011TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W MCC$65,165.89$65,165.89
025CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC$82,660.36$112,969.93
028SPINAL PROCEDURES W MCC$70,022.21$70,022.21
030SPINAL PROCEDURES W/O CC/MCC$20,128.02$20,128.02
037EXTRACRANIAL PROCEDURES W MCC$17,345.40$33,945.68
038EXTRACRANIAL PROCEDURES W CC$35,873.14$35,873.14
039EXTRACRANIAL PROCEDURES W/O CC/MCC$16,342.64$29,476.27
040PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC$39,848.25$39,848.25
041PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM$27,018.04$27,018.04
054NERVOUS SYSTEM NEOPLASMS W MCC$7,965.39$81,647.51
056DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC$22,216.38$65,380.25
057DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC$22,715.79$44,811.55
060MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC$22,651.43$22,651.43
062ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC$62,859.83$64,855.64
064INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC$1,946.17$57,053.48
065INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS$10,033.81$49,986.63
066INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC$10,062.39$28,824.67
069TRANSIENT ISCHEMIA W/O THROMBOLYTIC$6,633.61$54,828.41
070NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC$20,627.11$49,731.65
071NONSPECIFIC CEREBROVASCULAR DISORDERS W CC$15,613.89$31,102.81
072NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC$9,058.13$11,644.00
073CRANIAL & PERIPHERAL NERVE DISORDERS W MCC$17,123.83$37,795.48
074CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC$14,157.97$95,995.81
077HYPERTENSIVE ENCEPHALOPATHY W MCC$15,666.98$22,143.44
078HYPERTENSIVE ENCEPHALOPATHY W CC$11,412.22$51,662.06
082TRAUMATIC STUPOR & COMA, COMA >1 HR W MCC$3,746.52$20,993.03
087TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC$6,757.29$6,757.29
090CONCUSSION W/O CC/MCC$16,190.29$16,190.29
091OTHER DISORDERS OF NERVOUS SYSTEM W MCC$7,238.24$32,017.72
092OTHER DISORDERS OF NERVOUS SYSTEM W CC$2,082.71$45,057.93
093OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC$9,346.91$20,088.21
097NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC$113,013.54$113,013.54
100SEIZURES W MCC$15,908.69$86,855.09
101SEIZURES W/O MCC$8,337.21$26,096.27
103HEADACHES W/O MCC$30,254.53$34,779.41
125OTHER DISORDERS OF THE EYE W/O MCC$30,202.11$30,202.11
134OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC$24,114.35$24,114.35
135SINUS & MASTOID PROCEDURES W CC/MCC$19,855.19$19,855.19
150EPISTAXIS W MCC$30,229.13$30,229.13
152OTITIS MEDIA & URI W MCC$14,184.55$14,184.55
153OTITIS MEDIA & URI W/O MCC$7,430.37$13,441.17
154OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC$10,445.71$11,776.62
156OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC$4,984.42$4,984.42
163MAJOR CHEST PROCEDURES W MCC$48,579.21$48,579.21
166OTHER RESP SYSTEM O.R. PROCEDURES W MCC$31,559.72$194,694.77
167OTHER RESP SYSTEM O.R. PROCEDURES W CC$56,764.03$59,043.55
168OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC$26,581.78$26,581.78
175PULMONARY EMBOLISM W MCC$12,270.44$74,275.33
176PULMONARY EMBOLISM W/O MCC$5,573.89$25,379.04
177RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC$4,681.84$117,973.28
178RESPIRATORY INFECTIONS & INFLAMMATIONS W CC$9,721.70$52,865.95
179RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC$11,631.82$19,748.30
180RESPIRATORY NEOPLASMS W MCC$15,060.84$93,206.48
181RESPIRATORY NEOPLASMS W CC$55,446.54$106,867.79
183MAJOR CHEST TRAUMA W MCC$24,413.35$69,100.29
184MAJOR CHEST TRAUMA W CC$10,501.72$64,815.28
186PLEURAL EFFUSION W MCC$7,830.82$35,787.51
187PLEURAL EFFUSION W CC$9,744.65$30,844.30
189PULMONARY EDEMA & RESPIRATORY FAILURE$6,207.15$83,842.53
190CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC$3,941.06$60,913.17
191CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC$5,960.62$37,002.77
192CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC$5,847.82$21,843.54
193SIMPLE PNEUMONIA & PLEURISY W MCC$7,270.72$102,718.25
194SIMPLE PNEUMONIA & PLEURISY W CC$7,386.57$165,623.08
195SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC$7,570.99$21,694.75
196INTERSTITIAL LUNG DISEASE W MCC$12,990.37$27,332.96
197INTERSTITIAL LUNG DISEASE W CC$11,349.74$11,349.74
198INTERSTITIAL LUNG DISEASE W/O CC/MCC$10,121.46$10,121.46
199PNEUMOTHORAX W MCC$8,466.02$32,244.47
200PNEUMOTHORAX W CC$9,484.12$33,197.06
202BRONCHITIS & ASTHMA W CC/MCC$11,788.01$40,449.23
203BRONCHITIS & ASTHMA W/O CC/MCC$20,019.59$20,699.67
204RESPIRATORY SIGNS & SYMPTOMS$9,693.05$19,207.29
205OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC$8,463.09$46,045.58
206OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC$31,083.64$31,083.64
207RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)$52,029.76$171,021.11
208RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS$32,105.85$118,848.49
239AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC$51,587.16$51,587.16
240AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC$16,026.33$33,908.03
242PERMANENT CARDIAC PACEMAKER IMPLANT W MCC$49,775.81$66,828.23
243PERMANENT CARDIAC PACEMAKER IMPLANT W CC$33,448.41$60,512.11
252OTHER VASCULAR PROCEDURES W MCC$20,600.69$47,476.15
253OTHER VASCULAR PROCEDURES W CC$28,821.73$64,482.06
254OTHER VASCULAR PROCEDURES W/O CC/MCC$25,730.73$28,890.68
256UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC$47,543.46$47,543.46
259CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC$28,822.41$28,822.41
262CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC$8,434.05$8,434.05
264OTHER CIRCULATORY SYSTEM O.R. PROCEDURES$35,771.21$148,258.46
268AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MCC$58,613.92$208,276.52
269AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC$48,202.84$48,202.84
271OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC$44,307.60$44,307.60
272OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC$30,440.95$30,440.95
280ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC$4,783.48$57,467.97
281ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC$8,732.92$41,302.40
282ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC$7,906.36$23,834.31
283ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC$13,903.84$198,988.82
286CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC$19,440.79$66,400.27
287CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC$14,573.06$33,579.24
291HEART FAILURE & SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)$6,754.87$146,309.58
292HEART FAILURE & SHOCK W CC$6,837.66$35,297.65
293HEART FAILURE & SHOCK W/O CC/MCC$7,410.42$27,560.18
299PERIPHERAL VASCULAR DISORDERS W MCC$19,272.40$59,716.87
300PERIPHERAL VASCULAR DISORDERS W CC$8,467.90$48,738.12
301PERIPHERAL VASCULAR DISORDERS W/O CC/MCC$4,351.20$19,505.57
302ATHEROSCLEROSIS W MCC$15,413.73$15,413.73
303ATHEROSCLEROSIS W/O MCC$6,445.78$26,336.85
304HYPERTENSION W MCC$5,746.07$43,646.37
305HYPERTENSION W/O MCC$3,114.58$20,647.51
308CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC$5,411.74$89,861.13
309CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC$4,648.34$55,873.19
310CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC$4,198.30$26,975.33
311ANGINA PECTORIS$5,411.09$20,628.10
312SYNCOPE & COLLAPSE$8,680.48$48,191.96
313CHEST PAIN$7,311.26$30,876.78
314OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC$11,343.51$93,540.69
315OTHER CIRCULATORY SYSTEM DIAGNOSES W CC$6,981.86$35,642.05
316OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC$16,551.89$16,551.89
326STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC$33,005.38$97,924.74
327STOMACH, ESOPHAGEAL & DUODENAL PROC W CC$31,894.50$31,894.50
328STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC$10,847.48$10,847.48
329MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC$26,803.65$215,245.37
330MAJOR SMALL & LARGE BOWEL PROCEDURES W CC$13,121.96$62,286.36
331MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC$11,050.55$42,555.68
334RECTAL RESECTION W/O CC/MCC$21,561.72$21,561.72
335PERITONEAL ADHESIOLYSIS W MCC$27,731.15$92,323.20
336PERITONEAL ADHESIOLYSIS W CC$18,323.70$58,975.86
337PERITONEAL ADHESIOLYSIS W/O CC/MCC$15,173.54$35,507.10
338APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC$28,098.52$30,605.31
339APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC$20,328.93$33,281.08
340APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC$17,766.78$45,291.31
345MINOR SMALL & LARGE BOWEL PROCEDURES W CC$22,793.25$22,793.25
348ANAL & STOMAL PROCEDURES W CC$18,876.52$29,834.60
349ANAL & STOMAL PROCEDURES W/O CC/MCC$28,029.97$28,029.97
350INGUINAL & FEMORAL HERNIA PROCEDURES W MCC$18,286.57$33,914.31
351INGUINAL & FEMORAL HERNIA PROCEDURES W CC$17,143.18$29,967.67
352INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC$17,382.62$23,120.62
353HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC$38,256.00$117,439.98
354HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC$33,019.85$33,019.85
355HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC$20,861.58$20,861.58
356OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC$38,300.48$58,756.26
357OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC$34,786.93$40,419.93
