.00|03/01/2022
71-1054290|202|No|No|04|MED|BRONCHITIS AND ASTHMA WITH CC/MCC|0.9670|3.0|3.7|12236.42|12654.00|03/01/2022
71-1054290|203|No|No|04|MED|BRONCHITIS AND ASTHMA WITHOUT CC/MCC|0.7070|2.3|2.8|8946.38|12654.00|03/01/2022
71-1054290|204|No|No|04|MED|RESPIRATORY SIGNS AND SYMPTOMS|0.7936|2.1|2.7|10042.21|12654.00|03/01/2022
71-1054290|205|Yes|No|04|MED|OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC|1.6848|4.1|5.7|21319.46|12654.00|03/01/2022
71-1054290|206|Yes|No|04|MED|OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC|0.8860|2.5|3.1|11211.44|12654.00|03/01/2022
71-1054290|207|Yes|No|04|MED|RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS|5.7361|11.9|14.0|72584.61|12654.00|03/01/2022
71-1054290|208|No|No|04|MED|RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS|2.5448|4.9|6.8|32201.90|12654.00|03/01/2022
71-1054290|215|No|No|05|SURG|OTHER HEART ASSIST SYSTEM IMPLANT|10.5584|5.1|8.6|133605.99|12654.00|03/01/2022
71-1054290|216|Yes|Yes|05|SURG|CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC|10.0393|11.6|14.7|127037.30|12654.00|03/01/2022
71-1054290|217|Yes|Yes|05|SURG|CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC|6.4835|6.2|7.9|82042.21|12654.00|03/01/2022
71-1054290|218|Yes|Yes|05|SURG|CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC|6.1093|3.1|4.2|77307.08|12654.00|03/01/2022
71-1054290|219|Yes|Yes|05|SURG|CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC|8.0576|8.9|10.9|101960.87|12654.00|03/01/2022
71-1054290|220|Yes|Yes|05|SURG|CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC|5.4053|5.9|6.5|68398.67|12654.00|03/01/2022
71-1054290|221|Yes|Yes|05|SURG|CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC|4.5799|3.8|4.4|57954.05|12654.00|03/01/2022
71-1054290|222|No|No|05|SURG|CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITH MCC|7.9510|8.8|10.6|100611.95|12654.00|03/01/2022
71-1054290|223|No|No|05|SURG|CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI- HF OR SHOCK WITHOUT MCC|5.7986|4.7|5.6|73375.48|12654.00|03/01/2022
71-1054290|224|No|No|05|SURG|CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITH MCC|7.5191|7.6|9.3|95146.69|12654.00|03/01/2022
71-1054290|225|No|No|05|SURG|CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI- HF OR SHOCK WITHOUT MCC|5.6178|4.2|4.9|71087.64|12654.00|03/01/2022
71-1054290|226|No|No|05|SURG|CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC|6.5650|6.1|7.8|83073.51|12654.00|03/01/2022
71-1054290|227|No|No|05|SURG|CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC|5.2121|3.0|3.9|65953.91|12654.00|03/01/2022
71-1054290|228|No|No|05|SURG|OTHER CARDIOTHORACIC PROCEDURES WITH MCC|5.3303|7.0|9.6|67449.62|12654.00|03/01/2022
71-1054290|229|No|No|05|SURG|OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC|3.4412|3.0|4.0|43544.94|12654.00|03/01/2022
71-1054290|231|No|No|05|SURG|CORONARY BYPASS WITH PTCA WITH MCC|8.7159|10.8|12.5|110291.00|12654.00|03/01/2022
71-1054290|232|No|No|05|SURG|CORONARY BYPASS WITH PTCA WITHOUT MCC|5.9538|7.7|8.5|75339.39|12654.00|03/01/2022
71-1054290|233|Yes|No|05|SURG|CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC|7.9223|11.4|12.8|100248.78|12654.00|03/01/2022
71-1054290|234|Yes|No|05|SURG|CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC|5.3360|8.1|8.6|67521.74|12654.00|03/01/2022
71-1054290|235|Yes|No|05|SURG|CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC|6.1041|8.6|9.8|77241.28|12654.00|03/01/2022
71-1054290|236|Yes|No|05|SURG|CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC|4.0970|6.0|6.4|51843.44|12654.00|03/01/2022
71-1054290|239|Yes|No|05|SURG|AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC|4.8160|10.4|13.2|60941.66|12654.00|03/01/2022
71-1054290|240|Yes|No|05|SURG|AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC|2.7888|7.0|8.6|35289.48|12654.00|03/01/2022
71-1054290|241|Yes|No|05|SURG|AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC|1.5924|4.4|5.2|20150.23|12654.00|03/01/2022
71-1054290|242|Yes|No|05|SURG|PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC|3.7276|5.2|6.7|47169.05|12654.00|03/01/2022
71-1054290|243|Yes|No|05|SURG|PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC|2.5185|3.1|3.8|31869.10|12654.00|03/01/2022
71-1054290|244|Yes|No|05|SURG|PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC|2.0633|2.2|2.6|26109.00|12654.00|03/01/2022
71-1054290|245|No|No|05|SURG|AICD GENERATOR PROCEDURES|5.4178|4.7|6.5|68556.84|12654.00|03/01/2022
71-1054290|246|No|No|05|SURG|PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS|3.1243|3.9|5.2|39534.89|12654.00|03/01/2022
71-1054290|247|No|No|05|SURG|PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC|1.9732|2.1|2.5|24968.87|12654.00|03/01/2022
71-1054290|248|No|No|05|SURG|PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS|3.1622|4.5|6.0|40014.48|12654.00|03/01/2022
71-1054290|249|No|No|05|SURG|PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC|1.8737|2.2|2.7|23709.80|12654.00|03/01/2022
71-1054290|250|No|No|05|SURG|PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC|2.5218|3.7|5.0|31910.86|12654.00|03/01/2022
71-1054290|251|No|No|05|SURG|PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC|1.6584|2.1|2.6|20985.39|12654.00|03/01/2022
71-1054290|252|No|No|05|SURG|OTHER VASCULAR PROCEDURES WITH MCC|3.3257|5.2|7.5|42083.41|12654.00|03/01/2022
71-1054290|253|No|No|05|SURG|OTHER VASCULAR PROCEDURES WITH CC|2.6536|4.0|5.4|33578.65|12654.00|03/01/2022
71-1054290|254|No|No|05|SURG|OTHER VASCULAR PROCEDURES WITHOUT CC/MCC|1.8159|2.1|2.6|22978.40|12654.00|03/01/2022
71-1054290|255|Yes|No|05|SURG|UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC|2.5353|6.5|8.2|32081.69|12654.00|03/01/2022
71-1054290|256|Yes|No|05|SURG|UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC|1.6442|5.0|5.9|20805.71|12654.00|03/01/2022
71-1054290|257|Yes|No|05|SURG|UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC|1.1652|3.5|4.4|14744.44|12654.00|03/01/2022
71-1054290|258|No|No|05|SURG|CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC|3.1681|5.0|6.6|40089.14|12654.00|03/01/2022
71-1054290|259|No|No|05|SURG|CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC|2.0892|2.6|3.3|26436.74|12654.00|03/01/2022
71-1054290|260|No|No|05|SURG|CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC|3.5673|6.4|8.8|45140.61|12654.00|03/01/2022
71-1054290|261|No|No|05|SURG|CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC|1.9939|3.2|4.0|25230.81|12654.00|03/01/2022
71-1054290|262|No|No|05|SURG|CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC|1.7062|2.2|2.7|21590.25|12654.00|03/01/2022
71-1054290|263|No|No|05|SURG|VEIN LIGATION AND STRIPPING|2.3132|4.4|6.5|29271.23|12654.00|03/01/2022
71-1054290|264|Yes|No|05|SURG|OTHER CIRCULATORY SYSTEM O.R. PROCEDURES|3.2536|6.5|9.2|41171.05|12654.00|03/01/2022
71-1054290|265|No|No|05|SURG|AICD LEAD PROCEDURES|3.3655|3.7|5.2|42587.04|12654.00|03/01/2022
71-1054290|266|Yes|Yes|05|SURG|ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC|7.0479|3.2|5.2|89184.13|12654.00|03/01/2022
71-1054290|267|Yes|Yes|05|SURG|ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC|5.5980|1.7|2.1|70837.09|12654.00|03/01/2022
71-1054290|268|No|No|05|SURG|AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC|6.9633|6.3|9.3|88113.60|12654.00|03/01/2022
71-1054290|269|No|No|05|SURG|AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC|4.3151|1.6|2.2|54603.28|12654.00|03/01/2022
71-1054290|270|No|No|05|SURG|OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC|5.1870|6.6|9.5|65636.30|12654.00|03/01/2022
71-1054290|271|No|No|05|SURG|OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC|3.5654|4.3|5.7|45116.57|12654.00|03/01/2022
71-1054290|272|No|No|05|SURG|OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC|2.6883|2.0|2.6|34017.75|12654.00|03/01/2022
71-1054290|273|No|No|05|SURG|PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC|3.8267|4.3|6.1|48423.06|12654.00|03/01/2022
71-1054290|274|No|No|05|SURG|PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC|3.2866|1.5|2.0|41588.64|12654.00|03/01/2022
71-1054290|280|Yes|No|05|MED|ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH MCC|1.6069|4.1|5.3|20333.71|12654.00|03/01/2022
71-1054290|281|Yes|No|05|MED|ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITH CC|0.9306|2.5|3.0|11775.81|12654.00|03/01/2022
71-1054290|282|Yes|No|05|MED|ACUTE MYOCARDIAL INFARCTION- DISCHARGED ALIVE WITHOUT CC/MCC|0.7261|1.8|2.1|9188.07|12654.00|03/01/2022
71-1054290|283|No|No|05|MED|ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH MCC|1.8647|2.9|4.8|23595.91|12654.00|03/01/2022
71-1054290|284|No|No|05|MED|ACUTE MYOCARDIAL INFARCTION- EXPIRED WITH CC|0.7234|1.6|2.1|9153.90|12654.00|03/01/2022
71-1054290|285|No|No|05|MED|ACUTE MYOCARDIAL INFARCTION- EXPIRED WITHOUT CC/MCC|0.4947|1.2|1.4|6259.93|12654.00|03/01/2022
71-1054290|286|No|No|05|MED|CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITH MCC|2.1363|5.2|6.8|27032.74|12654.00|03/01/2022
71-1054290|287|No|No|05|MED|CIRCULATORY DISORDERS EXCEPT AMI- WITH CARDIAC CATHETERIZATION WITHOUT MCC|1.1151|2.2|2.7|14110.48|12654.00|03/01/2022
71-1054290|288|Yes|No|05|MED|ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC|2.6854|7.1|9.3|33981.05|12654.00|03/01/2022
