Massachusetts Health Data Consortium CMS DRG Map (v24.0) by Subspecialty

Transcription

1 CARDIOLOGY 117 CARDIAC PACEMKR REVISION EXC DEVICE REPLACEMENT CARDIOLOGY 118 CARDIAC PACEMAKER DEVICE REPLACEMENT CARDIOLOGY 121 CIRCULATORY DIS W AMI & MAJOR COMP DISCH ALIVE CARDIOLOGY 122 CIRCULATORY DIS W AMI W/O MAJOR COMP DISCH ALIVE CARDIOLOGY 123 CIRCULATORY DISORDERS W AMI, EXPIRED CARDIOLOGY 124 CIRC DISORDERS EXC AMI W CARD CATH&COMPLEX DIAG CARDIOLOGY 125 CIRC DIS EXC AMI,WITH CARD CATH W/O COMPLEX DIAG CARDIOLOGY 126 ACUTE & SUBACUTE ENDOCARDITIS CARDIOLOGY 127 HEART FAILURE & SHOCK CARDIOLOGY 128 DEEP VEIN THROMBOPHLEBITIS CARDIOLOGY 129 CARDIAC ARREST, UNEXPLAINED CARDIOLOGY 130 PERIPHERAL VASCULAR DISORDERS W CC CARDIOLOGY 131 PERIPHERAL VASCULAR DISORDERS W/O CC CARDIOLOGY 132 ATHEROSCLEROSIS W CC CARDIOLOGY 133 ATHEROSCLEROSIS W/O CC CARDIOLOGY 134 HYPERTENSION CARDIOLOGY 135 CARDIAC CONGENITAL&VALVULAR DIS AGE >17 W CC CARDIOLOGY 136 CARDIAC CONGENITAL&VALVULAR DIS AGE >17 W/O CC CARDIOLOGY 137 CARDIAC CONGENITAL & VALVULAR DISORDERS AGE 0-17 CARDIOLOGY 138 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC CARDIOLOGY 139 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC CARDIOLOGY 140 ANGINA PECTORIS CARDIOLOGY 141 SYNCOPE & COLLAPSE W CC CARDIOLOGY 142 SYNCOPE & COLLAPSE W/O CC CARDIOLOGY 143 CHEST PAIN CARDIOLOGY 144 OTHER CIRCULATORY SYSTEM DIAGNOSES W CC CARDIOLOGY 145 OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC CARDIOLOGY 515 CARDIAC DEFIBRILLATOR IMPLANT W/O CC CARDIOLOGY 518 PERCUTANEOUS CARDIOVASC PROC W/O STENT OR AMI CARDIOLOGY 525 OTHER HEART ASSIST SYSTEM IMPLANT CARDIOLOGY 535 CARDIAC DEFIB IMPLANT W CC W AMI/HF/SHOCK CARDIOLOGY 536 CARDIAC DEFIB IMPLANT W CC W/O AMI/HF/SHOCK CARDIOLOGY 551 PERM CARDIAC PACEMKR IMPL W MAJ CV DX OR AICD LEAD OR GNRTR CARDIOLOGY 552 OTHER PERMANENT CARDIAC PACEMAKER IMPLANT W/O CV DX Page 1 9/30/2008

2 CARDIOLOGY 555 PERCUTANEOUS CARDIOVASC PROC W MAJOR CV DX CARDIOLOGY 556 PERCT CARDIOVASC PROC NON DRUG ELUTING STENT W/O MAJ CV DX CARDIOLOGY 557 PERCUT CARDIOVASC PROC W DRUG ELUTING STENT W MAJ CV DX CARDIOLOGY 558 PERCUT CARDIOVASC PROC W DRUG ELUTING STENT W/O MAJ CV DX DENTISTRY 168 MOUTH PROCEDURES W CC DENTISTRY 169 MOUTH PROCEDURES W/O CC DENTISTRY 185 DENTAL&ORAL DIS EXC EXTRACT & RESTORATN AGE>17 DENTISTRY 186 DENTAL&ORAL DIS EXC EXTRACT & RESTOR AGE 0-17 DENTISTRY 187 DENTAL EXTRACTIONS & RESTORATIONS DERMATOLOGY 271 SKIN ULCERS DERMATOLOGY 272 MAJOR SKIN DISORDERS W CC DERMATOLOGY 273 MAJOR SKIN DISORDERS W/O CC DERMATOLOGY 283 MINOR SKIN DISORDERS W CC DERMATOLOGY 284 MINOR SKIN DISORDERS W/O CC ENDOCRINE 294 DIABETES AGE >35 ENDOCRINE 295 DIABETES AGE 0-35 ENDOCRINE 296 NUTRITIONAL & MISC METABOLIC DIS AGE >17 W CC ENDOCRINE 297 NUTRITIONAL & MISC METABOLIC DIS AGE >17 W/O CC ENDOCRINE 298 NUTRITIONAL & MISC METABOLIC DISORDERS AGE 0-17 ENDOCRINE 299 INBORN ERRORS OF METABOLISM ENDOCRINE 300 ENDOCRINE DISORDERS W CC ENDOCRINE 301 ENDOCRINE DISORDERS W/O CC GASTROENTEROLOGY 174 G.I. HEMORRHAGE W CC GASTROENTEROLOGY 175 G.I. HEMORRHAGE W/O CC GASTROENTEROLOGY 176 COMPLICATED PEPTIC ULCER GASTROENTEROLOGY 177 UNCOMPLICATED PEPTIC ULCER W CC GASTROENTEROLOGY 178 UNCOMPLICATED PEPTIC ULCER W/O CC GASTROENTEROLOGY 179 INFLAMMATORY BOWEL DISEASE GASTROENTEROLOGY 180 G.I. OBSTRUCTION W CC GASTROENTEROLOGY 181 G.I. OBSTRUCTION W/O CC GASTROENTEROLOGY 182 ESOPHAG,GASTRO & MISC DIGEST DIS AGE >17 W CC Page 2 9/30/2008

