041PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM$7,927.42$7,927.42
054NERVOUS SYSTEM NEOPLASMS W MCC$18,125.66$18,125.66
055NERVOUS SYSTEM NEOPLASMS W/O MCC$6,298.42$6,298.42
056DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC$42,141.82$42,141.82
057DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC$6,196.29$19,521.28
064INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC$4,545.69$59,411.01
065INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS$6,356.91$34,239.89
066INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC$15,638.95$16,316.65
068NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC$19,250.40$19,250.40
069TRANSIENT ISCHEMIA W/O THROMBOLYTIC$9,751.46$23,023.90
070NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC$8,815.60$16,907.94
071NONSPECIFIC CEREBROVASCULAR DISORDERS W CC$10,700.57$26,320.04
073CRANIAL & PERIPHERAL NERVE DISORDERS W MCC$26,274.24$26,274.24
074CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC$8,312.54$33,804.71
078HYPERTENSIVE ENCEPHALOPATHY W CC$12,897.61$12,897.61
089CONCUSSION W CC$33,694.40$33,694.40
091OTHER DISORDERS OF NERVOUS SYSTEM W MCC$8,349.71$33,562.95
092OTHER DISORDERS OF NERVOUS SYSTEM W CC$8,050.80$27,386.61
093OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC$29,906.78$29,906.78
098NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC$46,516.95$46,516.95
099NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/MCC$14,096.84$14,096.84
101SEIZURES W/O MCC$6,661.46$13,170.47
149DYSEQUILIBRIUM$16,445.70$16,445.70
165MAJOR CHEST PROCEDURES W/O CC/MCC$17,327.53$17,327.53
175PULMONARY EMBOLISM W MCC$15,129.03$31,924.36
176PULMONARY EMBOLISM W/O MCC$10,916.01$27,881.80
177RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC$7,547.73$69,542.05
178RESPIRATORY INFECTIONS & INFLAMMATIONS W CC$4,414.17$20,510.43
180RESPIRATORY NEOPLASMS W MCC$19,938.55$19,938.55
183MAJOR CHEST TRAUMA W MCC$15,437.03$15,437.03
184MAJOR CHEST TRAUMA W CC$12,479.35$12,479.35
186PLEURAL EFFUSION W MCC$15,817.43$15,817.43
187PLEURAL EFFUSION W CC$23,408.65$23,408.65
189PULMONARY EDEMA & RESPIRATORY FAILURE$5,862.36$76,482.57
190CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC$4,305.08$39,938.23
191CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC$6,530.60$32,353.74
192CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC$6,868.94$13,556.57
193SIMPLE PNEUMONIA & PLEURISY W MCC$6,799.46$79,896.51
194SIMPLE PNEUMONIA & PLEURISY W CC$5,655.30$26,410.45
195SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC$11,750.25$26,272.49
196INTERSTITIAL LUNG DISEASE W MCC$8,021.39$28,363.89
197INTERSTITIAL LUNG DISEASE W CC$24,652.46$24,652.46
199PNEUMOTHORAX W MCC$6,800.20$18,296.11
200PNEUMOTHORAX W CC$9,329.91$17,627.84
202BRONCHITIS & ASTHMA W CC/MCC$5,125.96$13,072.16
203BRONCHITIS & ASTHMA W/O CC/MCC$9,207.26$19,060.32
205OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC$31,897.59$38,946.04
206OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC$20,064.30$20,064.30
208RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS$11,804.78$29,834.92
240AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC$13,447.77$32,140.77
243PERMANENT CARDIAC PACEMAKER IMPLANT W CC$25,873.06$25,873.06
244PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC$24,494.97$24,494.97
255UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC$15,479.37$15,479.37
264OTHER CIRCULATORY SYSTEM O.R. PROCEDURES$35,995.73$58,103.97
280ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC$6,123.63$55,771.10
282ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC$4,583.96$14,581.67
283ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC$13,034.49$139,149.87
291HEART FAILURE & SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)$6,116.24$88,708.56
292HEART FAILURE & SHOCK W CC$6,755.87$25,272.20
293HEART FAILURE & SHOCK W/O CC/MCC$5,465.48$26,990.20
299PERIPHERAL VASCULAR DISORDERS W MCC$12,350.81$19,134.08
300PERIPHERAL VASCULAR DISORDERS W CC$8,810.44$12,202.77
301PERIPHERAL VASCULAR DISORDERS W/O CC/MCC$11,730.08$11,730.08