71-1054290|289|Yes|No|05|MED|ACUTE AND SUBACUTE ENDOCARDITIS WITH CC|1.6436|5.3|6.7|20798.11|12654.00|03/01/2022
71-1054290|290|Yes|No|05|MED|ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC|1.0269|3.6|4.5|12994.39|12654.00|03/01/2022
71-1054290|291|Yes|No|05|MED|HEART FAILURE AND SHOCK WITH MCC|1.2683|3.8|4.9|16049.07|12654.00|03/01/2022
71-1054290|292|Yes|No|05|MED|HEART FAILURE AND SHOCK WITH CC|0.8635|3.0|3.8|10926.73|12654.00|03/01/2022
71-1054290|293|Yes|No|05|MED|HEART FAILURE AND SHOCK WITHOUT CC/MCC|0.5899|2.2|2.6|7464.59|12654.00|03/01/2022
71-1054290|294|No|No|05|MED|DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC|1.2828|3.3|4.4|16232.55|12654.00|03/01/2022
71-1054290|295|No|No|05|MED|DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC|0.9841|2.6|3.3|12452.80|12654.00|03/01/2022
71-1054290|296|No|No|05|MED|CARDIAC ARREST- UNEXPLAINED WITH MCC|1.5952|2.0|3.2|20185.66|12654.00|03/01/2022
71-1054290|297|No|No|05|MED|CARDIAC ARREST- UNEXPLAINED WITH CC|0.7070|1.3|1.7|8946.38|12654.00|03/01/2022
71-1054290|298|No|No|05|MED|CARDIAC ARREST- UNEXPLAINED WITHOUT CC/MCC|0.4888|1.1|1.1|6185.28|12654.00|03/01/2022
71-1054290|299|Yes|No|05|MED|PERIPHERAL VASCULAR DISORDERS WITH MCC|1.5326|3.9|5.2|19393.52|12654.00|03/01/2022
71-1054290|300|Yes|No|05|MED|PERIPHERAL VASCULAR DISORDERS WITH CC|1.0438|3.1|4.0|13208.25|12654.00|03/01/2022
71-1054290|301|Yes|No|05|MED|PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC|0.7431|2.2|2.7|9403.19|12654.00|03/01/2022
71-1054290|302|No|No|05|MED|ATHEROSCLEROSIS WITH MCC|1.0948|2.7|3.7|13853.60|12654.00|03/01/2022
71-1054290|303|No|No|05|MED|ATHEROSCLEROSIS WITHOUT MCC|0.6776|1.9|2.3|8574.35|12654.00|03/01/2022
71-1054290|304|No|No|05|MED|HYPERTENSION WITH MCC|1.0970|2.9|3.8|13881.44|12654.00|03/01/2022
71-1054290|305|No|No|05|MED|HYPERTENSION WITHOUT MCC|0.7399|2.2|2.7|9362.69|12654.00|03/01/2022
71-1054290|306|No|No|05|MED|CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC|1.5074|3.7|5.1|19074.64|12654.00|03/01/2022
71-1054290|307|No|No|05|MED|CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC|0.8704|2.4|3.0|11014.04|12654.00|03/01/2022
71-1054290|308|No|No|05|MED|CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC|1.2009|3.5|4.5|15196.19|12654.00|03/01/2022
71-1054290|309|No|No|05|MED|CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC|0.7505|2.4|2.9|9496.83|12654.00|03/01/2022
71-1054290|310|No|No|05|MED|CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC|0.5592|1.9|2.2|7076.12|12654.00|03/01/2022
71-1054290|311|No|No|05|MED|ANGINA PECTORIS|0.6985|1.9|2.4|8838.82|12654.00|03/01/2022
71-1054290|312|No|No|05|MED|SYNCOPE AND COLLAPSE|0.8387|2.3|2.9|10612.91|12654.00|03/01/2022
71-1054290|313|No|No|05|MED|CHEST PAIN|0.7214|1.7|2.1|9128.60|12654.00|03/01/2022
71-1054290|314|Yes|No|05|MED|OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC|2.0847|4.8|6.6|26379.79|12654.00|03/01/2022
71-1054290|315|Yes|No|05|MED|OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC|0.9734|2.8|3.6|12317.40|12654.00|03/01/2022
71-1054290|316|Yes|No|05|MED|OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC|0.7234|1.9|2.3|9153.90|12654.00|03/01/2022
71-1054290|319|No|No|05|SURG|OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC|4.3179|7.7|10.0|54638.71|12654.00|03/01/2022
71-1054290|320|No|No|05|SURG|OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC|2.4056|2.4|3.5|30440.46|12654.00|03/01/2022
71-1054290|326|Yes|No|06|SURG|STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC|5.3163|9.5|13.0|67272.46|12654.00|03/01/2022
71-1054290|327|Yes|No|06|SURG|STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC|2.5647|4.6|6.3|32453.71|12654.00|03/01/2022
71-1054290|328|Yes|No|06|SURG|STOMACH- ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC|1.6669|2.3|2.9|21092.95|12654.00|03/01/2022
71-1054290|329|Yes|No|06|SURG|MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC|4.8862|10.3|13.0|61829.97|12654.00|03/01/2022
71-1054290|330|Yes|No|06|SURG|MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC|2.5493|5.7|6.9|32258.84|12654.00|03/01/2022
71-1054290|331|Yes|No|06|SURG|MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC|1.7105|3.3|3.8|21644.67|12654.00|03/01/2022
71-1054290|332|Yes|No|06|SURG|RECTAL RESECTION WITH MCC|4.1615|7.9|10.2|52659.62|12654.00|03/01/2022
71-1054290|333|Yes|No|06|SURG|RECTAL RESECTION WITH CC|2.1413|4.1|5.1|27096.01|12654.00|03/01/2022
71-1054290|334|Yes|No|06|SURG|RECTAL RESECTION WITHOUT CC/MCC|1.6086|2.5|3.0|20355.22|12654.00|03/01/2022
71-1054290|335|Yes|No|06|SURG|PERITONEAL ADHESIOLYSIS WITH MCC|3.9135|9.3|11.5|49521.43|12654.00|03/01/2022
71-1054290|336|Yes|No|06|SURG|PERITONEAL ADHESIOLYSIS WITH CC|2.2913|5.9|7.3|28994.11|12654.00|03/01/2022
71-1054290|337|Yes|No|06|SURG|PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC|1.6373|3.7|4.6|20718.39|12654.00|03/01/2022
71-1054290|338|No|No|06|SURG|APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC|2.7973|6.4|8.1|35397.03|12654.00|03/01/2022
71-1054290|339|No|No|06|SURG|APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC|1.6974|4.0|5.0|21478.90|12654.00|03/01/2022
71-1054290|340|No|No|06|SURG|APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC|1.2283|2.4|2.9|15542.91|12654.00|03/01/2022
71-1054290|341|No|No|06|SURG|APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC|2.3224|4.3|5.9|29387.65|12654.00|03/01/2022
71-1054290|342|No|No|06|SURG|APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC|1.4329|2.7|3.4|18131.92|12654.00|03/01/2022
71-1054290|343|No|No|06|SURG|APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC|1.1086|1.7|2.0|14028.22|12654.00|03/01/2022
71-1054290|344|No|No|06|SURG|MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC|2.8184|7.0|9.2|35664.03|12654.00|03/01/2022
71-1054290|345|No|No|06|SURG|MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC|1.5788|4.3|5.4|19978.14|12654.00|03/01/2022
71-1054290|346|No|No|06|SURG|MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC|1.2754|3.1|3.6|16138.91|12654.00|03/01/2022
71-1054290|347|No|No|06|SURG|ANAL AND STOMAL PROCEDURES WITH MCC|2.4647|5.6|7.5|31188.31|12654.00|03/01/2022
71-1054290|348|No|No|06|SURG|ANAL AND STOMAL PROCEDURES WITH CC|1.3481|3.3|4.1|17058.86|12654.00|03/01/2022
71-1054290|349|No|No|06|SURG|ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC|0.9793|1.9|2.3|12392.06|12654.00|03/01/2022
71-1054290|350|No|No|06|SURG|INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC|2.4548|5.2|6.9|31063.04|12654.00|03/01/2022
71-1054290|351|No|No|06|SURG|INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC|1.4927|3.2|3.9|18888.63|12654.00|03/01/2022
71-1054290|352|No|No|06|SURG|INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC|1.1044|2.0|2.4|13975.08|12654.00|03/01/2022
71-1054290|353|No|No|06|SURG|HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC|3.0249|5.9|7.7|38277.08|12654.00|03/01/2022
71-1054290|354|No|No|06|SURG|HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC|1.7848|3.6|4.5|22584.86|12654.00|03/01/2022
71-1054290|355|No|No|06|SURG|HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC|1.3602|2.4|2.8|17211.97|12654.00|03/01/2022
71-1054290|356|Yes|No|06|SURG|OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC|4.3078|7.7|10.5|54510.90|12654.00|03/01/2022
71-1054290|357|Yes|No|06|SURG|OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC|2.2685|4.6|5.9|28705.60|12654.00|03/01/2022
71-1054290|358|Yes|No|06|SURG|OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC|1.3491|2.8|3.5|17071.51|12654.00|03/01/2022
71-1054290|368|No|No|06|MED|MAJOR ESOPHAGEAL DISORDERS WITH MCC|1.9491|4.6|6.0|24663.91|12654.00|03/01/2022
71-1054290|369|No|No|06|MED|MAJOR ESOPHAGEAL DISORDERS WITH CC|1.0772|3.1|3.7|13630.89|12654.00|03/01/2022
71-1054290|370|No|No|06|MED|MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC|0.7481|2.1|2.5|9466.46|12654.00|03/01/2022
71-1054290|371|Yes|No|06|MED|MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC|1.7312|5.2|6.8|21906.60|12654.00|03/01/2022
71-1054290|372|Yes|No|06|MED|MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC|1.0293|3.8|4.7|13024.76|12654.00|03/01/2022
71-1054290|373|Yes|No|06|MED|MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC|0.7446|2.9|3.5|9422.17|12654.00|03/01/2022
71-1054290|374|Yes|No|06|MED|DIGESTIVE MALIGNANCY WITH MCC|2.0737|5.5|7.4|26240.60|12654.00|03/01/2022
71-1054290|375|Yes|No|06|MED|DIGESTIVE MALIGNANCY WITH CC|1.2076|3.6|4.6|15280.97|12654.00|03/01/2022
71-1054290|376|Yes|No|06|MED|DIGESTIVE MALIGNANCY WITHOUT CC/MCC|0.8989|2.5|3.1|11374.68|12654.00|03/01/2022
71-1054290|377|Yes|No|06|MED|GASTROINTESTINAL HEMORRHAGE WITH MCC|1.8012|4.4|5.7|22792.38|12654.00|03/01/2022
71-1054290|378|Yes|No|06|MED|GASTROINTESTINAL HEMORRHAGE WITH CC|0.9935|3.0|3.5|12571.75|12654.00|03/01/2022
71-1054290|379|Yes|No|06|MED|GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC|0.6372|2.1|2.4|8063.13|12654.00|03/01/2022
71-1054290|380|Yes|No|06|MED|COMPLICATED PEPTIC ULCER WITH MCC|1.8866|4.9|6.3|23873.04|12654.00|03/01/2022
71-1054290|381|Yes|No|06|MED|COMPLICATED PEPTIC ULCER WITH CC|1.0593|3.2|3.9|13404.38|12654.00|03/01/2022
71-1054290|382|Yes|No|06|MED|COMPLICATED PEPTIC ULCER WITHOUT CC/MCC|0.7686|2.4|2.9|9725.86|12654.00|03/01/2022
71-1054290|383|No|No|06|MED|UNCOMPLICATED PEPTIC ULCER WITH MCC|1.3126|3.8|4.8|16609.64|12654.00|03/01/2022