3 GASTROENTEROLOGY 183 ESOPHAG,GASTRO & MISC DIGEST DIS AGE>17 W/O CC GASTROENTEROLOGY 184 ESOPHAG,GASTRO & MISC DIGEST DISORDER AGE 0-17 GASTROENTEROLOGY 188 OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W CC GASTROENTEROLOGY 189 OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W/O CC GASTROENTEROLOGY 190 OTHER DIGESTIVE SYSTEM DIAGNOSES AGE 0-17 GASTROENTEROLOGY 202 CIRRHOSIS & ALCOHOLIC HEPATITIS GASTROENTEROLOGY 204 DISORDERS OF PANCREAS EXCEPT MALIGNANCY GASTROENTEROLOGY 205 DIS-LIVER EXC MALIG, CIR, ALC HEPA W CC GASTROENTEROLOGY 206 DIS-LIVER EXC MALIG, CIRR, ALC HEPA W/O CC GASTROENTEROLOGY 207 DISORDERS OF THE BILIARY TRACT W CC GASTROENTEROLOGY 208 DISORDERS OF THE BILIARY TRACT W/O CC GASTROENTEROLOGY 571 MAJOR ESOPHAGEAL DISORDERS GASTROENTEROLOGY 572 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS GENERAL MEDICINE 417 SEPTICEMIA AGE 0-17 GENERAL MEDICINE 418 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS GENERAL MEDICINE 419 FEVER OF UNKNOWN ORIGIN AGE >17 W CC GENERAL MEDICINE 420 FEVER OF UNKNOWN ORIGIN AGE >17 W/O CC GENERAL MEDICINE 421 VIRAL ILLNESS AGE >17 GENERAL MEDICINE 422 VIRAL ILLNESS & FEVER OF UNKNOWN ORIGIN AGE 0-17 GENERAL MEDICINE 423 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES GENERAL MEDICINE 447 ALLERGIC REACTIONS AGE >17 GENERAL MEDICINE 448 ALLERGIC REACTIONS AGE 0-17 GENERAL MEDICINE 449 POISONING & TOXIC EFFECTS OF DRUGS >17 W CC GENERAL MEDICINE 450 POISONING & TOXIC EFFECTS OF DRUGS >17 W/O CC GENERAL MEDICINE 451 POISONING & TOXIC EFFECTS OF DRUGS AGE 0-17 GENERAL MEDICINE 452 COMPLICATIONS OF TREATMENT W CC GENERAL MEDICINE 453 COMPLICATIONS OF TREATMENT W/O CC GENERAL MEDICINE 454 OTHER INJURY,POISONING&TOXIC EFFECT DIAG W CC GENERAL MEDICINE 455 OTHER INJURY,POISONING&TOXIC EFFECT DIAG W/O CC GENERAL MEDICINE 462 REHABILITATION GENERAL MEDICINE 463 SIGNS & SYMPTOMS WITH CC GENERAL MEDICINE 464 SIGNS & SYMPTOMS W/O CC GENERAL MEDICINE 465 AFTERCARE W HISTORY OF MALIG AS SECONDARY DX Page 3 9/30/2008

4 GENERAL MEDICINE 466 AFTERCARE W/O HISTORY OF MALIG AS SECONDARY DX GENERAL MEDICINE 467 OTHER FACTORS INFLUENCING HEALTH STATUS GENERAL MEDICINE 575 SEPTICEMIA W MV96+ HOURS AGE >17 GENERAL MEDICINE 576 SEPTICEMIA W/O MV96+ HOURS AGE >17 GENERAL MEDICINE 578 INFECTIOUS & PARASITIC DISEASES W OR PROCEDURE GENERAL MEDICINE 579 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W OR PROCEDURE GENERAL SURGERY 146 RECTAL RESECTION W CC GENERAL SURGERY 147 RECTAL RESECTION W/O CC GENERAL SURGERY 149 MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC GENERAL SURGERY 150 PERITONEAL ADHESIOLYSIS W CC GENERAL SURGERY 151 PERITONEAL ADHESIOLYSIS W/O CC GENERAL SURGERY 152 MINOR SMALL & LARGE BOWEL PROCEDURES W CC GENERAL SURGERY 153 MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC GENERAL SURGERY 155 STOMACH,ESOPHAGEAL & DUODEN PROC AGE >17 W/O CC GENERAL SURGERY 156 STOMACH, ESOPHAGEAL & DUODENAL PROC AGE 0-17 GENERAL SURGERY 157 ANAL & STOMAL PROCEDURES W CC GENERAL SURGERY 158 ANAL & STOMAL PROCEDURES W/O CC GENERAL SURGERY 159 HERNIA PROC EX INGUINAL & FEMORAL AGE >17 W CC GENERAL SURGERY 160 HERNIA PROC EX INGUINAL & FEMORAL AGE>17 W/O CC GENERAL SURGERY 161 INGUINAL & FEMORAL HERNIA PROC AGE >17 W CC GENERAL SURGERY 162 INGUINAL & FEMORAL HERNIA PROC AGE >17 W/O CC GENERAL SURGERY 163 HERNIA PROCEDURES AGE 0-17 GENERAL SURGERY 164 APPENDECTOMY W COMPLICATED PRINCIPAL DX W CC GENERAL SURGERY 165 APPENDECTOMY W COMPLICATED PRINCIPAL DX W/O CC GENERAL SURGERY 166 APPENDECTOMY W/O COMPLICATED PRINCIPAL DX W CC GENERAL SURGERY 167 APPENDECTOMY W/O COMPLICATED PRINCIPAL DX W/O CC GENERAL SURGERY 170 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC GENERAL SURGERY 171 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC GENERAL SURGERY 191 PANCREAS, LIVER & SHUNT PROCEDURES W CC GENERAL SURGERY 192 PANCREAS, LIVER & SHUNT PROCEDURES W/O CC GENERAL SURGERY 193 BILRY TRAC PROC EXC ONLY CHOLE W/WO CDE W CC GENERAL SURGERY 194 BILRY TRAC PROC EXC ONLY CHOLE W/WO CDE W/O CC GENERAL SURGERY 195 CHOLECYSTECTOMY WITH C.D.E. W CC Page 4 9/30/2008

