003ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.$159,453.42$1,260,928.12
004TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.$65,339.37$798,867.66
023CRANIOTOMY W MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX W MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY W NEUROSTIMULATOR$47,296.93$206,585.17
025CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC$45,292.67$316,336.80
026CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC$37,788.32$84,538.82
027CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC$27,246.07$90,003.65
029SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS$29,500.80$106,836.02
030SPINAL PROCEDURES W/O CC/MCC$28,469.05$45,711.80
032VENTRICULAR SHUNT PROCEDURES W CC$57,358.16$57,358.16
033VENTRICULAR SHUNT PROCEDURES W/O CC/MCC$26,809.93$26,809.93
037EXTRACRANIAL PROCEDURES W MCC$50,354.35$86,452.43
038EXTRACRANIAL PROCEDURES W CC$19,002.17$37,763.44
039EXTRACRANIAL PROCEDURES W/O CC/MCC$21,974.90$46,111.44
041PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM$37,544.20$52,293.75
042PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC$24,428.19$48,153.33
054NERVOUS SYSTEM NEOPLASMS W MCC$18,379.95$64,388.82
055NERVOUS SYSTEM NEOPLASMS W/O MCC$6,206.09$6,206.09
056DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC$15,132.71$151,098.94
057DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC$5,260.90$39,601.26
061ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC$39,886.21$107,446.42
062ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC$40,783.29$89,983.08
063ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC$41,833.38$41,833.38
064INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC$6,649.89$127,597.60
065INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS$10,329.87$108,015.80
066INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC$2,077.62$35,373.87
067NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC$12,998.72$12,998.72
069TRANSIENT ISCHEMIA W/O THROMBOLYTIC$9,084.42$37,723.06
070NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC$11,172.96$115,092.31
071NONSPECIFIC CEREBROVASCULAR DISORDERS W CC$14,242.43$73,052.18
072NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC$13,540.52$26,002.37
073CRANIAL & PERIPHERAL NERVE DISORDERS W MCC$85,675.88$85,675.88
074CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC$7,334.47$26,286.51
077HYPERTENSIVE ENCEPHALOPATHY W MCC$79,697.03$79,697.03
078HYPERTENSIVE ENCEPHALOPATHY W CC$27,659.42$29,984.77
079HYPERTENSIVE ENCEPHALOPATHY W/O CC/MCC$13,338.01$13,338.01
080NONTRAUMATIC STUPOR & COMA W MCC$19,140.94$20,264.29
081NONTRAUMATIC STUPOR & COMA W/O MCC$48,029.76$48,029.76
082TRAUMATIC STUPOR & COMA, COMA >1 HR W MCC$21,657.86$112,621.55
083TRAUMATIC STUPOR & COMA, COMA >1 HR W CC$29,369.71$38,187.14
085TRAUMATIC STUPOR & COMA, COMA <1 HR W MCC$15,240.66$182,430.45
086TRAUMATIC STUPOR & COMA, COMA <1 HR W CC$5,807.71$94,897.78
087TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC$6,388.02$31,902.81
091OTHER DISORDERS OF NERVOUS SYSTEM W MCC$12,953.50$46,740.98
092OTHER DISORDERS OF NERVOUS SYSTEM W CC$9,242.99$55,604.87
093OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC$9,072.11$27,307.45
095BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC$85,231.27$88,907.64
097NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC$48,712.07$48,712.07
100SEIZURES W MCC$7,309.82$87,191.64
101SEIZURES W/O MCC$5,440.65$37,228.87
103HEADACHES W/O MCC$12,028.28$21,988.67
122ACUTE MAJOR EYE INFECTIONS W/O CC/MCC$28,208.93$28,208.93
123NEUROLOGICAL EYE DISORDERS$10,229.23$10,229.23
125OTHER DISORDERS OF THE EYE W/O MCC$13,871.91$13,871.91
139SALIVARY GLAND PROCEDURES$26,874.32$26,874.32
149DYSEQUILIBRIUM$11,703.31$24,071.70
151EPISTAXIS W/O MCC$9,270.11$9,270.11
153OTITIS MEDIA & URI W/O MCC$5,393.64$11,535.63
154OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC$13,998.94$13,998.94
155OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC$21,023.55$21,023.55
158DENTAL & ORAL DISEASES W CC$11,614.17$22,491.71
163MAJOR CHEST PROCEDURES W MCC$53,055.38$371,794.55
164MAJOR CHEST PROCEDURES W CC$12,395.36$103,633.30
165MAJOR CHEST PROCEDURES W/O CC/MCC$31,328.86$73,980.01
166OTHER RESP SYSTEM O.R. PROCEDURES W MCC$19,772.09$205,543.16
167OTHER RESP SYSTEM O.R. PROCEDURES W CC$29,187.24$58,349.79
168OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC$30,724.98$31,876.00
175PULMONARY EMBOLISM W MCC$14,704.38$100,198.18