71-1054290|384|No|No|06|MED|UNCOMPLICATED PEPTIC ULCER WITHOUT MCC|0.8928|2.5|3.1|11297.49|12654.00|03/01/2022
71-1054290|385|No|No|06|MED|INFLAMMATORY BOWEL DISEASE WITH MCC|1.6223|5.0|6.6|20528.58|12654.00|03/01/2022
71-1054290|386|No|No|06|MED|INFLAMMATORY BOWEL DISEASE WITH CC|0.9951|3.5|4.3|12592.00|12654.00|03/01/2022
71-1054290|387|No|No|06|MED|INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC|0.7147|2.6|3.2|9043.81|12654.00|03/01/2022
71-1054290|388|Yes|No|06|MED|GASTROINTESTINAL OBSTRUCTION WITH MCC|1.5146|4.7|6.1|19165.75|12654.00|03/01/2022
71-1054290|389|Yes|No|06|MED|GASTROINTESTINAL OBSTRUCTION WITH CC|0.8232|3.2|3.9|10416.77|12654.00|03/01/2022
71-1054290|390|Yes|No|06|MED|GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC|0.5831|2.4|2.8|7378.55|12654.00|03/01/2022
71-1054290|391|No|No|06|MED|ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC|1.2492|3.7|4.9|15807.38|12654.00|03/01/2022
71-1054290|392|No|No|06|MED|ESOPHAGITIS- GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC|0.7658|2.6|3.2|9690.43|12654.00|03/01/2022
71-1054290|393|No|No|06|MED|OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC|1.6612|4.3|6.0|21020.82|12654.00|03/01/2022
71-1054290|394|No|No|06|MED|OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC|0.9409|3.0|3.8|11906.15|12654.00|03/01/2022
71-1054290|395|No|No|06|MED|OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC|0.6515|2.2|2.6|8244.08|12654.00|03/01/2022
71-1054290|405|Yes|No|07|SURG|PANCREAS- LIVER AND SHUNT PROCEDURES WITH MCC|5.7376|9.5|13.0|72603.59|12654.00|03/01/2022
71-1054290|406|Yes|No|07|SURG|PANCREAS- LIVER AND SHUNT PROCEDURES WITH CC|2.8809|5.1|6.4|36454.91|12654.00|03/01/2022
71-1054290|407|Yes|No|07|SURG|PANCREAS- LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC|2.1180|3.7|4.4|26801.17|12654.00|03/01/2022
71-1054290|408|No|No|07|SURG|BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC|3.7529|8.5|10.8|47489.20|12654.00|03/01/2022
71-1054290|409|No|No|07|SURG|BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC|2.1164|4.8|5.9|26780.93|12654.00|03/01/2022
71-1054290|410|No|No|07|SURG|BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC|1.5683|3.5|4.1|19845.27|12654.00|03/01/2022
71-1054290|411|No|No|07|SURG|CHOLECYSTECTOMY WITH C.D.E. WITH MCC|3.7535|7.8|9.7|47496.79|12654.00|03/01/2022
71-1054290|412|No|No|07|SURG|CHOLECYSTECTOMY WITH C.D.E. WITH CC|2.2775|5.0|6.2|28819.49|12654.00|03/01/2022
71-1054290|413|No|No|07|SURG|CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC|1.7309|3.6|4.1|21902.81|12654.00|03/01/2022
71-1054290|414|Yes|No|07|SURG|CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC|3.6283|8.0|9.9|45912.51|12654.00|03/01/2022
71-1054290|415|Yes|No|07|SURG|CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC|2.0317|4.9|5.8|25709.13|12654.00|03/01/2022
71-1054290|416|Yes|No|07|SURG|CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC|1.4223|3.0|3.6|17997.78|12654.00|03/01/2022
71-1054290|417|No|No|07|SURG|LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC|2.4243|5.1|6.4|30677.09|12654.00|03/01/2022
71-1054290|418|No|No|07|SURG|LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC|1.6890|3.5|4.2|21372.61|12654.00|03/01/2022
71-1054290|419|No|No|07|SURG|LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC|1.3153|2.4|2.8|16643.81|12654.00|03/01/2022
71-1054290|420|No|No|07|SURG|HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC|3.5165|7.3|10.2|44497.79|12654.00|03/01/2022
71-1054290|421|No|No|07|SURG|HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC|1.9075|3.8|5.2|24137.51|12654.00|03/01/2022
71-1054290|422|No|No|07|SURG|HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC|1.4536|2.7|3.3|18393.85|12654.00|03/01/2022
71-1054290|423|No|No|07|SURG|OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC|4.1859|8.4|11.8|52968.38|12654.00|03/01/2022
71-1054290|424|No|No|07|SURG|OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC|2.2841|4.7|6.3|28903.00|12654.00|03/01/2022
71-1054290|425|No|No|07|SURG|OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC|1.5427|2.2|2.8|19521.33|12654.00|03/01/2022
71-1054290|432|No|No|07|MED|CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC|1.8808|4.7|6.4|23799.64|12654.00|03/01/2022
71-1054290|433|No|No|07|MED|CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC|1.0299|3.3|4.2|13032.35|12654.00|03/01/2022
71-1054290|434|No|No|07|MED|CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC|0.6207|2.2|2.8|7854.34|12654.00|03/01/2022
71-1054290|435|No|No|07|MED|MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC|1.7534|4.8|6.3|22187.52|12654.00|03/01/2022
71-1054290|436|No|No|07|MED|MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC|1.1215|3.4|4.3|14191.46|12654.00|03/01/2022
71-1054290|437|No|No|07|MED|MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC|0.8959|2.4|3.0|11336.72|12654.00|03/01/2022
71-1054290|438|No|No|07|MED|DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC|1.5978|4.6|6.2|20218.56|12654.00|03/01/2022
71-1054290|439|No|No|07|MED|DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC|0.8452|3.1|3.8|10695.16|12654.00|03/01/2022
71-1054290|440|No|No|07|MED|DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC|0.6063|2.4|2.8|7672.12|12654.00|03/01/2022
71-1054290|441|Yes|No|07|MED|DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC|1.8795|4.7|6.4|23783.19|12654.00|03/01/2022
71-1054290|442|Yes|No|07|MED|DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC|0.9300|3.2|4.0|11768.22|12654.00|03/01/2022
71-1054290|443|Yes|No|07|MED|DISORDERS OF LIVER EXCEPT MALIGNANCY- CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC|0.6632|2.4|2.9|8392.13|12654.00|03/01/2022
71-1054290|444|No|No|07|MED|DISORDERS OF THE BILIARY TRACT WITH MCC|1.6716|4.4|5.7|21152.43|12654.00|03/01/2022
71-1054290|445|No|No|07|MED|DISORDERS OF THE BILIARY TRACT WITH CC|1.0775|3.0|3.8|13634.69|12654.00|03/01/2022
71-1054290|446|No|No|07|MED|DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC|0.8166|2.2|2.6|10333.26|12654.00|03/01/2022
71-1054290|453|No|No|08|SURG|COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC|9.1880|7.5|9.6|116264.95|12654.00|03/01/2022
71-1054290|454|No|No|08|SURG|COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC|6.0931|3.8|4.4|77102.09|12654.00|03/01/2022
71-1054290|455|No|No|08|SURG|COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC|4.7813|2.4|2.8|60502.57|12654.00|03/01/2022
71-1054290|456|No|No|08|SURG|SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH MCC|8.6000|9.5|11.6|108824.40|12654.00|03/01/2022
71-1054290|457|No|No|08|SURG|SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITH CC|6.4959|5.2|6.1|82199.12|12654.00|03/01/2022
71-1054290|458|No|No|08|SURG|SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE- MALIGNANCY- INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC|5.0076|3.0|3.4|63366.17|12654.00|03/01/2022
71-1054290|459|Yes|No|08|SURG|SPINAL FUSION EXCEPT CERVICAL WITH MCC|6.7335|6.9|8.6|85205.71|12654.00|03/01/2022
71-1054290|460|Yes|No|08|SURG|SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC|3.9307|2.7|3.3|49739.08|12654.00|03/01/2022
71-1054290|461|No|No|08|SURG|BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC|6.0817|6.7|9.1|76957.83|12654.00|03/01/2022
71-1054290|462|No|No|08|SURG|BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC|3.1414|2.6|2.9|39751.28|12654.00|03/01/2022
71-1054290|463|Yes|No|08|SURG|WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC|5.3703|9.9|13.4|67955.78|12654.00|03/01/2022
71-1054290|464|Yes|No|08|SURG|WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC|2.9759|5.5|7.2|37657.04|12654.00|03/01/2022
71-1054290|465|Yes|No|08|SURG|WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC|1.8441|2.6|3.4|23335.24|12654.00|03/01/2022
71-1054290|466|Yes|No|08|SURG|REVISION OF HIP OR KNEE REPLACEMENT WITH MCC|5.3457|7.0|8.8|67644.49|12654.00|03/01/2022
71-1054290|467|Yes|No|08|SURG|REVISION OF HIP OR KNEE REPLACEMENT WITH CC|3.5775|3.3|4.1|45269.69|12654.00|03/01/2022
71-1054290|468|Yes|No|08|SURG|REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC|2.8024|1.9|2.2|35461.57|12654.00|03/01/2022
71-1054290|469|Yes|No|08|SURG|MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT|3.0859|3.1|4.2|39048.98|12654.00|03/01/2022
71-1054290|470|Yes|No|08|SURG|MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC|1.9003|1.8|2.0|24046.40|12654.00|03/01/2022
71-1054290|471|No|No|08|SURG|CERVICAL SPINAL FUSION WITH MCC|5.0197|6.8|9.0|63519.28|12654.00|03/01/2022
71-1054290|472|No|No|08|SURG|CERVICAL SPINAL FUSION WITH CC|3.0537|2.5|3.4|38641.52|12654.00|03/01/2022
71-1054290|473|No|No|08|SURG|CERVICAL SPINAL FUSION WITHOUT CC/MCC|2.5390|1.6|2.0|32128.51|12654.00|03/01/2022
71-1054290|474|Yes|No|08|SURG|AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC|4.0761|9.4|12.0|51578.97|12654.00|03/01/2022
71-1054290|475|Yes|No|08|SURG|AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC|2.1963|5.8|7.2|27791.98|12654.00|03/01/2022
71-1054290|476|Yes|No|08|SURG|AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC|1.1603|2.9|3.5|14682.44|12654.00|03/01/2022
71-1054290|477|Yes|Yes|08|SURG|BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC|3.3589|8.1|10.1|42503.52|12654.00|03/01/2022