5 GENERAL SURGERY 196 CHOLECYSTECTOMY WITH C.D.E. W/O CC GENERAL SURGERY 197 CHOLECYSTECTOMY EXC BY LAPARASCOPE W/O CDE W CC GENERAL SURGERY 198 CHOLECYSTECT EXC BY LAPARASCOPE W/O CDE W/O CC GENERAL SURGERY 199 HEPATOBILIARY DIAGNOSTIC PROC FOR MALIGNANCY GENERAL SURGERY 200 HEPATOBILIARY DIAGNOSTC PROC FOR NON-MALIGNANCY GENERAL SURGERY 201 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES GENERAL SURGERY 257 TOTAL MASTECTOMY FOR MALIGNANCY W CC GENERAL SURGERY 258 TOTAL MASTECTOMY FOR MALIGNANCY W/O CC GENERAL SURGERY 259 SUBTOTAL MASTECTOMY FOR MALIGNANCY W CC GENERAL SURGERY 260 SUBTOTAL MASTECTOMY FOR MALIGNANCY W/O CC GENERAL SURGERY 261 BREAST PROC FOR NON-MALIG EXCEPT BIOPSY&LOC EXC GENERAL SURGERY 262 BREAST BIOPSY & LOC EXCISION FOR NON-MALIGNANCY GENERAL SURGERY 263 SKN GRFT &/OR DEBRID FOR SKN ULCR/CELLUL W CC GENERAL SURGERY 264 SKN GRFT &/OR DEBRID FOR SKN ULCR/CELLUL W/O CC GENERAL SURGERY 265 SKN GRFT &/OR DEBRID EXC SKN ULCR/CELLUL W CC GENERAL SURGERY 266 SKN GRFT &/OR DEBRID EXC SKN ULCR/CELLUL W/O CC GENERAL SURGERY 267 PERIANAL & PILONIDAL PROCEDURES GENERAL SURGERY 268 SKIN, SUBCUTANEOUS TISSUE & BREAST PLASTIC PROC GENERAL SURGERY 269 OTH SKIN,SUBCUT TIS & BREAST PROC W CC GENERAL SURGERY 270 OTH SKIN, SUBCUT TISS & BREAST PROC W/O CC GENERAL SURGERY 276 NON-MALIGNANT BREAST DISORDERS GENERAL SURGERY 277 CELLULITIS AGE >17 W CC GENERAL SURGERY 278 CELLULITIS AGE >17 W/O CC GENERAL SURGERY 279 CELLULITIS AGE 0-17 GENERAL SURGERY 280 TRAUMA TO SKN, SUBCUT TIS & BREAST AGE >17 W CC GENERAL SURGERY 281 TRAUMA TO SKN, SUBCU TIS & BREAST AGE 17 W/O CC GENERAL SURGERY 282 TRAUMA TO THE SKIN, SUBCUT TISS&BREAST AGE 0-17 GENERAL SURGERY 285 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& MET GENERAL SURGERY 286 ADRENAL & PITUITARY PROCEDURES GENERAL SURGERY 287 SKN GRAFT&WND DEBRID FOR ENDOC,NUTRIT&METAB DIS GENERAL SURGERY 288 O.R. PROCEDURES FOR OBESITY GENERAL SURGERY 289 PARATHYROID PROCEDURES GENERAL SURGERY 290 THYROID PROCEDURES GENERAL SURGERY 291 THYROGLOSSAL PROCEDURES Page 5 9/30/2008

6 GENERAL SURGERY 292 OTH ENDOC, NUTRIT & METAB O.R.PROC W CC GENERAL SURGERY 293 OTH ENDOC, NUTRIT & METAB O.R. PROC W/O CC GENERAL SURGERY 344 OTH MALE REPRODUCTIVE SYST O.R. PROC FOR MALIG. GENERAL SURGERY 345 OTH MALE REPRODUCTIVE SYST O.R. PROC EXC MALIG. GENERAL SURGERY 392 SPLENECTOMY AGE >17 GENERAL SURGERY 393 SPLENECTOMY AGE 0-17 GENERAL SURGERY 394 OTHER O.R. PROC OF THE BLOOD&BLOOD FORMING ORGAN GENERAL SURGERY 401 LYMPHOMA & NON-ACUTE LUKEMIA WITH OTH PROC W CC GENERAL SURGERY 402 LYMPHOMA&NON-ACUTE LUKEMIA WITH OTH PROC W/O CC GENERAL SURGERY 406 MYELOPROLF DIS OR POOR DIFF NEOPL W MAJ PROC&CC GENERAL SURGERY 407 MYELOPROLF DIS OR POOR DIF CA W MAJ PROC W/O CC GENERAL SURGERY 408 MYELOPROLIF DIS OR POORLY DIFF NEOPL W OTH PROC GENERAL SURGERY 415 O.R. PROC FOR INFECTIOUS & PARASITIC DISEASES GENERAL SURGERY 424 O.R. PROC WITH PRINCIPAL DIAG OF MENTAL ILLNESS GENERAL SURGERY 439 SKIN GRAFTS FOR INJURIES GENERAL SURGERY 440 WOUND DEBRIDEMENTS FOR INJURIES GENERAL SURGERY 441 HAND PROCEDURES FOR INJURIES GENERAL SURGERY 442 OTHER O.R. PROCEDURES FOR INJURIES W CC GENERAL SURGERY 443 OTHER O.R. PROCEDURES FOR INJURIES W/O CC GENERAL SURGERY 444 TRAUMATIC INJURY AGE >17 W CC GENERAL SURGERY 445 TRAUMATIC INJURY AGE >17 W/O CC GENERAL SURGERY 446 TRAUMATIC INJURY AGE 0-17 GENERAL SURGERY 461 O.R. PROC W DX OF OTH CONTACT W HEALTH SERVICE GENERAL SURGERY 482 TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES GENERAL SURGERY 486 OTHER O.R. PROC FOR MULTIPLE SIGNIFICANT TRAUMA GENERAL SURGERY 487 OTHER MULTIPLE SIGNIFICANT TRAUMA GENERAL SURGERY 493 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC GENERAL SURGERY 494 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC GENERAL SURGERY 504 EXTENS OR 3RD DGR BURNS W MV 96+ HRS W SKIN GRAFT GENERAL SURGERY 505 EXTENS/3RD DGR BURNS W MV 96+ HRS W/O SKIN GRAFT GENERAL SURGERY 506 FULL THICK BURN W SKN GFT/INHAL INJ W/CC TRAUMA GENERAL SURGERY 507 FULL THICK BURN W SKN GFT/INHAL INJ WOCC TRAUMA GENERAL SURGERY 508 FULL THICK BURN WO SKN GFT/INHAL INJ W/CC TRAUMA GENERAL SURGERY 509 FULL THICK BURN WO SKN GFT/INHAL INJ W0CC TRAUMA Page 6 9/30/2008

