004 Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. 244,470 040 Periph/Cranial Nerve & Other Nerv Syst Proc W Mcc 61,412 041 Periph/Cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim 17,921 055 Nervous System Neoplasms W/O Mcc 17,529 057 Degenerative Nervous System Disorders W/O Mcc 9,496 064 Intracranial Hemorrhage Or Cerebral Infarction W Mcc 21,433 065 Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs 18,215 066 Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc 15,798 068 Nonspecific Cva & Precerebral Occlusion W/O Infarct W/O Mcc 23,139 069 Transient Ischemia W/O Thrombolytic 14,465 070 Nonspecific Cerebrovascular Disorders W Mcc 15,964 071 Nonspecific Cerebrovascular Disorders W Cc 16,980 072 Nonspecific Cerebrovascular Disorders W/O Cc/Mcc 8,085 074 Cranial & Peripheral Nerve Disorders W/O Mcc 13,983 076 Viral Meningitis W/O Cc/Mcc 14,744 079 Hypertensive Encephalopathy W/O Cc/Mcc 7,810 083 Traumatic Stupor & Coma, Coma >1 Hr W Cc 13,619 087 Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc 7,881 091 Other Disorders Of Nervous System W Mcc 14,023 092 Other Disorders Of Nervous System W Cc 9,700 093 Other Disorders Of Nervous System W/O Cc/Mcc 12,938 096 Bacterial & Tuberculous Infections Of Nervous System W/O Cc/Mcc 32,124 099 Non-Bacterial Infect Of Nervous Sys Exc Viral Meningitis W/O Cc/Mcc 8,825 100 Seizures W Mcc 11,832 101 Seizures W/O Mcc 15,141 103 Headaches W/O Mcc 15,459 125 Other Disorders Of The Eye W/O Mcc 12,696 146 Ear, Nose, Mouth & Throat Malignancy W Mcc 79,031 149 Dysequilibrium 17,520 150 Epistaxis W Mcc 21,180 151 Epistaxis W/O Mcc 14,142 152 Otitis Media & Uri W Mcc 30,456 153 Otitis Media & Uri W/O Mcc 9,719 155 Other Ear, Nose, Mouth & Throat Diagnoses W Cc 6,298 156 Other Ear, Nose, Mouth & Throat Diagnoses W/O Cc/Mcc 17,782 158 Dental & Oral Diseases W Cc 10,012 159 Dental & Oral Diseases W/O Cc/Mcc 22,021 164 Major Chest Procedures W Cc 10,643 166 Other Resp System O.R. Procedures W Mcc 49,342 167 Other Resp System O.R. Procedures W Cc 26,307 175 Pulmonary Embolism W Mcc 17,256 176 Pulmonary Embolism W/O Mcc 14,139 177 Respiratory Infections & Inflammations W Mcc 22,790 178 Respiratory Infections & Inflammations W Cc 18,857 179 Respiratory Infections & Inflammations W/O Cc/Mcc 18,112 180 Respiratory Neoplasms W Mcc 35,002 184 Major Chest Trauma W Cc 19,088 186 Pleural Effusion W Mcc 24,197 187 Pleural Effusion W Cc 12,201 189 Pulmonary Edema & Respiratory Failure 24,967 190 Chronic Obstructive Pulmonary Disease W Mcc 22,885 191 Chronic Obstructive Pulmonary Disease W Cc 18,656 192 Chronic Obstructive Pulmonary Disease W/O Cc/Mcc 13,844 193 Simple Pneumonia & Pleurisy W Mcc 21,191 194 Simple Pneumonia & Pleurisy W Cc 14,360 195 Simple Pneumonia & Pleurisy W/O Cc/Mcc 11,294 196 Interstitial Lung Disease W Mcc 40,215 199 Pneumothorax W Mcc 18,672 200 Pneumothorax W Cc 18,520 201 Pneumothorax W/O Cc/Mcc 9,699 202 Bronchitis & Asthma W Cc/Mcc 13,912
203 Bronchitis & Asthma W/O Cc/Mcc 10,699 204 Respiratory Signs & Symptoms 12,294 205 Other Respiratory System Diagnoses W Mcc 17,216 206 Other Respiratory System Diagnoses W/O Mcc 7,082 207 Respiratory System Diagnosis W Ventilator Support >96 Hours Or Peripheral ECMO 96,007 208 Respiratory System Diagnosis W Ventilator Support <=96 Hours 41,422 239 Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc 21,494 240 Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc 57,083 242 Permanent Cardiac Pacemaker Implant W Mcc 52,540 243 Permanent Cardiac