001HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC$277,576.75$1,207,862.26
002HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O MCC$251,623.08$314,900.64
003ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.$197,907.70$1,283,524.11
004TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.$13,579.04$697,851.49
005LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT$227,964.20$445,223.07
006LIVER TRANSPLANT W/O MCC$225,314.00$225,314.00
011TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W MCC$40,828.97$573,318.60
012TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W CC$66,037.46$306,912.61
013TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W/O CC/MCC$54,446.44$79,767.77
020INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC$164,590.00$449,593.35
023CRANIOTOMY W MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX W MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY W NEUROSTIMULATOR$54,193.75$347,568.34
024CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC$72,118.22$132,192.25
025CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC$27,859.76$312,338.30
026CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC$29,824.47$95,863.96
027CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC$27,700.25$99,676.43
028SPINAL PROCEDURES W MCC$121,293.18$595,145.74
029SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS$48,460.60$171,909.62
031VENTRICULAR SHUNT PROCEDURES W MCC$37,829.77$62,261.36
032VENTRICULAR SHUNT PROCEDURES W CC$22,996.40$52,998.81
033VENTRICULAR SHUNT PROCEDURES W/O CC/MCC$16,066.60$41,287.42
034CAROTID ARTERY STENT PROCEDURE W MCC$31,148.05$69,110.59
035CAROTID ARTERY STENT PROCEDURE W CC$25,395.89$83,045.78
036CAROTID ARTERY STENT PROCEDURE W/O CC/MCC$20,136.43$77,515.23
037EXTRACRANIAL PROCEDURES W MCC$62,667.71$264,930.42
038EXTRACRANIAL PROCEDURES W CC$18,994.34$114,695.22
039EXTRACRANIAL PROCEDURES W/O CC/MCC$17,077.12$82,998.77
040PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC$47,598.74$243,448.71
041PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM$27,650.66$198,886.71
042PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC$21,588.80$53,845.86
052SPINAL DISORDERS & INJURIES W CC/MCC$71,769.17$71,769.17
054NERVOUS SYSTEM NEOPLASMS W MCC$7,734.67$170,332.56
055NERVOUS SYSTEM NEOPLASMS W/O MCC$18,004.14$57,734.94
056DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC$14,362.47$92,072.33
057DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC$4,070.24$134,090.93
059MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC$65,494.07$65,494.07
060MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC$21,143.63$72,503.97
061ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC$39,121.35$231,619.72
062ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC$46,897.47$96,429.25
063ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC$51,084.40$66,437.43
064INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC$7,492.58$394,815.84
065INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS$9,667.96$118,473.18
066INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC$10,490.24$112,189.73
067NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC$18,711.07$18,711.07
068NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC$11,173.20$49,149.13
069TRANSIENT ISCHEMIA W/O THROMBOLYTIC$9,017.77$57,273.23
070NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC$10,123.08$316,670.92
071NONSPECIFIC CEREBROVASCULAR DISORDERS W CC$13,062.55$120,011.00
072NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC$15,317.33$49,246.49
073CRANIAL & PERIPHERAL NERVE DISORDERS W MCC$12,137.99$121,492.39
074CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC$6,498.61$80,827.43
077HYPERTENSIVE ENCEPHALOPATHY W MCC$30,127.07$71,537.09
078HYPERTENSIVE ENCEPHALOPATHY W CC$21,462.01$93,119.56
079HYPERTENSIVE ENCEPHALOPATHY W/O CC/MCC$11,995.88$11,995.88
080NONTRAUMATIC STUPOR & COMA W MCC$22,559.00$56,781.96
081NONTRAUMATIC STUPOR & COMA W/O MCC$11,737.71$11,737.71
082TRAUMATIC STUPOR & COMA, COMA >1 HR W MCC$12,879.28$244,900.52
083TRAUMATIC STUPOR & COMA, COMA >1 HR W CC$11,936.36$33,537.32
084TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC$12,478.21$33,321.78
085TRAUMATIC STUPOR & COMA, COMA <1 HR W MCC$9,602.82$153,128.89
086TRAUMATIC STUPOR & COMA, COMA <1 HR W CC$12,799.97$59,092.31
087TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC$7,746.54$53,627.68
089CONCUSSION W CC$19,164.22$19,164.22
090CONCUSSION W/O CC/MCC$28,913.32$28,913.32
091OTHER DISORDERS OF NERVOUS SYSTEM W MCC$16,516.06$186,481.75
092OTHER DISORDERS OF NERVOUS SYSTEM W CC$9,841.30$65,465.71
093OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC$10,837.66$72,847.81
094BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W MCC$75,925.09$179,716.61
095BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC$7,718.06$7,718.06
097NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC$34,434.57$766,011.60
098NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC$33,349.96$36,602.90
099NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/MCC$14,215.45$58,434.10
100SEIZURES W MCC$10,470.49$252,027.69
101SEIZURES W/O MCC$10,180.19$90,792.03
102HEADACHES W MCC$17,326.95$108,315.45
103HEADACHES W/O MCC$10,135.98$33,306.42
115EXTRAOCULAR PROCEDURES EXCEPT ORBIT$44,970.54$136,460.87
116INTRAOCULAR PROCEDURES W CC/MCC$63,850.00$74,576.07
117INTRAOCULAR PROCEDURES W/O CC/MCC$21,706.80$22,959.54
121ACUTE MAJOR EYE INFECTIONS W CC/MCC$25,538.22$25,538.22
123NEUROLOGICAL EYE DISORDERS$6,601.34$35,671.96
124OTHER DISORDERS OF THE EYE W MCC$20,308.71$77,226.02