176PULMONARY EMBOLISM W/O MCC$6,730.69$65,041.17
177RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC$6,939.46$96,698.82
178RESPIRATORY INFECTIONS & INFLAMMATIONS W CC$9,668.87$56,137.64
179RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC$12,107.23$17,866.68
180RESPIRATORY NEOPLASMS W MCC$5,142.71$108,348.29
181RESPIRATORY NEOPLASMS W CC$10,545.99$72,787.56
182RESPIRATORY NEOPLASMS W/O CC/MCC$25,902.89$25,902.89
183MAJOR CHEST TRAUMA W MCC$11,611.81$59,916.74
184MAJOR CHEST TRAUMA W CC$20,164.00$34,351.85
186PLEURAL EFFUSION W MCC$17,719.38$114,168.30
187PLEURAL EFFUSION W CC$21,649.45$76,219.73
188PLEURAL EFFUSION W/O CC/MCC$12,817.77$25,010.77
189PULMONARY EDEMA & RESPIRATORY FAILURE$8,009.06$119,333.16
190CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC$8,579.47$90,698.06
191CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC$9,065.34$42,801.58
192CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC$6,680.71$45,397.79
193SIMPLE PNEUMONIA & PLEURISY W MCC$7,048.48$116,859.45
194SIMPLE PNEUMONIA & PLEURISY W CC$7,028.50$49,661.80
195SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC$6,994.73$27,612.43
196INTERSTITIAL LUNG DISEASE W MCC$10,211.53$43,831.97
199PNEUMOTHORAX W MCC$13,074.68$47,149.15
200PNEUMOTHORAX W CC$7,301.22$53,666.03
201PNEUMOTHORAX W/O CC/MCC$11,712.40$25,958.38
202BRONCHITIS & ASTHMA W CC/MCC$5,637.77$32,558.68
203BRONCHITIS & ASTHMA W/O CC/MCC$9,051.06$21,796.84
204RESPIRATORY SIGNS & SYMPTOMS$13,711.29$34,504.09
205OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC$14,836.34$41,977.92
206OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC$20,155.60$20,155.60
207RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)$75,263.61$240,274.48
208RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS$9,076.03$124,951.62
224CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W MCC$297,765.44$297,765.44
239AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC$30,521.41$110,926.88
240AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC$37,673.43$37,724.22
242PERMANENT CARDIAC PACEMAKER IMPLANT W MCC$39,631.44$104,074.18
243PERMANENT CARDIAC PACEMAKER IMPLANT W CC$38,959.34$85,162.71
244PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC$39,181.25$71,437.55
246PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS$46,062.02$116,739.60
247PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC$35,568.73$77,448.62
248PERCUTANEOUS CARDIOVASCULAR PROCEDURES W NON-DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS$42,593.19$42,593.19
249PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC$43,637.84$45,850.70
252OTHER VASCULAR PROCEDURES W MCC$36,744.33$239,110.03
253OTHER VASCULAR PROCEDURES W CC$26,020.96$108,690.56
254OTHER VASCULAR PROCEDURES W/O CC/MCC$28,122.40$96,238.09
256UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC$19,057.80$19,057.80
258CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC$43,359.72$113,294.88
259CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC$45,942.34$45,942.34
260CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC$22,203.91$22,203.91
261CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC$18,372.51$18,372.51
264OTHER CIRCULATORY SYSTEM O.R. PROCEDURES$16,466.84$210,355.43
270OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC$23,630.14$162,475.92
272OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC$31,536.60$31,536.60
280ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC$11,612.22$74,249.49
281ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC$8,660.47$38,692.61
282ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC$6,975.80$35,222.41
283ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC$7,467.07$56,230.08
284ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC$41,518.28$41,518.28
285ACUTE MYOCARDIAL INFARCTION, EXPIRED W/O CC/MCC$16,894.01$16,894.01
286CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC$21,629.04$126,714.00
287CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC$16,045.58$51,855.51
288ACUTE & SUBACUTE ENDOCARDITIS W MCC$56,011.31$62,904.44
289ACUTE & SUBACUTE ENDOCARDITIS W CC$21,640.53$21,640.53
291HEART FAILURE & SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)$5,676.08$145,854.28
292HEART FAILURE & SHOCK W CC$9,931.56$69,024.47
293HEART FAILURE & SHOCK W/O CC/MCC$8,704.40$21,840.13
296CARDIAC ARREST, UNEXPLAINED W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)$6,305.32$41,226.51