Pacemaker Implant W Cc 35,534 244 Permanent Cardiac Pacemaker Implant W/O Cc/Mcc 33,100 253 Other Vascular Procedures W Cc 46,447 256 Upper Limb & Toe Amputation For Circ System Disorders W Cc 17,634 280 Acute Myocardial Infarction, Discharged Alive W Mcc 18,126 281 Acute Myocardial Infarction, Discharged Alive W Cc 11,643 282 Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc 8,922 283 Acute Myocardial Infarction, Expired W Mcc 12,358 284 Acute Myocardial Infarction, Expired W Cc 14,286 288 Acute & Subacute Endocarditis W Mcc 25,645 291 Heart Failure & Shock W Mcc Or Periph. Extracorporeal Membrane Oxygenation (Ecmo) 19,835 292 Heart Failure & Shock W Cc 17,587 293 Heart Failure & Shock W/O Cc/Mcc 12,307 297 Cardiac Arrest, Unexplained W Cc 14,671 299 Peripheral Vascular Disorders W Mcc 20,394 300 Peripheral Vascular Disorders W Cc 14,835 301 Peripheral Vascular Disorders W/O Cc/Mcc 8,405 302 Atherosclerosis W Mcc 16,026 303 Atherosclerosis W/O Mcc 20,188 304 Hypertension W Mcc 14,884 305 Hypertension W/O Mcc 12,255 306 Cardiac Congenital & Valvular Disorders W Mcc 11,194 307 Cardiac Congenital & Valvular Disorders W/O Mcc 9,037 308 Cardiac Arrhythmia & Conduction Disorders W Mcc 17,125 309 Cardiac Arrhythmia & Conduction Disorders W Cc 13,591 310 Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc 10,526 311 Angina Pectoris 16,112 312 Syncope & Collapse 13,933 313 Chest Pain 13,361 314 Other Circulatory System Diagnoses W Mcc 8,334 315 Other Circulatory System Diagnoses W Cc 13,223 316 Other Circulatory System Diagnoses W/O Cc/Mcc 16,103 328 Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc 22,178 329 Major Small & Large Bowel Procedures W Mcc 82,044 330 Major Small & Large Bowel Procedures W Cc 37,256 331 Major Small & Large Bowel Procedures W/O Cc/Mcc 30,326 336 Peritoneal Adhesiolysis W Cc 33,332 337 Peritoneal Adhesiolysis W/O Cc/Mcc 24,502 338 Appendectomy W Complicated Principal Diag W Mcc 44,852 339 Appendectomy W Complicated Principal Diag W Cc 32,856 340 Appendectomy W Complicated Principal Diag W/O Cc/Mcc 22,683 342 Appendectomy W/O Complicated Principal Diag W Cc 23,899 343 Appendectomy W/O Complicated Principal Diag W/O Cc/Mcc 23,324 344 Minor Small & Large Bowel Procedures W Mcc 40,555 345 Minor Small & Large Bowel Procedures W Cc 11,850 351 Inguinal & Femoral Hernia Procedures W Cc 17,994 352 Inguinal & Femoral Hernia Procedures W/O Cc/Mcc 15,757 354 Hernia Procedures Except Inguinal & Femoral W Cc 44,954 355 Hernia Procedures Except Inguinal & Femoral W/O Cc/Mcc 22,211 357 Other Digestive System O.R. Procedures W Cc 58,775 368 Major Esophageal Disorders W Mcc 13,205 369 Major Esophageal Disorders W Cc 15,578
371 Major Gastrointestinal Disorders & Peritoneal Infections W Mcc 19,022 372 Major Gastrointestinal Disorders & Peritoneal Infections W Cc 15,626 373 Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc 12,392 374 Digestive Malignancy W Mcc 94,932 375 Digestive Malignancy W Cc 20,628 377 G.I. Hemorrhage W Mcc 22,237 378 G.I. Hemorrhage W Cc 15,457 379 G.I. Hemorrhage W/O Cc/Mcc 10,499 380 Complicated Peptic Ulcer W Mcc 29,796 381 Complicated Peptic Ulcer W Cc 17,814 382 Complicated Peptic Ulcer W/O Cc/Mcc 13,206 386 Inflammatory Bowel Disease W Cc 9,998 387 Inflammatory Bowel Disease W/O Cc/Mcc 9,087 388 G.I. Obstruction W Mcc 8,161 389 G.I. Obstruction W Cc 11,534 390 G.I. Obstruction W/O Cc/Mcc 11,684 391 Esophagitis, Gastroent & Misc Digest Disorders W Mcc 18,027 392 Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc 13,466 393 Other Digestive System Diagnoses W Mcc 15,661 394 Other Digestive System Diagnoses W Cc 14,721 395 Other Digestive System Diagnoses W/O Cc/Mcc 14,738 417 Laparoscopic Cholecystectomy W/O C.D.E. W Mcc 32,771 418 Laparoscopic Cholecystectomy W/O C.D.E. W Cc 36,135 419 Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc 25,821 423 Other Hepatobiliary Or Pancreas O.R. Procedures W Mcc 33,879 425 Other Hepatobiliary Or Pancreas O.R. Procedures W/O Cc/Mcc 24,070 432 Cirrhosis & Alcoholic Hepatitis W Mcc 24,190 433 Cirrhosis & Alcoholic Hepatitis W Cc 19,823 434 Cirrhosis & Alcoholic Hepatitis W/O Cc/Mcc 10,556 435 Malignancy Of Hepatobiliary System Or Pancreas W Mcc 54,405 436 Malignancy Of Hepatobiliary System Or Pancreas W Cc 36,445 438 Disorders Of Pancreas Except Malignancy W Mcc 30,607 439 Disorders Of Pancreas Except Malignancy W Cc 14,541 440 Disorders Of Pancreas Except Malignancy W/O Cc/Mcc 11,514 441 Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc 12,216 442 Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc 16,337 443 Disorders Of Liver Except Malig,Cirr,Alc Hepa W/O Cc/Mcc 11,557 444 Disorders Of The Biliary Tract W Mcc 55,448 445 Disorders Of The Biliary Tract W Cc 14,133 446 Disorders Of The Biliary Tract W/O Cc/Mcc 14,258 458 Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or Ext Fus W/O Cc/Mcc 61,273 460 Spinal Fusion Except Cervical W/O Mcc 62,436 464 Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc 42,040 467 Revision Of Hip Or Knee Replacement W Cc 46,049 468 Revision Of Hip Or Knee Replacement W/O Cc/Mcc 92,420 469 Major Hip And Knee Joint Replacement Or Reattach. Of Lower Extremity W Mcc Or Tot. Ankle Replacement 50,312 470 Major Hip And Knee Joint Replacement Or Reattach. Of Lower Extremity W/O Mcc 36,434 473 Cervical Spinal Fusion W/O Cc/Mcc 29,379 475 Amputation For Musculoskeletal Sys & Conn Tissue Dis W Cc 35,582 478 Biopsies Of Musculoskeletal System & Connective Tissue W Cc 27,988 480 Hip & Femur Procedures Except Major Joint W Mcc 46,377 481 Hip & Femur Procedures Except Major Joint W Cc 31,617 482 Hip & Femur Procedures Except Major Joint W/O Cc/Mcc 29,632 483 Major Joint/Limb Reattachment Procedure Of Upper Extremities 31,366 487 Knee Procedures W Pdx Of Infection W/O Cc/Mcc 24,462 488 Knee Procedures W/O Pdx Of Infection W Cc/Mcc 25,752 492 Lower Extrem & Humer Proc Except Hip,Foot,Femur W Mcc 54,967 493 Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc 47,999 494 Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc 27,323 500 Soft Tissue Procedures W Mcc 75,040 501 Soft Tissue Procedures W Cc 23,070
502 Soft Tissue Procedures W/O Cc/Mcc 17,999 504 Foot Procedures W Cc 30,101 505 Foot Procedures W/O Cc/Mcc 27,739 511 Shoulder,Elbow Or Forearm Proc,Exc Major Joint Proc W Cc 40,717 512 Shoulder,Elbow Or Forearm Proc,Exc Major Joint Proc W/O Cc/Mcc 22,546 515 Other Musculoskelet Sys & Conn Tiss O.R. Proc W Mcc 35,566 516 Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc 55,746 535 Fractures Of Hip & Pelvis W Mcc 20,510 536 Fractures Of Hip & Pelvis W/O Mcc 13,745 539 Osteomyelitis W Mcc 25,492 540 Osteomyelitis W Cc 17,691 543 Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc 14,097 546 Connective Tissue Disorders W Cc 18,781 547 Connective Tissue Disorders W/O Cc/Mcc 8,937 551 Medical Back Problems W Mcc 58,345 552 Medical Back Problems W/O Mcc 10,327 553 Bone Diseases & Arthropathies W Mcc 15,695 554 Bone Diseases & Arthropathies W/O Mcc 16,469 555 Signs & Symptoms