71-1054290|478|Yes|Yes|08|SURG|BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC|2.3584|5.2|6.5|29843.19|12654.00|03/01/2022
71-1054290|479|Yes|Yes|08|SURG|BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC|1.8095|3.3|4.0|22897.41|12654.00|03/01/2022
71-1054290|480|Yes|Yes|08|SURG|HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC|3.0258|6.2|7.3|38288.47|12654.00|03/01/2022
71-1054290|481|Yes|Yes|08|SURG|HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC|2.0961|4.3|4.7|26524.05|12654.00|03/01/2022
71-1054290|482|Yes|Yes|08|SURG|HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC|1.6458|3.3|3.6|20825.95|12654.00|03/01/2022
71-1054290|483|No|No|08|SURG|MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES|2.3857|1.4|1.7|30188.65|12654.00|03/01/2022
71-1054290|485|No|No|08|SURG|KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC|3.4096|8.0|9.6|43145.08|12654.00|03/01/2022
71-1054290|486|No|No|08|SURG|KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC|2.1494|5.2|6.1|27198.51|12654.00|03/01/2022
71-1054290|487|No|No|08|SURG|KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC|1.6402|3.6|4.1|20755.09|12654.00|03/01/2022
71-1054290|488|Yes|No|08|SURG|KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC|1.9757|3.1|4.2|25000.51|12654.00|03/01/2022
71-1054290|489|Yes|No|08|SURG|KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC|1.2982|1.7|2.1|16427.42|12654.00|03/01/2022
71-1054290|492|Yes|Yes|08|SURG|LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH MCC|3.4700|6.2|7.8|43909.38|12654.00|03/01/2022
71-1054290|493|Yes|Yes|08|SURG|LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITH CC|2.3258|4.0|4.8|29430.67|12654.00|03/01/2022
71-1054290|494|Yes|Yes|08|SURG|LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP- FOOT AND FEMUR WITHOUT CC/MCC|1.8517|2.7|3.2|23431.41|12654.00|03/01/2022
71-1054290|495|Yes|Yes|08|SURG|LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC|3.6419|7.3|9.6|46084.60|12654.00|03/01/2022
71-1054290|496|Yes|Yes|08|SURG|LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC|1.9864|3.4|4.5|25135.91|12654.00|03/01/2022
71-1054290|497|Yes|Yes|08|SURG|LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC|1.4515|1.8|2.3|18367.28|12654.00|03/01/2022
71-1054290|498|No|No|08|SURG|LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC|2.5837|5.6|8.0|32694.14|12654.00|03/01/2022
71-1054290|499|No|No|08|SURG|LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC|1.1990|2.0|2.5|15172.15|12654.00|03/01/2022
71-1054290|500|Yes|Yes|08|SURG|SOFT TISSUE PROCEDURES WITH MCC|3.1895|7.4|9.8|40359.93|12654.00|03/01/2022
71-1054290|501|Yes|Yes|08|SURG|SOFT TISSUE PROCEDURES WITH CC|1.7541|4.1|5.2|22196.38|12654.00|03/01/2022
71-1054290|502|Yes|Yes|08|SURG|SOFT TISSUE PROCEDURES WITHOUT CC/MCC|1.3328|2.4|3.0|16865.25|12654.00|03/01/2022
71-1054290|503|No|No|08|SURG|FOOT PROCEDURES WITH MCC|2.6406|6.8|8.6|33414.15|12654.00|03/01/2022
71-1054290|504|No|No|08|SURG|FOOT PROCEDURES WITH CC|1.7750|4.0|4.9|22460.85|12654.00|03/01/2022
71-1054290|505|No|No|08|SURG|FOOT PROCEDURES WITHOUT CC/MCC|1.7750|4.0|4.9|22460.85|12654.00|03/01/2022
71-1054290|506|No|No|08|SURG|MAJOR THUMB OR JOINT PROCEDURES|1.4836|3.9|4.9|18773.47|12654.00|03/01/2022
71-1054290|507|No|No|08|SURG|MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC|2.0609|4.7|5.9|26078.63|12654.00|03/01/2022
71-1054290|508|No|No|08|SURG|MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC|1.4097|2.3|2.8|17838.34|12654.00|03/01/2022
71-1054290|509|No|No|08|SURG|ARTHROSCOPY|1.6865|4.1|5.2|21340.97|12654.00|03/01/2022
71-1054290|510|Yes|No|08|SURG|SHOULDER- ELBOW OR FOREARM PROCEDURES- EXCEPT MAJOR JOINT PROCEDURES WITH MCC|2.7437|4.9|6.1|34718.78|12654.00|03/01/2022
71-1054290|511|Yes|No|08|SURG|SHOULDER- ELBOW OR FOREARM PROCEDURES- EXCEPT MAJOR JOINT PROCEDURES WITH CC|1.9674|3.4|4.0|24895.48|12654.00|03/01/2022
71-1054290|512|Yes|No|08|SURG|SHOULDER- ELBOW OR FOREARM PROCEDURES- EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC|1.5545|2.1|2.5|19670.64|12654.00|03/01/2022
71-1054290|513|No|No|08|SURG|HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC|1.5720|4.0|5.1|19892.09|12654.00|03/01/2022
71-1054290|514|No|No|08|SURG|HAND OR WRIST PROCEDURES- EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC|0.9991|2.4|2.8|12642.61|12654.00|03/01/2022
71-1054290|515|Yes|Yes|08|SURG|OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC|3.1406|6.4|8.2|39741.15|12654.00|03/01/2022
71-1054290|516|Yes|Yes|08|SURG|OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC|1.9628|3.7|4.6|24837.27|12654.00|03/01/2022
71-1054290|517|Yes|Yes|08|SURG|OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC|1.3982|2.1|2.6|17692.82|12654.00|03/01/2022
71-1054290|518|Yes|Yes|08|SURG|BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR|3.5869|4.2|6.4|45388.63|12654.00|03/01/2022
71-1054290|519|Yes|Yes|08|SURG|BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC|1.9600|3.2|4.1|24801.84|12654.00|03/01/2022
71-1054290|520|Yes|Yes|08|SURG|BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC|1.4183|2.0|2.4|17947.17|12654.00|03/01/2022
71-1054290|521|Yes|Yes|08|SURG|HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC|3.0662|6.2|7.2|38799.69|12654.00|03/01/2022
71-1054290|522|Yes|Yes|08|SURG|HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC|2.1894|4.1|4.5|27704.67|12654.00|03/01/2022
71-1054290|533|Yes|No|08|MED|FRACTURES OF FEMUR WITH MCC|1.4162|4.0|5.2|17920.59|12654.00|03/01/2022
71-1054290|534|Yes|No|08|MED|FRACTURES OF FEMUR WITHOUT MCC|0.7902|2.8|3.4|9999.19|12654.00|03/01/2022
71-1054290|535|Yes|No|08|MED|FRACTURES OF HIP AND PELVIS WITH MCC|1.2328|3.8|4.7|15599.85|12654.00|03/01/2022
71-1054290|536|Yes|No|08|MED|FRACTURES OF HIP AND PELVIS WITHOUT MCC|0.7717|2.9|3.3|9765.09|12654.00|03/01/2022
71-1054290|537|No|No|08|MED|SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITH CC/MCC|0.9354|3.1|3.7|11836.55|12654.00|03/01/2022
71-1054290|538|No|No|08|MED|SPRAINS- STRAINS- AND DISLOCATIONS OF HIP- PELVIS AND THIGH WITHOUT CC/MCC|0.7232|2.6|3.1|9151.37|12654.00|03/01/2022
71-1054290|539|Yes|No|08|MED|OSTEOMYELITIS WITH MCC|1.9477|5.9|7.9|24646.20|12654.00|03/01/2022
71-1054290|540|Yes|No|08|MED|OSTEOMYELITIS WITH CC|1.3016|4.3|5.7|16470.45|12654.00|03/01/2022
71-1054290|541|Yes|No|08|MED|OSTEOMYELITIS WITHOUT CC/MCC|0.8432|3.1|3.9|10669.85|12654.00|03/01/2022
71-1054290|542|Yes|No|08|MED|PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC|1.8092|5.0|6.7|22893.62|12654.00|03/01/2022
71-1054290|543|Yes|No|08|MED|PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC|1.0452|3.5|4.3|13225.96|12654.00|03/01/2022
71-1054290|544|Yes|No|08|MED|PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC|0.7777|2.8|3.2|9841.02|12654.00|03/01/2022
71-1054290|545|Yes|No|08|MED|CONNECTIVE TISSUE DISORDERS WITH MCC|2.5031|5.5|7.9|31674.23|12654.00|03/01/2022
71-1054290|546|Yes|No|08|MED|CONNECTIVE TISSUE DISORDERS WITH CC|1.2080|3.5|4.5|15286.03|12654.00|03/01/2022
71-1054290|547|Yes|No|08|MED|CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC|0.8336|2.5|3.1|10548.37|12654.00|03/01/2022
71-1054290|548|No|No|08|MED|SEPTIC ARTHRITIS WITH MCC|2.0508|5.7|7.8|25950.82|12654.00|03/01/2022
71-1054290|549|No|No|08|MED|SEPTIC ARTHRITIS WITH CC|1.2499|4.0|5.2|15816.23|12654.00|03/01/2022
71-1054290|550|No|No|08|MED|SEPTIC ARTHRITIS WITHOUT CC/MCC|0.8789|3.0|3.5|11121.60|12654.00|03/01/2022
71-1054290|551|Yes|No|08|MED|MEDICAL BACK PROBLEMS WITH MCC|1.6274|4.3|5.7|20593.12|12654.00|03/01/2022
71-1054290|552|Yes|No|08|MED|MEDICAL BACK PROBLEMS WITHOUT MCC|0.9434|2.9|3.6|11937.78|12654.00|03/01/2022
71-1054290|553|No|No|08|MED|BONE DISEASES AND ARTHROPATHIES WITH MCC|1.2715|3.9|5.0|16089.56|12654.00|03/01/2022
71-1054290|554|No|No|08|MED|BONE DISEASES AND ARTHROPATHIES WITHOUT MCC|0.7925|2.8|3.3|10028.30|12654.00|03/01/2022
71-1054290|555|No|No|08|MED|SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC|1.3685|3.8|5.1|17317.00|12654.00|03/01/2022
71-1054290|556|No|No|08|MED|SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC|0.8087|2.6|3.2|10233.29|12654.00|03/01/2022
71-1054290|557|Yes|No|08|MED|TENDONITIS- MYOSITIS AND BURSITIS WITH MCC|1.3991|4.6|5.8|17704.21|12654.00|03/01/2022
71-1054290|558|Yes|No|08|MED|TENDONITIS- MYOSITIS AND BURSITIS WITHOUT MCC|0.8614|3.1|3.8|10900.16|12654.00|03/01/2022
71-1054290|559|Yes|No|08|MED|AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC|1.8653|4.9|6.8|23603.51|12654.00|03/01/2022
71-1054290|560|Yes|No|08|MED|AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC|1.0760|3.7|5.0|13615.70|12654.00|03/01/2022
71-1054290|561|Yes|No|08|MED|AFTERCARE- MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC|0.7924|2.7|3.7|10027.03|12654.00|03/01/2022
71-1054290|562|Yes|No|08|MED|FRACTURE- SPRAIN- STRAIN AND DISLOCATION EXCEPT FEMUR- HIP- PELVIS AND THIGH WITH MCC|1.4118|4.0|5.1|17864.92|12654.00|03/01/2022
71-1054290|563|Yes|No|08|MED|FRACTURE- SPRAIN- STRAIN AND DISLOCATION EXCEPT FEMUR- HIP- PELVIS AND THIGH WITHOUT MCC|0.8722|3.0|3.5|11036.82|12654.00|03/01/2022
71-1054290|564|No|No|08|MED|OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC|1.5236|4.6|5.8|19279.63|12654.00|03/01/2022
71-1054290|565|No|No|08|MED|OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC|1.0093|3.4|4.1|12771.68|12654.00|03/01/2022
