4TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.$147,104.11$225,964.36
28SPINAL PROCEDURES W MCC$85,486.10$85,486.10
29SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS$59,122.50$66,085.57
54NERVOUS SYSTEM NEOPLASMS W MCC$11,968.60$11,968.60
55NERVOUS SYSTEM NEOPLASMS W/O MCC$15,804.45$21,392.88
56DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC$16,630.15$29,872.75
57DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC$11,122.55$29,367.95
59MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC$14,100.23$14,100.23
64INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC$19,685.05$32,316.80
65INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS$13,785.10$31,537.58
66INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC$12,621.55$20,965.10
68NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC$10,497.20$14,965.00
69TRANSIENT ISCHEMIA W/O THROMBOLYTIC$13,955.40$27,924.00
70NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC$19,176.45$52,864.60
71NONSPECIFIC CEREBROVASCULAR DISORDERS W CC$11,176.15$29,569.36
74CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC$7,975.05$17,895.35
75VIRAL MENINGITIS W CC/MCC$22,476.40$22,476.40
76VIRAL MENINGITIS W/O CC/MCC$7,474.20$7,474.20
85TRAUMATIC STUPOR & COMA, COMA <1 HR W MCC$12,603.35$12,603.35
90CONCUSSION W/O CC/MCC$10,177.00$10,177.00
91OTHER DISORDERS OF NERVOUS SYSTEM W MCC$22,481.65$25,152.40
92OTHER DISORDERS OF NERVOUS SYSTEM W CC$11,775.75$17,073.90
93OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC$14,552.92$14,611.15
94BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W MCC$14,604.00$14,604.00
97NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC$18,550.35$23,191.35
100SEIZURES W MCC$15,726.90$22,408.18
101SEIZURES W/O MCC$9,871.25$20,934.05
103HEADACHES W/O MCC$21,664.00$21,664.00
149DYSEQUILIBRIUM$13,487.85$24,018.30
152OTITIS MEDIA & URI W MCC$28,002.00$28,002.00
153OTITIS MEDIA & URI W/O MCC$12,568.75$17,130.75
156OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC$6,433.80$6,433.80
157DENTAL & ORAL DISEASES W MCC$13,415.55$13,415.55
163MAJOR CHEST PROCEDURES W MCC$73,989.85$95,760.55
164MAJOR CHEST PROCEDURES W CC$39,610.30$39,610.30
165MAJOR CHEST PROCEDURES W/O CC/MCC$21,835.56$21,835.56
166OTHER RESP SYSTEM O.R. PROCEDURES W MCC$46,413.85$72,784.96
167OTHER RESP SYSTEM O.R. PROCEDURES W CC$34,698.91$44,736.65
175PULMONARY EMBOLISM W MCC$16,169.75$58,732.00
176PULMONARY EMBOLISM W/O MCC$11,591.75$27,398.65
177RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC$16,157.80$46,763.70
178RESPIRATORY INFECTIONS & INFLAMMATIONS W CC$11,286.90$31,884.30
179RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC$13,276.40$21,360.43
180RESPIRATORY NEOPLASMS W MCC$16,733.70$36,244.05
181RESPIRATORY NEOPLASMS W CC$12,455.40$12,455.40
183MAJOR CHEST TRAUMA W MCC$13,542.92$18,914.05
184MAJOR CHEST TRAUMA W CC$20,208.26$20,208.26
185MAJOR CHEST TRAUMA W/O CC/MCC$8,180.95$8,180.95
186PLEURAL EFFUSION W MCC$30,192.15$30,192.15
187PLEURAL EFFUSION W CC$10,617.70$27,520.80
189PULMONARY EDEMA & RESPIRATORY FAILURE$10,301.35$49,686.85
190CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC$12,497.20$44,485.45
191CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC$11,414.60$31,211.10
192CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC$10,987.00$17,083.45
193SIMPLE PNEUMONIA & PLEURISY W MCC$10,392.50$38,475.95
194SIMPLE PNEUMONIA & PLEURISY W CC$10,284.85$29,758.80
195SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC$8,482.95$16,621.75
196INTERSTITIAL LUNG DISEASE W MCC$32,818.75$32,818.75
197INTERSTITIAL LUNG DISEASE W CC$22,671.91$22,671.91
200PNEUMOTHORAX W CC$14,320.15$22,509.65
201PNEUMOTHORAX W/O CC/MCC$15,091.45$17,635.35
202BRONCHITIS & ASTHMA W CC/MCC$6,721.50$15,009.45
203BRONCHITIS & ASTHMA W/O CC/MCC$13,305.45$15,168.80
204RESPIRATORY SIGNS & SYMPTOMS$31,409.35$31,409.35
205OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC$15,155.15$45,085.85
206OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC$11,675.65$19,280.20
207RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)$52,972.40$95,287.95
208RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS$15,323.80$66,796.00
239AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC$50,651.55$50,651.55
242PERMANENT CARDIAC PACEMAKER IMPLANT W MCC$26,752.55$45,053.75
243PERMANENT CARDIAC PACEMAKER IMPLANT W CC$28,363.45$43,038.25
244PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC$25,987.60$31,549.25
252OTHER VASCULAR PROCEDURES W MCC$33,579.95$33,579.95
253OTHER VASCULAR PROCEDURES W CC$30,064.66$30,064.66
255UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC$43,186.10$43,186.10
256UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC$19,601.45$22,884.39
262CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC$28,628.67$28,628.67
264OTHER CIRCULATORY SYSTEM O.R. PROCEDURES$44,219.03$117,914.58
280ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC$13,909.80$19,248.80
281ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC$16,820.65$21,780.30
282ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC$7,521.95$15,102.50
283ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC$29,334.00$37,591.00
284ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC$7,993.65$13,269.05
286CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC$24,928.25$24,928.25
288ACUTE & SUBACUTE ENDOCARDITIS W MCC$43,824.20$43,824.20
291HEART FAILURE & SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)$8,405.75$48,516.16
292HEART FAILURE & SHOCK W CC$8,029.45$34,265.75
293HEART FAILURE & SHOCK W/O CC/MCC$6,253.70$21,875.20
299PERIPHERAL VASCULAR DISORDERS W MCC$37,909.65$69,965.15
300PERIPHERAL VASCULAR DISORDERS W CC$16,018.00$25,059.75
301PERIPHERAL VASCULAR DISORDERS W/O CC/MCC$19,673.35$19,673.35
302ATHEROSCLEROSIS W MCC$11,305.40$11,305.40
303ATHEROSCLEROSIS W/O MCC$10,245.90$15,291.84
304HYPERTENSION W MCC$16,044.40$18,328.40
305HYPERTENSION W/O MCC$12,333.40$14,742.05
306CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC$35,692.85$35,692.85
308CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC$10,038.85$38,390.81
309CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC$9,070.05$25,270.95
310CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC$6,646.30$15,809.85
311ANGINA PECTORIS$9,550.55$15,710.70
312SYNCOPE & COLLAPSE$5,671.30$25,692.50
313CHEST PAIN$7,885.40$13,805.25
314OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC$11,460.05$50,457.50
315OTHER CIRCULATORY SYSTEM DIAGNOSES W CC$15,058.90$35,692.90
316OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC$4,727.15$9,988.15
326STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC$35,986.05$48,475.51
327STOMACH, ESOPHAGEAL & DUODENAL PROC W CC$34,739.20$34,739.20
329MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC$53,121.06$149,894.53
330MAJOR SMALL & LARGE BOWEL PROCEDURES W CC$26,264.50$84,623.40
331MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC$28,291.87$46,501.90
335PERITONEAL ADHESIOLYSIS W MCC$33,022.45$33,022.45
336PERITONEAL ADHESIOLYSIS W CC$27,416.85$62,986.25
337PERITONEAL ADHESIOLYSIS W/O CC/MCC$28,777.50$38,376.21
338APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC$57,134.15$57,134.15
339APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC$24,631.60$55,279.75
340APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC$27,822.65$31,000.95
341APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC$45,183.55$45,183.55
342APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC$20,045.40$29,888.25
343APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC$17,626.90$24,906.00
345MINOR SMALL & LARGE BOWEL PROCEDURES W CC$10,484.20$10,484.20
346MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC$18,770.95$20,483.20