7 GENERAL SURGERY 510 NON-EXTENSIVE BURNS W CC OR SIGNIFICANT TRAUMA GENERAL SURGERY 511 NON-EXTENSIVE BURNS W/O CC OR SIGNIFICANT TRAUMA GENERAL SURGERY 539 LYMPHOMA/LEUKEMIA W MAJOR OR PROCEDURE W CC GENERAL SURGERY 540 LYMPHOMA/LEUKEMIA W MAJOR OR PROCEDURE W/O CC GENERAL SURGERY 541 TRACH W MV 96+ HRS OR PDX EXC FACE,MOUTH,NECK DX W MAJ PROC GENERAL SURGERY 542 TRACH W MV 96+ HRS OR PDX EXC FACE,MOUTH,NECK DX WO MAJ OR GENERAL SURGERY 567 STOMACH, ESOPHAGEAL & DUODENAL PROC AGE > 17 W CC W MAJOR GI DX GENERAL SURGERY 568 STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES PROC AGE > 17 W CC W/O MAJOR GI DX GENERAL SURGERY 569 MAJOR SMALL & LARGE BOWEL PROCEDURES W CC W MAJOR GI DX GENERAL SURGERY 570 MAJOR SMALL & LARGE BOWEL PROCEDURES W CC W/O MAJOR GI DX GYNECOLOGY 353 PELVIC EVISCERATION,RADICAL HYSTERCTMY&VULVCTMY GYNECOLOGY 354 UTRNE,ADNXA PROC NON-OVRIAN/ADNXL CA W CC GYNECOLOGY 355 UTRNE,ADNXA PROC NON-OVRY/ADNXL CA W/O CC GYNECOLOGY 356 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROC. GYNECOLOGY 357 UTERINE&ADNEXA PROC FOR OVARIAN/ADNEXAL MALIG. GYNECOLOGY 358 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC GYNECOLOGY 359 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC GYNECOLOGY 360 VAGINA, CERVIX & VULVA PROCEDURES GYNECOLOGY 361 LAPAROSCOPY & INCISIONAL TUBAL INTERRUPTION GYNECOLOGY 362 ENDOSCOPIC TUBAL INTERRUPTION GYNECOLOGY 363 D&C, CONIZATION & RADIO-IMPLANT, FOR MALIGNANCY GYNECOLOGY 364 D&C, CONIZATION EXCEPT FOR MALIGNANCY GYNECOLOGY 365 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES GYNECOLOGY 368 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM GYNECOLOGY 369 MENSTRUAL & OTHR FEMALE REPRODUCTIVE SYSTEM DIS HEMATOLOGY 395 RED BLOOD CELL DISORDERS AGE >17 HEMATOLOGY 396 RED BLOOD CELL DISORDERS AGE 0-17 HEMATOLOGY 397 COAGULATION DISORDERS HEMATOLOGY 398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC HEMATOLOGY 399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC HEMATOLOGY 481 BONE MARROW TRANSPLANT HEMATOLOGY 574 MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL Page 7 9/30/2008

8 NEONATOLOGY 385 NEONATES, DIED/TRANSFERRED ACUTE CARE FACILITY NEONATOLOGY 386 EXTREME IMMATURITY/RESP DISTRESS SYND, NEONATE NEONATOLOGY 387 PREMATURITY WITH MAJOR PROBLEMS NEONATOLOGY 388 PREMATURITY W/O MAJOR PROBLEMS NEONATOLOGY 389 FULL TERM NEONATE WITH MAJOR PROBLEMS NEONATOLOGY 390 NEONATES WITH OTHER SIGNIFICANT PROBLEMS NEONATOLOGY 391 NORMAL NEWBORN NEPHROLOGY 316 RENAL FAILURE NEPHROLOGY 317 ADMIT FOR RENAL DIALYSIS NEPHROLOGY 318 KIDNEY & URINARY TRACT NEOPLASMS W CC NEPHROLOGY 319 KIDNEY & URINARY TRACT NEOPLASMS W/O CC NEPHROLOGY 320 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W CC NEPHROLOGY 321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC NEPHROLOGY 322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 NEPHROLOGY 325 KIDNY & URIN TRACT SIGNS & SYMPT AGE >17 W CC NEPHROLOGY 326 KIDNY & URIN TRACT SIGN & SYMPT AGE >17 W/O CC NEPHROLOGY 327 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE 0-17 NEPHROLOGY 331 OTHER KIDNEY & URINARY TRACT DX AGE >17 W CC NEPHROLOGY 332 OTHR KIDNEY & URINARY TRACT DX AGE >17 W/O CC NEPHROLOGY 333 OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE 0-17 NEPHROLOGY 573 MAJOR BLADDER PROCEDURES NEUROLOGY 009 SPINAL DISORDERS & INJURIES NEUROLOGY 012 DEGENERATIVE NERVOUS SYSTEM DISORDERS NEUROLOGY 013 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA NEUROLOGY 014 INTRACRANIAL HEMORRHAGE OR CEBEBRAL INFARCTION NEUROLOGY 015 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT NEUROLOGY 016 NONSPECIFIC CEREBROVASCULAR DISORDERS W CC NEUROLOGY 017 NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC NEUROLOGY 018 CRANIAL & PERIPHERAL NERVE DISORDERS W CC NEUROLOGY 019 CRANIAL & PERIPHERAL NERVE DISORDERS W/O CC NEUROLOGY 021 VIRAL MENINGITIS Page 8 9/30/2008

