003ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.$273,044.53$348,233.91
004TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.$51,064.10$289,748.87
033VENTRICULAR SHUNT PROCEDURES W/O CC/MCC$25,635.89$48,027.55
038EXTRACRANIAL PROCEDURES W CC$22,721.13$22,721.13
039EXTRACRANIAL PROCEDURES W/O CC/MCC$15,865.73$15,865.73
041PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM$96,120.53$96,120.53
042PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC$17,378.97$17,378.97
054NERVOUS SYSTEM NEOPLASMS W MCC$15,286.67$33,244.30
056DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC$26,287.09$106,938.73
057DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC$21,724.90$34,731.71
059MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC$9,967.88$18,776.52
061ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC$36,267.82$82,120.99
062ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC$36,471.78$53,081.97
063ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC$40,749.82$40,749.82
064INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC$10,390.40$249,146.77
065INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS$12,615.92$68,278.63
066INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC$7,146.60$38,536.71
069TRANSIENT ISCHEMIA W/O THROMBOLYTIC$15,141.57$30,455.89
070NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC$24,626.59$66,573.72
071NONSPECIFIC CEREBROVASCULAR DISORDERS W CC$11,298.69$17,059.23
074CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC$12,752.06$31,816.99
075VIRAL MENINGITIS W CC/MCC$35,800.85$35,800.85
082TRAUMATIC STUPOR & COMA, COMA >1 HR W MCC$13,653.31$13,653.31
091OTHER DISORDERS OF NERVOUS SYSTEM W MCC$21,192.98$91,656.67
092OTHER DISORDERS OF NERVOUS SYSTEM W CC$30,209.62$33,704.13
093OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC$8,971.67$43,371.70
097NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC$33,387.98$228,997.74
100SEIZURES W MCC$7,137.72$96,422.80
101SEIZURES W/O MCC$8,589.30$29,618.28
102HEADACHES W MCC$18,065.16$18,065.16
123NEUROLOGICAL EYE DISORDERS$22,856.36$22,856.36
125OTHER DISORDERS OF THE EYE W/O MCC$61,251.72$61,251.72
133OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC$48,136.04$148,213.33
149DYSEQUILIBRIUM$14,950.73$36,610.11
151EPISTAXIS W/O MCC$12,160.85$12,160.85
153OTITIS MEDIA & URI W/O MCC$18,681.65$55,339.76
154OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC$54,480.67$54,480.67
163MAJOR CHEST PROCEDURES W MCC$86,269.76$97,775.17
164MAJOR CHEST PROCEDURES W CC$30,429.40$68,341.19
165MAJOR CHEST PROCEDURES W/O CC/MCC$46,055.94$46,055.94
166OTHER RESP SYSTEM O.R. PROCEDURES W MCC$28,763.13$139,527.77
167OTHER RESP SYSTEM O.R. PROCEDURES W CC$24,024.36$57,153.67
175PULMONARY EMBOLISM W MCC$12,659.76$118,270.15
176PULMONARY EMBOLISM W/O MCC$14,981.27$38,974.68
177RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC$13,333.66$101,598.31
178RESPIRATORY INFECTIONS & INFLAMMATIONS W CC$4,315.00$53,913.75
179RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC$15,994.02$23,464.52
180RESPIRATORY NEOPLASMS W MCC$6,512.22$100,298.73
181RESPIRATORY NEOPLASMS W CC$22,130.00$53,380.35
183MAJOR CHEST TRAUMA W MCC$7,467.41$7,467.41
186PLEURAL EFFUSION W MCC$18,108.63$66,703.74
187PLEURAL EFFUSION W CC$8,030.26$26,955.08
189PULMONARY EDEMA & RESPIRATORY FAILURE$7,439.16$116,135.82
190CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC$7,692.88$57,768.20
191CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC$9,172.17$42,514.07
192CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC$7,898.08$36,779.53
193SIMPLE PNEUMONIA & PLEURISY W MCC$7,600.80$99,074.22
194SIMPLE PNEUMONIA & PLEURISY W CC$6,857.57$49,116.26
195SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC$7,774.27$31,397.39
196INTERSTITIAL LUNG DISEASE W MCC$15,088.15$68,390.19
199PNEUMOTHORAX W MCC$24,134.20$54,193.12
200PNEUMOTHORAX W CC$38,249.53$38,249.53
202BRONCHITIS & ASTHMA W CC/MCC$18,041.45$55,154.21
203BRONCHITIS & ASTHMA W/O CC/MCC$11,007.53$60,754.79
205OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC$11,554.70$81,951.98
206OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC$21,808.35$34,688.62
207RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)$52,110.12$139,069.19
208RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS$11,244.70$118,621.71
226CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC$93,704.61$93,704.61
227CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC$35,319.03$88,685.83
240AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC$19,761.18$60,985.44
241AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC$16,593.15$18,209.98
242PERMANENT CARDIAC PACEMAKER IMPLANT W MCC$48,037.55$80,754.23
243PERMANENT CARDIAC PACEMAKER IMPLANT W CC$28,303.49$66,560.87
244PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC$23,676.84$52,662.69
252OTHER VASCULAR PROCEDURES W MCC$61,550.71$115,983.35
253OTHER VASCULAR PROCEDURES W CC$21,686.86$67,890.32
254OTHER VASCULAR PROCEDURES W/O CC/MCC$16,880.43$16,880.43
256UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC$14,709.13$35,621.26
258CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC$47,823.78$47,823.78
259CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC$36,824.32$36,824.32
264OTHER CIRCULATORY SYSTEM O.R. PROCEDURES$32,669.33$68,961.60
270OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC$114,729.40$114,729.40
271OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC$27,365.95$27,365.95
280ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC$9,163.09$84,974.24
281ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC$6,675.84$60,740.42
282ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC$7,974.59$38,444.34
283ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC$5,676.78$118,869.05
291HEART FAILURE & SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)$4,809.05$115,202.17
292HEART FAILURE & SHOCK W CC$5,558.61$40,580.18
293HEART FAILURE & SHOCK W/O CC/MCC$8,631.92$28,940.75
296CARDIAC ARREST, UNEXPLAINED W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)$11,166.20$12,771.50
299PERIPHERAL VASCULAR DISORDERS W MCC$21,890.98$36,759.87
300PERIPHERAL VASCULAR DISORDERS W CC$19,981.58$37,643.33
301PERIPHERAL VASCULAR DISORDERS W/O CC/MCC$9,075.85$17,142.10
302ATHEROSCLEROSIS W MCC$13,735.87$13,735.87
303ATHEROSCLEROSIS W/O MCC$7,262.06$12,429.33
304HYPERTENSION W MCC$14,546.03$42,854.62
305HYPERTENSION W/O MCC$14,370.68$29,823.98
306CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC$79,251.59$79,251.59
308CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC$8,678.13$161,840.54
309CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC$8,365.60$73,807.04
310CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC$7,605.53$30,011.27
311ANGINA PECTORIS$11,857.31$38,676.58
312SYNCOPE & COLLAPSE$6,992.27$37,965.47
313CHEST PAIN$6,689.02$22,690.31
314OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC$22,365.40$123,621.89
315OTHER CIRCULATORY SYSTEM DIAGNOSES W CC$12,284.47$25,279.41
316OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC$19,937.67$19,937.67
326STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC$34,442.42$117,349.89
327STOMACH, ESOPHAGEAL & DUODENAL PROC W CC$22,140.24$56,502.89
328STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC$35,361.06$44,946.46
329MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC$35,084.49$252,163.73
330MAJOR SMALL & LARGE BOWEL PROCEDURES W CC$22,729.30$169,649.81
331MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC$21,005.45$36,770.37
334RECTAL RESECTION W/O CC/MCC$23,175.03$23,175.03
335PERITONEAL ADHESIOLYSIS W MCC$42,256.03$91,188.79
336PERITONEAL ADHESIOLYSIS W CC$13,111.17$64,402.71
337PERITONEAL ADHESIOLYSIS W/O CC/MCC$22,519.39$42,853.41
339APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC$25,451.68$78,947.29
342APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC$24,767.21$38,653.45
343APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC$24,446.94$24,446.94
344MINOR SMALL & LARGE BOWEL PROCEDURES W MCC$41,186.60$41,186.60
345MINOR SMALL & LARGE BOWEL PROCEDURES W CC$30,961.32$35,844.81
346MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC$25,266.00$25,266.00
348ANAL & STOMAL PROCEDURES W CC$77,460.30$77,460.30