303ATHEROSCLEROSIS W/O MCC$11,854.42$26,809.12
304HYPERTENSION W MCC$12,270.63$12,270.63
305HYPERTENSION W/O MCC$6,030.94$17,478.92
307CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC$8,585.05$8,585.05
308CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC$9,718.53$26,840.36
309CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC$6,305.20$38,203.86
310CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC$5,266.59$45,673.33
311ANGINA PECTORIS$7,516.59$7,516.59
312SYNCOPE & COLLAPSE$8,572.96$31,231.34
313CHEST PAIN$4,903.80$27,518.91
314OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC$19,710.99$38,716.76
315OTHER CIRCULATORY SYSTEM DIAGNOSES W CC$20,109.70$24,573.20
329MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC$44,964.23$44,964.23
330MAJOR SMALL & LARGE BOWEL PROCEDURES W CC$20,820.19$38,082.89
331MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC$18,214.24$33,511.48
335PERITONEAL ADHESIOLYSIS W MCC$29,652.13$55,625.63
336PERITONEAL ADHESIOLYSIS W CC$35,454.26$35,454.26
339APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC$16,710.58$16,710.58
342APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC$30,721.72$30,721.72
343APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC$15,663.38$24,843.86
344MINOR SMALL & LARGE BOWEL PROCEDURES W MCC$44,866.92$44,866.92
345MINOR SMALL & LARGE BOWEL PROCEDURES W CC$18,093.78$18,093.78
346MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC$22,640.26$22,640.26
351INGUINAL & FEMORAL HERNIA PROCEDURES W CC$18,043.70$18,043.70
352INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC$12,442.40$19,452.55
353HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC$30,542.38$30,542.38
354HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC$25,021.57$25,021.57
355HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC$47,641.45$47,641.45
358OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC$13,899.07$13,899.07
371MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC$13,649.15$57,863.51
372MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC$8,742.61$22,489.25
374DIGESTIVE MALIGNANCY W MCC$21,162.96$21,162.96
375DIGESTIVE MALIGNANCY W CC$6,436.03$29,050.20
377G.I. HEMORRHAGE W MCC$3,172.00$34,594.70
378G.I. HEMORRHAGE W CC$6,704.89$25,316.32
379G.I. HEMORRHAGE W/O CC/MCC$5,706.66$7,125.72
380COMPLICATED PEPTIC ULCER W MCC$43,763.43$43,763.43
381COMPLICATED PEPTIC ULCER W CC$19,703.35$19,703.35
382COMPLICATED PEPTIC ULCER W/O CC/MCC$7,731.26$7,731.26
386INFLAMMATORY BOWEL DISEASE W CC$18,004.81$18,004.81
387INFLAMMATORY BOWEL DISEASE W/O CC/MCC$8,069.58$8,069.58
388G.I. OBSTRUCTION W MCC$10,019.63$16,248.53
389G.I. OBSTRUCTION W CC$6,581.32$18,700.72
390G.I. OBSTRUCTION W/O CC/MCC$5,925.14$16,936.31
391ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC$7,082.16$28,375.94
392ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC$5,509.38$50,339.97
393OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC$8,972.00$30,646.89
394OTHER DIGESTIVE SYSTEM DIAGNOSES W CC$4,284.27$19,240.12
395OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC$5,634.56$18,192.88
415CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC$50,943.15$50,943.15
418LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC$16,257.76$41,679.32
419LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC$28,233.52$28,233.52
432CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC$13,369.34$30,628.93
435MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC$12,168.29$12,168.29
436MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC$17,249.98$17,249.98
438DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC$16,511.67$16,511.67
439DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC$8,307.39$18,553.81
440DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC$7,406.10$15,078.07
441DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC$8,826.89$15,906.78
442DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC$8,565.24$20,403.82