368MAJOR ESOPHAGEAL DISORDERS W MCC$27,985.90$54,585.95
369MAJOR ESOPHAGEAL DISORDERS W CC$9,458.38$9,458.38
371MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC$20,676.13$55,514.07
372MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC$10,262.39$42,842.16
373MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC$76,934.20$76,934.20
374DIGESTIVE MALIGNANCY W MCC$26,677.21$174,877.65
375DIGESTIVE MALIGNANCY W CC$4,750.58$43,542.70
376DIGESTIVE MALIGNANCY W/O CC/MCC$32,676.88$32,676.88
377G.I. HEMORRHAGE W MCC$5,662.29$125,579.12
378G.I. HEMORRHAGE W CC$4,308.92$56,807.92
379G.I. HEMORRHAGE W/O CC/MCC$1,878.51$14,768.25
380COMPLICATED PEPTIC ULCER W MCC$25,730.75$25,730.75
381COMPLICATED PEPTIC ULCER W CC$8,855.43$25,282.39
382COMPLICATED PEPTIC ULCER W/O CC/MCC$20,623.10$20,623.10
384UNCOMPLICATED PEPTIC ULCER W/O MCC$3,987.99$25,820.64
385INFLAMMATORY BOWEL DISEASE W MCC$17,019.30$22,925.02
386INFLAMMATORY BOWEL DISEASE W CC$9,323.78$46,863.57
387INFLAMMATORY BOWEL DISEASE W/O CC/MCC$9,700.01$24,225.41
388G.I. OBSTRUCTION W MCC$22,121.60$70,538.90
389G.I. OBSTRUCTION W CC$9,941.11$27,997.25
390G.I. OBSTRUCTION W/O CC/MCC$9,048.15$23,488.76
391ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC$11,571.65$59,591.00
392ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC$6,976.14$116,621.06
393OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC$15,747.93$112,554.46
394OTHER DIGESTIVE SYSTEM DIAGNOSES W CC$2,309.53$49,044.06
395OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC$10,874.61$12,025.14
414CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC$60,928.31$60,928.31
415CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC$24,256.67$44,015.69
416CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC$36,575.97$46,343.78
417LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC$20,637.76$92,773.08
418LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC$22,728.71$38,238.25
419LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC$22,088.71$54,062.27
432CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC$8,443.86$124,857.22
433CIRRHOSIS & ALCOHOLIC HEPATITIS W CC$11,982.53$23,088.45
435MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC$24,090.78$118,452.89
436MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC$82,450.10$82,450.10
438DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC$16,768.19$84,543.43
439DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC$7,206.03$31,112.08
440DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC$9,920.33$22,858.20
441DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC$11,009.25$90,334.45
442DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC$7,165.39$40,492.26
443DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC$7,404.29$11,991.67
444DISORDERS OF THE BILIARY TRACT W MCC$11,476.79$32,755.74
445DISORDERS OF THE BILIARY TRACT W CC$9,591.40$61,855.23
446DISORDERS OF THE BILIARY TRACT W/O CC/MCC$15,637.63$15,778.46
453COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC$143,344.16$143,344.16
454COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC$55,309.25$233,741.64
455COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC$58,810.64$101,118.66
456SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W MCC$68,866.58$68,866.58
457SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W CC$46,788.77$121,923.85
458SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W/O CC/MCC$32,527.14$61,376.37
459SPINAL FUSION EXCEPT CERVICAL W MCC$39,915.27$117,758.41
460SPINAL FUSION EXCEPT CERVICAL W/O MCC$30,210.94$121,261.77
463WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC$47,389.46$75,474.52
464WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC$33,951.82$103,190.54
465WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC$22,957.58$98,865.46
466REVISION OF HIP OR KNEE REPLACEMENT W MCC$46,372.61$114,994.72
467REVISION OF HIP OR KNEE REPLACEMENT W CC$22,910.29$100,377.89
468REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC$32,156.26$80,386.26
469MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT$28,403.29$191,820.37
470MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC$22,507.77$106,208.72
471CERVICAL SPINAL FUSION W MCC$119,980.91$119,980.91
472CERVICAL SPINAL FUSION W CC$28,880.96$72,896.63
473CERVICAL SPINAL FUSION W/O CC/MCC$19,847.88$48,328.89
474AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC$104,203.38$104,203.38
477BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC$64,485.86$116,301.75
478BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC$26,740.97$38,402.12
479BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC$38,175.96$66,878.87
480HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC$15,350.46$269,970.70
481HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC$18,344.48$69,226.51
482HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC$24,160.28$33,943.16
483MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES$32,728.10$53,531.56
485KNEE PROCEDURES W PDX OF INFECTION W MCC$40,248.68$63,408.81
486KNEE PROCEDURES W PDX OF INFECTION W CC$31,363.64$50,557.00
488KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC$14,670.71$20,672.94
489KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC$19,491.82$32,640.23
492LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC$50,613.46$50,613.46
493LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC$43,497.69$43,497.69
494LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC$27,383.63$33,534.40
497LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC$12,557.29$28,400.13
498LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W CC/MCC$25,373.13$25,373.13
500SOFT TISSUE PROCEDURES W MCC$18,960.39$144,220.90
501SOFT TISSUE PROCEDURES W CC$19,478.05$28,350.45
502SOFT TISSUE PROCEDURES W/O CC/MCC$26,892.83$30,196.58
504FOOT PROCEDURES W CC$14,152.32$14,152.32
513HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC$22,290.43$55,658.48
515OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC$56,429.55$117,656.29
516OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC$271,508.70$271,508.70
517OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC$11,811.25$16,359.67
518BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM$42,975.72$61,731.31
519BACK & NECK PROC EXC SPINAL FUSION W CC$15,537.67$16,918.07
520BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC$16,073.30$29,601.20
533FRACTURES OF FEMUR W MCC$14,214.15$18,162.41
535FRACTURES OF HIP & PELVIS W MCC$10,875.62$24,302.97
536FRACTURES OF HIP & PELVIS W/O MCC$8,162.13$22,039.05
540OSTEOMYELITIS W CC$30,746.92$30,746.92
542PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC$18,145.49$172,256.09
543PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC$18,748.52$18,748.52
545CONNECTIVE TISSUE DISORDERS W MCC$90,661.95$90,661.95
546CONNECTIVE TISSUE DISORDERS W CC$13,993.08$13,993.08
550SEPTIC ARTHRITIS W/O CC/MCC$12,701.84$12,701.84
551MEDICAL BACK PROBLEMS W MCC$36,598.92$36,598.92
552MEDICAL BACK PROBLEMS W/O MCC$19,792.31$51,162.68
553BONE DISEASES & ARTHROPATHIES W MCC$15,101.64$37,233.77
554BONE DISEASES & ARTHROPATHIES W/O MCC$10,708.79$23,111.20
555SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC$12,428.42$12,428.42
556SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC$15,492.76$19,221.52
557TENDONITIS, MYOSITIS & BURSITIS W MCC$14,483.56$51,758.84
558TENDONITIS, MYOSITIS & BURSITIS W/O MCC$13,394.85$18,450.06
559AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC$21,060.22$65,140.94
560AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC$1,946.66$1,946.66
561AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC$231.26$231.26
562FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC$31,841.56$31,841.56
563FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC$11,931.10$34,231.39
564OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC$14,426.42$67,315.42
565OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC$8,104.52$25,912.72
566OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC$15,904.70$15,904.70
571SKIN DEBRIDEMENT W CC$21,043.55$21,043.55
576SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W MCC$32,720.50$32,720.50
579OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC$27,500.97$46,832.50
580OTHER SKIN, SUBCUT TISS & BREAST PROC W CC$15,748.09$45,816.99
581OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC$11,329.89$16,580.89
583MASTECTOMY FOR MALIGNANCY W/O CC/MCC$22,939.04$22,939.04
584BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W CC/MCC$36,809.24$36,809.24
585BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC$24,006.19$33,884.85
592SKIN ULCERS W MCC$13,507.93$75,032.46
593SKIN ULCERS W CC$15,828.88$23,609.88
595MAJOR SKIN DISORDERS W MCC$38,409.15$38,409.15
597MALIGNANT BREAST DISORDERS W MCC$30,860.73$44,513.23
598MALIGNANT BREAST DISORDERS W CC$13,961.74$13,961.74
602CELLULITIS W MCC$10,042.07$52,491.90
603CELLULITIS W/O MCC$5,987.76$40,208.31
604TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC$17,951.33$58,777.96
605TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC$27,801.27$27,801.27
607MINOR SKIN DISORDERS W/O MCC$45.07$45.07
616AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W MCC$31,203.18$61,152.25
617AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC$22,673.08$71,293.42
620O.R. PROCEDURES FOR OBESITY W CC$23,267.89$23,267.89
622SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC$24,354.43$24,354.43
623SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC$20,292.28$31,768.66
627THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC$14,458.23$14,458.23
628OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC$26,511.85$30,936.08
637DIABETES W MCC$8,846.36$147,566.83
638DIABETES W CC$6,298.40$48,098.47
639DIABETES W/O CC/MCC$8,996.52$19,564.88
640MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC$6,182.16$140,044.14
641MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC$4,978.98$52,078.09
643ENDOCRINE DISORDERS W MCC$13,284.77$31,905.35
644ENDOCRINE DISORDERS W CC$10,212.54$30,880.64
653MAJOR BLADDER PROCEDURES W MCC$75,825.06$75,825.06
654MAJOR BLADDER PROCEDURES W CC$53,477.78$53,477.78
655MAJOR BLADDER PROCEDURES W/O CC/MCC$22,366.44$41,269.45
656KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC$89,956.40$89,956.40
657KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC$27,141.97$47,221.59
658KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC$19,564.87$29,687.56
659KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC$71,795.65$71,795.65
660KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC$31,586.08$36,275.58
661KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC$25,962.13$38,827.08
665PROSTATECTOMY W MCC$21,602.44$21,602.44
668TRANSURETHRAL PROCEDURES W MCC$29,496.34$54,332.36
669TRANSURETHRAL PROCEDURES W CC$10,788.14$35,010.88
670TRANSURETHRAL PROCEDURES W/O CC/MCC$14,154.88$14,154.88
673OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC$52,170.99$174,595.11
674OTHER KIDNEY & URINARY TRACT PROCEDURES W CC$61,493.42$154,387.31
682RENAL FAILURE W MCC$6,521.42$124,927.63
683RENAL FAILURE W CC$6,566.60$45,313.97
684RENAL FAILURE W/O CC/MCC$5,221.53$13,254.85
686KIDNEY & URINARY TRACT NEOPLASMS W MCC$18,077.28$29,536.28
687KIDNEY & URINARY TRACT NEOPLASMS W CC$12,124.58$12,124.58
689KIDNEY & URINARY TRACT INFECTIONS W MCC$5,436.93$128,243.67
690KIDNEY & URINARY TRACT INFECTIONS W/O MCC$5,383.49$49,277.32
693URINARY STONES W/O ESW LITHOTRIPSY W MCC$49,627.90$49,627.90
694URINARY STONES W/O ESW LITHOTRIPSY W/O MCC$3,516.27$35,370.02
695KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W MCC$15,794.05$15,794.05
696KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC$11,867.15$11,867.15
698OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC$6,975.89$231,761.83
699OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC$9,976.92$133,362.53
700OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC$8,552.49$10,162.96
707MAJOR MALE PELVIC PROCEDURES W CC/MCC$38,633.99$44,858.70
708MAJOR MALE PELVIC PROCEDURES W/O CC/MCC$22,069.27$32,250.16
713TRANSURETHRAL PROSTATECTOMY W CC/MCC$24,027.99$24,027.99
722MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MCC$87,622.56$87,622.56
723MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC$36,770.88$36,770.88
726BENIGN PROSTATIC HYPERTROPHY W/O MCC$18,275.34$18,275.34
727INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC$12,599.69$12,599.69
728INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC$11,084.97$18,784.57
742UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC$16,439.46$166,221.70
743UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC$13,397.20$17,560.76
744D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC$19,688.93$21,822.10
754MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC$11,090.74$81,257.03
757INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC$26,379.07$26,379.07
765CESAREAN SECTION W CC/MCC$17,205.55$17,205.55
766CESAREAN SECTION W/O CC/MCC$13,476.80$13,947.35
767VAGINAL DELIVERY W STERILIZATION &/OR D&C$20,640.78$22,679.16
768VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C$30,057.91$30,057.91
775VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES$13,318.05$13,318.05
781OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS$8,347.31$8,347.31
802OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC$29,680.10$39,973.15
803OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC$65,231.60$65,231.60
808MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC$27,161.73$82,460.34
809MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC$7,018.34$25,708.61
810MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC$27,905.39$27,905.39
811RED BLOOD CELL DISORDERS W MCC$7,488.55$57,044.42