299PERIPHERAL VASCULAR DISORDERS W MCC$10,455.20$76,839.74
300PERIPHERAL VASCULAR DISORDERS W CC$6,669.66$39,435.73
301PERIPHERAL VASCULAR DISORDERS W/O CC/MCC$10,315.02$10,315.02
302ATHEROSCLEROSIS W MCC$16,725.91$24,098.07
303ATHEROSCLEROSIS W/O MCC$5,729.23$22,425.35
304HYPERTENSION W MCC$14,813.53$42,979.34
305HYPERTENSION W/O MCC$10,354.59$37,956.92
306CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC$10,838.46$44,782.84
307CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC$9,413.58$62,608.77
308CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC$5,803.76$177,356.38
309CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC$6,003.43$80,083.38
310CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC$6,642.82$32,534.80
311ANGINA PECTORIS$8,485.52$36,612.19
312SYNCOPE & COLLAPSE$8,394.34$44,822.07
313CHEST PAIN$6,185.70$23,995.56
314OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC$12,027.53$128,490.83
315OTHER CIRCULATORY SYSTEM DIAGNOSES W CC$6,895.03$32,015.60
316OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC$9,464.46$15,601.24
326STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC$85,910.50$390,369.00
327STOMACH, ESOPHAGEAL & DUODENAL PROC W CC$24,316.25$141,550.00
328STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC$21,674.54$52,989.79
329MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC$44,060.78$553,302.66
330MAJOR SMALL & LARGE BOWEL PROCEDURES W CC$18,072.69$165,288.29
331MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC$15,469.70$75,699.67
335PERITONEAL ADHESIOLYSIS W MCC$78,220.46$115,647.76
336PERITONEAL ADHESIOLYSIS W CC$28,251.52$79,698.60
337PERITONEAL ADHESIOLYSIS W/O CC/MCC$21,846.12$47,749.04
339APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC$53,053.04$93,209.02
340APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC$33,804.07$33,980.07
343APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC$20,722.60$20,722.60
348ANAL & STOMAL PROCEDURES W CC$26,930.14$49,677.81
349ANAL & STOMAL PROCEDURES W/O CC/MCC$24,211.58$45,082.81
350INGUINAL & FEMORAL HERNIA PROCEDURES W MCC$53,234.30$53,234.30
351INGUINAL & FEMORAL HERNIA PROCEDURES W CC$22,750.38$40,952.74
352INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC$11,946.61$42,472.60
353HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC$25,004.69$105,574.68
354HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC$31,903.95$32,988.42
355HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC$17,234.78$26,954.65
356OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC$30,886.74$158,856.20
357OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC$45,274.59$69,334.18
358OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC$19,150.55$19,284.18
368MAJOR ESOPHAGEAL DISORDERS W MCC$8,874.41$64,155.09
369MAJOR ESOPHAGEAL DISORDERS W CC$17,898.66$82,920.87
371MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC$15,434.47$90,335.52
372MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC$13,863.48$60,381.62
373MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC$22,552.35$26,224.53
374DIGESTIVE MALIGNANCY W MCC$3,903.73$85,737.57
375DIGESTIVE MALIGNANCY W CC$11,312.58$87,729.63
376DIGESTIVE MALIGNANCY W/O CC/MCC$24,317.73$24,317.73
377G.I. HEMORRHAGE W MCC$10,896.57$164,100.36
378G.I. HEMORRHAGE W CC$5,425.18$59,349.28
379G.I. HEMORRHAGE W/O CC/MCC$5,326.48$52,152.10
380COMPLICATED PEPTIC ULCER W MCC$22,279.57$121,491.42
381COMPLICATED PEPTIC ULCER W CC$10,140.53$60,484.49
382COMPLICATED PEPTIC ULCER W/O CC/MCC$10,564.63$10,564.63
383UNCOMPLICATED PEPTIC ULCER W MCC$27,724.60$28,166.42
384UNCOMPLICATED PEPTIC ULCER W/O MCC$14,833.32$31,469.27
386INFLAMMATORY BOWEL DISEASE W CC$9,389.62$30,213.43
387INFLAMMATORY BOWEL DISEASE W/O CC/MCC$9,918.41$12,500.42
388G.I. OBSTRUCTION W MCC$14,803.71$959,533.87
389G.I. OBSTRUCTION W CC$10,075.97$85,056.57
390G.I. OBSTRUCTION W/O CC/MCC$9,819.29$29,624.15
391ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC$7,991.69$95,664.57
392ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC$7,117.18$95,549.04
393OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC$11,884.46$149,838.03
394OTHER DIGESTIVE SYSTEM DIAGNOSES W CC$8,244.89$86,573.39
395OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC$6,683.56$31,089.30
405PANCREAS, LIVER & SHUNT PROCEDURES W MCC$107,751.97$107,751.97
406PANCREAS, LIVER & SHUNT PROCEDURES W CC$74,836.45$74,836.45
