056DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC$19,754.40$19,754.40
057DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC$14,302.57$36,690.35
064INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC$17,247.04$37,907.55
065INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS$18,752.18$44,571.30
066INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC$23,201.56$28,220.13
068NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC$19,382.64$19,382.64
069TRANSIENT ISCHEMIA W/O THROMBOLYTIC$6,889.20$22,224.30
070NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC$17,046.55$40,843.15
071NONSPECIFIC CEREBROVASCULAR DISORDERS W CC$10,452.73$31,632.60
072NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC$13,255.26$13,255.26
074CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC$8,614.08$8,614.08
075VIRAL MENINGITIS W CC/MCC$44,426.60$44,426.60
078HYPERTENSIVE ENCEPHALOPATHY W CC$13,857.66$13,857.66
083TRAUMATIC STUPOR & COMA, COMA >1 HR W CC$14,331.73$14,331.73
091OTHER DISORDERS OF NERVOUS SYSTEM W MCC$25,233.71$25,233.71
092OTHER DISORDERS OF NERVOUS SYSTEM W CC$11,282.96$21,161.07
093OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC$23,212.17$23,212.17
099NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/MCC$16,050.86$16,050.86
100SEIZURES W MCC$12,060.35$18,533.55
101SEIZURES W/O MCC$15,893.60$20,710.50
166OTHER RESP SYSTEM O.R. PROCEDURES W MCC$42,968.45$54,106.91
175PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE$13,148.63$43,908.41
176PULMONARY EMBOLISM W/O MCC$11,168.64$22,772.65
177RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC$7,823.91$57,136.38
178RESPIRATORY INFECTIONS & INFLAMMATIONS W CC$12,431.58$23,809.80
186PLEURAL EFFUSION W MCC$25,421.69$25,421.69
189PULMONARY EDEMA & RESPIRATORY FAILURE$2,051.23$52,604.77
190CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC$7,421.87$52,246.33
191CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC$5,840.33$26,366.72
193SIMPLE PNEUMONIA & PLEURISY W MCC$9,218.55$41,193.24
194SIMPLE PNEUMONIA & PLEURISY W CC$6,435.09$30,749.14
195SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC$8,561.75$17,879.62
196INTERSTITIAL LUNG DISEASE W MCC$33,288.81$35,045.37
199PNEUMOTHORAX W MCC$6,100.34$18,795.77
200PNEUMOTHORAX W CC$5,933.62$16,010.85
202BRONCHITIS & ASTHMA W CC/MCC$7,516.96$21,444.01
203BRONCHITIS & ASTHMA W/O CC/MCC$9,358.31$16,703.89
205OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC$10,030.90$21,637.65
206OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC$18,155.10$18,155.10
208RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS$11,164.34$25,937.88
239AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC$57,067.85$57,067.85
242PERMANENT CARDIAC PACEMAKER IMPLANT W MCC$31,932.00$31,932.00
243PERMANENT CARDIAC PACEMAKER IMPLANT W CC$27,573.30$47,331.67
244PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC$27,700.09$27,700.09
260CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC$41,144.52$41,144.52
262CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC$34,475.83$34,475.83
264OTHER CIRCULATORY SYSTEM O.R. PROCEDURES$16,886.44$62,507.75
280ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC$10,118.80$34,150.83
281ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC$9,274.56$33,539.72
282ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC$6,518.63$6,582.01
283ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC$14,865.06$14,865.06
284ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC$9,491.00$9,491.00
291HEART FAILURE & SHOCK W MCC$6,490.76$99,980.56
292HEART FAILURE & SHOCK W CC$8,384.63$28,743.04
293HEART FAILURE & SHOCK W/O CC/MCC$11,099.23$15,651.58
299PERIPHERAL VASCULAR DISORDERS W MCC$15,411.16$24,133.59
300PERIPHERAL VASCULAR DISORDERS W CC$15,283.29$26,108.73
302ATHEROSCLEROSIS W MCC$13,616.93$13,616.93
303ATHEROSCLEROSIS W/O MCC$8,090.38$25,635.32
304HYPERTENSION W MCC$9,369.84$28,773.11
305HYPERTENSION W/O MCC$10,354.51$37,787.65
308CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC$9,217.65$57,944.90
309CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC$6,729.05$40,060.57
310CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC$4,178.20$31,497.65
311ANGINA PECTORIS$7,516.59$7,516.59
312SYNCOPE & COLLAPSE$8,597.14$35,686.60
313CHEST PAIN$13,934.20$22,784.76
314OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC$71,606.68$71,606.68
315OTHER CIRCULATORY SYSTEM DIAGNOSES W CC$7,616.89$7,888.83
327STOMACH, ESOPHAGEAL & DUODENAL PROC W CC$55,002.43$55,002.43
329MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC$37,210.10$53,269.81
330MAJOR SMALL & LARGE BOWEL PROCEDURES W CC$26,465.61$37,702.13
331MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC$14,413.06$43,369.10
336PERITONEAL ADHESIOLYSIS W CC$35,454.26$60,781.58
340APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC$26,976.61$26,976.61