9 NEUROLOGY 022 HYPERTENSIVE ENCEPHALOPATHY NEUROLOGY 023 NONTRAUMATIC STUPOR & COMA NEUROLOGY 026 SEIZURE & HEADACHE AGE 0-17 NEUROLOGY 031 CONCUSSION AGE >17 W CC NEUROLOGY 032 CONCUSSION AGE >17 W/O CC NEUROLOGY 033 CONCUSSION AGE 0-17 NEUROLOGY 034 OTHER DISORDERS OF NERVOUS SYSTEM W CC NEUROLOGY 035 OTHER DISORDERS OF NERVOUS SYSTEM W/O CC NEUROLOGY 524 TRANSIENT ISCHEMIA NEUROLOGY 559 ACUTE ISCHEMATIC STROKE WITH USE OF THROMBOLYTIC AGENT NEUROLOGY 560 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM NEUROLOGY 561 NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS NEUROLOGY 562 SEIZURE AGE > 17 W CC NEUROLOGY 563 SEIZURE AGE > 17 W/O CC NEUROLOGY 564 HEADACHES AGE >17 NEUROSURGERY 001 CRANIOTOMY AGE >17 W CC NEUROSURGERY 002 CRANIOTOMY AGE >17 W/O CC NEUROSURGERY 003 CRANIOTOMY AGE 0-17 NEUROSURGERY 006 CARPAL TUNNEL RELEASE NEUROSURGERY 007 PERIPH & CRANIAL & OTH NERV SYST PROC W CC NEUROSURGERY 008 PERIPH & CRANIAL & OTH NERV SYST PROC W/O CC NEUROSURGERY 027 TRAUMATIC STUPOR & COMA, COMA >1 HR NEUROSURGERY 028 TRAUMATIC STUPOR & COMA <1 HR AGE >17 W CC NEUROSURGERY 029 TRAUMATIC STUPOR & COMA <1 HR AGE >17 W/O CC NEUROSURGERY 030 TRAUMATIC STUPOR & COMA <1 HR AGE 0-17 NEUROSURGERY 484 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA NEUROSURGERY 528 INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE NEUROSURGERY 529 VENTRICULAR SHUNT PROCEDURES W CC NEUROSURGERY 530 VENTRICULAR SHUNT PROCEDURES W/O CC NEUROSURGERY 531 SPINAL PROCEDURES W CC NEUROSURGERY 532 SPINAL PROCEDURES W/O CC NEUROSURGERY 533 EXTRACRANIAL PROCEDURES W CC NEUROSURGERY 534 EXTRACRANIAL PROCEDURES W/O CC Page 9 9/30/2008

10 NEUROSURGERY 543 CRANIOTOMY W IMPLANT OF CHEMO OR ACUTE COMPLEX CNS PDX NEUROSURGERY 577 CAROTID ARTERY STENT PROCEDURE OBSTETRICS 370 CESAREAN SECTION WITH CC OBSTETRICS 371 CESAREAN SECTION W/O CC OBSTETRICS 372 VAGINAL DELIVERY WITH COMPLICATING DIAGNOSES OBSTETRICS 373 VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES OBSTETRICS 374 VAGINAL DELIVERY WITH STERILIZATION &/OR D&C OBSTETRICS 375 VAGINAL DELIVERY W O.R.PROC EXC STERIL &/OR D&C OBSTETRICS 376 POSTPARTUM & POST ABORTION DX W/O PROCEDURE OBSTETRICS 377 POSTPARTUM & POST ABORTION DX W O.R. PROCEDURE OBSTETRICS 378 ECTOPIC PREGNANCY OBSTETRICS 379 THREATENED ABORTION OBSTETRICS 380 ABORTION W/O D&C OBSTETRICS 381 ABORTION W D&C, ASPIRATN CURETTAGE/HYSTEROTOMY OBSTETRICS 382 FALSE LABOR OBSTETRICS 383 OTH ANTEPARTUM DIAGS WITH MEDICAL COMPLICATION OBSTETRICS 384 OTH ANTEPARTUM DIAGS W/O MEDICAL COMPLICATION ONCOLOGY 010 NERVOUS SYSTEM NEOPLASMS W CC ONCOLOGY 011 NERVOUS SYSTEM NEOPLASMS W/O CC ONCOLOGY 064 EAR,NOSE,MOUTH & THROAT MALIGNANCY ONCOLOGY 082 RESPIRATORY NEOPLASMS ONCOLOGY 172 DIGESTIVE MALIGNANCY W CC ONCOLOGY 173 DIGESTIVE MALIGNANCY W/O CC ONCOLOGY 203 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS ONCOLOGY 274 MALIGNANT BREAST DISORDERS W CC ONCOLOGY 275 MALIGNANT BREAST DISORDERS W/O CC ONCOLOGY 346 MALIGNANCY, MALE REPRODUCTIVE SYSTEM, W CC ONCOLOGY 347 MALIGNANCY, MALE REPRODUCTIVE SYSTEM, W/O CC ONCOLOGY 366 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC ONCOLOGY 367 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC ONCOLOGY 403 LYMPHOMA & NON-ACUTE LEUKEMIA WITH CC ONCOLOGY 404 LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC Page 10 9/30/2008