407PANCREAS, LIVER & SHUNT PROCEDURES W/O CC/MCC$31,670.91$31,670.91
414CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC$30,414.74$180,543.11
415CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC$55,987.70$55,987.70
416CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC$35,623.75$35,623.75
417LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC$26,960.16$79,642.68
418LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC$28,643.22$88,926.68
419LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC$17,036.01$59,489.87
420HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC$254,555.38$254,555.38
432CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC$19,575.90$115,623.80
433CIRRHOSIS & ALCOHOLIC HEPATITIS W CC$14,361.83$42,658.85
434CIRRHOSIS & ALCOHOLIC HEPATITIS W/O CC/MCC$16,150.83$25,670.25
435MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC$14,825.78$81,947.96
436MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC$12,701.29$57,933.71
437MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W/O CC/MCC$22,207.41$22,207.41
438DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC$5,858.04$130,440.97
439DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC$7,902.44$33,090.42
440DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC$6,258.20$22,219.04
441DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC$11,021.37$113,274.07
442DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC$8,939.40$31,852.18
443DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC$7,121.93$40,450.78
444DISORDERS OF THE BILIARY TRACT W MCC$19,723.95$57,441.77
445DISORDERS OF THE BILIARY TRACT W CC$6,720.90$61,608.90
446DISORDERS OF THE BILIARY TRACT W/O CC/MCC$20,361.41$38,896.87
453COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC$291,338.90$291,338.90
454COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC$73,017.06$214,536.39
455COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC$68,151.80$86,980.25
456SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W MCC$195,083.57$457,030.39
457SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W CC$124,093.79$124,093.79
459SPINAL FUSION EXCEPT CERVICAL W MCC$52,854.28$52,854.28
460SPINAL FUSION EXCEPT CERVICAL W/O MCC$42,347.06$168,668.52
463WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC$115,970.67$115,970.67
464WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC$29,572.62$46,085.16
467REVISION OF HIP OR KNEE REPLACEMENT W CC$28,350.83$66,233.57
468REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC$87,013.24$87,013.24
469MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT$33,989.10$223,550.90
470MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC$21,847.86$70,223.99
472CERVICAL SPINAL FUSION W CC$41,391.20$104,004.64
473CERVICAL SPINAL FUSION W/O CC/MCC$26,214.82$60,179.56
474AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC$41,732.64$57,161.25
476AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC$21,723.15$21,723.15
478BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC$42,582.73$76,084.10
479BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC$47,548.94$47,548.94
480HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC$25,240.83$193,765.42
481HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC$23,037.56$55,867.08
482HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC$27,148.79$59,783.78
483MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES$44,239.50$45,280.03
488KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC$22,723.48$41,572.94
489KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC$26,772.55$32,621.01
492LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC$26,239.73$26,239.73
493LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC$25,194.55$97,186.60
494LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC$21,876.97$38,336.32
497LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC$22,896.99$25,233.16
500SOFT TISSUE PROCEDURES W MCC$34,716.91$484,681.95
501SOFT TISSUE PROCEDURES W CC$25,497.11$52,396.64
502SOFT TISSUE PROCEDURES W/O CC/MCC$16,568.26$16,568.26
504FOOT PROCEDURES W CC$24,504.38$24,504.38
505FOOT PROCEDURES W/O CC/MCC$27,038.94$27,038.94
507MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC$66,483.05$66,483.05
510SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W MCC$193,016.17$193,016.17
511SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W CC$32,360.55$69,708.41
512SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W/O CC/MCC$22,461.44$22,461.44
515OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC$46,501.44$70,614.22
516OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC$28,088.61$65,050.78
517OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC$19,470.02$42,626.27
519BACK & NECK PROC EXC SPINAL FUSION W CC$28,716.70$153,359.61
534FRACTURES OF FEMUR W/O MCC$11,277.84$11,277.84
535FRACTURES OF HIP & PELVIS W MCC$26,187.95$26,187.95
536FRACTURES OF HIP & PELVIS W/O MCC$12,489.81$24,387.03
539OSTEOMYELITIS W MCC$34,290.06$34,290.06
540OSTEOMYELITIS W CC$17,764.72$17,764.72
541OSTEOMYELITIS W/O CC/MCC$29,895.57$29,895.57
542PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC$42,753.51$42,753.51
543PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC$17,302.56$30,808.53
545CONNECTIVE TISSUE DISORDERS W MCC$12,202.37$37,019.66
546CONNECTIVE TISSUE DISORDERS W CC$12,545.56$49,985.85
547CONNECTIVE TISSUE DISORDERS W/O CC/MCC$15,296.44$20,019.65
551MEDICAL BACK PROBLEMS W MCC$19,433.81$112,715.49
552MEDICAL BACK PROBLEMS W/O MCC$6,363.38$43,594.81
553BONE DISEASES & ARTHROPATHIES W MCC$32,892.76$85,808.08
554BONE DISEASES & ARTHROPATHIES W/O MCC$13,866.51$19,822.72
556SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC$11,055.83$11,055.83
557TENDONITIS, MYOSITIS & BURSITIS W MCC$17,156.64$165,552.78
558TENDONITIS, MYOSITIS & BURSITIS W/O MCC$7,837.07$31,946.20
559AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC$135,144.02$135,144.02
563FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC$4,277.12$29,772.96
564OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC$8,234.34$37,388.59
565OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC$22,561.96$39,473.88
570SKIN DEBRIDEMENT W MCC$77,185.94$77,185.94
571SKIN DEBRIDEMENT W CC$54,453.79$54,453.79
573SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W MCC$28,187.45$28,995.44
579OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC$31,489.89$86,257.18
580OTHER SKIN, SUBCUT TISS & BREAST PROC W CC$16,680.92$42,566.98
581OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC$27,040.44$27,040.44
582MASTECTOMY FOR MALIGNANCY W CC/MCC$12,625.04$12,625.04
585BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC$43,190.08$43,190.08
595MAJOR SKIN DISORDERS W MCC$27,392.56$27,392.56
596MAJOR SKIN DISORDERS W/O MCC$11,324.67$11,324.67
597MALIGNANT BREAST DISORDERS W MCC$21,117.72$47,558.53
600NON-MALIGNANT BREAST DISORDERS W CC/MCC$11,539.19$11,539.19
602CELLULITIS W MCC$6,108.75$66,577.27
603CELLULITIS W/O MCC$5,304.07$34,879.56
605TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC$28,118.79$55,386.93
607MINOR SKIN DISORDERS W/O MCC$11,168.83$15,990.51
614ADRENAL & PITUITARY PROCEDURES W CC/MCC$26,625.26$26,625.26
616AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W MCC$41,243.81$118,262.29
617AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC$17,095.60$89,007.55
623SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC$61,240.42$61,240.42
628OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC$38,587.28$145,862.07
637DIABETES W MCC$9,988.68$89,442.60
638DIABETES W CC$11,824.15$41,115.89
639DIABETES W/O CC/MCC$12,317.01$20,334.42
640MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC$7,874.78$84,419.55
641MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC$5,155.50$60,745.87
642INBORN AND OTHER DISORDERS OF METABOLISM$15,658.30$15,658.30
643ENDOCRINE DISORDERS W MCC$15,824.78$56,214.05
644ENDOCRINE DISORDERS W CC$7,126.80$42,015.79
645ENDOCRINE DISORDERS W/O CC/MCC$14,724.86$19,678.46
653MAJOR BLADDER PROCEDURES W MCC$98,356.76$128,029.72
654MAJOR BLADDER PROCEDURES W CC$37,720.66$90,128.57
655MAJOR BLADDER PROCEDURES W/O CC/MCC$34,277.27$56,461.16
656KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC$38,647.26$99,902.95
657KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC$34,690.25$49,784.97
658KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC$17,631.69$46,538.86
659KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC$36,704.83$56,183.51
660KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC$45,234.92$45,234.92
661KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC$28,169.70$32,877.68
668TRANSURETHRAL PROCEDURES W MCC$26,760.30$114,082.53
669TRANSURETHRAL PROCEDURES W CC$20,417.81$155,252.44
673OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC$21,164.96$181,061.57