349ANAL & STOMAL PROCEDURES W/O CC/MCC$18,829.49$18,829.49
350INGUINAL & FEMORAL HERNIA PROCEDURES W MCC$73,131.45$73,131.45
351INGUINAL & FEMORAL HERNIA PROCEDURES W CC$20,836.65$35,914.69
352INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC$13,688.57$46,071.42
353HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC$24,880.72$63,189.86
354HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC$49,294.53$55,634.10
355HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC$43,111.32$43,111.32
356OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC$28,731.06$111,950.57
357OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC$30,123.15$89,675.88
368MAJOR ESOPHAGEAL DISORDERS W MCC$37,370.00$43,932.11
369MAJOR ESOPHAGEAL DISORDERS W CC$15,745.49$75,435.31
371MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC$18,652.81$97,126.30
372MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC$15,485.00$25,792.97
373MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC$27,861.70$27,861.70
374DIGESTIVE MALIGNANCY W MCC$18,980.00$111,895.43
375DIGESTIVE MALIGNANCY W CC$10,129.63$51,426.75
376DIGESTIVE MALIGNANCY W/O CC/MCC$52,997.80$52,997.80
377G.I. HEMORRHAGE W MCC$9,610.84$128,303.33
378G.I. HEMORRHAGE W CC$8,297.47$88,887.33
379G.I. HEMORRHAGE W/O CC/MCC$15,201.39$27,741.35
380COMPLICATED PEPTIC ULCER W MCC$44,386.58$87,649.56
381COMPLICATED PEPTIC ULCER W CC$14,730.63$21,285.34
382COMPLICATED PEPTIC ULCER W/O CC/MCC$17,699.13$17,699.13
383UNCOMPLICATED PEPTIC ULCER W MCC$29,886.93$29,886.93
384UNCOMPLICATED PEPTIC ULCER W/O MCC$21,172.37$24,552.85
386INFLAMMATORY BOWEL DISEASE W CC$10,338.19$27,679.90
387INFLAMMATORY BOWEL DISEASE W/O CC/MCC$13,577.90$26,423.14
388G.I. OBSTRUCTION W MCC$14,825.15$84,161.39
389G.I. OBSTRUCTION W CC$9,796.77$56,802.46
390G.I. OBSTRUCTION W/O CC/MCC$6,832.34$25,688.99
391ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC$15,285.42$64,363.66
392ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC$5,703.78$94,151.40
393OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC$13,212.57$131,899.32
394OTHER DIGESTIVE SYSTEM DIAGNOSES W CC$7,155.23$47,455.22
395OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC$12,922.92$30,940.47
414CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC$124,536.57$124,536.57
415CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC$57,889.45$74,111.23
417LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC$29,701.34$78,435.53
418LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC$28,273.39$67,812.93
419LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC$25,090.92$53,443.89
432CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC$27,977.42$218,529.09
433CIRRHOSIS & ALCOHOLIC HEPATITIS W CC$17,532.68$75,464.12
435MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC$14,127.30$85,607.91
436MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC$21,081.54$36,916.32
437MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W/O CC/MCC$7,205.09$23,884.37
438DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC$15,353.87$146,054.17
439DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC$11,926.88$51,427.57
440DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC$19,051.71$23,041.50
441DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC$12,666.08$129,705.35
442DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC$19,674.95$38,925.98
443DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC$19,894.04$19,897.54
444DISORDERS OF THE BILIARY TRACT W MCC$36,545.91$62,364.58
445DISORDERS OF THE BILIARY TRACT W CC$4,254.85$51,703.40
446DISORDERS OF THE BILIARY TRACT W/O CC/MCC$21,899.28$36,550.79
454COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC$54,620.81$204,728.63
455COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC$140,870.57$140,870.57
456SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W MCC$176,274.96$176,274.96
457SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W CC$60,531.61$60,531.61
459SPINAL FUSION EXCEPT CERVICAL W MCC$64,343.07$143,789.20
460SPINAL FUSION EXCEPT CERVICAL W/O MCC$19,354.70$104,726.81
462BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC$35,579.14$55,399.03
463WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC$48,013.27$48,013.27
464WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC$35,315.50$67,902.27
465WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC$16,174.91$25,019.87
467REVISION OF HIP OR KNEE REPLACEMENT W CC$16,696.15$87,646.50
468REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC$16,900.52$91,761.74
469MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT$30,126.25$87,703.83
470MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC$19,399.14$58,674.70
471CERVICAL SPINAL FUSION W MCC$70,653.85$70,653.85
472CERVICAL SPINAL FUSION W CC$29,200.72$64,397.76
473CERVICAL SPINAL FUSION W/O CC/MCC$28,744.72$58,136.67
474AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC$21,167.81$21,167.81
475AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC$20,471.01$20,471.01
480HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC$27,930.62$94,803.21
481HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC$18,290.97$84,095.02
482HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC$17,635.47$29,460.81
483MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES$25,218.70$70,690.43
488KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC$33,799.89$51,022.53
492LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC$31,666.18$31,666.18
493LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC$23,195.12$75,437.48
494LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC$29,324.14$35,443.71
496LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC$40,670.31$40,670.31
501SOFT TISSUE PROCEDURES W CC$19,127.37$27,080.70
502SOFT TISSUE PROCEDURES W/O CC/MCC$18,695.79$18,695.79
504FOOT PROCEDURES W CC$21,304.09$40,491.94
507MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC$27,667.01$38,026.54
510SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W MCC$48,486.14$48,486.14
511SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W CC$26,116.91$28,068.93
514HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC$10,843.58$10,843.58
516OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC$11,129.22$32,325.18
517OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC$16,132.16$35,402.65
518BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM$30,229.21$30,229.21
519BACK & NECK PROC EXC SPINAL FUSION W CC$21,122.18$42,285.41
520BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC$14,482.80$24,478.02
534FRACTURES OF FEMUR W/O MCC$22,703.60$22,703.60
535FRACTURES OF HIP & PELVIS W MCC$13,152.82$66,101.12
536FRACTURES OF HIP & PELVIS W/O MCC$8,474.58$17,610.37
539OSTEOMYELITIS W MCC$37,390.14$37,390.14
540OSTEOMYELITIS W CC$31,451.41$31,451.41
542PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC$40,374.85$40,374.85
543PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC$15,129.90$36,001.11
544PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC$16,209.82$16,209.82
545CONNECTIVE TISSUE DISORDERS W MCC$19,707.15$63,383.18
548SEPTIC ARTHRITIS W MCC$35,636.44$35,636.44
551MEDICAL BACK PROBLEMS W MCC$37,229.48$37,229.48
552MEDICAL BACK PROBLEMS W/O MCC$21,528.47$38,216.30
554BONE DISEASES & ARTHROPATHIES W/O MCC$36,018.16$36,018.16
555SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC$35,500.66$35,500.66
556SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC$22,865.49$59,383.68
557TENDONITIS, MYOSITIS & BURSITIS W MCC$12,465.71$54,441.90
558TENDONITIS, MYOSITIS & BURSITIS W/O MCC$12,783.72$21,179.72
559AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC$30,426.44$30,426.44
560AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC$28,800.09$28,800.09
562FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC$19,692.90$46,360.33
563FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC$23,539.36$25,537.41
564OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC$27,579.50$39,966.44
565OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC$11,247.63$61,493.55
566OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC$14,517.51$25,203.73
570SKIN DEBRIDEMENT W MCC$35,480.90$35,480.90
571SKIN DEBRIDEMENT W CC$18,589.90$26,667.02
579OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC$28,178.09$28,178.09
580OTHER SKIN, SUBCUT TISS & BREAST PROC W CC$31,576.31$71,081.14
592SKIN ULCERS W MCC$15,063.35$15,063.35
597MALIGNANT BREAST DISORDERS W MCC$30,015.34$30,015.34
600NON-MALIGNANT BREAST DISORDERS W CC/MCC$7,243.59$7,243.59
602CELLULITIS W MCC$15,238.99$43,948.65
603CELLULITIS W/O MCC$6,334.39$33,039.60
616AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W MCC$163,840.34$163,840.34
620O.R. PROCEDURES FOR OBESITY W CC$31,096.28$40,279.93
621O.R. PROCEDURES FOR OBESITY W/O CC/MCC$27,689.15$42,468.18
622SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC$42,097.09$42,097.09
629OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC$42,901.66$80,029.50
637DIABETES W MCC$12,354.51$60,580.53
638DIABETES W CC$8,435.56$64,754.81
639DIABETES W/O CC/MCC$8,037.46$34,153.09
640MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC$10,365.10$87,014.66
641MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC$4,004.78$99,054.06
643ENDOCRINE DISORDERS W MCC$14,112.33$27,534.48
644ENDOCRINE DISORDERS W CC$15,722.99$32,936.40
645ENDOCRINE DISORDERS W/O CC/MCC$22,946.37$22,946.37
656KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC$60,711.86$60,711.86
657KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC$42,990.64$50,808.64
658KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC$39,416.78$42,026.44
660KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC$20,357.04$38,646.35
661KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC$39,737.42$39,737.42
666PROSTATECTOMY W CC$32,441.19$32,441.19
668TRANSURETHRAL PROCEDURES W MCC$50,114.96$108,466.06
669TRANSURETHRAL PROCEDURES W CC$25,087.63$133,765.12
670TRANSURETHRAL PROCEDURES W/O CC/MCC$13,002.97$28,026.19
673OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC$25,208.45$135,888.57
674OTHER KIDNEY & URINARY TRACT PROCEDURES W CC$31,959.56$73,134.23
682RENAL FAILURE W MCC$7,250.12$200,594.26
683RENAL FAILURE W CC$7,822.69$58,908.43
684RENAL FAILURE W/O CC/MCC$4,472.96$26,651.76
686KIDNEY & URINARY TRACT NEOPLASMS W MCC$29,111.60$89,814.81
687KIDNEY & URINARY TRACT NEOPLASMS W CC$26,485.26$26,485.26
689KIDNEY & URINARY TRACT INFECTIONS W MCC$12,920.21$51,610.49
690KIDNEY & URINARY TRACT INFECTIONS W/O MCC$6,700.99$40,534.55
693URINARY STONES W/O ESW LITHOTRIPSY W MCC$41,636.75$41,636.75
694URINARY STONES W/O ESW LITHOTRIPSY W/O MCC$7,575.37$23,503.82
697URETHRAL STRICTURE$15,842.26$15,842.26
698OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC$8,183.58$238,797.79
699OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC$7,284.66$29,019.05
700OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC$9,806.20$9,806.20
707MAJOR MALE PELVIC PROCEDURES W CC/MCC$32,156.02$39,776.95
708MAJOR MALE PELVIC PROCEDURES W/O CC/MCC$39,754.51$39,914.60
713TRANSURETHRAL PROSTATECTOMY W CC/MCC$16,477.47$25,931.68
714TRANSURETHRAL PROSTATECTOMY W/O CC/MCC$21,321.41$21,321.41
715OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W CC/MCC$13,784.03$13,784.03
717OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC$25,279.87$33,444.64
723MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC$4,540.07$4,540.07
726BENIGN PROSTATIC HYPERTROPHY W/O MCC$25,207.20$25,207.20
728INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC$10,949.96$19,919.85
729OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC/MCC$20,633.14$20,633.14
736UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC$74,490.67$74,490.67
742UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC$43,385.74$43,385.74
743UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC$10,495.70$43,883.14
746VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC$58,057.01$58,057.01
757INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC$22,644.33$22,644.33
765CESAREAN SECTION W CC/MCC$16,506.98$16,506.98
766CESAREAN SECTION W/O CC/MCC$14,402.06$17,102.98
774VAGINAL DELIVERY W COMPLICATING DIAGNOSES$10,568.87$10,568.87
775VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES$11,150.02$17,648.71
779ABORTION W/O D&C$21,714.15$21,714.15
808MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC$9,196.52$43,860.99
809MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC$10,973.67$44,119.62
810MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC$38,990.90$38,990.90
811RED BLOOD CELL DISORDERS W MCC$13,892.00$55,420.00
812RED BLOOD CELL DISORDERS W/O MCC$8,818.53$26,203.69
813COAGULATION DISORDERS$11,645.38$68,772.53
820LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC$64,276.53$136,875.70
823LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W MCC$66,523.70$66,523.70
834ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC$34,723.29$260,683.83
835ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W CC$32,800.78$82,833.63
836ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W/O CC/MCC$13,343.22$13,343.22
837CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC$35,162.84$142,539.08
838CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT$33,327.03$34,877.93
840LYMPHOMA & NON-ACUTE LEUKEMIA W MCC$46,112.98$140,312.08
841LYMPHOMA & NON-ACUTE LEUKEMIA W CC$18,597.02$36,486.14
842LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC$97,351.69$97,351.69
843OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC$86,144.81$86,144.81
844OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC$16,431.97$26,725.16
845OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC/MCC$21,660.87$21,660.87
847CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC$7,432.59$15,471.20
853INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC$25,755.89$162,554.83
854INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC$23,581.86$106,199.31
857POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC$32,496.10$32,574.03
862POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC$43,347.44$67,067.42
863POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC$5,553.74$95,845.66
864FEVER AND INFLAMMATORY CONDITIONS$3,772.47$68,408.45
865VIRAL ILLNESS W MCC$17,897.20$40,554.24
866VIRAL ILLNESS W/O MCC$10,128.29$33,136.94
867OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC$39,051.39$39,051.39
870SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)$37,551.77$241,725.62
871SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC$4,550.87$211,111.93
872SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC$7,295.05$88,118.52
880ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION$15,248.86$15,248.86
884ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY$30,618.88$30,618.88
896ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC$19,462.93$95,313.19
897ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC$9,409.83$38,781.23
907OTHER O.R. PROCEDURES FOR INJURIES W MCC$17,886.03$133,305.50
908OTHER O.R. PROCEDURES FOR INJURIES W CC$41,683.31$76,729.51
915ALLERGIC REACTIONS W MCC$19,442.11$31,014.19
916ALLERGIC REACTIONS W/O MCC$4,122.63$4,122.63
917POISONING & TOXIC EFFECTS OF DRUGS W MCC$10,365.79$70,429.81
918POISONING & TOXIC EFFECTS OF DRUGS W/O MCC$8,882.37$21,957.26
919COMPLICATIONS OF TREATMENT W MCC$19,824.16$120,676.42
920COMPLICATIONS OF TREATMENT W CC$14,226.94$32,795.20
921COMPLICATIONS OF TREATMENT W/O CC/MCC$35,096.21$35,096.21
922OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC$28,019.93$28,019.93
928FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W CC/MCC$58,160.69$58,160.69
934FULL THICKNESS BURN W/O SKIN GRAFT OR INHAL INJ$8,694.94$8,694.94
947SIGNS & SYMPTOMS W MCC$12,115.40$29,680.32
948SIGNS & SYMPTOMS W/O MCC$12,489.12$30,410.26
951OTHER FACTORS INFLUENCING HEALTH STATUS$130.41$130.41
956LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA$27,746.57$35,730.87
974HIV W MAJOR RELATED CONDITION W MCC$61,814.86$205,726.78
977HIV W OR W/O OTHER RELATED CONDITION$24,482.89$24,482.89
981EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC$23,714.07$178,697.17
982EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC$14,341.08$34,256.77
987NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC$48,531.96$87,598.01
988NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC$27,867.20$27,867.20
989NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC$28,478.77$36,851.45