444DISORDERS OF THE BILIARY TRACT W MCC$13,645.44$13,645.44
445DISORDERS OF THE BILIARY TRACT W CC$55,609.38$55,609.38
446DISORDERS OF THE BILIARY TRACT W/O CC/MCC$7,651.18$11,773.38
455COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC$128,419.29$128,419.29
460SPINAL FUSION EXCEPT CERVICAL W/O MCC$60,773.40$95,786.48
463WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC$16,257.58$16,257.58
464WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC$32,926.66$95,883.21
467REVISION OF HIP OR KNEE REPLACEMENT W CC$26,220.27$42,322.94
468REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC$31,836.87$72,737.94
469MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT$28,460.92$62,990.04
470MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC$26,186.31$58,558.56
478BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC$21,181.14$21,181.14
480HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC$28,364.06$57,632.98
481HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC$18,183.69$67,678.42
482HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC$27,455.12$36,078.39
483MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES$44,893.41$67,267.21
487KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC$63,738.93$63,738.93
492LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC$28,795.30$39,580.02
493LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC$26,492.27$45,622.59
494LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC$17,536.44$35,094.28
497LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC$47,073.75$47,073.75
502SOFT TISSUE PROCEDURES W/O CC/MCC$7,510.29$7,510.29
504FOOT PROCEDURES W CC$10,658.04$10,658.04
511SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W CC$48,572.18$48,572.18
513HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC$15,454.38$15,454.38
517OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC$9,355.67$20,269.78
535FRACTURES OF HIP & PELVIS W MCC$8,423.05$16,638.73
536FRACTURES OF HIP & PELVIS W/O MCC$5,839.62$18,798.08
539OSTEOMYELITIS W MCC$19,981.57$19,981.57
540OSTEOMYELITIS W CC$13,984.55$20,037.02
542PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC$16,563.23$16,563.23
543PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC$4,971.62$28,623.69
549SEPTIC ARTHRITIS W CC$24,239.48$24,239.48
551MEDICAL BACK PROBLEMS W MCC$12,354.92$22,926.48
552MEDICAL BACK PROBLEMS W/O MCC$7,297.86$7,414.03
556SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC$15,506.45$15,506.45
557TENDONITIS, MYOSITIS & BURSITIS W MCC$25,103.93$25,103.93
558TENDONITIS, MYOSITIS & BURSITIS W/O MCC$7,156.03$25,756.06
562FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC$18,171.41$18,171.41
563FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC$12,178.32$13,509.72
564OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC$12,224.33$22,578.83
565OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC$8,613.93$15,001.86
570SKIN DEBRIDEMENT W MCC$13,947.81$13,947.81
571SKIN DEBRIDEMENT W CC$22,846.76$22,846.76
581OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC$8,453.85$25,819.30
602CELLULITIS W MCC$11,697.74$48,630.79
603CELLULITIS W/O MCC$5,817.19$38,504.58
604TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC$11,372.74$11,372.74
605TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC$16,063.03$16,063.03
617AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC$13,547.16$42,065.13
622SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC$22,459.08$22,459.08
623SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC$32,498.09$32,498.09
629OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC$27,196.43$27,196.43
637DIABETES W MCC$6,880.34$53,185.26
638DIABETES W CC$4,458.58$24,767.39
639DIABETES W/O CC/MCC$4,007.56$17,322.61
640MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC$5,568.77$36,880.52
641MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC$4,564.58$36,037.01
642INBORN AND OTHER DISORDERS OF METABOLISM$6,857.24$6,857.24
643ENDOCRINE DISORDERS W MCC$7,891.79$34,166.32
644ENDOCRINE DISORDERS W CC$7,713.64$19,928.77