Of Musculoskeletal System & Conn Tissue W Mcc 18,222 556 Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc 11,898 557 Tendonitis, Myositis & Bursitis W Mcc 22,693 558 Tendonitis, Myositis & Bursitis W/O Mcc 17,907 561 Aftercare, Musculoskeletal System & Connective Tissue W/O Cc/Mcc 7,043 562 Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W Mcc 22,245 563 Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc 12,797 565 Other Musculoskeletal Sys & Connective Tissue Diagnoses W Cc 12,019 570 Skin Debridement W Mcc 20,824 571 Skin Debridement W Cc 20,007 579 Other Skin, Subcut Tiss & Breast Proc W Mcc 28,661 580 Other Skin, Subcut Tiss & Breast Proc W Cc 18,328 581 Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc 16,013 595 Major Skin Disorders W Mcc 19,607 596 Major Skin Disorders W/O Mcc 17,980 598 Malignant Breast Disorders W Cc 13,057 601 Non-Malignant Breast Disorders W/O Cc/Mcc 10,356 602 Cellulitis W Mcc 19,359 603 Cellulitis W/O Mcc 11,355 605 Trauma To The Skin, Subcut Tiss & Breast W/O Mcc 14,390 617 Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc 45,599 629 Other Endocrine, Nutrit & Metab O.R. Proc W Cc 43,742 637 Diabetes W Mcc 16,178 638 Diabetes W Cc 13,117 639 Diabetes W/O Cc/Mcc 9,318 640 Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc 20,600 641 Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc 10,818 642 Inborn And Other Disorders Of Metabolism 12,688 643 Endocrine Disorders W Mcc 16,358 644 Endocrine Disorders W Cc 15,035 645 Endocrine Disorders W/O Cc/Mcc 11,329 657 Kidney & Ureter Procedures For Neoplasm W Cc 40,929 658 Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc 21,882 668 Transurethral Procedures W Mcc 30,872 669 Transurethral Procedures W Cc 28,161 670 Transurethral Procedures W/O Cc/Mcc 14,749 674 Other Kidney & Urinary Tract Procedures W Cc 23,564 682 Renal Failure W Mcc 16,896 683 Renal Failure W Cc 12,035 684 Renal Failure W/O Cc/Mcc 12,341 687 Kidney & Urinary Tract Neoplasms W Cc 13,762 689 Kidney & Urinary Tract Infections W Mcc 12,899 690 Kidney & Urinary Tract Infections W/O Mcc 10,754
692 Urinary Stones W Esw Lithotripsy W/O Cc/Mcc 18,482 694 Urinary Stones W/O Esw Lithotripsy W/O Mcc 17,664 695 Kidney & Urinary Tract Signs & Symptoms W Mcc 5,573 696 Kidney & Urinary Tract Signs & Symptoms W/O Mcc 10,721 698 Other Kidney & Urinary Tract Diagnoses W Mcc 20,998 699 Other Kidney & Urinary Tract Diagnoses W Cc 16,470 700 Other Kidney & Urinary Tract Diagnoses W/O Cc/Mcc 5,814 707 Major Male Pelvic Procedures W Cc/Mcc 30,997 708 Major Male Pelvic Procedures W/O Cc/Mcc 23,373 713 Transurethral Prostatectomy W Cc/Mcc 32,841 717 Other Male Reproductive System O.R. Proc Exc Malignancy W Cc/Mcc 62,858 718 Other Male Reproductive System O.R. Proc Exc Malignancy W/O Cc/Mcc 11,152 726 Benign Prostatic Hypertrophy W/O Mcc 5,107 728 Inflammation Of The Male Reproductive System W/O Mcc 14,239 742 Uterine & Adnexa Proc For Non-Malignancy W Cc/Mcc 22,658 749 Other Female Reproductive System O.R. Procedures W Cc/Mcc 37,575 754 Malignancy, Female Reproductive System W Mcc 38,274 757 Infections, Female Reproductive System W Mcc 9,514 759 Infections, Female Reproductive System W/O Cc/Mcc 13,469 765 Cesarean Section W Cc/Mcc 13,321 766 Cesarean Section W/O Cc/Mcc 11,354 767 Vaginal Delivery W Sterilization &/Or D&C 13,223 769 Postpartum & Post Abortion Diagnoses W O.R. Procedure 17,178 770 Abortion W D&C, Aspiration Curettage Or Hysterotomy 11,238 774 Vaginal Delivery W Complicating Diagnoses 