71-1054290|566|No|No|08|MED|OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC|0.7519|2.5|3.0|9514.54|12654.00|03/01/2022
71-1054290|570|Yes|No|09|SURG|SKIN DEBRIDEMENT WITH MCC|2.8417|7.3|9.5|35958.87|12654.00|03/01/2022
71-1054290|571|Yes|No|09|SURG|SKIN DEBRIDEMENT WITH CC|1.6354|4.8|6.0|20694.35|12654.00|03/01/2022
71-1054290|572|Yes|No|09|SURG|SKIN DEBRIDEMENT WITHOUT CC/MCC|1.1044|3.0|3.7|13975.08|12654.00|03/01/2022
71-1054290|573|Yes|No|09|SURG|SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC|5.5391|10.8|15.9|70091.77|12654.00|03/01/2022
71-1054290|574|Yes|No|09|SURG|SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC|3.2465|7.6|11.0|41081.21|12654.00|03/01/2022
71-1054290|575|Yes|No|09|SURG|SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC|1.7632|4.5|5.7|22311.53|12654.00|03/01/2022
71-1054290|576|No|No|09|SURG|SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC|5.0637|9.3|13.4|64076.06|12654.00|03/01/2022
71-1054290|577|No|No|09|SURG|SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC|2.5496|4.6|6.6|32262.64|12654.00|03/01/2022
71-1054290|578|No|No|09|SURG|SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC|1.5952|2.8|3.7|20185.66|12654.00|03/01/2022
71-1054290|579|Yes|No|09|SURG|OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC|3.1449|7.3|9.9|39795.56|12654.00|03/01/2022
71-1054290|580|Yes|No|09|SURG|OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC|1.7288|4.1|5.5|21876.24|12654.00|03/01/2022
71-1054290|581|Yes|No|09|SURG|OTHER SKIN- SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC|1.3768|2.2|2.8|17422.03|12654.00|03/01/2022
71-1054290|582|No|No|09|SURG|MASTECTOMY FOR MALIGNANCY WITH CC/MCC|1.6431|2.3|3.1|20791.79|12654.00|03/01/2022
71-1054290|583|No|No|09|SURG|MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC|1.5415|1.7|2.0|19506.14|12654.00|03/01/2022
71-1054290|584|No|No|09|SURG|BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC|1.8367|3.5|4.4|23241.60|12654.00|03/01/2022
71-1054290|585|No|No|09|SURG|BREAST BIOPSY- LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC|1.7396|2.2|2.7|22012.90|12654.00|03/01/2022
71-1054290|592|Yes|No|09|MED|SKIN ULCERS WITH MCC|1.6943|5.4|7.2|21439.67|12654.00|03/01/2022
71-1054290|593|Yes|No|09|MED|SKIN ULCERS WITH CC|1.1406|4.1|5.3|14433.15|12654.00|03/01/2022
71-1054290|594|Yes|No|09|MED|SKIN ULCERS WITHOUT CC/MCC|0.8160|3.2|4.0|10325.66|12654.00|03/01/2022
71-1054290|595|No|No|09|MED|MAJOR SKIN DISORDERS WITH MCC|2.0165|5.5|7.5|25516.79|12654.00|03/01/2022
71-1054290|596|No|No|09|MED|MAJOR SKIN DISORDERS WITHOUT MCC|0.9947|3.3|4.3|12586.93|12654.00|03/01/2022
71-1054290|597|No|No|09|MED|MALIGNANT BREAST DISORDERS WITH MCC|1.6440|4.6|6.3|20803.18|12654.00|03/01/2022
71-1054290|598|No|No|09|MED|MALIGNANT BREAST DISORDERS WITH CC|1.1129|3.3|4.5|14082.64|12654.00|03/01/2022
71-1054290|599|No|No|09|MED|MALIGNANT BREAST DISORDERS WITHOUT CC/MCC|0.6714|2.5|3.2|8495.90|12654.00|03/01/2022
71-1054290|600|No|No|09|MED|NON-MALIGNANT BREAST DISORDERS WITH CC/MCC|0.9969|3.5|4.3|12614.77|12654.00|03/01/2022
71-1054290|601|No|No|09|MED|NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC|0.6868|2.8|3.3|8690.77|12654.00|03/01/2022
71-1054290|602|Yes|No|09|MED|CELLULITIS WITH MCC|1.4500|4.6|5.8|18348.30|12654.00|03/01/2022
71-1054290|603|Yes|No|09|MED|CELLULITIS WITHOUT MCC|0.8536|3.2|3.8|10801.45|12654.00|03/01/2022
71-1054290|604|No|No|09|MED|TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITH MCC|1.4779|3.8|5.1|18701.35|12654.00|03/01/2022
71-1054290|605|No|No|09|MED|TRAUMA TO THE SKIN- SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC|0.9039|2.7|3.3|11437.95|12654.00|03/01/2022
71-1054290|606|No|No|09|MED|MINOR SKIN DISORDERS WITH MCC|1.5121|4.3|6.0|19134.11|12654.00|03/01/2022
71-1054290|607|No|No|09|MED|MINOR SKIN DISORDERS WITHOUT MCC|0.8282|2.9|3.6|10480.04|12654.00|03/01/2022
71-1054290|614|No|No|10|SURG|ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC|2.3897|3.2|4.6|30239.26|12654.00|03/01/2022
71-1054290|615|No|No|10|SURG|ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC|1.5750|1.8|2.2|19930.05|12654.00|03/01/2022
71-1054290|616|Yes|No|10|SURG|AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC|3.9662|10.0|12.3|50188.29|12654.00|03/01/2022
71-1054290|617|Yes|No|10|SURG|AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC|2.0298|5.8|7.0|25685.09|12654.00|03/01/2022
71-1054290|618|Yes|No|10|SURG|AMPUTATION OF LOWER LIMB FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC|1.3032|4.2|4.8|16490.69|12654.00|03/01/2022
71-1054290|619|No|No|10|SURG|O.R. PROCEDURES FOR OBESITY WITH MCC|3.0617|2.8|4.7|38742.75|12654.00|03/01/2022
71-1054290|620|No|No|10|SURG|O.R. PROCEDURES FOR OBESITY WITH CC|1.7627|1.8|2.2|22305.21|12654.00|03/01/2022
71-1054290|621|No|No|10|SURG|O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC|1.5971|1.4|1.6|20209.70|12654.00|03/01/2022
71-1054290|622|Yes|No|10|SURG|SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH MCC|3.6149|8.3|11.1|45742.94|12654.00|03/01/2022
71-1054290|623|Yes|No|10|SURG|SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITH CC|1.8715|5.3|6.5|23681.96|12654.00|03/01/2022
71-1054290|624|Yes|No|10|SURG|SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE- NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC|1.0989|3.2|3.9|13905.48|12654.00|03/01/2022
71-1054290|625|No|No|10|SURG|THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC|2.8402|4.8|7.0|35939.89|12654.00|03/01/2022
71-1054290|626|No|No|10|SURG|THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC|1.6529|2.3|3.3|20915.80|12654.00|03/01/2022
71-1054290|627|No|No|10|SURG|THYROID- PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC|1.1828|1.4|1.7|14967.15|12654.00|03/01/2022
71-1054290|628|Yes|No|10|SURG|OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC|3.6794|7.4|10.4|46559.13|12654.00|03/01/2022
71-1054290|629|Yes|No|10|SURG|OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC|2.3453|6.1|7.3|29677.43|12654.00|03/01/2022
71-1054290|630|Yes|No|10|SURG|OTHER ENDOCRINE- NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC|1.4093|2.3|3.0|17833.28|12654.00|03/01/2022
71-1054290|637|Yes|No|10|MED|DIABETES WITH MCC|1.3766|3.8|5.0|17419.50|12654.00|03/01/2022
71-1054290|638|Yes|No|10|MED|DIABETES WITH CC|0.8794|2.9|3.6|11127.93|12654.00|03/01/2022
71-1054290|639|Yes|No|10|MED|DIABETES WITHOUT CC/MCC|0.6096|2.1|2.5|7713.88|12654.00|03/01/2022
71-1054290|640|Yes|No|10|MED|MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITH MCC|1.2308|3.3|4.5|15574.54|12654.00|03/01/2022
71-1054290|641|Yes|No|10|MED|MISCELLANEOUS DISORDERS OF NUTRITION- METABOLISM- FLUIDS AND ELECTROLYTES WITHOUT MCC|0.7542|2.6|3.2|9543.65|12654.00|03/01/2022
71-1054290|642|No|No|10|MED|INBORN AND OTHER DISORDERS OF METABOLISM|1.2898|3.3|4.4|16321.13|12654.00|03/01/2022
71-1054290|643|Yes|No|10|MED|ENDOCRINE DISORDERS WITH MCC|1.6677|5.0|6.3|21103.08|12654.00|03/01/2022
71-1054290|644|Yes|No|10|MED|ENDOCRINE DISORDERS WITH CC|1.0198|3.5|4.2|12904.55|12654.00|03/01/2022
71-1054290|645|Yes|No|10|MED|ENDOCRINE DISORDERS WITHOUT CC/MCC|0.7686|2.7|3.2|9725.86|12654.00|03/01/2022
71-1054290|650|No|No|11|SURG|KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC|4.5207|6.8|8.3|57204.94|12654.00|03/01/2022
71-1054290|651|No|No|11|SURG|KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC|3.6984|6.0|6.8|46799.55|12654.00|03/01/2022
71-1054290|652|No|No|11|SURG|KIDNEY TRANSPLANT|3.1851|4.7|5.3|40304.26|12654.00|03/01/2022
71-1054290|653|Yes|No|11|SURG|MAJOR BLADDER PROCEDURES WITH MCC|5.4592|10.2|13.0|69080.72|12654.00|03/01/2022
71-1054290|654|Yes|No|11|SURG|MAJOR BLADDER PROCEDURES WITH CC|2.9028|5.6|6.7|36732.03|12654.00|03/01/2022
71-1054290|655|Yes|No|11|SURG|MAJOR BLADDER PROCEDURES WITHOUT CC/MCC|2.0803|3.6|4.2|26324.12|12654.00|03/01/2022
71-1054290|656|No|No|11|SURG|KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC|3.2850|5.6|7.6|41568.39|12654.00|03/01/2022
71-1054290|657|No|No|11|SURG|KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC|1.9347|3.2|4.0|24481.69|12654.00|03/01/2022
71-1054290|658|No|No|11|SURG|KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC|1.5779|2.1|2.3|19966.75|12654.00|03/01/2022
71-1054290|659|Yes|No|11|SURG|KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC|2.6664|5.9|7.9|33740.63|12654.00|03/01/2022
71-1054290|660|Yes|No|11|SURG|KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC|1.4431|3.1|4.0|18260.99|12654.00|03/01/2022
71-1054290|661|Yes|No|11|SURG|KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC|1.0637|1.9|2.2|13460.06|12654.00|03/01/2022
71-1054290|662|No|No|11|SURG|MINOR BLADDER PROCEDURES WITH MCC|2.9373|6.9|9.6|37168.59|12654.00|03/01/2022
71-1054290|663|No|No|11|SURG|MINOR BLADDER PROCEDURES WITH CC|1.5995|3.7|5.0|20240.07|12654.00|03/01/2022
71-1054290|664|No|No|11|SURG|MINOR BLADDER PROCEDURES WITHOUT CC/MCC|1.1838|1.9|2.4|14979.81|12654.00|03/01/2022
71-1054290|665|No|No|11|SURG|PROSTATECTOMY WITH MCC|3.0417|7.6|9.7|38489.67|12654.00|03/01/2022
71-1054290|666|No|No|11|SURG|PROSTATECTOMY WITH CC|1.7397|4.0|5.3|22014.16|12654.00|03/01/2022
71-1054290|667|No|No|11|SURG|PROSTATECTOMY WITHOUT CC/MCC|0.9975|2.0|2.5|12622.37|12654.00|03/01/2022