812RED BLOOD CELL DISORDERS W/O MCC$9,088.13$39,584.85
813COAGULATION DISORDERS$8,406.88$80,548.79
815RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC$24,944.39$31,034.24
821LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC$14,052.55$14,052.55
823LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W MCC$61,438.87$93,444.93
834ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC$13,073.00$297,647.40
837CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC$131,341.76$343,178.13
838CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT$38,226.65$38,226.65
839CHEMO W ACUTE LEUKEMIA AS SDX W/O CC/MCC$10,927.59$15,554.12
840LYMPHOMA & NON-ACUTE LEUKEMIA W MCC$13,789.14$136,285.96
841LYMPHOMA & NON-ACUTE LEUKEMIA W CC$47,224.27$87,409.08
842LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC$30,080.43$30,893.99
843OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC$40,959.64$56,970.27
846CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC$8,793.78$115,554.96
847CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC$7,456.19$99,697.55
848CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W/O CC/MCC$12,005.65$64,738.19
849RADIOTHERAPY$15,878.84$74,950.49
853INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC$11,313.12$432,461.42
854INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC$19,577.51$60,807.32
856POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC$35,248.65$87,397.00
857POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC$18,292.35$56,597.90
858POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC$12,494.67$12,494.67
862POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC$13,365.74$108,769.84
863POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC$6,553.86$26,627.22
864FEVER AND INFLAMMATORY CONDITIONS$7,721.90$26,548.08
865VIRAL ILLNESS W MCC$9,493.40$18,848.46
866VIRAL ILLNESS W/O MCC$10,457.35$45,732.28
867OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC$9,489.57$57,453.20
868OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC$8,698.49$43,277.92
869OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O CC/MCC$9,817.37$17,767.46
870SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)$61,024.32$337,273.56
871SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC$4,400.87$200,751.99
872SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC$4,904.26$60,465.08
876O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS$26,911.08$26,911.08
880ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION$11,434.09$14,127.60
881DEPRESSIVE NEUROSES$5,500.55$20,846.66
882NEUROSES EXCEPT DEPRESSIVE$10,545.32$10,545.32
883DISORDERS OF PERSONALITY & IMPULSE CONTROL$16,668.13$16,668.13
884ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY$26,630.09$88,564.29
885PSYCHOSES$2,115.43$135,439.05
886BEHAVIORAL & DEVELOPMENTAL DISORDERS$16,199.76$42,458.34
894ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA$6,181.23$6,181.23
896ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC$13,498.91$41,171.79
897ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC$8,091.49$30,097.20
901WOUND DEBRIDEMENTS FOR INJURIES W MCC$88,131.86$88,131.86
902WOUND DEBRIDEMENTS FOR INJURIES W CC$14,090.80$26,632.10
907OTHER O.R. PROCEDURES FOR INJURIES W MCC$33,369.11$142,379.91
908OTHER O.R. PROCEDURES FOR INJURIES W CC$17,835.44$33,013.00
917POISONING & TOXIC EFFECTS OF DRUGS W MCC$10,954.09$81,803.12
918POISONING & TOXIC EFFECTS OF DRUGS W/O MCC$6,657.65$22,686.76
919COMPLICATIONS OF TREATMENT W MCC$22,575.81$105,192.57
920COMPLICATIONS OF TREATMENT W CC$12,712.96$22,656.29
922OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC$18,732.27$18,732.27
934FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ$56,623.72$56,623.72
935NON-EXTENSIVE BURNS$11,947.35$11,947.35
947SIGNS & SYMPTOMS W MCC$16,100.57$48,944.21
948SIGNS & SYMPTOMS W/O MCC$6,788.97$66,673.50
951OTHER FACTORS INFLUENCING HEALTH STATUS$1,676.06$1,676.06
956LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA$36,531.84$74,206.69
963OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC$21,733.69$32,048.77
964OTHER MULTIPLE SIGNIFICANT TRAUMA W CC$46,287.42$46,287.42
974HIV W MAJOR RELATED CONDITION W MCC$56,524.13$56,524.13
981EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC$19,492.30$239,775.46
982EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC$22,786.62$72,035.91
983EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC$40,821.22$40,821.22
987NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC$71,737.59$224,316.47
988NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC$13,050.95$35,718.94