345MINOR SMALL & LARGE BOWEL PROCEDURES W CC$18,093.78$46,899.83
347ANAL & STOMAL PROCEDURES W MCC$14,499.54$14,499.54
353HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC$30,542.38$30,542.38
354HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC$48,903.48$48,903.48
355HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC$12,110.26$12,110.26
371MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC$23,035.73$24,839.89
372MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC$11,258.77$17,627.16
373MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC$22,885.48$22,885.48
374DIGESTIVE MALIGNANCY W MCC$14,052.09$30,835.92
375DIGESTIVE MALIGNANCY W CC$9,044.99$9,044.99
377G.I. HEMORRHAGE W MCC$7,557.00$38,436.28
378G.I. HEMORRHAGE W CC$8,024.87$40,761.90
379G.I. HEMORRHAGE W/O CC/MCC$7,404.84$20,165.41
380COMPLICATED PEPTIC ULCER W MCC$23,100.89$28,612.34
381COMPLICATED PEPTIC ULCER W CC$20,174.52$20,174.52
384UNCOMPLICATED PEPTIC ULCER W/O MCC$18,773.07$19,235.35
388G.I. OBSTRUCTION W MCC$7,651.58$27,082.93
389G.I. OBSTRUCTION W CC$6,746.57$19,164.04
390G.I. OBSTRUCTION W/O CC/MCC$8,542.64$11,630.77
391ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC$13,672.59$21,340.79
392ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC$8,004.44$41,717.04
393OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC$8,386.90$34,025.27
394OTHER DIGESTIVE SYSTEM DIAGNOSES W CC$7,500.40$21,687.92
395OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC$9,382.38$13,682.14
415CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC$43,787.08$43,787.08
418LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC$21,386.08$37,723.62
419LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC$22,590.79$28,716.78
432CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC$17,406.02$17,406.02
433CIRRHOSIS & ALCOHOLIC HEPATITIS W CC$18,941.86$18,941.86
435MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC$41,144.30$41,144.30
436MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC$13,084.50$13,084.50
438DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC$16,838.54$16,838.54
439DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC$7,617.15$33,395.40
440DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC$9,801.32$16,845.59
441DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC$7,018.41$39,064.17
442DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC$10,360.71$22,492.47
445DISORDERS OF THE BILIARY TRACT W CC$55,609.38$55,609.38
446DISORDERS OF THE BILIARY TRACT W/O CC/MCC$11,418.80$14,898.62
453COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC$67,134.80$67,134.80
454COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC$69,885.12$95,550.52
455COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC$58,320.88$96,308.66
460SPINAL FUSION EXCEPT CERVICAL W/O MCC$53,455.18$87,906.69
463WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC$44,133.37$44,133.37
467REVISION OF HIP OR KNEE REPLACEMENT W CC$33,560.95$68,208.19
468REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC$18,414.05$63,175.16
469MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT$30,276.55$35,884.81
470MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC$25,457.37$66,621.40
480HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC$37,393.86$56,751.41
481HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC$19,194.26$57,453.54
482HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC$22,715.75$40,223.59
483MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES$40,013.18$54,667.68
500SOFT TISSUE PROCEDURES W MCC$36,439.72$36,439.72
504FOOT PROCEDURES W CC$32,922.30$32,922.30
510SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W MCC$34,201.40$34,201.40
511SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC$12,734.79$12,734.79
512SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC$19,488.42$24,496.87
513HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC$24,972.51$24,972.51
535FRACTURES OF HIP & PELVIS W MCC$7,130.77$7,130.77
536FRACTURES OF HIP & PELVIS W/O MCC$11,749.28$11,749.28
543PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC$6,736.71$65,012.62
545CONNECTIVE TISSUE DISORDERS W MCC$30,984.70$30,984.70
547CONNECTIVE TISSUE DISORDERS W/O CC/MCC$33,589.73$33,589.73
552MEDICAL BACK PROBLEMS W/O MCC$9,180.02$19,755.32
553BONE DISEASES & ARTHROPATHIES W MCC$21,360.68$21,360.68
554BONE DISEASES & ARTHROPATHIES W/O MCC$5,287.90$5,287.90
555SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC$20,121.87$20,121.87
558TENDONITIS, MYOSITIS & BURSITIS W/O MCC$9,385.26$9,385.26
559AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC$59,618.13$59,618.13
563FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC$16,807.93$16,807.93
564OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC$19,871.98$22,551.35
565OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC$15,911.79$26,810.39
571SKIN DEBRIDEMENT W CC$17,143.30$17,143.30
580OTHER SKIN, SUBCUT TISS & BREAST PROC W CC$18,782.94$20,921.55
594SKIN ULCERS W/O CC/MCC$11,359.83$11,359.83
602CELLULITIS W MCC$11,862.57$19,704.44
603CELLULITIS W/O MCC$7,389.08$28,800.92
604TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC$11,372.74$11,372.74
617AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC$37,800.35$53,284.14
623SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC$48,760.22$48,760.22
628OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC$58,459.93$58,459.93
637DIABETES W MCC$12,147.94$27,840.94
638DIABETES W CC$7,205.84$29,361.78
639DIABETES W/O CC/MCC$8,508.23$15,159.96
640MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC$5,115.18$23,077.95
641MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC$4,502.38$18,799.33
643ENDOCRINE DISORDERS W MCC$12,736.02$47,905.27
644ENDOCRINE DISORDERS W CC$13,446.85$18,178.45
659KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC$32,948.68$98,641.18
660KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC$17,178.24$36,700.11
682RENAL FAILURE W MCC$6,488.63$68,202.90
683RENAL FAILURE W CC$6,657.82$47,619.14
684RENAL FAILURE W/O CC/MCC$7,973.71$12,413.94
689KIDNEY & URINARY TRACT INFECTIONS W MCC$9,014.64$53,767.73
690KIDNEY & URINARY TRACT INFECTIONS W/O MCC$7,252.41$24,189.31
694URINARY STONES W/O MCC$11,909.66$11,909.66
698OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC$2,513.13$39,263.55
699OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC$6,127.32$11,751.42
713TRANSURETHRAL PROSTATECTOMY W CC/MCC$21,296.58$21,296.58
727INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC$16,416.17$16,416.17
728INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC$9,177.58$9,177.58
748FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES$24,137.40$24,137.40
754MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC$10,707.31$10,707.31
755MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC$11,349.25$11,349.25
807VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC$7,463.87$7,463.87
808MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC$10,956.51$16,291.32
809MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC$13,024.11$102,703.14
811RED BLOOD CELL DISORDERS W MCC$9,691.06$43,598.27
812RED BLOOD CELL DISORDERS W/O MCC$7,619.16$35,474.08
813COAGULATION DISORDERS$11,937.04$19,323.24
823LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W MCC$65,276.57$65,276.57
835ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W CC$12,626.40$12,626.40
840LYMPHOMA & NON-ACUTE LEUKEMIA W MCC$30,410.14$30,410.14
841LYMPHOMA & NON-ACUTE LEUKEMIA W CC$17,167.20$28,746.42
842LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC$20,233.64$20,233.64
853INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC$11,357.58$51,868.25
854INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC$31,948.05$64,757.85
857POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC$36,223.46$36,223.46
858POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC$31,055.33$31,055.33
862POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC$33,801.22$33,801.22
864FEVER AND INFLAMMATORY CONDITIONS$10,135.05$27,249.58
865VIRAL ILLNESS W MCC$12,497.42$22,925.79
866VIRAL ILLNESS W/O MCC$10,217.25$21,222.62
867OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC$15,129.60$15,129.60
868OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC$9,159.08$13,415.85
871SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC$7,165.48$95,600.76
872SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC$3,035.84$69,152.72
881DEPRESSIVE NEUROSES$13,461.31$13,461.31
884ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY$30,019.59$30,019.59
896ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC$14,416.08$25,227.18
897ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC$12,720.55$27,206.06
908OTHER O.R. PROCEDURES FOR INJURIES W CC$29,170.00$29,170.00
909OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC$20,594.59$20,594.59
917POISONING & TOXIC EFFECTS OF DRUGS W MCC$9,391.06$21,970.65
918POISONING & TOXIC EFFECTS OF DRUGS W/O MCC$12,410.53$21,681.55
919COMPLICATIONS OF TREATMENT W MCC$16,150.23$24,142.97
920COMPLICATIONS OF TREATMENT W CC$15,697.85$15,697.85
947SIGNS & SYMPTOMS W MCC$7,495.60$16,991.75
948SIGNS & SYMPTOMS W/O MCC$12,116.58$18,802.87
949AFTERCARE W CC/MCC$27,492.38$27,492.38
974HIV W MAJOR RELATED CONDITION W MCC$54,769.58$54,769.58
975HIV W MAJOR RELATED CONDITION W CC$29,449.61$29,449.61
981EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC$42,551.39$52,814.06
982EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC$18,677.44$37,113.82
987NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC$23,768.47$23,768.47