11 ONCOLOGY 405 ACUTE LEUKEMIA W/O MAJOR O.R. PROC AGE 0-17 ONCOLOGY 409 RADIOTHERAPY ONCOLOGY 410 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DX ONCOLOGY 411 HISTORY OF MALIGNANCY W/O ENDOSCOPY ONCOLOGY 412 HISTORY OF MALIGNANCY WITH ENDOSCOPY ONCOLOGY 413 OTH MYLOPRLF DIS OR POOR DIFF NEOPL DIAG W CC ONCOLOGY 414 OTH MYLOPRLF DIS OR POOR DIFF NEOPL DIAG W/O CC ONCOLOGY 473 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE >17 ONCOLOGY 492 CHEMO W/ACUTE LEUKEMIA SDX OR HIGH DOSE CHEMO OPHTHALMOLOGY 036 RETINAL PROCEDURES OPHTHALMOLOGY 037 ORBITAL PROCEDURES OPHTHALMOLOGY 038 PRIMARY IRIS PROCEDURES OPHTHALMOLOGY 039 LENS PROCEDURES WITH OR WITHOUT VITRECTOMY OPHTHALMOLOGY 040 EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE >17 OPHTHALMOLOGY 041 EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE 0-17 OPHTHALMOLOGY 042 INTRAOCULAR PROCEDURES EXCEPT RETINA, IRIS&LENS OPHTHALMOLOGY 043 HYPHEMA OPHTHALMOLOGY 044 ACUTE MAJOR EYE INFECTIONS OPHTHALMOLOGY 045 NEUROLOGICAL EYE DISORDERS OPHTHALMOLOGY 046 OTHER DISORDERS OF THE EYE AGE >17 W CC OPHTHALMOLOGY 047 OTHER DISORDERS OF THE EYE AGE >17 W/O CC OPHTHALMOLOGY 048 OTHER DISORDERS OF THE EYE AGE 0-17 ORTHOPEDICS 210 HIP & FEMUR PROCS EXC MAJOR JOINT AGE >17 W CC ORTHOPEDICS 211 HIP & FEMUR PROCS EXC MAJOR JOINT AGE >17 W/O CC ORTHOPEDICS 212 HIP & FEMUR PROCEDURES EXC MAJOR JOINT AGE 0-17 ORTHOPEDICS 213 AMPUTATION-MUSCULOSKELETAL SYST & CONN TISS DIS ORTHOPEDICS 216 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONN TISS. ORTHOPEDICS 217 WND DEBRID&SKN GRFT EX HND-MUSCKELTL&CONN TISS. ORTHOPEDICS 218 LOW EXTRM&HUMR PROC EXC HIP,FT,FEMUR AGE>17 W CC ORTHOPEDICS 219 LW EXTRM&HUMR PROC EX HIP,FT,FEMR AGE >17 W/O CC ORTHOPEDICS 220 LOW EXTRM&HUMER PROC EX HIP,FOOT,FEMUR AGE 0-17 ORTHOPEDICS 223 MAJ SHOULDER/ELOW PROC, OTH UP EXTREM PROC W CC Page 11 9/30/2008

12 ORTHOPEDICS 224 SHOULDR,ELBOW,FOREARM PROC EXC MAJ JNT W/O CC ORTHOPEDICS 225 FOOT PROCEDURES ORTHOPEDICS 226 SOFT TISSUE PROCEDURES W CC ORTHOPEDICS 227 SOFT TISSUE PROCEDURES W/O CC ORTHOPEDICS 228 MAJ THUMB/JOINT PROC OR OTH HAND/WRIST PROC W CC ORTHOPEDICS 229 HAND OR WRIST PROC EXC MAJOR JOINT PROC W/O CC ORTHOPEDICS 230 LOC EXCIS&REMOV OF INT FIX DEVICES OF HIP&FEMUR ORTHOPEDICS 232 ARTHROSCOPY ORTHOPEDICS 233 OTH MUSCULSKEL SYS & CONN TISS O.R. PROC W CC ORTHOPEDICS 234 OTH MUSCULOSKEL SYS & CONN TISS O.R. PROC W/O CC ORTHOPEDICS 235 FRACTURES OF FEMUR ORTHOPEDICS 236 FRACTURES OF HIP & PELVIS ORTHOPEDICS 237 SPRAINS,STRAINS,DISLOCATION OF HIP,PELVIS&THIGH ORTHOPEDICS 238 OSTEOMYELITIS ORTHOPEDICS 239 PATHOLOGICAL FX&MUSCULOSKELETAL&CONN TISS MALIG ORTHOPEDICS 240 CONNECTIVE TISSUE DISORDERS W CC ORTHOPEDICS 241 CONNECTIVE TISSUE DISORDERS W/O CC ORTHOPEDICS 243 MEDICAL BACK PROBLEMS ORTHOPEDICS 248 TENDONITIS, MYOSITIS & BURSITIS ORTHOPEDICS 249 AFTERCARE,MUSCULOSKELETAL SYS & CONNECTIVE TISS ORTHOPEDICS 250 FX,SPRN,STRN&DISL-FORARM,HND,FT AGE >17 W CC ORTHOPEDICS 251 FX,SPRN,STRN&DISL-FRARM,HND,FT AGE >17 W/O CC ORTHOPEDICS 252 FX,SPRN,STRN&DISL OF FOREARM,HAND,FOOT AGE 0-17 ORTHOPEDICS 253 FX,SPRN,STRN&DIS-UPARM,LWLEG EXC FT >17 W CC ORTHOPEDICS 254 FX,SPRN,STRN&DIS-UPARM,LWLEG EX FT >17 W/O CC ORTHOPEDICS 255 FX,SPRN,STRN&DISL-UPARM,LOWLEG EX FOOT AGE 0-17 ORTHOPEDICS 471 BILATERAL/MULTIPLE MAJ JOINT PROCS, LOW EXTREM ORTHOPEDICS 485 LIMB REATTACH, HIP/FEMUR PROC, MULT SIG TRAUMA ORTHOPEDICS 491 MAJ JOINT & LIMB REATTACH PROCS UPPER EXTREMITY ORTHOPEDICS 496 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION ORTHOPEDICS 497 SPINAL FUSION EXCEPT CERVICAL W CC ORTHOPEDICS 498 SPINAL FUSION EXCEPT CERVICAL W/O CC ORTHOPEDICS 499 BACK & NECK PROCEDURES EXCEPT SPINAL FUSION W CC ORTHOPEDICS 500 BACK & NECK PROCEDURES EXC SPINAL FUSION W/O CC Page 12 9/30/2008