645ENDOCRINE DISORDERS W/O CC/MCC$5,009.82$14,330.45
663MINOR BLADDER PROCEDURES W CC$26,679.31$34,624.92
666PROSTATECTOMY W CC$17,630.48$17,630.48
668TRANSURETHRAL PROCEDURES W MCC$38,355.52$39,546.87
669TRANSURETHRAL PROCEDURES W CC$22,660.74$22,660.74
673OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC$84,291.35$84,291.35
682RENAL FAILURE W MCC$6,587.88$43,830.38
683RENAL FAILURE W CC$6,583.62$61,814.16
684RENAL FAILURE W/O CC/MCC$7,059.61$11,340.42
689KIDNEY & URINARY TRACT INFECTIONS W MCC$6,881.98$27,320.45
690KIDNEY & URINARY TRACT INFECTIONS W/O MCC$4,473.35$25,372.36
691URINARY STONES W ESW LITHOTRIPSY W CC/MCC$18,528.26$18,528.26
694URINARY STONES W/O ESW LITHOTRIPSY W/O MCC$15,299.77$22,782.18
698OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC$5,638.74$60,138.91
699OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC$9,048.41$9,048.41
713TRANSURETHRAL PROSTATECTOMY W CC/MCC$18,380.84$18,380.84
727INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC$16,416.17$16,416.17
748FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES$22,272.78$22,272.78
766CESAREAN SECTION W/O CC/MCC$13,976.84$14,281.82
775VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES$8,131.37$8,131.37
808MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC$36,212.43$36,212.43
809MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC$12,306.44$18,366.51
810MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC$14,395.18$14,395.18
811RED BLOOD CELL DISORDERS W MCC$7,283.38$35,480.69
812RED BLOOD CELL DISORDERS W/O MCC$16,121.24$35,696.96
813COAGULATION DISORDERS$9,877.33$27,580.92
814RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC$30,888.15$30,888.15
826MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC$46,824.44$46,824.44
840LYMPHOMA & NON-ACUTE LEUKEMIA W MCC$30,410.14$30,410.14
841LYMPHOMA & NON-ACUTE LEUKEMIA W CC$12,316.91$12,316.91
853INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC$25,226.63$41,975.34
854INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC$39,958.73$51,395.53
857POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC$7,935.72$16,579.18
858POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC$11,795.14$11,795.14
862POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC$14,634.52$27,456.09
863POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC$5,655.58$9,820.13
864FEVER AND INFLAMMATORY CONDITIONS$8,775.84$29,886.28
866VIRAL ILLNESS W/O MCC$6,108.54$17,280.34
867OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC$10,121.82$25,936.71
868OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC$16,101.36$16,101.36
871SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC$4,396.02$105,960.16
872SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC$6,128.01$39,050.19
894ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA$10,581.65$10,581.65
896ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC$24,459.48$25,165.94
897ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC$5,669.02$25,592.73
907OTHER O.R. PROCEDURES FOR INJURIES W MCC$17,357.90$17,357.90
914TRAUMATIC INJURY W/O MCC$13,986.41$13,986.41
917POISONING & TOXIC EFFECTS OF DRUGS W MCC$6,236.88$35,594.72
918POISONING & TOXIC EFFECTS OF DRUGS W/O MCC$6,511.00$17,258.63
919COMPLICATIONS OF TREATMENT W MCC$24,142.97$24,142.97
920COMPLICATIONS OF TREATMENT W CC$11,565.59$11,565.59
922OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC$10,419.43$17,356.88
923OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC$8,173.90$16,426.44
947SIGNS & SYMPTOMS W MCC$6,476.85$41,510.75
948SIGNS & SYMPTOMS W/O MCC$12,901.28$12,901.28
949AFTERCARE W CC/MCC$27,285.14$27,285.14
974HIV W MAJOR RELATED CONDITION W MCC$46,285.13$46,285.13
977HIV W OR W/O OTHER RELATED CONDITION$25,054.65$31,411.00
981EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC$28,455.91$28,455.91
982EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC$24,660.11$24,660.11
988NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC$15,231.66$33,947.72