674OTHER KIDNEY & URINARY TRACT PROCEDURES W CC$22,248.41$33,947.25
682RENAL FAILURE W MCC$4,691.46$99,275.66
683RENAL FAILURE W CC$6,971.80$72,398.89
684RENAL FAILURE W/O CC/MCC$8,398.07$39,105.09
686KIDNEY & URINARY TRACT NEOPLASMS W MCC$14,737.15$23,723.38
687KIDNEY & URINARY TRACT NEOPLASMS W CC$9,418.94$30,627.12
688KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC$11,515.94$11,515.94
689KIDNEY & URINARY TRACT INFECTIONS W MCC$12,296.58$136,906.14
690KIDNEY & URINARY TRACT INFECTIONS W/O MCC$6,758.69$46,487.09
693URINARY STONES W/O ESW LITHOTRIPSY W MCC$25,276.58$25,276.58
694URINARY STONES W/O ESW LITHOTRIPSY W/O MCC$8,239.65$43,846.92
695KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W MCC$10,791.86$10,791.86
696KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC$9,611.67$24,302.03
698OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC$7,282.65$135,381.85
699OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC$6,561.79$27,834.83
700OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC$12,983.79$44,805.89
707MAJOR MALE PELVIC PROCEDURES W CC/MCC$31,317.99$41,859.00
708MAJOR MALE PELVIC PROCEDURES W/O CC/MCC$23,149.13$33,398.79
713TRANSURETHRAL PROSTATECTOMY W CC/MCC$56,243.04$56,243.04
716OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W/O CC/MCC$27,656.61$27,656.61
717OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC$53,531.46$53,531.46
718OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC$29,474.70$29,474.70
722MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MCC$21,521.77$21,521.77
723MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC$64,572.81$64,572.81
726BENIGN PROSTATIC HYPERTROPHY W/O MCC$11,499.57$11,499.57
728INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC$18,201.63$18,201.63
734PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W CC/MCC$46,923.35$46,923.35
735PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC$48,933.31$48,933.31
737UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC$35,225.99$48,160.87
738UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC$29,419.24$29,419.24
740UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC$41,690.00$43,521.81
741UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC$26,976.46$30,810.53
742UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC$24,597.86$95,726.80
743UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC$21,487.50$24,938.62
746VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC$30,405.75$45,543.99
747VAGINA, CERVIX & VULVA PROCEDURES W/O CC/MCC$27,785.51$27,785.51
754MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC$30,257.91$38,208.22
755MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC$9,942.49$10,458.01
758INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC$14,313.01$35,013.00
760MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC$7,202.00$24,342.61
765CESAREAN SECTION W CC/MCC$18,510.64$28,698.92
766CESAREAN SECTION W/O CC/MCC$14,479.19$16,118.76
774VAGINAL DELIVERY W COMPLICATING DIAGNOSES$16,723.39$16,723.39
775VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES$11,664.30$21,096.86
779ABORTION W/O D&C$14,344.95$14,344.95
781OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS$11,696.49$11,696.49
802OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC$109,753.00$109,753.00
803OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC$39,298.40$62,558.59
807VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC$8,491.04$8,491.04
808MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC$10,546.88$135,269.52
809MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC$8,696.20$61,472.46
811RED BLOOD CELL DISORDERS W MCC$7,518.61$61,552.19
812RED BLOOD CELL DISORDERS W/O MCC$7,281.29$54,109.76
813COAGULATION DISORDERS$8,419.87$242,027.85
814RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC$46,067.73$46,067.73
815RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC$18,759.93$18,759.93
816RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC$27,085.32$27,085.32
822LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W/O CC/MCC$31,381.18$31,381.18
823LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W MCC$271,791.98$271,791.98
826MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC$204,654.00$204,654.00
827MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W CC$55,163.32$55,163.32
829MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W CC/MCC$57,907.63$162,167.92
830MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W/O CC/MCC$30,141.01$30,141.01
834ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC$24,748.86$302,913.29
837CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC$78,550.78$78,550.78
840LYMPHOMA & NON-ACUTE LEUKEMIA W MCC$26,764.95$132,522.20
841LYMPHOMA & NON-ACUTE LEUKEMIA W CC$10,176.90$101,083.13
842LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC$26,957.51$26,957.51
843OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC$54,819.30$84,068.96
844OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC$32,728.09$32,728.09
846CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC$22,967.53$38,957.77
847CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC$30,177.25$31,629.71
849RADIOTHERAPY$2,671.34$2,671.34
853INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC$26,689.96$655,053.15
854INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC$22,213.05$112,213.63
856POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC$27,680.20$407,480.21
857POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC$8,067.79$70,381.33
858POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC$23,904.07$32,294.10
862POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC$8,996.76$227,554.57
863POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC$10,044.54$20,154.10
864FEVER AND INFLAMMATORY CONDITIONS$10,710.69$18,369.06
865VIRAL ILLNESS W MCC$16,877.17$23,998.04
866VIRAL ILLNESS W/O MCC$14,843.82$43,105.48
867OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC$32,907.08$50,239.19
868OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC$12,355.13$21,139.85
870SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)$39,160.31$400,576.13
871SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC$6,211.83$321,043.28
872SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC$6,124.12$168,299.46
876O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS$16,622.52$16,622.52
880ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION$9,378.79$22,719.56
881DEPRESSIVE NEUROSES$5,212.88$69,100.73
882NEUROSES EXCEPT DEPRESSIVE$26,134.28$26,134.28
883DISORDERS OF PERSONALITY & IMPULSE CONTROL$11,314.25$33,624.11
884ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY$15,011.25$26,148.37
885PSYCHOSES$3,308.52$167,871.42
894ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA$52,778.17$52,778.17
896ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC$19,929.11$70,451.83
897ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC$7,647.38$51,224.44
902WOUND DEBRIDEMENTS FOR INJURIES W CC$23,767.63$23,767.63
903WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC$20,536.58$20,536.58
907OTHER O.R. PROCEDURES FOR INJURIES W MCC$36,595.92$111,657.92
908OTHER O.R. PROCEDURES FOR INJURIES W CC$24,192.97$114,844.30
909OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC$19,468.11$22,490.90
913TRAUMATIC INJURY W MCC$42,162.41$42,162.41
914TRAUMATIC INJURY W/O MCC$18,865.01$26,857.86
916ALLERGIC REACTIONS W/O MCC$8,586.66$8,586.66
917POISONING & TOXIC EFFECTS OF DRUGS W MCC$8,481.85$218,622.13
918POISONING & TOXIC EFFECTS OF DRUGS W/O MCC$5,909.81$29,211.09
919COMPLICATIONS OF TREATMENT W MCC$17,313.91$86,975.11
920COMPLICATIONS OF TREATMENT W CC$10,489.98$23,078.11
921COMPLICATIONS OF TREATMENT W/O CC/MCC$16,646.48$17,227.59
922OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC$29,404.65$29,404.65
935NON-EXTENSIVE BURNS$9,307.26$9,307.26
947SIGNS & SYMPTOMS W MCC$13,468.87$55,252.65
948SIGNS & SYMPTOMS W/O MCC$9,607.68$26,149.18
956LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA$24,820.44$217,466.67
958OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC$62,359.74$62,359.74
964OTHER MULTIPLE SIGNIFICANT TRAUMA W CC$16,865.59$41,969.80
965OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC$24,352.76$24,352.76
974HIV W MAJOR RELATED CONDITION W MCC$39,126.71$39,126.71
975HIV W MAJOR RELATED CONDITION W CC$26,597.77$56,578.16
981EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC$43,404.90$244,080.03
982EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC$23,600.55$64,108.14
983EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC$17,965.60$17,965.60
987NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC$14,614.47$366,777.19
988NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC$25,382.21$25,382.21
989NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC$16,604.76$36,958.34