13 ORTHOPEDICS 501 KNEE PROCEDURES W PDX OF INFECTION W CC ORTHOPEDICS 502 KNEE PROCEDURES W PDX OF INFECTION W/O CC ORTHOPEDICS 503 KNEE PROCEDURES W/O PDX OF INFECTION ORTHOPEDICS 519 CERVICAL SPINAL FUSION W CC ORTHOPEDICS 520 CERVICAL SPINAL FUSION W/O CC ORTHOPEDICS 537 LOCAL EXCIS/REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC ORTHOPEDICS 538 LOCAL EXCIS/REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC ORTHOPEDICS 544 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTRM ORTHOPEDICS 545 REVISION OF HIP OR KNEE REPLACEMENT ORTHOPEDICS 546 SPINAL FUSION EXC CERV WITH CURVATURE OF THE SPINE OR MALIG OTOLARYNGOLOGY 049 MAJOR HEAD & NECK PROCEDURES OTOLARYNGOLOGY 050 SIALOADENECTOMY OTOLARYNGOLOGY 051 SALIVARY GLAND PROCEDURES EXCEPT SIALOADENECTOMY OTOLARYNGOLOGY 052 CLEFT LIP & PALATE REPAIR OTOLARYNGOLOGY 053 SINUS & MASTOID PROCEDURES AGE >17 OTOLARYNGOLOGY 054 SINUS & MASTOID PROCEDURES AGE 0-17 OTOLARYNGOLOGY 055 MISCELLANEOUS EAR,NOSE,MOUTH & THROAT PROCEDURES OTOLARYNGOLOGY 056 RHINOPLASTY OTOLARYNGOLOGY 057 T&A PROC, EXC TONSIL &/OR ADENOID ONLY, AGE>17 OTOLARYNGOLOGY 058 T&A PROC, EXC TONSIL &/OR ADENOID ONLY AGE 0-17 OTOLARYNGOLOGY 059 TONSILLECTOMY AND/OR ADENOIDECTOMY AGE >17 OTOLARYNGOLOGY 060 TONSILLECTOMY AND/OR ADENOIDECTOMY AGE 0-17 OTOLARYNGOLOGY 061 MYRINGOTOMY W TUBE INSERTION AGE >17 OTOLARYNGOLOGY 062 MYRINGOTOMY W TUBE INSERTION AGE 0-17 OTOLARYNGOLOGY 063 OTHER EAR,NOSE,MOUTH & THROAT O.R. PROCEDURES OTOLARYNGOLOGY 065 DYSEQUILIBRIUM OTOLARYNGOLOGY 066 EPISTAXIS OTOLARYNGOLOGY 067 EPIGLOTTITIS OTOLARYNGOLOGY 068 OTITIS MEDIA & URI AGE >17 W CC OTOLARYNGOLOGY 069 OTITIS MEDIA & URI AGE >17 W/O CC OTOLARYNGOLOGY 070 OTITIS MEDIA & URI AGE 0-17 OTOLARYNGOLOGY 071 LARYNGOTRACHEITIS OTOLARYNGOLOGY 072 NASAL TRAUMA & DEFORMITY Page 13 9/30/2008

14 OTOLARYNGOLOGY 073 OTHER EAR,NOSE,MOUTH & THROAT DIAGNOSES AGE >17 OTOLARYNGOLOGY 074 OTHER EAR,NOSE,MOUTH & THROAT DIAGNOSES AGE 0-17 PSYCHIATRY 425 ACUTE ADJUST REACT&DISTURB-PSYCHOSOCIAL DYSFUCT PSYCHIATRY 426 DEPRESSIVE NEUROSES PSYCHIATRY 427 NEUROSES EXCEPT DEPRESSIVE PSYCHIATRY 428 DISORDERS OF PERSONALITY & IMPULSE CONTROL PSYCHIATRY 429 ORGANIC DISTURBANCES & MENTAL RETARDATION PSYCHIATRY 430 PSYCHOSES PSYCHIATRY 431 CHILDHOOD MENTAL DISORDERS PSYCHIATRY 432 OTHER MENTAL DISORDER DIAGNOSES PSYCHIATRY 433 ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA PSYCHIATRY 521 ALCOHOL/DRUG ABUSE OR DEPENDENCE W CC PSYCHIATRY 522 ALCOHOL/DRUG ABUSE OR DEPEND W REHAB W/O CC PSYCHIATRY 523 ALCOHOL/DRUG ABUSE OR DEPEND W/O REHAB W/O CC PULMONARY 078 PULMONARY EMBOLISM PULMONARY 079 RESP INFECTIONS & INFLAMMATIONS AGE >17 W CC PULMONARY 080 RESP INFECTIONS & INFLAMMATIONS AGE >17 W/O CC PULMONARY 081 RESPIRATORY INFECTIONS & INFLAMMATIONS AGE 0-17 PULMONARY 085 PLEURAL EFFUSION W CC PULMONARY 086 PLEURAL EFFUSION W/O CC PULMONARY 087 PULMONARY EDEMA & RESPIRATORY FAILURE PULMONARY 088 CHRONIC OBSTRUCTIVE PULMONARY DISEASE PULMONARY 089 SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC PULMONARY 090 SIMPLE PNEUMONIA & PLEURISY AGE >17 W/O CC PULMONARY 091 SIMPLE PNEUMONIA & PLEURISY AGE 0-17 PULMONARY 092 INTERSTITIAL LUNG DISEASE W CC PULMONARY 093 INTERSTITIAL LUNG DISEASE W/O CC PULMONARY 096 BRONCHITIS & ASTHMA AGE >17 W CC PULMONARY 097 BRONCHITIS & ASTHMA AGE >17 W/O CC PULMONARY 098 BRONCHITIS & ASTHMA AGE 0-17 PULMONARY 099 RESPIRATORY SIGNS & SYMPTOMS W CC PULMONARY 100 RESPIRATORY SIGNS & SYMPTOMS W/O CC Page 14 9/30/2008