125OTHER DISORDERS OF THE EYE W/O MCC$13,037.60$47,511.19
129MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE$23,698.42$103,843.90
130MAJOR HEAD & NECK PROCEDURES W/O CC/MCC$25,209.54$46,461.02
131CRANIAL/FACIAL PROCEDURES W CC/MCC$29,655.05$234,058.82
132CRANIAL/FACIAL PROCEDURES W/O CC/MCC$19,172.77$46,997.67
133OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC$20,184.00$61,715.34
134OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC$15,105.62$99,525.86
135SINUS & MASTOID PROCEDURES W CC/MCC$28,891.08$36,633.27
137MOUTH PROCEDURES W CC/MCC$11,374.98$53,318.29
138MOUTH PROCEDURES W/O CC/MCC$9,430.21$24,761.00
139SALIVARY GLAND PROCEDURES$22,100.45$26,087.21
146EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC$13,055.68$39,202.79
147EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC$50,485.57$120,494.02
148EAR, NOSE, MOUTH & THROAT MALIGNANCY W/O CC/MCC$6,806.73$23,136.47
149DYSEQUILIBRIUM$11,400.46$54,396.48
150EPISTAXIS W MCC$23,661.54$26,504.51
151EPISTAXIS W/O MCC$8,103.15$8,103.15
152OTITIS MEDIA & URI W MCC$7,371.87$41,888.18
153OTITIS MEDIA & URI W/O MCC$11,528.99$78,061.66
154OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC$18,695.04$121,025.32
155OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC$6,486.65$76,881.43
156OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC$13,049.10$15,667.55
157DENTAL & ORAL DISEASES W MCC$16,119.53$239,069.51
158DENTAL & ORAL DISEASES W CC$21,991.84$86,005.31
159DENTAL & ORAL DISEASES W/O CC/MCC$9,465.01$9,465.01
163MAJOR CHEST PROCEDURES W MCC$32,062.68$377,149.17
164MAJOR CHEST PROCEDURES W CC$15,877.70$122,255.24
165MAJOR CHEST PROCEDURES W/O CC/MCC$18,860.86$64,730.01
166OTHER RESP SYSTEM O.R. PROCEDURES W MCC$25,734.98$377,544.53
167OTHER RESP SYSTEM O.R. PROCEDURES W CC$13,978.85$108,962.77
168OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC$16,328.55$44,124.96
175PULMONARY EMBOLISM W MCC$11,564.39$156,443.36
176PULMONARY EMBOLISM W/O MCC$12,577.31$90,320.43
177RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC$8,322.97$140,638.57
178RESPIRATORY INFECTIONS & INFLAMMATIONS W CC$12,536.02$93,234.49
179RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC$13,775.18$41,606.84
180RESPIRATORY NEOPLASMS W MCC$11,309.01$146,807.26
181RESPIRATORY NEOPLASMS W CC$6,205.43$88,947.64
182RESPIRATORY NEOPLASMS W/O CC/MCC$26,338.98$26,338.98
183MAJOR CHEST TRAUMA W MCC$11,123.68$110,256.79
184MAJOR CHEST TRAUMA W CC$11,089.51$71,731.73
185MAJOR CHEST TRAUMA W/O CC/MCC$7,423.05$27,498.81
186PLEURAL EFFUSION W MCC$13,617.11$92,903.69
187PLEURAL EFFUSION W CC$10,182.45$107,267.08
188PLEURAL EFFUSION W/O CC/MCC$8,583.43$43,315.20
189PULMONARY EDEMA & RESPIRATORY FAILURE$6,602.81$168,180.43
190CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC$7,610.40$155,238.34
191CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC$6,623.06$130,408.24
192CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC$7,300.83$35,832.10
193SIMPLE PNEUMONIA & PLEURISY W MCC$6,713.49$139,991.74
194SIMPLE PNEUMONIA & PLEURISY W CC$5,897.54$90,467.92
195SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC$6,850.49$37,597.19
196INTERSTITIAL LUNG DISEASE W MCC$8,690.95$216,811.74
197INTERSTITIAL LUNG DISEASE W CC$7,289.45$58,661.79
199PNEUMOTHORAX W MCC$7,728.08$202,172.14
200PNEUMOTHORAX W CC$6,399.91$50,930.08
201PNEUMOTHORAX W/O CC/MCC$26,434.95$26,434.95
202BRONCHITIS & ASTHMA W CC/MCC$7,278.95$113,554.89
203BRONCHITIS & ASTHMA W/O CC/MCC$8,804.25$37,371.97
204RESPIRATORY SIGNS & SYMPTOMS$6,299.34$44,892.08
205OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC$10,856.48$95,773.32
206OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC$6,965.49$71,332.21
207RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)$83,190.16$506,057.63
208RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS$19,983.88$314,607.55
215OTHER HEART ASSIST SYSTEM IMPLANT$87,721.14$622,328.64
216CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC$108,661.93$510,565.52
217CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W CC$97,093.43$204,819.83
218CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W/O CC/MCC$78,643.35$78,643.35
219CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC$51,752.48$496,157.95
220CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC$51,170.91$385,275.44
221CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W/O CC/MCC$52,231.50$224,161.81
222CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W MCC$140,002.82$459,640.53
223CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W/O MCC$157,996.54$237,684.34
224CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W MCC$128,570.74$228,544.74
225CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W/O MCC$130,026.18$327,699.73
226CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC$91,584.06$301,515.57
227CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC$52,871.51$221,105.17
228OTHER CARDIOTHORACIC PROCEDURES W MCC$70,732.34$326,640.03
229OTHER CARDIOTHORACIC PROCEDURES W/O MCC$34,399.72$179,870.16
231CORONARY BYPASS W PTCA W MCC$236,056.01$236,056.01
232CORONARY BYPASS W PTCA W/O MCC$107,371.17$126,420.13
233CORONARY BYPASS W CARDIAC CATH W MCC$89,883.16$387,385.68
234CORONARY BYPASS W CARDIAC CATH W/O MCC$80,188.42$178,808.81
235CORONARY BYPASS W/O CARDIAC CATH W MCC$55,033.00$412,358.57
236CORONARY BYPASS W/O CARDIAC CATH W/O MCC$45,644.10$124,127.79
239AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC$16,295.20$293,331.12
240AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC$14,335.81$677,064.83
241AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC$25,500.34$31,006.44
