004TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.$112,972.08$236,038.33
029SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS$65,349.71$65,927.70
030SPINAL PROCEDURES W/O CC/MCC$37,631.12$84,698.49
035CAROTID ARTERY STENT PROCEDURE W CC$32,554.31$32,554.31
036CAROTID ARTERY STENT PROCEDURE W/O CC/MCC$32,963.28$35,354.92
037EXTRACRANIAL PROCEDURES W MCC$31,215.52$31,215.52
038EXTRACRANIAL PROCEDURES W CC$20,202.51$21,005.51
039EXTRACRANIAL PROCEDURES W/O CC/MCC$17,937.54$67,108.80
040PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC$25,785.58$25,785.58
041PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM$62,246.36$62,246.36
054NERVOUS SYSTEM NEOPLASMS W MCC$12,463.62$40,594.81
056DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC$28,556.68$78,913.48
057DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC$14,419.58$36,250.65
059MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC$33,085.13$33,085.13
060MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC$23,224.42$23,224.42
061ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC$52,194.92$66,846.36
062ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC$36,396.09$49,028.75
063ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC$33,770.01$45,413.23
064INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC$8,865.94$88,853.73
065INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS$11,935.88$51,156.98
066INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC$12,104.92$40,342.27
067NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC$50,362.55$50,362.55
068NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC$33,865.90$33,865.90
069TRANSIENT ISCHEMIA W/O THROMBOLYTIC$10,907.47$62,292.99
070NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC$20,489.76$195,639.22
071NONSPECIFIC CEREBROVASCULAR DISORDERS W CC$11,004.08$56,068.69
072NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC$39,514.56$39,514.56
074CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC$50,512.57$50,512.57
077HYPERTENSIVE ENCEPHALOPATHY W MCC$29,557.37$49,995.00
078HYPERTENSIVE ENCEPHALOPATHY W CC$29,599.65$29,599.65
080NONTRAUMATIC STUPOR & COMA W MCC$10,951.56$10,951.56
083TRAUMATIC STUPOR & COMA, COMA >1 HR W CC$8,674.49$15,371.68
086TRAUMATIC STUPOR & COMA, COMA <1 HR W CC$10,191.97$23,905.26
091OTHER DISORDERS OF NERVOUS SYSTEM W MCC$23,015.49$44,381.33
092OTHER DISORDERS OF NERVOUS SYSTEM W CC$13,152.69$55,986.56
093OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC$22,913.35$22,913.35
095BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC$74,247.69$74,247.69
100SEIZURES W MCC$15,748.39$54,430.74
101SEIZURES W/O MCC$6,735.18$63,667.72
103HEADACHES W/O MCC$17,255.74$50,642.93
123NEUROLOGICAL EYE DISORDERS$29,620.42$29,620.42
129MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE$150,164.20$150,164.20
149DYSEQUILIBRIUM$19,544.82$33,152.40
150EPISTAXIS W MCC$19,129.57$19,129.57
151EPISTAXIS W/O MCC$24,930.98$37,915.00
152OTITIS MEDIA & URI W MCC$63,364.04$63,364.04
153OTITIS MEDIA & URI W/O MCC$13,256.47$34,479.65
154OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC$29,946.91$29,946.91
155OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC$32,931.90$46,700.70
163MAJOR CHEST PROCEDURES W MCC$59,699.23$59,699.23
165MAJOR CHEST PROCEDURES W/O CC/MCC$36,017.24$36,017.24
166OTHER RESP SYSTEM O.R. PROCEDURES W MCC$35,770.37$280,890.89
167OTHER RESP SYSTEM O.R. PROCEDURES W CC$26,262.13$26,262.13
168OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC$15,139.57$15,139.57
175PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE$21,286.06$108,173.54
176PULMONARY EMBOLISM W/O MCC$19,244.32$39,189.04
177RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC$5,994.29$125,189.62
178RESPIRATORY INFECTIONS & INFLAMMATIONS W CC$7,572.99$56,117.30
179RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC$20,236.66$20,236.66
180RESPIRATORY NEOPLASMS W MCC$18,987.68$113,340.84
182RESPIRATORY NEOPLASMS W/O CC/MCC$6,479.85$6,479.85
184MAJOR CHEST TRAUMA W CC$28,905.95$30,279.00
185MAJOR CHEST TRAUMA W/O CC/MCC$23,748.33$23,748.33
186PLEURAL EFFUSION W MCC$23,063.88$41,433.97
187PLEURAL EFFUSION W CC$37,862.82$45,058.37
189PULMONARY EDEMA & RESPIRATORY FAILURE$8,788.71$129,853.03
190CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC$12,508.76$83,020.63
191CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC$11,338.79$62,202.36
192CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC$8,465.94$24,832.52
193SIMPLE PNEUMONIA & PLEURISY W MCC$9,996.50$105,064.64
194SIMPLE PNEUMONIA & PLEURISY W CC$7,448.74$61,160.60
195SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC$15,043.31$29,619.36
196INTERSTITIAL LUNG DISEASE W MCC$15,267.17$42,141.14
198INTERSTITIAL LUNG DISEASE W/O CC/MCC$19,202.40$19,202.40
199PNEUMOTHORAX W MCC$21,029.57$42,516.05
200PNEUMOTHORAX W CC$3,509.25$38,229.80
202BRONCHITIS & ASTHMA W CC/MCC$17,388.05$41,638.27
203BRONCHITIS & ASTHMA W/O CC/MCC$8,316.81$25,719.17
204RESPIRATORY SIGNS & SYMPTOMS$51,403.48$51,403.48
205OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC$22,714.31$35,527.67
206OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC$5,928.57$30,941.31
207RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS$63,945.43$164,134.84
208RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS$11,018.77$166,661.23
227CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC$65,472.87$100,365.04
239AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC$24,632.76$40,390.42
240AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC$19,797.57$99,072.01
242PERMANENT CARDIAC PACEMAKER IMPLANT W MCC$36,574.24$109,163.78
243PERMANENT CARDIAC PACEMAKER IMPLANT W CC$30,988.64$42,688.72
244PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC$32,680.78$35,535.95
252OTHER VASCULAR PROCEDURES W MCC$29,892.55$67,538.23
253OTHER VASCULAR PROCEDURES W CC$17,414.73$62,955.08
254OTHER VASCULAR PROCEDURES W/O CC/MCC$25,601.33$73,702.60
255UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC$53,830.80$63,196.56
256UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC$18,517.75$42,837.49
264OTHER CIRCULATORY SYSTEM O.R. PROCEDURES$24,656.05$77,411.38
269AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC$55,487.87$71,816.60
271OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC$16,765.27$16,765.27
272OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC$33,826.71$33,826.71
280ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC$9,037.11$89,299.71
281ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC$8,710.68$38,035.67
282ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC$8,484.99$34,576.28
283ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC$36,474.58$75,963.68
288ACUTE & SUBACUTE ENDOCARDITIS W MCC$23,587.89$23,587.89
291HEART FAILURE & SHOCK W MCC$4,592.55$135,177.01
292HEART FAILURE & SHOCK W CC$7,241.55$53,822.49
293HEART FAILURE & SHOCK W/O CC/MCC$8,803.56$49,532.44
296CARDIAC ARREST, UNEXPLAINED W MCC$106,443.59$106,443.59
298CARDIAC ARREST, UNEXPLAINED W/O CC/MCC$7,625.58$7,625.58
299PERIPHERAL VASCULAR DISORDERS W MCC$18,274.42$78,912.90
300PERIPHERAL VASCULAR DISORDERS W CC$15,199.83$65,417.93
301PERIPHERAL VASCULAR DISORDERS W/O CC/MCC$18,382.96$25,339.13
303ATHEROSCLEROSIS W/O MCC$14,220.83$14,220.83
304HYPERTENSION W MCC$16,308.03$38,210.68
305HYPERTENSION W/O MCC$20,164.77$27,835.72
307CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC$17,755.62$28,051.57
308CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC$10,661.22$107,545.55
309CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC$5,499.23$56,383.76
310CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC$5,000.00$33,021.89
311ANGINA PECTORIS$11,432.25$16,553.58
312SYNCOPE & COLLAPSE$4,974.35$39,568.34
313CHEST PAIN$10,590.54$37,261.96
314OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC$26,413.76$108,342.03
315OTHER CIRCULATORY SYSTEM DIAGNOSES W CC$9,135.80$39,273.73
316OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC$15,953.63$15,953.63
326STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC$35,036.29$190,860.09
327STOMACH, ESOPHAGEAL & DUODENAL PROC W CC$31,965.66$51,332.78
328STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC$32,103.51$47,098.19
329MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC$20,599.58$222,234.27
330MAJOR SMALL & LARGE BOWEL PROCEDURES W CC$23,049.52$124,007.12
331MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC$24,539.76$61,797.50
335PERITONEAL ADHESIOLYSIS W MCC$46,806.54$137,249.16
336PERITONEAL ADHESIOLYSIS W CC$27,761.32$61,736.93