350INGUINAL & FEMORAL HERNIA PROCEDURES W MCC$18,780.30$25,575.45
351INGUINAL & FEMORAL HERNIA PROCEDURES W CC$21,408.95$23,824.60
352INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC$19,794.55$29,107.90
353HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC$23,155.50$23,155.50
354HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC$39,520.46$39,520.46
355HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC$31,356.75$31,356.75
356OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC$33,665.85$67,752.35
357OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC$26,972.95$85,767.00
369MAJOR ESOPHAGEAL DISORDERS W CC$15,622.48$17,038.88
371MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC$15,877.80$50,972.55
372MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC$9,753.05$28,556.15
373MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC$12,925.95$18,172.65
374DIGESTIVE MALIGNANCY W MCC$14,229.45$20,175.68
375DIGESTIVE MALIGNANCY W CC$20,435.23$28,342.85
376DIGESTIVE MALIGNANCY W/O CC/MCC$25,364.43$25,364.43
377G.I. HEMORRHAGE W MCC$10,225.25$68,512.90
378G.I. HEMORRHAGE W CC$9,972.00$35,528.60
379G.I. HEMORRHAGE W/O CC/MCC$7,488.60$21,168.88
380COMPLICATED PEPTIC ULCER W MCC$17,558.25$17,558.25
381COMPLICATED PEPTIC ULCER W CC$12,442.65$30,438.33
383UNCOMPLICATED PEPTIC ULCER W MCC$22,581.90$22,581.90
384UNCOMPLICATED PEPTIC ULCER W/O MCC$17,425.23$17,425.23
385INFLAMMATORY BOWEL DISEASE W MCC$7,044.60$26,070.05
386INFLAMMATORY BOWEL DISEASE W CC$11,071.40$24,037.40
387INFLAMMATORY BOWEL DISEASE W/O CC/MCC$11,184.75$31,262.85
388G.I. OBSTRUCTION W MCC$12,142.05$45,386.80
389G.I. OBSTRUCTION W CC$10,579.70$31,787.40
390G.I. OBSTRUCTION W/O CC/MCC$9,859.70$23,937.55
391ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC$11,527.50$37,246.25
392ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC$7,772.75$27,314.55
393OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC$12,108.35$39,255.80
394OTHER DIGESTIVE SYSTEM DIAGNOSES W CC$10,260.05$27,210.90
395OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC$10,530.35$15,487.75
413CHOLECYSTECTOMY W C.D.E. W/O CC/MCC$19,499.90$19,499.90
414CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC$57,419.80$57,419.80
416CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC$20,154.70$41,286.05
417LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC$30,445.55$51,796.20
418LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC$21,253.30$51,934.88
419LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC$20,061.65$41,153.85
421HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC$31,862.33$31,862.33
423OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W MCC$28,990.10$28,990.10
432CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC$31,393.55$91,871.70
433CIRRHOSIS & ALCOHOLIC HEPATITIS W CC$10,868.70$28,455.45
435MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC$21,103.30$40,109.99
436MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC$7,016.95$26,580.65
438DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC$18,547.85$74,834.70
439DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC$9,289.65$32,611.70
440DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC$7,148.50$27,869.50
441DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC$22,216.03$29,039.65
442DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC$10,053.35$26,762.10
443DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC$10,397.75$10,397.75
444DISORDERS OF THE BILIARY TRACT W MCC$19,860.80$46,323.39
445DISORDERS OF THE BILIARY TRACT W CC$15,701.45$29,030.10
446DISORDERS OF THE BILIARY TRACT W/O CC/MCC$9,184.30$30,976.93
455COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC$52,770.95$60,652.20
459SPINAL FUSION EXCEPT CERVICAL W MCC$48,823.40$48,823.40
460SPINAL FUSION EXCEPT CERVICAL W/O MCC$45,112.35$64,765.50
463WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC$34,643.64$57,239.20
464WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC$28,938.20$28,938.20
467REVISION OF HIP OR KNEE REPLACEMENT W CC$37,849.95$37,849.95
469MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT$30,913.27$49,602.28
470MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC$26,664.30$48,111.03
472CERVICAL SPINAL FUSION W CC$49,351.60$49,351.60
473CERVICAL SPINAL FUSION W/O CC/MCC$25,024.10$59,856.30
475AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC$40,140.05$40,140.05
477BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC$37,836.40$126,343.20
478BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC$34,287.09$36,600.30
480HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC$31,080.05$72,589.80
481HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC$20,876.79$52,742.57
482HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC$21,245.30$35,518.70
483MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES$39,345.10$46,568.47
487KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC$19,695.85$19,695.85
493LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC$39,604.75$43,798.92
494LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC$57,036.40$57,036.40
500SOFT TISSUE PROCEDURES W MCC$21,971.69$21,971.69
501SOFT TISSUE PROCEDURES W CC$32,146.00$40,291.99
504FOOT PROCEDURES W CC$29,235.70$37,817.35
512SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W/O CC/MCC$22,422.43$22,422.43
517OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC$27,652.35$27,652.35
520BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC$28,911.60$29,771.55
534FRACTURES OF FEMUR W/O MCC$10,851.15$10,851.15
535FRACTURES OF HIP & PELVIS W MCC$13,966.20$18,970.55
536FRACTURES OF HIP & PELVIS W/O MCC$11,087.85$14,920.50
542PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC$18,936.55$31,220.65
543PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC$8,676.90$36,233.50
546CONNECTIVE TISSUE DISORDERS W CC$17,006.55$17,006.55
551MEDICAL BACK PROBLEMS W MCC$9,002.25$46,471.57
552MEDICAL BACK PROBLEMS W/O MCC$10,064.60$23,535.10
554BONE DISEASES & ARTHROPATHIES W/O MCC$15,814.95$19,411.25
555SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC$15,518.10$37,088.90
556SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC$11,858.80$18,297.88
558TENDONITIS, MYOSITIS & BURSITIS W/O MCC$10,549.50$23,166.50
559AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC$28,449.75$28,449.75
560AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC$22,002.80$22,002.80
563FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC$10,795.32$19,630.35
564OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC$16,730.65$42,216.05
565OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC$17,593.40$22,953.75
570SKIN DEBRIDEMENT W MCC$14,931.20$43,169.43
571SKIN DEBRIDEMENT W CC$22,203.85$30,575.90
574SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC$35,944.18$35,944.18
579OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC$48,847.89$48,847.89
580OTHER SKIN, SUBCUT TISS & BREAST PROC W CC$30,345.70$39,110.85
581OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC$13,454.70$24,632.00
582MASTECTOMY FOR MALIGNANCY W CC/MCC$26,021.95$26,021.95
583MASTECTOMY FOR MALIGNANCY W/O CC/MCC$18,240.30$22,634.90
592SKIN ULCERS W MCC$13,876.33$14,087.00
601NON-MALIGNANT BREAST DISORDERS W/O CC/MCC$14,455.95$14,455.95
602CELLULITIS W MCC$13,713.70$43,813.40
603CELLULITIS W/O MCC$7,263.95$43,548.55
605TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC$9,460.03$12,501.48
607MINOR SKIN DISORDERS W/O MCC$8,386.15$20,218.62
617AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC$18,974.90$54,284.03
623SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC$29,489.33$49,139.19
629OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC$23,292.40$75,027.43