71-1054290|668|No|No|11|SURG|TRANSURETHRAL PROCEDURES WITH MCC|2.8063|7.1|9.3|35510.92|12654.00|03/01/2022
71-1054290|669|No|No|11|SURG|TRANSURETHRAL PROCEDURES WITH CC|1.5635|3.8|4.9|19784.53|12654.00|03/01/2022
71-1054290|670|No|No|11|SURG|TRANSURETHRAL PROCEDURES WITHOUT CC/MCC|0.9785|2.1|2.6|12381.94|12654.00|03/01/2022
71-1054290|671|No|No|11|SURG|URETHRAL PROCEDURES WITH CC/MCC|1.7813|3.9|5.8|22540.57|12654.00|03/01/2022
71-1054290|672|No|No|11|SURG|URETHRAL PROCEDURES WITHOUT CC/MCC|1.1504|1.6|2.0|14557.16|12654.00|03/01/2022
71-1054290|673|No|No|11|SURG|OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC|3.4683|7.7|10.5|43887.87|12654.00|03/01/2022
71-1054290|674|No|No|11|SURG|OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC|2.3832|5.9|7.6|30157.01|12654.00|03/01/2022
71-1054290|675|No|No|11|SURG|OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC|1.7547|2.7|3.7|22203.97|12654.00|03/01/2022
71-1054290|682|Yes|No|11|MED|RENAL FAILURE WITH MCC|1.4727|4.3|5.7|18635.55|12654.00|03/01/2022
71-1054290|683|Yes|No|11|MED|RENAL FAILURE WITH CC|0.8793|3.1|3.8|11126.66|12654.00|03/01/2022
71-1054290|684|Yes|No|11|MED|RENAL FAILURE WITHOUT CC/MCC|0.6079|2.2|2.6|7692.37|12654.00|03/01/2022
71-1054290|686|No|No|11|MED|KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC|1.8753|5.0|7.0|23730.05|12654.00|03/01/2022
71-1054290|687|No|No|11|MED|KIDNEY AND URINARY TRACT NEOPLASMS WITH CC|1.0501|3.3|4.3|13287.97|12654.00|03/01/2022
71-1054290|688|No|No|11|MED|KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC|0.6858|1.9|2.2|8678.11|12654.00|03/01/2022
71-1054290|689|Yes|No|11|MED|KIDNEY AND URINARY TRACT INFECTIONS WITH MCC|1.1142|3.8|4.7|14099.09|12654.00|03/01/2022
71-1054290|690|Yes|No|11|MED|KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC|0.7940|2.9|3.5|10047.28|12654.00|03/01/2022
71-1054290|693|No|No|11|MED|URINARY STONES WITH MCC|1.3355|3.7|5.0|16899.42|12654.00|03/01/2022
71-1054290|694|No|No|11|MED|URINARY STONES WITHOUT MCC|0.7712|2.1|2.6|9758.76|12654.00|03/01/2022
71-1054290|695|No|No|11|MED|KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC|1.1377|3.6|4.7|14396.46|12654.00|03/01/2022
71-1054290|696|No|No|11|MED|KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC|0.6919|2.3|2.9|8755.30|12654.00|03/01/2022
71-1054290|697|No|No|11|MED|URETHRAL STRICTURE|0.9993|2.8|3.6|12645.14|12654.00|03/01/2022
71-1054290|698|Yes|No|11|MED|OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC|1.6106|4.7|6.0|20380.53|12654.00|03/01/2022
71-1054290|699|Yes|No|11|MED|OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC|1.0270|3.3|4.1|12995.66|12654.00|03/01/2022
71-1054290|700|Yes|No|11|MED|OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC|0.7465|2.4|2.9|9446.21|12654.00|03/01/2022
71-1054290|707|No|No|12|SURG|MAJOR MALE PELVIC PROCEDURES WITH CC/MCC|1.9222|2.5|3.4|24323.52|12654.00|03/01/2022
71-1054290|708|No|No|12|SURG|MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC|1.4912|1.4|1.6|18869.64|12654.00|03/01/2022
71-1054290|709|No|No|12|SURG|PENIS PROCEDURES WITH CC/MCC|2.3159|4.0|6.5|29305.40|12654.00|03/01/2022
71-1054290|710|No|No|12|SURG|PENIS PROCEDURES WITHOUT CC/MCC|1.6016|1.7|2.1|20266.65|12654.00|03/01/2022
71-1054290|711|No|No|12|SURG|TESTES PROCEDURES WITH CC/MCC|2.1316|5.3|7.4|26973.27|12654.00|03/01/2022
71-1054290|712|No|No|12|SURG|TESTES PROCEDURES WITHOUT CC/MCC|1.0600|2.5|3.1|13413.24|12654.00|03/01/2022
71-1054290|713|No|No|12|SURG|TRANSURETHRAL PROSTATECTOMY WITH CC/MCC|1.4934|2.8|4.0|18897.48|12654.00|03/01/2022
71-1054290|714|No|No|12|SURG|TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC|0.9288|1.6|1.9|11753.04|12654.00|03/01/2022
71-1054290|715|No|No|12|SURG|OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC|2.0216|5.0|6.8|25581.33|12654.00|03/01/2022
71-1054290|716|No|No|12|SURG|OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC|1.2758|1.4|1.6|16143.97|12654.00|03/01/2022
71-1054290|717|No|No|12|SURG|OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC|1.8006|3.7|5.2|22784.79|12654.00|03/01/2022
71-1054290|718|No|No|12|SURG|OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC|1.2346|2.2|2.7|15622.63|12654.00|03/01/2022
71-1054290|722|No|No|12|MED|MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH MCC|1.7126|5.1|7.1|21671.24|12654.00|03/01/2022
71-1054290|723|No|No|12|MED|MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITH CC|1.0919|3.5|4.5|13816.90|12654.00|03/01/2022
71-1054290|724|No|No|12|MED|MALIGNANCY- MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC|0.6481|1.8|2.3|8201.06|12654.00|03/01/2022
71-1054290|725|No|No|12|MED|BENIGN PROSTATIC HYPERTROPHY WITH MCC|1.2855|4.0|5.4|16266.72|12654.00|03/01/2022
71-1054290|726|No|No|12|MED|BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC|0.7447|2.5|3.1|9423.43|12654.00|03/01/2022
71-1054290|727|No|No|12|MED|INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC|1.4210|4.4|5.6|17981.33|12654.00|03/01/2022
71-1054290|728|No|No|12|MED|INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC|0.8057|3.0|3.6|10195.33|12654.00|03/01/2022
71-1054290|729|No|No|12|MED|OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC|1.0075|3.1|4.1|12748.91|12654.00|03/01/2022
71-1054290|730|No|No|12|MED|OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC|0.5689|1.8|2.2|7198.86|12654.00|03/01/2022
71-1054290|734|No|No|13|SURG|PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC|2.2243|3.5|5.0|28146.29|12654.00|03/01/2022
71-1054290|735|No|No|13|SURG|PELVIC EVISCERATION- RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC|1.4136|1.7|2.0|17887.69|12654.00|03/01/2022
71-1054290|736|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC|4.2607|8.4|10.5|53914.90|12654.00|03/01/2022
71-1054290|737|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC|2.0581|4.2|4.9|26043.20|12654.00|03/01/2022
71-1054290|738|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC|1.4759|2.6|2.9|18676.04|12654.00|03/01/2022
71-1054290|739|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC|3.8240|6.6|9.5|48388.90|12654.00|03/01/2022
71-1054290|740|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC|1.8016|2.8|3.7|22797.45|12654.00|03/01/2022
71-1054290|741|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC|1.2799|1.6|1.9|16195.85|12654.00|03/01/2022
71-1054290|742|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC|1.7181|2.8|3.8|21740.84|12654.00|03/01/2022
71-1054290|743|No|No|13|SURG|UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC|1.1328|1.7|1.9|14334.45|12654.00|03/01/2022
71-1054290|744|No|No|13|SURG|D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC|1.7954|4.4|5.9|22718.99|12654.00|03/01/2022
71-1054290|745|No|No|13|SURG|D&C- CONIZATION- LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC|1.1700|2.2|2.6|14805.18|12654.00|03/01/2022
71-1054290|746|No|No|13|SURG|VAGINA- CERVIX AND VULVA PROCEDURES WITH CC/MCC|1.6115|3.2|4.9|20391.92|12654.00|03/01/2022
71-1054290|747|No|No|13|SURG|VAGINA- CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC|0.9391|1.5|1.8|11883.37|12654.00|03/01/2022
71-1054290|748|No|No|13|SURG|FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES|1.3476|1.6|2.0|17052.53|12654.00|03/01/2022
71-1054290|749|No|No|13|SURG|OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC|2.7138|5.6|7.7|34340.43|12654.00|03/01/2022
71-1054290|750|No|No|13|SURG|OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC|1.4638|2.3|2.8|18522.93|12654.00|03/01/2022
71-1054290|754|No|No|13|MED|MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH MCC|1.8262|5.0|7.0|23108.73|12654.00|03/01/2022
71-1054290|755|No|No|13|MED|MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITH CC|1.1293|3.3|4.3|14290.16|12654.00|03/01/2022
71-1054290|756|No|No|13|MED|MALIGNANCY- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC|0.9184|2.1|2.5|11621.43|12654.00|03/01/2022
71-1054290|757|No|No|13|MED|INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH MCC|1.5247|4.7|6.3|19293.55|12654.00|03/01/2022
71-1054290|758|No|No|13|MED|INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITH CC|0.9697|3.6|4.4|12270.58|12654.00|03/01/2022
71-1054290|759|No|No|13|MED|INFECTIONS- FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC|0.6834|2.7|3.2|8647.74|12654.00|03/01/2022
71-1054290|760|No|No|13|MED|MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC|0.9201|2.6|3.4|11642.95|12654.00|03/01/2022
71-1054290|761|No|No|13|MED|MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC|0.5908|1.8|2.3|7475.98|12654.00|03/01/2022
71-1054290|768|No|No|14|SURG|VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C|1.1696|3.1|4.5|14800.12|12654.00|03/01/2022
71-1054290|769|No|No|14|SURG|POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES|1.6176|2.9|4.3|20469.11|12654.00|03/01/2022
71-1054290|770|No|No|14|SURG|ABORTION WITH D&C- ASPIRATION CURETTAGE OR HYSTEROTOMY|0.8898|1.8|2.3|11259.53|12654.00|03/01/2022
71-1054290|776|No|No|14|MED|POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES|0.7745|2.5|3.4|9800.52|12654.00|03/01/2022
71-1054290|779|No|No|14|MED|ABORTION WITHOUT D&C|1.0590|2.0|2.9|13400.59|12654.00|03/01/2022
71-1054290|783|No|No|14|SURG|CESAREAN SECTION WITH STERILIZATION WITH MCC|1.8749|4.8|7.2|23724.98|12654.00|03/01/2022
71-1054290|784|No|No|14|SURG|CESAREAN SECTION WITH STERILIZATION WITH CC|1.0959|3.3|4.4|13867.52|12654.00|03/01/2022