337PERITONEAL ADHESIOLYSIS W/O CC/MCC$24,332.20$39,096.92
338APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC$30,693.11$30,693.11
339APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC$29,185.07$58,855.74
344MINOR SMALL & LARGE BOWEL PROCEDURES W MCC$35,252.38$35,252.38
345MINOR SMALL & LARGE BOWEL PROCEDURES W CC$33,839.93$74,773.66
346MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC$38,686.65$38,686.65
348ANAL & STOMAL PROCEDURES W CC$44,410.89$44,410.89
349ANAL & STOMAL PROCEDURES W/O CC/MCC$17,234.45$17,234.45
351INGUINAL & FEMORAL HERNIA PROCEDURES W CC$34,426.24$34,877.71
352INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC$30,274.97$30,274.97
353HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC$62,773.32$84,082.78
354HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC$29,296.46$39,495.37
355HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC$20,884.83$44,036.41
356OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC$26,042.83$140,184.46
357OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC$141,438.67$141,438.67
368MAJOR ESOPHAGEAL DISORDERS W MCC$33,527.36$61,055.28
369MAJOR ESOPHAGEAL DISORDERS W CC$33,575.39$33,575.39
371MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC$15,029.11$95,246.91
372MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC$22,880.68$70,410.38
373MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC$17,188.12$106,044.62
374DIGESTIVE MALIGNANCY W MCC$39,245.86$75,453.36
375DIGESTIVE MALIGNANCY W CC$24,198.04$51,996.92
376DIGESTIVE MALIGNANCY W/O CC/MCC$31,370.52$52,997.80
377G.I. HEMORRHAGE W MCC$10,679.71$102,802.12
378G.I. HEMORRHAGE W CC$12,129.78$181,550.61
379G.I. HEMORRHAGE W/O CC/MCC$10,364.29$26,484.85
380COMPLICATED PEPTIC ULCER W MCC$6,627.46$93,834.82
381COMPLICATED PEPTIC ULCER W CC$34,390.85$34,390.85
384UNCOMPLICATED PEPTIC ULCER W/O MCC$28,765.14$28,765.14
385INFLAMMATORY BOWEL DISEASE W MCC$15,523.23$183,866.62
386INFLAMMATORY BOWEL DISEASE W CC$22,867.16$51,140.76
387INFLAMMATORY BOWEL DISEASE W/O CC/MCC$17,601.68$22,885.57
388G.I. OBSTRUCTION W MCC$25,872.71$80,390.83
389G.I. OBSTRUCTION W CC$18,674.04$82,141.40
390G.I. OBSTRUCTION W/O CC/MCC$10,610.92$32,600.30
391ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC$14,375.40$59,300.39
392ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC$6,285.99$75,176.64
393OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC$22,906.66$166,706.44
394OTHER DIGESTIVE SYSTEM DIAGNOSES W CC$16,943.64$65,827.97
395OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC$12,975.24$31,714.51
417LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC$27,786.48$220,771.00
418LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC$18,194.30$68,123.95
419LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC$22,873.21$54,855.97
432CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC$19,359.22$152,342.90
433CIRRHOSIS & ALCOHOLIC HEPATITIS W CC$16,095.44$51,665.98
435MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC$18,776.42$49,881.34
436MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC$46,728.29$46,728.29
438DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC$14,073.42$94,678.02
439DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC$14,432.88$42,663.20
440DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC$10,607.72$33,823.75
441DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC$17,780.70$82,101.35
442DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC$12,549.44$35,594.88
443DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC$14,776.79$22,664.19
444DISORDERS OF THE BILIARY TRACT W MCC$17,338.67$56,022.15
445DISORDERS OF THE BILIARY TRACT W CC$13,767.17$60,672.84
446DISORDERS OF THE BILIARY TRACT W/O CC/MCC$35,904.84$37,914.11
453COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC$124,315.80$124,315.80
454COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC$51,523.86$239,662.40
455COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC$59,319.70$82,194.38
457SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W CC$91,265.78$235,510.26
459SPINAL FUSION EXCEPT CERVICAL W MCC$64,978.79$100,286.70
460SPINAL FUSION EXCEPT CERVICAL W/O MCC$34,504.43$182,409.30
462BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC$34,326.92$66,326.74
463WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC$75,320.03$97,321.38
464WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC$28,096.08$60,589.95
465WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC$18,217.09$29,636.75
466REVISION OF HIP OR KNEE REPLACEMENT W MCC$53,292.11$53,292.11
467REVISION OF HIP OR KNEE REPLACEMENT W CC$20,175.70$116,300.61
468REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC$17,408.32$84,858.02
469MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT$35,116.25$91,359.14
470MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC$18,957.85$94,441.12
471CERVICAL SPINAL FUSION W MCC$70,653.85$70,653.85
472CERVICAL SPINAL FUSION W CC$29,850.00$69,505.28
473CERVICAL SPINAL FUSION W/O CC/MCC$59,119.35$73,267.74
475AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC$17,897.56$20,471.01
477BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC$20,871.86$102,427.02
478BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC$43,908.09$43,908.09
479BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC$34,637.33$34,637.33
480HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC$31,536.11$130,971.97
481HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC$18,070.70$77,834.86
482HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC$16,222.19$29,706.44
483MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES$25,735.56$111,142.42
485KNEE PROCEDURES W PDX OF INFECTION W MCC$86,348.19$86,348.19
486KNEE PROCEDURES W PDX OF INFECTION W CC$25,809.04$59,438.40
488KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC$22,612.09$22,612.09
492LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC$16,473.69$16,473.69
493LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC$21,769.97$89,893.86
494LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC$17,837.23$24,298.22
496LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC$23,488.92$50,438.89
501SOFT TISSUE PROCEDURES W CC$16,334.99$70,171.42
502SOFT TISSUE PROCEDURES W/O CC/MCC$14,494.74$14,494.74
504FOOT PROCEDURES W CC$52,103.36$52,103.36
511SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC$48,607.00$61,962.41
516OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC$17,741.67$41,397.53
517OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC$35,090.57$37,914.22
518BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM$65,820.45$109,912.86
519BACK & NECK PROC EXC SPINAL FUSION W CC$22,986.99$57,027.07
520BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC$64,702.31$64,702.31
534FRACTURES OF FEMUR W/O MCC$22,925.53$22,925.53
535FRACTURES OF HIP & PELVIS W MCC$26,465.55$50,120.80
536FRACTURES OF HIP & PELVIS W/O MCC$10,730.87$43,805.73
539OSTEOMYELITIS W MCC$13,866.65$36,786.31
540OSTEOMYELITIS W CC$17,116.03$30,959.47
542PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC$28,656.18$61,782.73
543PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC$18,447.22$45,834.20
544PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC$23,752.21$23,752.21
545CONNECTIVE TISSUE DISORDERS W MCC$43,607.80$43,607.80
550SEPTIC ARTHRITIS W/O CC/MCC$23,384.88$23,384.88
551MEDICAL BACK PROBLEMS W MCC$12,243.72$37,229.48
552MEDICAL BACK PROBLEMS W/O MCC$19,990.13$29,643.18
554BONE DISEASES & ARTHROPATHIES W/O MCC$5,398.04$41,295.27
556SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC$10,140.33$54,909.66
557TENDONITIS, MYOSITIS & BURSITIS W MCC$40,502.64$40,502.64
558TENDONITIS, MYOSITIS & BURSITIS W/O MCC$15,331.33$44,987.59
559AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC$28,012.25$72,214.79
560AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC$23,470.30$28,800.09
562FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC$14,460.63$23,041.28
563FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC$19,603.35$32,226.44
564OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC$27,026.75$91,768.98
565OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC$16,342.11$32,518.15
566OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC$20,208.33$36,349.25
570SKIN DEBRIDEMENT W MCC$37,526.28$79,517.17
571SKIN DEBRIDEMENT W CC$10,743.46$35,226.60
579OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC$37,126.52$66,013.46
580OTHER SKIN, SUBCUT TISS & BREAST PROC W CC$18,356.49$80,432.68
581OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC$19,616.45$19,616.45
585BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC$83,629.11$83,629.11
592SKIN ULCERS W MCC$10,287.87$26,321.77
595MAJOR SKIN DISORDERS W MCC$67,592.34$67,592.34
598MALIGNANT BREAST DISORDERS W CC$47,259.05$47,259.05
602CELLULITIS W MCC$14,246.07$77,865.06
603CELLULITIS W/O MCC$7,299.04$52,152.03
605TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC$14,163.23$22,837.84
606MINOR SKIN DISORDERS W MCC$10,724.13$10,724.13
607MINOR SKIN DISORDERS W/O MCC$14,527.76$14,527.76
616AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W MCC$119,260.93$186,980.40
617AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC$17,350.74$41,824.30
620O.R. PROCEDURES FOR OBESITY W CC$29,627.13$31,305.41
621O.R. PROCEDURES FOR OBESITY W/O CC/MCC$23,009.37$41,401.70
622SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC$50,553.86$50,553.86
623SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC$32,193.75$195,169.89
624SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/MCC$25,320.49$25,320.49
628OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC$42,436.34$119,654.82
629OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC$28,874.04$45,707.15
637DIABETES W MCC$9,525.44$100,426.73
638DIABETES W CC$9,556.36$47,913.94
639DIABETES W/O CC/MCC$10,969.89$26,440.46
640MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC$9,258.19$160,901.37
641MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC$7,343.08$62,132.86
643ENDOCRINE DISORDERS W MCC$16,671.48$82,428.70
644ENDOCRINE DISORDERS W CC$10,934.99$80,709.47
645ENDOCRINE DISORDERS W/O CC/MCC$20,421.35$20,421.35
656KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC$79,374.34$79,374.34
657KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC$36,548.30$60,551.33
659KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC$32,837.24$90,222.06
660KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC$16,169.91$61,488.08
661KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC$13,205.57$43,218.71
662MINOR BLADDER PROCEDURES W MCC$101,168.83$101,168.83
667PROSTATECTOMY W/O CC/MCC$16,811.90$16,811.90
668TRANSURETHRAL PROCEDURES W MCC$33,493.04$38,688.65
669TRANSURETHRAL PROCEDURES W CC$17,722.91$30,720.79
673OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC$27,142.56$70,396.19
674OTHER KIDNEY & URINARY TRACT PROCEDURES W CC$97,086.80$97,086.80
682RENAL FAILURE W MCC$9,063.26$134,584.47
683RENAL FAILURE W CC$7,506.35$79,131.13
684RENAL FAILURE W/O CC/MCC$14,646.46$29,650.54
686KIDNEY & URINARY TRACT NEOPLASMS W MCC$109,532.86$109,532.86
689KIDNEY & URINARY TRACT INFECTIONS W MCC$14,344.85$57,263.06
690KIDNEY & URINARY TRACT INFECTIONS W/O MCC$11,028.29$63,814.56
693URINARY STONES W MCC$15,310.48$15,310.48
694URINARY STONES W/O MCC$9,388.05$9,388.05
696KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC$9,170.75$10,259.99
697URETHRAL STRICTURE$32,771.96$52,993.05
698OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC$12,183.42$224,810.35
699OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC$6,885.05$62,817.81
700OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC$14,996.74$36,734.40
707MAJOR MALE PELVIC PROCEDURES W CC/MCC$45,923.99$45,923.99
708MAJOR MALE PELVIC PROCEDURES W/O CC/MCC$41,157.98$42,092.19
713TRANSURETHRAL PROSTATECTOMY W CC/MCC$11,505.10$25,295.28
714TRANSURETHRAL PROSTATECTOMY W/O CC/MCC$21,321.41$21,321.41
717OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC$16,010.58$16,010.58
726BENIGN PROSTATIC HYPERTROPHY W/O MCC$16,909.68$31,107.24
728INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC$30,736.71$30,736.71
742UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC$33,304.17$33,304.17
743UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC$12,193.45$21,209.29
746VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC$17,329.19$58,057.01
748FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES$35,000.46$35,000.46
749OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W CC/MCC$30,437.98$30,437.98
758INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC$30,819.30$41,201.77
768VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C$17,990.85$17,990.85
788CESAREAN SECTION W/O STERILIZATION W/O CC/MCC$14,246.91$14,246.91
802OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC$41,102.10$149,386.91
803OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC$43,022.23$209,563.30
807VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC$7,415.56$10,582.21
808MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC$25,123.74$47,816.97
809MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC$21,379.31$42,537.94
811RED BLOOD CELL DISORDERS W MCC$11,735.24$52,209.23
812RED BLOOD CELL DISORDERS W/O MCC$8,904.91$53,896.96
813COAGULATION DISORDERS$9,015.23$145,645.08
814RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC$42,918.78$42,918.78
815RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC$11,635.90$11,635.90
816RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC$12,357.42$12,357.42
818OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W CC$48,558.11$48,558.11
820LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC$216,395.11$216,395.11
823LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W MCC$64,972.00$211,924.92
824LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W CC$19,812.27$29,183.30
825LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W/O CC/MCC$35,062.16$35,062.16
834ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC$28,668.08$60,717.22
835ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W CC$39,982.77$39,982.77
838CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT$21,364.05$30,384.25
840LYMPHOMA & NON-ACUTE LEUKEMIA W MCC$27,533.95$133,946.03
841LYMPHOMA & NON-ACUTE LEUKEMIA W CC$17,769.45$275,066.87
844OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC$31,056.22$31,056.22
846CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC$27,917.73$215,395.41
847CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC$7,836.52$48,023.15
853INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC$13,938.09$319,155.92
854INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC$21,805.11$95,424.71
856POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC$27,029.88$47,510.30
857POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC$25,908.57$63,679.80
862POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC$16,263.34$110,674.84
863POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC$18,567.60$26,784.59
864FEVER AND INFLAMMATORY CONDITIONS$13,671.26$65,172.39
865VIRAL ILLNESS W MCC$37,885.77$54,919.29
866VIRAL ILLNESS W/O MCC$11,983.12$23,677.88
867OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC$52,961.93$52,961.93
870SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS$72,282.23$325,010.28
871SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC$6,468.11$190,614.75
872SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC$8,429.00$96,018.19
883DISORDERS OF PERSONALITY & IMPULSE CONTROL$26,352.67$26,352.67
884ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY$8,361.08$25,681.23
896ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC$28,298.12$66,302.83
897ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC$12,098.49$39,855.87
902WOUND DEBRIDEMENTS FOR INJURIES W CC$21,023.63$80,856.62
908OTHER O.R. PROCEDURES FOR INJURIES W CC$11,999.02$50,036.65
915ALLERGIC REACTIONS W MCC$12,304.46$59,826.19
916ALLERGIC REACTIONS W/O MCC$13,674.22$60,508.53
917POISONING & TOXIC EFFECTS OF DRUGS W MCC$9,154.09$76,181.95
918POISONING & TOXIC EFFECTS OF DRUGS W/O MCC$8,145.34$31,740.84
919COMPLICATIONS OF TREATMENT W MCC$32,929.55$60,362.05
920COMPLICATIONS OF TREATMENT W CC$17,434.72$40,796.77
921COMPLICATIONS OF TREATMENT W/O CC/MCC$33,007.87$33,007.87
923OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC$26,902.64$26,902.64
947SIGNS & SYMPTOMS W MCC$25,026.75$26,879.43
948SIGNS & SYMPTOMS W/O MCC$14,960.11$42,591.37
949AFTERCARE W CC/MCC$29,354.06$29,354.06
956LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA$24,702.21$51,207.46
963OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC$36,551.46$36,551.46
981EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC$21,662.72$245,252.25
982EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC$31,810.45$86,931.03
983EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC$20,757.04$20,757.04
987NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC$29,563.70$114,099.65
988NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC$13,219.75$61,664.43