15 PULMONARY 101 OTHER RESPIRATORY SYSTEM DIAGNOSES W CC PULMONARY 102 OTHER RESPIRATORY SYSTEM DIAGNOSES W/O CC PULMONARY 565 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT 96+ HOURS PULMONARY 566 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT < 96 HOURS RHEUMATOLOGY 242 SEPTIC ARTHRITIS RHEUMATOLOGY 244 BONE DISEASES & SPECIFIC ARTHROPATHIES W CC RHEUMATOLOGY 245 BONE DISEASES & SPECIFIC ARTHROPATHIES W/O CC RHEUMATOLOGY 246 NON-SPECIFIC ARTHROPATHIES RHEUMATOLOGY 247 SIGNS&SYMPT OF MUSCULOSKELETAL SYST & CONN TISS RHEUMATOLOGY 256 OTH MUSCULOSKELETAL SYS & CONNECTIVE TISS DIAG THORACIC SURGERY 075 MAJOR CHEST PROCEDURES THORACIC SURGERY 076 OTHER RESP SYSTEM O.R. PROCEDURES W CC THORACIC SURGERY 077 OTHER RESP SYSTEM O.R. PROCEDURES W/O CC THORACIC SURGERY 083 MAJOR CHEST TRAUMA W CC THORACIC SURGERY 084 MAJOR CHEST TRAUMA W/O CC THORACIC SURGERY 094 PNEUMOTHORAX W CC THORACIC SURGERY 095 PNEUMOTHORAX W/O CC THORACIC SURGERY 104 CARD VALVE PROC W OTH CARDTHOR PROC W CARD CATH THORACIC SURGERY 105 CARD VALVE PROC W OTH CARDTHOR PROC WO CARD CATH THORACIC SURGERY 106 CORONARY BYPASS W PTCA THORACIC SURGERY 108 OTHER CARDIOTHORACIC PROCEDURES THORACIC SURGERY 547 CORONARY BYPASS W CARDIAC CATH W MAJOR CV DX THORACIC SURGERY 548 CORONARY BYPASS W CARDIAC CATH W/O MAJOR CV DX THORACIC SURGERY 549 CORONARY BYPASS W/O CARDIAC CATH W MAJOR CV DX THORACIC SURGERY 550 CORONARY BYPASS W/O CARDIAC CATH W/O MAJOR CV DX UROLOGY 303 KIDNEY AND URETER PROCEDURES FOR NEOPLASM UROLOGY 304 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC UROLOGY 305 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC UROLOGY 306 PROSTATECTOMY W CC UROLOGY 307 PROSTATECTOMY W/O CC UROLOGY 308 MINOR BLADDER PROCEDURES W CC Page 15 9/30/2008

16 UROLOGY 309 MINOR BLADDER PROCEDURES W/O CC UROLOGY 310 TRANSURETHRAL PROCEDURES W CC UROLOGY 311 TRANSURETHRAL PROCEDURES W/O CC UROLOGY 312 URETHRAL PROCEDURES, AGE >17 W CC UROLOGY 313 URETHRAL PROCEDURES, AGE >17 W/O CC UROLOGY 314 URETHRAL PROCEDURES, AGE 0-17 UROLOGY 315 OTHER KIDNEY & URINARY TRACT O.R. PROCEDURES UROLOGY 323 URINARY STONES W CC &/OR ESW LITHOTRIPSY UROLOGY 324 URINARY STONES W/O CC UROLOGY 328 URETHRAL STRICTURE AGE >17 W CC UROLOGY 329 URETHRAL STRICTURE AGE >17 W/O CC UROLOGY 330 URETHRAL STRICTURE AGE 0-17 UROLOGY 334 MAJOR MALE PELVIC PROCEDURES W CC UROLOGY 335 MAJOR MALE PELVIC PROCEDURES W/O CC UROLOGY 336 TRANSURETHRAL PROSTATECTOMY W CC UROLOGY 337 TRANSURETHRAL PROSTATECTOMY W/O CC UROLOGY 338 TESTES PROCEDURES, FOR MALIGNANCY UROLOGY 339 TESTES PROCEDURES, NON-MALIGNANCY AGE >17 UROLOGY 340 TESTES PROCEDURES, NON-MALIGNANCY AGE 0-17 UROLOGY 341 PENIS PROCEDURES UROLOGY 342 CIRCUMCISION AGE >17 UROLOGY 343 CIRCUMCISION AGE 0-17 UROLOGY 348 BENIGN PROSTATIC HYPERTROPHY W CC UROLOGY 349 BENIGN PROSTATIC HYPERTROPHY W/O CC UROLOGY 350 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM UROLOGY 351 STERILIZATION, MALE UROLOGY 352 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES VASCULAR SURGERY 110 MAJOR CARDIOVASCULAR PROCEDURES W CC VASCULAR SURGERY 111 MAJOR CARDIOVASCULAR PROCEDURES W/O CC VASCULAR SURGERY 113 AMPUTATION FOR CIRC SYST DIS EXC UPPER LIMB&TOE VASCULAR SURGERY 114 UPPER LIMB & TOE AMPUTATION FOR CIRC SYST DIS. VASCULAR SURGERY 119 VEIN LIGATION & STRIPPING VASCULAR SURGERY 120 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES Page 16 9/30/2008

17 VASCULAR SURGERY 479 OTHER VASCULAR PROCEDURES W/O CC VASCULAR SURGERY 553 OTHER VASCULAR PROCEDURES W CC W MAJOR CV DX VASCULAR SURGERY 554 OTHER VASCULAR PROCEDURES W CC W/O MAJOR CV DX HIV 488 HIV W EXTENSIVE O.R. PROCEDURE HIV 489 HIV W MAJOR RELATED CONDITION HIV 490 HIV W OR W/O OTHER RELATED CONDITION TRANSPLANTS 103 HEART TRANSPLANT OR IMPLANT HEART ASSIST SYSTEM TRANSPLANTS 302 KIDNEY TRANSPLANT TRANSPLANTS 480 LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT TRANSPLANTS 495 LUNG TRANSPLANT TRANSPLANTS 512 SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT TRANSPLANTS 513 PANCREAS TRANSPLANT Page 17 9/30/2008