637DIABETES W MCC$9,922.60$37,923.50
638DIABETES W CC$7,186.57$29,506.20
639DIABETES W/O CC/MCC$10,786.40$21,043.50
640MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC$10,975.00$64,262.73
641MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC$7,684.25$29,834.10
642INBORN AND OTHER DISORDERS OF METABOLISM$12,544.10$16,257.95
643ENDOCRINE DISORDERS W MCC$13,016.05$29,909.30
644ENDOCRINE DISORDERS W CC$13,941.30$23,339.35
645ENDOCRINE DISORDERS W/O CC/MCC$13,159.90$13,159.90
656KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC$78,105.15$78,105.15
657KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC$37,212.35$37,212.35
659KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC$26,391.41$31,856.76
660KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC$20,927.01$22,167.26
665PROSTATECTOMY W MCC$76,420.75$76,420.75
668TRANSURETHRAL PROCEDURES W MCC$31,180.85$76,961.39
669TRANSURETHRAL PROCEDURES W CC$19,072.71$62,339.55
670TRANSURETHRAL PROCEDURES W/O CC/MCC$19,482.86$28,450.01
673OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC$27,189.20$55,159.20
682RENAL FAILURE W MCC$12,015.75$59,345.00
683RENAL FAILURE W CC$8,347.95$34,206.40
684RENAL FAILURE W/O CC/MCC$9,464.95$19,111.25
686KIDNEY & URINARY TRACT NEOPLASMS W MCC$66,491.50$66,491.50
687KIDNEY & URINARY TRACT NEOPLASMS W CC$28,811.40$28,811.40
689KIDNEY & URINARY TRACT INFECTIONS W MCC$8,536.57$41,138.50
690KIDNEY & URINARY TRACT INFECTIONS W/O MCC$8,769.35$30,722.15
691URINARY STONES W ESW LITHOTRIPSY W CC/MCC$30,008.00$30,008.00
694URINARY STONES W/O ESW LITHOTRIPSY W/O MCC$13,789.91$21,410.71
696KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC$7,682.10$10,498.30
698OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC$11,578.15$41,683.00
699OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC$12,788.75$25,179.25
700OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC$8,265.55$8,770.40
714TRANSURETHRAL PROSTATECTOMY W/O CC/MCC$17,088.25$17,088.25
728INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC$49,815.91$49,815.91
742UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC$17,902.80$26,736.50
743UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC$15,198.30$23,754.20
745D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W/O CC/MCC$28,295.50$28,295.50
750OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC$36,289.65$36,289.65
754MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC$37,705.45$37,705.45
765CESAREAN SECTION W CC/MCC$11,539.20$16,688.00
766CESAREAN SECTION W/O CC/MCC$9,853.65$15,927.35
767VAGINAL DELIVERY W STERILIZATION &/OR D&C$8,728.90$11,786.05
774VAGINAL DELIVERY W COMPLICATING DIAGNOSES$8,505.60$11,383.85
775VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES$6,292.70$11,886.65
776POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE$13,719.85$17,344.65
777ECTOPIC PREGNANCY$14,811.85$14,811.85
781OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS$9,758.40$14,484.65
784CESAREAN SECTION W STERILIZATION W CC$14,278.95$14,278.95
785CESAREAN SECTION W STERILIZATION W/O CC/MCC$11,112.30$13,700.30
786CESAREAN SECTION W/O STERILIZATION W MCC$9,213.55$13,660.20
787CESAREAN SECTION W/O STERILIZATION W CC$13,914.15$16,066.95
788CESAREAN SECTION W/O STERILIZATION W/O CC/MCC$11,029.65$17,194.50
789NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY$3,074.50$8,382.65
791PREMATURITY W MAJOR PROBLEMS$7,872.00$7,872.00
792PREMATURITY W/O MAJOR PROBLEMS$7,709.35$10,784.50
793FULL TERM NEONATE W MAJOR PROBLEMS$5,349.75$11,071.80
794NEONATE W OTHER SIGNIFICANT PROBLEMS$5,213.85$9,111.95
795NORMAL NEWBORN$2,718.35$9,019.45
802OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC$46,680.16$51,016.98
806VAGINAL DELIVERY W/O STERILIZATION/D&C W CC$9,858.80$12,958.15
807VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC$7,132.80$12,753.15
808MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC$29,555.15$41,249.30
809MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC$14,100.05$37,102.65
811RED BLOOD CELL DISORDERS W MCC$12,334.38$49,444.45
812RED BLOOD CELL DISORDERS W/O MCC$10,494.10$36,451.00
813COAGULATION DISORDERS$11,077.40$21,501.55
815RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC$13,866.95$16,747.15
819OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC$15,430.55$15,430.55
823LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W MCC$48,569.39$51,022.25
824LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W CC$23,374.05$23,374.05
826MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC$123,799.86$123,799.86
832OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC$10,144.50$10,144.50
834ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC$18,286.10$18,286.10
835ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W CC$15,959.85$15,959.85
841LYMPHOMA & NON-ACUTE LEUKEMIA W CC$12,683.55$34,481.65
843OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC$35,235.31$35,235.31
853INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC$22,864.90$136,777.57
854INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC$14,385.80$59,694.46
856POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC$14,472.85$89,452.73
862POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC$18,200.50$26,787.10
863POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC$21,924.18$26,154.06
864FEVER AND INFLAMMATORY CONDITIONS$9,543.25$20,582.00
865VIRAL ILLNESS W MCC$11,982.65$45,539.85
866VIRAL ILLNESS W/O MCC$11,751.35$18,352.80
868OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC$10,921.75$16,457.60
870SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)$60,230.50$82,408.05
871SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC$8,551.45$52,819.53
872SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC$9,656.95$38,039.30
880ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION$11,071.35$17,904.70
881DEPRESSIVE NEUROSES$8,377.60$26,651.05
882NEUROSES EXCEPT DEPRESSIVE$7,289.40$15,996.20
883DISORDERS OF PERSONALITY & IMPULSE CONTROL$10,980.15$15,553.75
884ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY$14,433.40$20,500.10
885PSYCHOSES$9,285.90$56,722.15
886BEHAVIORAL & DEVELOPMENTAL DISORDERS$9,649.75$27,108.30
894ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA$7,035.70$17,836.35
896ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC$12,550.85$65,964.10
897ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC$9,849.15$30,576.55
903WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC$13,186.45$13,186.45
906HAND PROCEDURES FOR INJURIES$73,303.78$73,303.78
908OTHER O.R. PROCEDURES FOR INJURIES W CC$21,393.20$21,393.20
916ALLERGIC REACTIONS W/O MCC$9,161.85$18,394.45
917POISONING & TOXIC EFFECTS OF DRUGS W MCC$9,061.05$27,947.75
918POISONING & TOXIC EFFECTS OF DRUGS W/O MCC$7,737.15$18,539.75
919COMPLICATIONS OF TREATMENT W MCC$15,884.49$16,629.00
920COMPLICATIONS OF TREATMENT W CC$15,997.25$25,071.90
921COMPLICATIONS OF TREATMENT W/O CC/MCC$11,470.25$11,470.25
939O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W MCC$27,938.05$27,938.05
941O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC$32,661.85$48,400.32
947SIGNS & SYMPTOMS W MCC$11,469.90$20,263.69
948SIGNS & SYMPTOMS W/O MCC$10,008.15$20,311.50
951OTHER FACTORS INFLUENCING HEALTH STATUS$5,202.75$28,879.15
965OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC$18,165.60$18,165.60
981EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC$23,276.25$53,474.55
982EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC$14,062.20$19,892.20
987NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC$40,685.65$72,916.10
988NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC$19,175.40$26,847.25
989NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC$32,989.92$32,989.92