9,266 775 Vaginal Delivery W/O Complicating Diagnoses 7,986 776 Postpartum & Post Abortion Diagnoses W/O O.R. Procedure 8,575 777 Ectopic Pregnancy 33,461 778 Threatened Abortion 7,837 779 Abortion W/O D&C 7,036 781 Other Antepartum Diagnoses W Medical Complications 10,840 782 Other Antepartum Diagnoses W/O Medical Complications 414 789 Neonates, Died Or Transferred To Another Acute Care Facility 2,474 790 Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15,864 791 Prematurity W Major Problems 3,529 792 Prematurity W/O Major Problems 2,442 793 Full Term Neonate W Major Problems 3,995 794 Neonate W Other Significant Problems 2,110 795 Normal Newborn 1,715 808 Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Mcc 22,116 809 Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc 14,598 810 Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W/O Cc/Mcc 14,897 811 Red Blood Cell Disorders W Mcc 26,081 812 Red Blood Cell Disorders W/O Mcc 13,256 813 Coagulation Disorders 17,288 815 Reticuloendothelial & Immunity Disorders W Cc 18,498 816 Reticuloendothelial & Immunity Disorders W/O Cc/Mcc 7,831 835 Acute Leukemia W/O Major O.R. Procedure W Cc 21,687 840 Lymphoma & Non-Acute Leukemia W Mcc 12,236 841 Lymphoma & Non-Acute Leukemia W Cc 95,815 853 Infectious & Parasitic Diseases W O.R. Procedure W Mcc 59,902 854 Infectious & Parasitic Diseases W O.R. Procedure W Cc 32,890 856 Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc 33,110 857 Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc 18,344 862 Postoperative & Post-Traumatic Infections W Mcc 14,616 864 Fever And Inflammatory Conditions 10,745 865 Viral Illness W Mcc 14,954 866 Viral Illness W/O Mcc 11,380 870 Septicemia Or Severe Sepsis W Mv >96 Hours Or Peripheral Extracorporeal Membrane Oxygenation (Ecmo) 91,609 871 Septicemia Or Severe Sepsis W/O Mv >96 Hours W Mcc 24,359 872 Septicemia Or Severe Sepsis W/O Mv >96 Hours W/O Mcc 14,931
880 Acute Adjustment Reaction & Psychosocial Dysfunction 10,336 884 Organic Disturbances & Intellectual Disability 7,086 894 Alcohol/Drug Abuse Or Dependence, Left Ama 11,018 896 Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc 19,604 897 Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc 10,542 902 Wound Debridements For Injuries W Cc 15,656 907 Other O.R. Procedures For Injuries W Mcc 54,086 908 Other O.R. Procedures For Injuries W Cc 26,632 909 Other O.R. Procedures For Injuries W/O Cc/Mcc 21,507 914 Traumatic Injury W/O Mcc 12,060 916 Allergic Reactions W/O Mcc 11,294 917 Poisoning & Toxic Effects Of Drugs W Mcc 20,650 918 Poisoning & Toxic Effects Of Drugs W/O Mcc 8,701 920 Complications Of Treatment W Cc 15,988 939 O.R. Proc W Diagnoses Of Other Contact W Health Services W Mcc 120,078 940 O.R. Proc W Diagnoses Of Other Contact W Health Services W Cc 41,685 948 Signs & Symptoms W/O Mcc 9,844 949 Aftercare W Cc/Mcc 5,792 951 Other Factors Influencing Health Status 1,320 963 Other Multiple Significant Trauma W Mcc 14,577 964 Other Multiple Significant Trauma W Cc 13,115 974 Hiv W Major Related Condition W Mcc 18,620 975 Hiv W Major Related Condition W Cc 10,395 976 Hiv W Major Related Condition W/O Cc/Mcc 11,643 981 Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc 27,395 982 Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc 35,457 987 Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Mcc 22,745 988 Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Cc 31,965 989 Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W/O Cc/Mcc 14,926