242PERMANENT CARDIAC PACEMAKER IMPLANT W MCC$33,637.64$314,499.72
243PERMANENT CARDIAC PACEMAKER IMPLANT W CC$27,909.43$186,083.28
244PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC$27,173.37$122,858.05
245AICD GENERATOR PROCEDURES$77,017.60$206,511.99
246PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS$37,376.42$233,455.26
247PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC$29,671.40$137,834.62
248PERCUTANEOUS CARDIOVASCULAR PROCEDURES W NON-DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS$59,882.64$184,919.29
249PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC$51,299.69$98,174.03
250PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W MCC$51,644.66$181,582.96
251PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC$72,909.63$72,909.63
252OTHER VASCULAR PROCEDURES W MCC$10,273.33$416,062.67
253OTHER VASCULAR PROCEDURES W CC$11,148.10$169,799.08
254OTHER VASCULAR PROCEDURES W/O CC/MCC$16,073.99$84,347.05
255UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC$15,084.51$127,989.71
256UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC$11,226.76$44,073.32
257UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W/O CC/MCC$15,905.90$15,905.90
258CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC$42,499.74$88,898.71
259CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC$64,118.67$64,118.67
260CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC$60,670.98$178,146.88
261CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC$45,619.80$86,184.91
262CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC$22,757.87$45,485.35
264OTHER CIRCULATORY SYSTEM O.R. PROCEDURES$17,630.09$229,486.85
265AICD LEAD PROCEDURES$68,700.86$68,700.86
266ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC$98,110.60$565,351.83
267ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC$92,658.44$313,017.77
268AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MCC$88,578.77$289,556.91
269AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC$36,306.60$142,764.07
270OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC$31,278.41$184,061.58
271OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC$22,499.18$236,893.10
272OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC$15,204.95$89,030.04
273PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC$31,613.18$247,816.44
274PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC$26,363.35$124,712.10
280ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC$5,902.63$209,945.79
281ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC$4,927.61$95,641.83
282ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC$5,970.51$86,333.88
283ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC$6,027.15$168,545.27
284ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC$10,583.45$35,584.79
285ACUTE MYOCARDIAL INFARCTION, EXPIRED W/O CC/MCC$21,711.94$23,581.52
286CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC$27,620.37$360,285.93
287CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC$18,658.97$112,864.89
288ACUTE & SUBACUTE ENDOCARDITIS W MCC$96,532.83$96,532.83
289ACUTE & SUBACUTE ENDOCARDITIS W CC$42,399.92$42,399.92
291HEART FAILURE & SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)$6,756.35$310,704.08
292HEART FAILURE & SHOCK W CC$7,582.29$157,433.63
293HEART FAILURE & SHOCK W/O CC/MCC$4,618.95$52,764.56
294DEEP VEIN THROMBOPHLEBITIS W CC/MCC$57,130.01$57,130.01
296CARDIAC ARREST, UNEXPLAINED W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)$14,485.39$100,571.88
298CARDIAC ARREST, UNEXPLAINED W/O CC/MCC$10,157.60$10,157.60
299PERIPHERAL VASCULAR DISORDERS W MCC$8,959.99$124,297.07
300PERIPHERAL VASCULAR DISORDERS W CC$4,358.76$69,426.65
301PERIPHERAL VASCULAR DISORDERS W/O CC/MCC$3,649.37$68,288.19
302ATHEROSCLEROSIS W MCC$16,274.41$121,490.58
303ATHEROSCLEROSIS W/O MCC$204.20$32,361.31
304HYPERTENSION W MCC$9,272.17$86,294.39
305HYPERTENSION W/O MCC$3,765.66$55,668.98
306CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC$12,969.24$98,127.99
307CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC$187.66$62,628.52
308CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC$7,552.43$160,809.14
309CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC$7,138.56$104,471.94
310CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC$5,343.35$54,191.44
311ANGINA PECTORIS$9,515.85$20,061.63
312SYNCOPE & COLLAPSE$6,795.44$104,078.11
313CHEST PAIN$7,930.18$47,951.36
314OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC$5,345.76$216,638.59
315OTHER CIRCULATORY SYSTEM DIAGNOSES W CC$9,851.37$189,128.34
316OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC$12,170.85$42,869.05
326STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC$42,939.11$267,346.96
327STOMACH, ESOPHAGEAL & DUODENAL PROC W CC$17,131.59$167,086.64
328STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC$22,776.29$92,504.44
329MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC$21,599.39$303,084.19
330MAJOR SMALL & LARGE BOWEL PROCEDURES W CC$15,088.22$191,880.14
331MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC$10,495.66$58,073.09
333RECTAL RESECTION W CC$22,264.95$32,223.06
334RECTAL RESECTION W/O CC/MCC$32,580.81$32,580.81
335PERITONEAL ADHESIOLYSIS W MCC$14,378.95$153,054.50
336PERITONEAL ADHESIOLYSIS W CC$20,007.61$127,830.04
337PERITONEAL ADHESIOLYSIS W/O CC/MCC$24,199.00$61,018.34
339APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC$19,959.33$79,026.26
340APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC$17,579.13$41,683.67
341APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC$78,661.12$142,649.03
342APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC$36,526.30$90,259.65
343APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC$53,180.16$53,180.16
344MINOR SMALL & LARGE BOWEL PROCEDURES W MCC$12,796.93$47,099.08
345MINOR SMALL & LARGE BOWEL PROCEDURES W CC$26,763.82$45,747.38
346MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC$14,569.76$17,045.44
347ANAL & STOMAL PROCEDURES W MCC$43,880.45$133,554.59
348ANAL & STOMAL PROCEDURES W CC$10,793.95$39,644.27
349ANAL & STOMAL PROCEDURES W/O CC/MCC$10,943.86$10,943.86
351INGUINAL & FEMORAL HERNIA PROCEDURES W CC$15,557.37$72,647.90
352INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC$25,431.50$63,133.74
353HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC$16,797.38$219,944.75
354HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC$21,063.73$85,439.74
355HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC$21,058.36$64,054.84
356OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC$31,032.60$329,327.75
357OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC$12,581.77$156,106.03
358OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC$17,529.29$36,402.52
368MAJOR ESOPHAGEAL DISORDERS W MCC$34,714.47$71,595.77
369MAJOR ESOPHAGEAL DISORDERS W CC$34,998.28$59,848.47
370MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC$33,113.87$33,113.87
371MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC$12,101.41$200,704.23
372MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC$10,247.02$126,490.07
373MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC$11,446.66$39,180.82
374DIGESTIVE MALIGNANCY W MCC$20,211.23$237,058.64
375DIGESTIVE MALIGNANCY W CC$5,411.51$96,018.84
376DIGESTIVE MALIGNANCY W/O CC/MCC$195.34$36,891.71
377G.I. HEMORRHAGE W MCC$5,184.60$335,444.73
378G.I. HEMORRHAGE W CC$6,169.55$233,163.30
379G.I. HEMORRHAGE W/O CC/MCC$6,081.63$67,526.06
380COMPLICATED PEPTIC ULCER W MCC$26,471.60$109,709.21
381COMPLICATED PEPTIC ULCER W CC$14,618.23$41,749.44
382COMPLICATED PEPTIC ULCER W/O CC/MCC$29,852.03$40,054.18
384UNCOMPLICATED PEPTIC ULCER W/O MCC$13,399.29$39,100.58
385INFLAMMATORY BOWEL DISEASE W MCC$40,358.96$113,394.30
386INFLAMMATORY BOWEL DISEASE W CC$8,318.75$98,691.89
387INFLAMMATORY BOWEL DISEASE W/O CC/MCC$16,732.13$39,755.53
388G.I. OBSTRUCTION W MCC$12,198.68$304,576.86
389G.I. OBSTRUCTION W CC$11,789.34$65,282.22
390G.I. OBSTRUCTION W/O CC/MCC$6,788.09$55,934.92
391ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC$7,609.61$113,827.87
392ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC$6,674.43$130,422.79
393OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC$14,905.13$214,597.69
394OTHER DIGESTIVE SYSTEM DIAGNOSES W CC$9,126.08$91,586.40
395OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC$5,337.52$50,608.26
405PANCREAS, LIVER & SHUNT PROCEDURES W MCC$43,465.54$317,399.76
406PANCREAS, LIVER & SHUNT PROCEDURES W CC$25,326.53$145,658.67
407PANCREAS, LIVER & SHUNT PROCEDURES W/O CC/MCC$28,584.57$54,563.68
408BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC$39,549.20$105,759.85
409BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC$33,040.24$108,781.55
410BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CC/MCC$23,644.20$23,644.20
414CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC$54,978.04$207,171.30
415CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC$41,729.97$48,333.87
416CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC$17,068.40$47,176.59
417LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC$26,843.68$93,018.84
418LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC$20,536.32$90,507.82
419LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC$15,661.59$46,463.08
420HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC$24,389.65$30,646.58
421HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC$13,885.46$42,814.10
422HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC$34,914.63$39,698.76
423OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W MCC$237,674.11$237,674.11
424OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W CC$32,356.90$47,684.78
425OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W/O CC/MCC$38,916.32$38,916.32
432CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC$12,010.55$161,758.28
433CIRRHOSIS & ALCOHOLIC HEPATITIS W CC$3,781.31$104,268.60
434CIRRHOSIS & ALCOHOLIC HEPATITIS W/O CC/MCC$5,953.06$25,031.46
435MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC$8,868.26$111,933.03
436MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC$14,748.84$86,341.13
437MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W/O CC/MCC$2,603.26$31,381.80
438DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC$14,712.40$290,117.55
439DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC$8,718.30$103,745.31
440DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC$5,970.09$56,534.95
441DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC$5,281.39$247,792.36
442DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC$4,704.94$68,334.97
443DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC$13,467.38$53,887.18
444DISORDERS OF THE BILIARY TRACT W MCC$13,533.98$157,897.29
445DISORDERS OF THE BILIARY TRACT W CC$11,638.30$99,727.45
446DISORDERS OF THE BILIARY TRACT W/O CC/MCC$7,086.99$43,960.79
453COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC$79,614.41$250,978.85
454COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC$68,131.15$258,621.92
455COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC$44,982.92$111,730.41
456SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W MCC$98,522.95$278,813.66
457SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W CC$75,295.31$103,153.01
458SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W/O CC/MCC$79,625.20$79,625.20
459SPINAL FUSION EXCEPT CERVICAL W MCC$43,967.19$266,050.78
460SPINAL FUSION EXCEPT CERVICAL W/O MCC$30,610.09$137,805.07
461BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC$78,561.32$78,561.32
462BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC$31,447.58$55,185.74
463WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC$27,939.24$310,407.76
464WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC$18,025.32$115,023.93
465WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC$9,850.29$45,188.69
466REVISION OF HIP OR KNEE REPLACEMENT W MCC$41,872.10$160,111.22
467REVISION OF HIP OR KNEE REPLACEMENT W CC$23,668.57$131,760.86
468REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC$12,094.07$80,029.23
469MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT$22,621.77$189,398.79
470MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC$16,695.24$96,024.28
471CERVICAL SPINAL FUSION W MCC$79,620.08$179,533.39
472CERVICAL SPINAL FUSION W CC$24,866.06$136,725.12
473CERVICAL SPINAL FUSION W/O CC/MCC$22,978.21$104,986.17
474AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC$27,869.35$166,153.33
475AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC$18,722.33$38,763.87
476AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC$15,833.88$15,833.88
477BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC$36,098.96$267,438.26
478BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC$27,957.40$218,095.33
479BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC$37,710.12$37,710.12
480HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC$25,226.43$332,679.68
481HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC$19,913.13$100,012.51
482HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC$16,365.13$67,434.51
483MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES$29,314.77$171,207.98
485KNEE PROCEDURES W PDX OF INFECTION W MCC$35,215.92$71,872.93
486KNEE PROCEDURES W PDX OF INFECTION W CC$24,222.34$66,053.08
487KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC$29,333.36$29,333.36
489KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC$19,494.92$47,458.84
492LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC$32,327.85$261,862.90
493LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC$18,132.67$109,845.58
494LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC$14,920.28$45,583.79
495LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W MCC$56,823.44$56,823.44
496LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC$24,927.74$71,757.56
497LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC$10,870.35$10,870.35
498LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W CC/MCC$14,220.13$88,223.67
499LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W/O CC/MCC$27,746.32$27,746.32
500SOFT TISSUE PROCEDURES W MCC$34,287.08$221,370.82
501SOFT TISSUE PROCEDURES W CC$15,688.52$61,404.54
502SOFT TISSUE PROCEDURES W/O CC/MCC$23,480.48$38,776.31
503FOOT PROCEDURES W MCC$40,983.74$65,915.53
504FOOT PROCEDURES W CC$11,807.54$43,732.78
505FOOT PROCEDURES W/O CC/MCC$12,079.45$23,687.80
506MAJOR THUMB OR JOINT PROCEDURES$21,181.45$21,181.45
510SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W MCC$64,982.24$96,088.52
511SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W CC$24,292.07$73,489.81
512SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W/O CC/MCC$21,106.13$31,934.50
513HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC$14,166.33$86,017.29
515OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC$22,714.99$193,798.31
516OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC$17,632.43$143,954.78
517OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC$12,990.40$63,594.70
518BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM$50,016.27$321,842.14
519BACK & NECK PROC EXC SPINAL FUSION W CC$19,458.06$104,099.60
520BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC$16,021.48$72,943.92
533FRACTURES OF FEMUR W MCC$17,469.78$17,469.78
534FRACTURES OF FEMUR W/O MCC$13,210.86$29,512.47
535FRACTURES OF HIP & PELVIS W MCC$18,277.28$67,348.23
536FRACTURES OF HIP & PELVIS W/O MCC$7,432.22$132,989.51
537SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W CC/MCC$30,457.84$30,457.84
538SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W/O CC/MCC$13,279.74$24,358.46
539OSTEOMYELITIS W MCC$59,613.94$78,717.29
540OSTEOMYELITIS W CC$12,369.65$65,488.09
541OSTEOMYELITIS W/O CC/MCC$7,921.97$7,921.97
542PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC$32,174.59$111,063.72
543PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC$13,807.89$105,326.68
544PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC$8,002.39$92,874.44
545CONNECTIVE TISSUE DISORDERS W MCC$23,629.76$124,611.52
546CONNECTIVE TISSUE DISORDERS W CC$6,857.60$73,464.08
547CONNECTIVE TISSUE DISORDERS W/O CC/MCC$4,621.46$21,494.93
551MEDICAL BACK PROBLEMS W MCC$17,851.17$104,863.57
552MEDICAL BACK PROBLEMS W/O MCC$3,744.35$82,728.01
553BONE DISEASES & ARTHROPATHIES W MCC$9,878.90$62,251.89
554BONE DISEASES & ARTHROPATHIES W/O MCC$361.43$49,461.91
555SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC$11,604.73$84,967.95
556SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC$11,498.63$46,133.74
557TENDONITIS, MYOSITIS & BURSITIS W MCC$17,004.39$29,150.90
558TENDONITIS, MYOSITIS & BURSITIS W/O MCC$8,516.36$202,067.60
559AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC$9,530.89$49,621.58
560AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC$11,990.08$57,740.36
561AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC$6,954.09$14,843.89
562FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC$18,566.94$42,670.95
563FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC$9,185.08$53,215.69
564OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC$19,490.80$159,488.13
565OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC$11,096.37$58,131.25
566OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC$10,255.59$32,781.79
570SKIN DEBRIDEMENT W MCC$9,462.29$129,066.20
571SKIN DEBRIDEMENT W CC$13,278.76$21,260.52
572SKIN DEBRIDEMENT W/O CC/MCC$26,162.65$26,162.65
573SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W MCC$49,094.14$97,994.21
574SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC$71,353.17$71,353.17
576SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W MCC$95,204.78$161,884.48
577SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC$26,415.33$43,580.70
578SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W/O CC/MCC$14,419.59$88,434.39
579OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC$13,730.89$274,826.86
580OTHER SKIN, SUBCUT TISS & BREAST PROC W CC$12,079.86$91,263.87
581OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC$10,698.40$56,157.58
582MASTECTOMY FOR MALIGNANCY W CC/MCC$28,890.25$28,890.25
583MASTECTOMY FOR MALIGNANCY W/O CC/MCC$22,959.70$22,959.70
584BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W CC/MCC$33,631.37$33,631.37
585BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC$21,905.11$21,905.11
592SKIN ULCERS W MCC$16,974.36$244,673.05
593SKIN ULCERS W CC$17,861.75$45,251.74
595MAJOR SKIN DISORDERS W MCC$30,357.82$30,357.82
596MAJOR SKIN DISORDERS W/O MCC$13,765.04$115,713.64
597MALIGNANT BREAST DISORDERS W MCC$163,973.74$163,973.74
598MALIGNANT BREAST DISORDERS W CC$66,925.17$66,925.17
602CELLULITIS W MCC$9,947.38$59,597.21
603CELLULITIS W/O MCC$5,608.18$47,116.11
604TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC$32,439.07$104,284.73
605TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC$8,653.35$45,878.79
606MINOR SKIN DISORDERS W MCC$14,558.31$60,236.21
607MINOR SKIN DISORDERS W/O MCC$12,461.41$43,632.81
614ADRENAL & PITUITARY PROCEDURES W CC/MCC$23,225.45$89,090.40
615ADRENAL & PITUITARY PROCEDURES W/O CC/MCC$19,265.70$46,192.76
616AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W MCC$31,211.05$192,261.16
617AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC$9,880.06$120,284.13
619O.R. PROCEDURES FOR OBESITY W MCC$32,791.21$45,293.86
620O.R. PROCEDURES FOR OBESITY W CC$23,726.73$56,634.35
621O.R. PROCEDURES FOR OBESITY W/O CC/MCC$21,111.07$40,979.36
622SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC$27,907.60$307,455.47
623SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC$17,420.79$89,415.47
624SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/MCC$28,141.99$28,141.99
625THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W MCC$23,531.21$54,179.71
626THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W CC$29,300.09$73,243.30
627THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC$26,369.05$45,791.89
628OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC$22,326.21$63,559.41
629OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC$10,604.59$100,797.84
637DIABETES W MCC$7,219.63$180,339.96
638DIABETES W CC$5,833.28$73,991.00
639DIABETES W/O CC/MCC$7,579.56$35,089.69
640MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC$9,471.21$98,749.95
641MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC$3,092.36$53,382.57
642INBORN AND OTHER DISORDERS OF METABOLISM$10,415.64$10,415.64
643ENDOCRINE DISORDERS W MCC$7,083.10$282,220.35
644ENDOCRINE DISORDERS W CC$6,544.89$84,524.13
645ENDOCRINE DISORDERS W/O CC/MCC$127.12$33,079.32
652KIDNEY TRANSPLANT$128,469.81$894,379.08
653MAJOR BLADDER PROCEDURES W MCC$108,239.57$583,487.13
654MAJOR BLADDER PROCEDURES W CC$31,101.03$125,719.50
655MAJOR BLADDER PROCEDURES W/O CC/MCC$32,736.65$97,382.03
656KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC$32,171.40$369,310.63
657KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC$31,266.25$91,525.04
658KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC$25,453.54$71,892.17
659KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC$24,302.89$140,771.87
660KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC$16,682.19$105,583.78
661KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC$40,242.40$44,766.20
662MINOR BLADDER PROCEDURES W MCC$57,880.46$57,880.46
663MINOR BLADDER PROCEDURES W CC$19,419.77$51,296.68
664MINOR BLADDER PROCEDURES W/O CC/MCC$26,209.70$49,709.73
668TRANSURETHRAL PROCEDURES W MCC$25,758.24$100,570.86
669TRANSURETHRAL PROCEDURES W CC$17,382.11$76,270.39
670TRANSURETHRAL PROCEDURES W/O CC/MCC$20,523.18$30,246.12
671URETHRAL PROCEDURES W CC/MCC$32,137.00$40,057.34
673OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC$32,683.34$255,493.53
674OTHER KIDNEY & URINARY TRACT PROCEDURES W CC$21,617.30$104,020.00
675OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC$30,406.09$30,406.09
682RENAL FAILURE W MCC$162.37$223,236.78
683RENAL FAILURE W CC$5,053.94$109,926.95
684RENAL FAILURE W/O CC/MCC$5,256.28$78,382.30
686KIDNEY & URINARY TRACT NEOPLASMS W MCC$18,170.70$74,519.35
687KIDNEY & URINARY TRACT NEOPLASMS W CC$10,553.76$94,297.70
688KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC$324.70$324.70
689KIDNEY & URINARY TRACT INFECTIONS W MCC$7,042.09$249,676.36
690KIDNEY & URINARY TRACT INFECTIONS W/O MCC$7,706.06$58,278.13
693URINARY STONES W/O ESW LITHOTRIPSY W MCC$32,726.06$72,360.63
694URINARY STONES W/O ESW LITHOTRIPSY W/O MCC$11,580.95$38,552.58
695KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W MCC$39,889.21$54,828.41
696KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC$6,171.38$27,393.69
698OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC$6,434.81$190,450.25
699OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC$6,564.95$64,596.97
700OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC$9,331.93$52,728.45
707MAJOR MALE PELVIC PROCEDURES W CC/MCC$32,197.17$60,314.52
708MAJOR MALE PELVIC PROCEDURES W/O CC/MCC$31,215.27$74,827.31
711TESTES PROCEDURES W CC/MCC$23,611.94$30,695.76
713TRANSURETHRAL PROSTATECTOMY W CC/MCC$27,830.81$50,669.78
714TRANSURETHRAL PROSTATECTOMY W/O CC/MCC$13,204.85$23,830.27
715OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W CC/MCC$45,092.34$81,694.76
716OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W/O CC/MCC$25,672.02$61,993.70
717OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC$26,584.54$36,790.15
718OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC$33,881.10$36,085.52
722MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MCC$72,621.65$72,621.65
723MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC$19,881.31$51,385.30
726BENIGN PROSTATIC HYPERTROPHY W/O MCC$7,746.31$17,628.92
727INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC$21,476.69$65,835.61
728INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC$17,353.01$31,243.13
729OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC/MCC$36,085.72$36,085.72
737UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC$25,056.01$65,287.04
738UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC$26,255.12$26,255.12
740UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC$18,586.36$110,017.15
741UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC$53,587.23$53,587.23
742UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC$36,537.86$89,553.12
743UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC$21,514.73$31,669.55
744D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC$8,288.34$75,500.38
746VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC$13,560.23$77,593.31
748FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES$26,518.94$51,204.17
749OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W CC/MCC$25,358.13$25,358.13
750OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC$21,242.75$21,242.75
754MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC$35,074.85$35,074.85
755MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC$2,586.13$29,807.42
756MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC$13,185.45$39,621.21
758INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC$16,064.22$16,064.22
760MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC$14,235.75$72,831.73
761MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC$29,408.81$29,408.81
765CESAREAN SECTION W CC/MCC$15,860.04$41,297.29
774VAGINAL DELIVERY W COMPLICATING DIAGNOSES$9,496.35$166,181.44
775VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES$9,106.09$28,141.24
776POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE$7,900.81$7,900.81
778THREATENED ABORTION$6,662.79$6,662.79
780FALSE LABOR$4,599.98$4,599.98
781OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS$6,478.70$54,975.61
788CESAREAN SECTION W/O STERILIZATION W/O CC/MCC$22,077.34$22,077.34
799SPLENECTOMY W MCC$200,864.53$200,864.53
802OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC$153,243.68$197,953.03
803OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC$30,268.71$47,769.57
804OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W/O CC/MCC$24,711.43$45,683.16
806VAGINAL DELIVERY W/O STERILIZATION/D&C W CC$12,005.95$12,005.95
808MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC$19,423.70$107,301.93
809MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC$11,389.27$171,737.12
810MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC$9,509.23$45,833.51
811RED BLOOD CELL DISORDERS W MCC$10,384.46$91,556.69
812RED BLOOD CELL DISORDERS W/O MCC$6,887.78$74,147.64
813COAGULATION DISORDERS$6,776.22$221,393.43
814RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC$29,561.39$83,535.57
815RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC$12,722.25$27,477.33
820LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC$83,246.34$83,246.34
821LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC$77,689.89$131,538.41
822LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W/O CC/MCC$24,933.37$33,603.49
823LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W MCC$34,897.57$270,416.47
824LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W CC$27,617.45$126,208.69
825LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W/O CC/MCC$21,526.26$72,016.79
826MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC$50,330.22$138,269.35
827MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W CC$25,737.91$62,011.72
828MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W/O CC/MCC$30,222.07$79,434.05
829MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W CC/MCC$75,916.21$116,720.94
830MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W/O CC/MCC$45,680.64$45,680.64
832OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC$22,816.86$22,816.86
834ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC$19,349.90$330,458.26
835ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W CC$18,715.20$85,821.87
836ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W/O CC/MCC$11,322.45$74,099.48
837CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC$17,623.28$177,916.13
838CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT$14,527.59$38,437.55