71-1054290|785|No|No|14|SURG|CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC|0.9168|2.7|3.3|11601.19|12654.00|03/01/2022
71-1054290|786|No|No|14|SURG|CESAREAN SECTION WITHOUT STERILIZATION WITH MCC|1.5944|4.3|5.7|20175.54|12654.00|03/01/2022
71-1054290|787|No|No|14|SURG|CESAREAN SECTION WITHOUT STERILIZATION WITH CC|1.0644|3.5|4.1|13468.92|12654.00|03/01/2022
71-1054290|788|No|No|14|SURG|CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC|0.8874|3.0|3.2|11229.16|12654.00|03/01/2022
71-1054290|789|No|No|15|MED|NEONATES- DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY|1.7200|1.8|1.8|21764.88|12654.00|03/01/2022
71-1054290|790|No|No|15|MED|EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME- NEONATE|5.6721|17.9|17.9|71774.75|12654.00|03/01/2022
71-1054290|791|No|No|15|MED|PREMATURITY WITH MAJOR PROBLEMS|3.8738|13.3|13.3|49019.07|12654.00|03/01/2022
71-1054290|792|No|No|15|MED|PREMATURITY WITHOUT MAJOR PROBLEMS|2.3374|8.6|8.6|29577.46|12654.00|03/01/2022
71-1054290|793|No|No|15|MED|FULL TERM NEONATE WITH MAJOR PROBLEMS|3.9792|4.7|4.7|50352.80|12654.00|03/01/2022
71-1054290|794|No|No|15|MED|NEONATE WITH OTHER SIGNIFICANT PROBLEMS|1.4084|3.4|3.4|17821.89|12654.00|03/01/2022
71-1054290|795|No|No|15|MED|NORMAL NEWBORN|0.1907|3.1|3.1|2413.12|12654.00|03/01/2022
71-1054290|796|No|No|14|SURG|VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC|1.0708|3.6|5.7|13549.90|12654.00|03/01/2022
71-1054290|797|No|No|14|SURG|VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC|0.9194|2.4|2.6|11634.09|12654.00|03/01/2022
71-1054290|798|No|No|14|SURG|VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC|0.8275|2.1|2.3|10471.19|12654.00|03/01/2022
71-1054290|799|No|No|16|SURG|SPLENECTOMY WITH MCC|5.1474|7.8|10.7|65135.20|12654.00|03/01/2022
71-1054290|800|No|No|16|SURG|SPLENECTOMY WITH CC|2.9539|5.0|6.4|37378.65|12654.00|03/01/2022
71-1054290|801|No|No|16|SURG|SPLENECTOMY WITHOUT CC/MCC|1.6840|2.6|3.1|21309.34|12654.00|03/01/2022
71-1054290|802|No|No|16|SURG|OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC|3.7117|7.5|11.0|46967.85|12654.00|03/01/2022
71-1054290|803|No|No|16|SURG|OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC|1.8865|3.9|5.2|23871.77|12654.00|03/01/2022
71-1054290|804|No|No|16|SURG|OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC|1.3659|2.0|2.5|17284.10|12654.00|03/01/2022
71-1054290|805|No|No|14|MED|VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC|1.0299|2.9|4.0|13032.35|12654.00|03/01/2022
71-1054290|806|No|No|14|MED|VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC|0.7346|2.3|2.7|9295.63|12654.00|03/01/2022
71-1054290|807|No|No|14|MED|VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC|0.6423|2.1|2.3|8127.66|12654.00|03/01/2022
71-1054290|808|No|No|16|MED|MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC|2.1858|5.4|7.3|27659.11|12654.00|03/01/2022
71-1054290|809|No|No|16|MED|MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC|1.2234|3.5|4.4|15480.90|12654.00|03/01/2022
71-1054290|810|No|No|16|MED|MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC|0.9617|2.5|3.2|12169.35|12654.00|03/01/2022
71-1054290|811|No|No|16|MED|RED BLOOD CELL DISORDERS WITH MCC|1.3793|3.6|4.8|17453.66|12654.00|03/01/2022
71-1054290|812|No|No|16|MED|RED BLOOD CELL DISORDERS WITHOUT MCC|0.8803|2.7|3.4|11139.32|12654.00|03/01/2022
71-1054290|813|No|No|16|MED|COAGULATION DISORDERS|1.5451|3.6|4.7|19551.70|12654.00|03/01/2022
71-1054290|814|No|No|16|MED|RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC|1.8917|4.5|6.5|23937.57|12654.00|03/01/2022
71-1054290|815|No|No|16|MED|RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC|0.9934|2.9|3.8|12570.48|12654.00|03/01/2022
71-1054290|816|No|No|16|MED|RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC|0.6611|2.2|2.6|8365.56|12654.00|03/01/2022
71-1054290|817|No|No|14|SURG|OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC|2.3068|4.1|6.6|29190.25|12654.00|03/01/2022
71-1054290|818|No|No|14|SURG|OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC|1.3598|3.0|4.2|17206.91|12654.00|03/01/2022
71-1054290|819|No|No|14|SURG|OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC|0.9872|1.7|2.1|12492.03|12654.00|03/01/2022
71-1054290|820|No|No|17|SURG|LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC|5.6917|10.6|14.7|72022.77|12654.00|03/01/2022
71-1054290|821|No|No|17|SURG|LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC|2.1552|3.7|5.4|27271.90|12654.00|03/01/2022
71-1054290|822|No|No|17|SURG|LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC|1.2515|1.8|2.3|15836.48|12654.00|03/01/2022
71-1054290|823|No|No|17|SURG|LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC|4.5018|10.3|13.6|56965.78|12654.00|03/01/2022
71-1054290|824|No|No|17|SURG|LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC|2.3644|5.3|7.1|29919.12|12654.00|03/01/2022
71-1054290|825|No|No|17|SURG|LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC|1.4015|2.4|3.4|17734.58|12654.00|03/01/2022
71-1054290|826|No|No|17|SURG|MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC|5.0445|9.9|13.5|63833.10|12654.00|03/01/2022
71-1054290|827|No|No|17|SURG|MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC|2.5006|4.9|6.2|31642.59|12654.00|03/01/2022
71-1054290|828|No|No|17|SURG|MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC|1.6740|2.8|3.4|21182.80|12654.00|03/01/2022
71-1054290|829|No|No|17|SURG|MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC|3.2084|6.2|9.0|40599.09|12654.00|03/01/2022
71-1054290|830|No|No|17|SURG|MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC|1.4820|2.3|2.9|18753.23|12654.00|03/01/2022
71-1054290|831|No|No|14|MED|OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC|1.1218|3.4|4.7|14195.26|12654.00|03/01/2022
71-1054290|832|No|No|14|MED|OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC|0.7783|2.5|4.0|9848.61|12654.00|03/01/2022
71-1054290|833|No|No|14|MED|OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC|0.5370|1.9|2.7|6795.20|12654.00|03/01/2022
71-1054290|834|No|No|17|MED|ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC|6.0522|10.0|16.6|76584.54|12654.00|03/01/2022
71-1054290|835|No|No|17|MED|ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC|2.1137|4.2|6.6|26746.76|12654.00|03/01/2022
71-1054290|836|No|No|17|MED|ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC|1.1735|2.7|3.9|14849.47|12654.00|03/01/2022
71-1054290|837|No|No|17|MED|CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC|5.6993|11.5|17.1|72118.94|12654.00|03/01/2022
71-1054290|838|No|No|17|MED|CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT|2.2602|5.5|7.3|28600.57|12654.00|03/01/2022
71-1054290|839|No|No|17|MED|CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC|1.4872|4.4|4.9|18819.03|12654.00|03/01/2022
71-1054290|840|Yes|No|17|MED|LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC|3.2205|6.7|9.6|40752.21|12654.00|03/01/2022
71-1054290|841|Yes|No|17|MED|LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC|1.6216|4.0|5.4|20519.73|12654.00|03/01/2022
71-1054290|842|Yes|No|17|MED|LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC|1.0970|2.8|3.6|13881.44|12654.00|03/01/2022
71-1054290|843|No|No|17|MED|OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC|1.9076|5.3|7.3|24138.77|12654.00|03/01/2022
71-1054290|844|No|No|17|MED|OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC|1.1842|3.6|4.7|14984.87|12654.00|03/01/2022
71-1054290|845|No|No|17|MED|OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC|0.8489|2.6|3.4|10741.98|12654.00|03/01/2022
71-1054290|846|No|No|17|MED|CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC|2.6729|5.9|7.9|33822.88|12654.00|03/01/2022
71-1054290|847|No|No|17|MED|CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC|1.3361|3.6|4.1|16907.01|12654.00|03/01/2022
71-1054290|848|No|No|17|MED|CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC|1.0323|3.0|3.5|13062.72|12654.00|03/01/2022
71-1054290|849|No|No|17|MED|RADIOTHERAPY|2.4936|6.2|9.3|31554.01|12654.00|03/01/2022
71-1054290|853|Yes|No|18|SURG|INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC|4.9678|9.6|12.5|62862.54|12654.00|03/01/2022
71-1054290|854|Yes|No|18|SURG|INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC|2.1222|5.3|6.6|26854.32|12654.00|03/01/2022
71-1054290|855|Yes|No|18|SURG|INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC|1.5198|3.3|4.1|19231.55|12654.00|03/01/2022
71-1054290|856|Yes|No|18|SURG|POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC|4.6639|9.2|12.3|59016.99|12654.00|03/01/2022
71-1054290|857|Yes|No|18|SURG|POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC|2.1024|5.4|6.7|26603.77|12654.00|03/01/2022
71-1054290|858|Yes|No|18|SURG|POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC|1.3596|3.5|4.4|17204.38|12654.00|03/01/2022
71-1054290|862|Yes|No|18|MED|POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC|1.8967|5.0|6.7|24000.84|12654.00|03/01/2022
71-1054290|863|Yes|No|18|MED|POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC|1.0114|3.5|4.2|12798.26|12654.00|03/01/2022
71-1054290|864|No|No|18|MED|FEVER AND INFLAMMATORY CONDITIONS|0.8765|2.7|3.3|11091.23|12654.00|03/01/2022
71-1054290|865|No|No|18|MED|VIRAL ILLNESS WITH MCC|1.4778|3.9|5.5|18700.08|12654.00|03/01/2022
71-1054290|866|No|No|18|MED|VIRAL ILLNESS WITHOUT MCC|0.8390|2.7|3.4|10616.71|12654.00|03/01/2022
71-1054290|867|Yes|No|18|MED|OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC|2.2371|5.5|7.6|28308.26|12654.00|03/01/2022
71-1054290|868|Yes|No|18|MED|OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC|1.0660|3.5|4.4|13489.16|12654.00|03/01/2022
71-1054290|869|Yes|No|18|MED|OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC|0.7285|2.5|3.0|9218.44|12654.00|03/01/2022
71-1054290|870|Yes|No|18|MED|SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS|6.4390|12.4|14.5|81479.11|12654.00|03/01/2022
71-1054290|871|Yes|No|18|MED|SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC|1.8722|4.8|6.2|23690.82|12654.00|03/01/2022
71-1054290|872|Yes|No|18|MED|SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC|1.0263|3.5|4.2|12986.80|12654.00|03/01/2022
71-1054290|876|No|No|19|SURG|O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS|3.2680|7.0|13.7|41353.27|12654.00|03/01/2022
71-1054290|880|No|No|19|MED|ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION|0.8645|2.6|3.7|10939.38|12654.00|03/01/2022
71-1054290|881|No|No|19|MED|DEPRESSIVE NEUROSES|0.8020|3.9|5.3|10148.51|12654.00|03/01/2022
71-1054290|882|No|No|19|MED|NEUROSES EXCEPT DEPRESSIVE|0.8236|3.2|4.7|10421.83|12654.00|03/01/2022
71-1054290|883|No|No|19|MED|DISORDERS OF PERSONALITY AND IMPULSE CONTROL|1.5818|5.1|9.8|20016.10|12654.00|03/01/2022
71-1054290|884|Yes|No|19|MED|ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY|1.4473|4.5|7.3|18314.13|12654.00|03/01/2022
71-1054290|885|No|No|19|MED|PSYCHOSES|1.2394|5.9|8.8|15683.37|12654.00|03/01/2022
71-1054290|886|No|No|19|MED|BEHAVIORAL AND DEVELOPMENTAL DISORDERS|1.2237|4.3|7.6|15484.70|12654.00|03/01/2022
71-1054290|887|No|No|19|MED|OTHER MENTAL DISORDER DIAGNOSES|1.0798|3.0|4.7|13663.79|12654.00|03/01/2022
71-1054290|894|No|No|20|MED|ALCOHOL- DRUG ABUSE OR DEPENDENCE- LEFT AMA|0.5490|2.0|2.7|6947.05|12654.00|03/01/2022
71-1054290|895|No|No|20|MED|ALCOHOL- DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY|1.5992|8.9|11.9|20236.28|12654.00|03/01/2022
71-1054290|896|Yes|No|20|MED|ALCOHOL- DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC|1.7803|4.9|7.0|22527.92|12654.00|03/01/2022
71-1054290|897|Yes|No|20|MED|ALCOHOL- DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC|0.8270|3.4|4.3|10464.86|12654.00|03/01/2022
71-1054290|901|No|No|21|SURG|WOUND DEBRIDEMENTS FOR INJURIES WITH MCC|4.2687|8.8|12.9|54016.13|12654.00|03/01/2022
71-1054290|902|No|No|21|SURG|WOUND DEBRIDEMENTS FOR INJURIES WITH CC|1.9643|4.8|6.6|24856.25|12654.00|03/01/2022
71-1054290|903|No|No|21|SURG|WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC|1.1353|2.6|3.4|14366.09|12654.00|03/01/2022
71-1054290|904|No|No|21|SURG|SKIN GRAFTS FOR INJURIES WITH CC/MCC|3.7270|7.1|10.6|47161.46|12654.00|03/01/2022
71-1054290|905|No|No|21|SURG|SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC|1.6500|3.3|4.3|20879.10|12654.00|03/01/2022
71-1054290|906|No|No|21|SURG|HAND PROCEDURES FOR INJURIES|1.8038|2.8|4.5|22825.29|12654.00|03/01/2022
71-1054290|907|Yes|No|21|SURG|OTHER O.R. PROCEDURES FOR INJURIES WITH MCC|3.9482|6.8|9.6|49960.52|12654.00|03/01/2022
71-1054290|908|Yes|No|21|SURG|OTHER O.R. PROCEDURES FOR INJURIES WITH CC|2.0504|3.9|5.2|25945.76|12654.00|03/01/2022
71-1054290|909|Yes|No|21|SURG|OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC|1.3710|2.4|2.9|17348.63|12654.00|03/01/2022
71-1054290|913|No|No|21|MED|TRAUMATIC INJURY WITH MCC|1.6386|3.7|5.5|20734.84|12654.00|03/01/2022
71-1054290|914|No|No|21|MED|TRAUMATIC INJURY WITHOUT MCC|0.8869|2.5|3.2|11222.83|12654.00|03/01/2022
71-1054290|915|No|No|21|MED|ALLERGIC REACTIONS WITH MCC|1.6995|3.7|5.0|21505.47|12654.00|03/01/2022
71-1054290|916|No|No|21|MED|ALLERGIC REACTIONS WITHOUT MCC|0.6584|1.8|2.2|8331.39|12654.00|03/01/2022
71-1054290|917|Yes|No|21|MED|POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC|1.4785|3.5|4.9|18708.94|12654.00|03/01/2022
71-1054290|918|Yes|No|21|MED|POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC|0.7916|2.3|3.1|10016.91|12654.00|03/01/2022
71-1054290|919|No|No|21|MED|COMPLICATIONS OF TREATMENT WITH MCC|1.8441|4.3|6.0|23335.24|12654.00|03/01/2022
71-1054290|920|No|No|21|MED|COMPLICATIONS OF TREATMENT WITH CC|1.0246|2.9|3.8|12965.29|12654.00|03/01/2022
71-1054290|921|No|No|21|MED|COMPLICATIONS OF TREATMENT WITHOUT CC/MCC|0.6979|2.1|2.6|8831.23|12654.00|03/01/2022
71-1054290|922|No|No|21|MED|OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC|1.5882|4.1|6.3|20097.08|12654.00|03/01/2022
71-1054290|923|No|No|21|MED|OTHER INJURY- POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC|0.9398|2.7|4.3|11892.23|12654.00|03/01/2022
71-1054290|927|No|No|22|SURG|EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT|21.0913|26.0|35.4|266889.31|12654.00|03/01/2022
71-1054290|928|No|No|22|SURG|FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC|6.5316|11.7|16.4|82650.87|12654.00|03/01/2022
71-1054290|929|No|No|22|SURG|FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC|3.0139|5.9|7.9|38137.89|12654.00|03/01/2022
71-1054290|933|No|No|22|MED|EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT|2.2629|2.4|4.1|28634.74|12654.00|03/01/2022
71-1054290|934|No|No|22|MED|FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY|1.9409|4.3|6.8|24560.15|12654.00|03/01/2022
71-1054290|935|No|No|22|MED|NON-EXTENSIVE BURNS|1.9329|3.6|5.5|24458.92|12654.00|03/01/2022
71-1054290|939|No|No|23|SURG|O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC|3.3746|6.6|9.8|42702.19|12654.00|03/01/2022
71-1054290|940|No|No|23|SURG|O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC|2.2209|3.5|4.9|28103.27|12654.00|03/01/2022
71-1054290|941|No|No|23|SURG|O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC|1.9231|2.2|2.8|24334.91|12654.00|03/01/2022
71-1054290|945|Yes|No|23|MED|REHABILITATION WITH CC/MCC|1.4819|5.0|7.1|18751.96|12654.00|03/01/2022
71-1054290|946|Yes|No|23|MED|REHABILITATION WITHOUT CC/MCC|1.1262|3.2|4.3|14250.93|12654.00|03/01/2022
71-1054290|947|Yes|No|23|MED|SIGNS AND SYMPTOMS WITH MCC|1.1940|3.5|4.8|15108.88|12654.00|03/01/2022
71-1054290|948|Yes|No|23|MED|SIGNS AND SYMPTOMS WITHOUT MCC|0.7871|2.6|3.3|9959.96|12654.00|03/01/2022
71-1054290|949|No|No|23|MED|AFTERCARE WITH CC/MCC|1.1099|4.3|6.1|14044.67|12654.00|03/01/2022
71-1054290|950|No|No|23|MED|AFTERCARE WITHOUT CC/MCC|0.7402|3.0|4.3|9366.49|12654.00|03/01/2022
71-1054290|951|No|No|23|MED|OTHER FACTORS INFLUENCING HEALTH STATUS|0.5596|1.8|2.6|7081.18|12654.00|03/01/2022
71-1054290|955|No|No|24|SURG|CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA|6.2893|7.3|11.1|79584.80|12654.00|03/01/2022
71-1054290|956|Yes|No|24|SURG|LIMB REATTACHMENT- HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA|3.8500|6.0|7.4|48717.90|12654.00|03/01/2022
71-1054290|957|No|No|24|SURG|OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC|7.4209|9.1|13.1|93904.07|12654.00|03/01/2022
71-1054290|958|No|No|24|SURG|OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC|4.2057|6.7|8.2|53218.93|12654.00|03/01/2022
71-1054290|959|No|No|24|SURG|OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC|2.7361|4.2|5.1|34622.61|12654.00|03/01/2022
71-1054290|963|No|No|24|MED|OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC|2.7299|5.2|7.6|34544.15|12654.00|03/01/2022
71-1054290|964|No|No|24|MED|OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC|1.4918|3.9|4.9|18877.24|12654.00|03/01/2022
71-1054290|965|No|No|24|MED|OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC|0.9125|2.6|3.1|11546.78|12654.00|03/01/2022
71-1054290|969|No|No|25|SURG|HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC|5.8519|11.1|15.5|74049.94|12654.00|03/01/2022
71-1054290|970|No|No|25|SURG|HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC|2.9887|6.6|8.9|37819.01|12654.00|03/01/2022
71-1054290|974|No|No|25|MED|HIV WITH MAJOR RELATED CONDITION WITH MCC|2.6905|6.3|8.8|34045.59|12654.00|03/01/2022
71-1054290|975|No|No|25|MED|HIV WITH MAJOR RELATED CONDITION WITH CC|1.2821|4.0|5.3|16223.69|12654.00|03/01/2022
71-1054290|976|No|No|25|MED|HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC|0.9496|3.0|4.4|12016.24|12654.00|03/01/2022
71-1054290|977|No|No|25|MED|HIV WITH OR WITHOUT OTHER RELATED CONDITION|1.3243|3.6|5.0|16757.69|12654.00|03/01/2022
71-1054290|981|Yes|No| |SURG|EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC|4.6145|8.4|11.7|58391.88|12654.00|03/01/2022
71-1054290|982|Yes|No| |SURG|EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC|2.5366|4.6|6.2|32098.14|12654.00|03/01/2022
71-1054290|983|Yes|No| |SURG|EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC|1.6523|2.3|3.0|20908.20|12654.00|03/01/2022
71-1054290|987|Yes|Yes| |SURG|NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC|3.2759|7.7|10.4|41453.24|12654.00|03/01/2022
71-1054290|988|Yes|Yes| |SURG|NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC|1.7064|4.3|5.6|21592.79|12654.00|03/01/2022
71-1054290|989|Yes|Yes| |SURG|NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC|1.1236|2.3|3|14218.03|12654.00|03/01/2022
71-1054290|998|No|No| |**|PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS|.||||12654.00|03/01/2022
71-1054290|999|No|No| |**|UNGROUPABLE|.||||12654.00|03/01/2022