839CHEMO W ACUTE LEUKEMIA AS SDX W/O CC/MCC$13,688.04$31,472.40
840LYMPHOMA & NON-ACUTE LEUKEMIA W MCC$2,602.68$328,330.45
841LYMPHOMA & NON-ACUTE LEUKEMIA W CC$8,322.14$134,584.69
842LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC$11,660.02$39,498.53
843OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC$15,802.20$49,129.60
844OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC$12,612.31$15,225.16
845OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC/MCC$21,430.04$45,230.89
846CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC$46,764.67$146,581.09
847CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC$6,952.25$46,569.26
848CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W/O CC/MCC$3,782.77$20,916.78
849RADIOTHERAPY$28,912.70$396,566.42
853INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC$29,725.45$497,419.96
854INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC$8,262.78$175,048.35
856POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC$11,567.01$374,614.31
857POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC$8,577.88$93,458.69
858POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC$21,512.36$50,923.39
862POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC$9,267.53$130,614.79
863POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC$6,995.87$43,806.28
864FEVER AND INFLAMMATORY CONDITIONS$9,386.94$69,527.50
865VIRAL ILLNESS W MCC$18,106.34$131,686.83
866VIRAL ILLNESS W/O MCC$7,584.15$62,864.45
867OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC$14,449.92$109,044.81
868OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC$13,023.29$16,786.74
869OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O CC/MCC$3,169.41$11,869.55
870SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)$88,849.93$559,333.08
871SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC$6,724.18$743,793.76
872SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC$5,201.55$95,008.33
876O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS$64,738.52$73,309.54
880ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION$4,499.04$50,984.66
881DEPRESSIVE NEUROSES$5,108.22$52,780.63
882NEUROSES EXCEPT DEPRESSIVE$5,793.09$136,074.53
883DISORDERS OF PERSONALITY & IMPULSE CONTROL$11,492.49$11,492.49
884ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY$13,880.86$249,216.13
885PSYCHOSES$5,019.86$363,571.94
886BEHAVIORAL & DEVELOPMENTAL DISORDERS$38,128.42$41,368.17
887OTHER MENTAL DISORDER DIAGNOSES$139,212.59$139,212.59
894ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA$7,713.92$28,361.05
896ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC$14,436.81$200,654.53
897ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC$5,318.52$61,441.78
901WOUND DEBRIDEMENTS FOR INJURIES W MCC$32,761.03$45,105.14
902WOUND DEBRIDEMENTS FOR INJURIES W CC$16,708.30$73,917.65
903WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC$16,700.77$24,326.18
904SKIN GRAFTS FOR INJURIES W CC/MCC$36,102.31$257,506.50
905SKIN GRAFTS FOR INJURIES W/O CC/MCC$30,133.07$30,133.07
906HAND PROCEDURES FOR INJURIES$75,355.88$75,355.88
907OTHER O.R. PROCEDURES FOR INJURIES W MCC$25,773.87$319,965.07
908OTHER O.R. PROCEDURES FOR INJURIES W CC$9,317.30$93,178.53
909OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC$17,259.06$35,807.49
913TRAUMATIC INJURY W MCC$63,822.99$63,822.99
914TRAUMATIC INJURY W/O MCC$13,173.47$25,282.76
915ALLERGIC REACTIONS W MCC$19,339.39$53,523.22
916ALLERGIC REACTIONS W/O MCC$6,904.03$19,972.32
917POISONING & TOXIC EFFECTS OF DRUGS W MCC$5,677.49$158,472.07
918POISONING & TOXIC EFFECTS OF DRUGS W/O MCC$7,217.11$47,826.37
919COMPLICATIONS OF TREATMENT W MCC$5,909.30$289,185.52
920COMPLICATIONS OF TREATMENT W CC$7,279.04$79,801.37
921COMPLICATIONS OF TREATMENT W/O CC/MCC$9,080.86$29,293.01
922OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC$14,626.51$34,873.64
935NON-EXTENSIVE BURNS$103,164.29$103,164.29
940O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC$23,564.20$24,911.99
941O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC$11,565.33$11,565.33
947SIGNS & SYMPTOMS W MCC$10,200.99$102,163.94
948SIGNS & SYMPTOMS W/O MCC$5,974.53$42,450.53
949AFTERCARE W CC/MCC$10,083.58$10,083.58
951OTHER FACTORS INFLUENCING HEALTH STATUS$7,308.08$7,308.08
955CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA$58,651.64$135,548.83
956LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA$30,918.96$504,933.16
957OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC$51,765.50$277,232.16
958OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC$23,554.97$249,314.39
963OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC$22,473.30$241,971.62
964OTHER MULTIPLE SIGNIFICANT TRAUMA W CC$16,307.59$128,214.77
965OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC$10,969.34$10,969.34
969HIV W EXTENSIVE O.R. PROCEDURE W MCC$38,616.00$124,510.87
974HIV W MAJOR RELATED CONDITION W MCC$13,090.17$370,524.52
975HIV W MAJOR RELATED CONDITION W CC$10,598.21$52,381.11
976HIV W MAJOR RELATED CONDITION W/O CC/MCC$10,328.13$10,328.13
977HIV W OR W/O OTHER RELATED CONDITION$9,615.93$76,228.22
981EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC$16,273.16$395,057.44
982EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC$16,585.18$137,963.38
983EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC$20,893.99$59,440.92
987NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC$21,592.44$216,501.09
988NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC$19,159.71$58,602.20
989NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC$7,868.89$31,001.94