Table B HFS Diagnosis Related Groups (DRG) Reimbursement ... · Table B HFS Diagnosis Related Groups (DRG) Reimbursement Factors Effective for Admissions On and After January 1, 1995

Table B HFS Diagnosis Related Groups (DRG) Reimbursement Factors

Effective for Admissions On and After January 1, 1995

DRG DRGNUMB

MDC Weight GLOS OCT Description

001 1 01S 2.6052 9.1 31 Craniotomy, > 17, Except for Trauma 002 2 01S 3.054 11.1 33 Craniotomy for Trauma, >17 003 3 01S 1.3338 6.4 28 Craniotomy, 0-17 004 4 01S 2.2251 7.9 30 Spinal Procedures 005 5 01S 1.451 4.7 22 Extracranial Vascular Procedures 006 6 01S 0.5519 2.1 13 Carpal Tunnel Release 007 7 01S 1.4658 6.8 29 Peripheral and Cranial Nerve and Other Nervous

System Operating Room Proced 008 8 01S 0.7446 2.7 18 Peripheral and Cranial Nerve and Other Nervous

System Operating Room Proced 009 9 01M 1.0474 5.8 28 Spinal Disorders and Injuries 010 10 01M 0.8855 5.4 25 Nervous System Neoplasms, W/ Complications 011 11 01M 0.6202 3.5 19 Nervous System Neoplasms, W/O Complications 012 12 01M 0.6218 4.7 20 Degenerative Nervous System Disorders 013 13 01M 0.5967 5 18 Multiple Sclerosis and Cerebellar Ataxia 014 14 01M 1.041 6.4 24 Specific Cerebrovascular disorders, Except

Transient Ischemic Attack 015 15 01M 0.6016 3.8 13 Transient Ischemic Attack

Occlusions and Precerebral

016 16 01M 0.8817 5.6 21 Nonspecific Cerebrovascular Disorders, Complications

W/

017 17 01M 0.5471 3.5 21 Nonspecific Cerebrovascular Disorders, Complications

W/O

018 18 01M 0.6501 4.5 16 Cranial and Peripheral Nerve Disorders, Complications

W/

019 19 01M 0.5437 3.9 15 Cranial and Peripheral Nerve Disorders, Complications

W/O

020 20 01M 1.4154 6.4 25 Nervous System Infection, Except Viral Meningitis 021 21 01M 0.6829 3.5 11 Viral Meningitis 022 22 01M 0.712 4.4 22 Hypertensive Encephalopathy 023 23 01M 0.5575 3.2 19 Nontraumatic Stupor and Coma 024 24 01M 0.6649 3.8 16 Seizure and Headache, > 17, W/ Complications 025 25 01M 0.4202 2.8 10 Seizure and Headache,

and Comorbidit > 17, W/O Complications

026 26 01M 0.4484 2.3 8 Seizure and Headache, 0-17 027 27 01M 0.9013 3 22 Traumatic Stupor and Coma, More than One Hour 028 28 01M 0.655 3.4 20 Traumatic Stupor

> 17, W/ Complicand Coma, less than One Hour,

ations 029 29 01M 0.4049 2.4 11 Traumatic Stupor and Coma, less than One Hour,

> 17, W/O Complications 030 30 01M 0.321 2 9 Traumatic Stupor

One Hour, 0-17 and Coma, Comatose less than

031 31 01M 0.3653 2.2 8 Concussion, > 17, W/ Complications 032 32 01M 0.2905 1.8 7 Concussion, > 17, W/O Complications

1

DRG DRG NUMB


033 33 01M 0.1949 1.4 4 Concussion, 0-17

034 34 01M 0.7495 4.2 21 Other Disorders of Nervous System, W/ Complications

035 35 01M 0.3648 2.5 11 Other Disorders of Nervous System, W/O Complications

036 36 02S 0.6258 1.8 15 Retinal Procedures 037 37 02S 0.7585 2.8 19 Orbital Procedures 038 38 02S 0.3487 1.5 8 Primary Iris Procedures 039 39 02S 0.4401 1.6 7 Lens Procedures, W/ Or W/O Vitrectomy

040 40 02S 0.5434 2.3 17 Extraocular Procedures, Except Orbit, > 17

041 41 02S 0.3317 1.7 7 Extraocular Procedures, Except Orbit, 0-17 042 42 02S 0.6408 2.2 8 Intraocular Procedures, Except Retina, Iris and

Lens 043 43 02M 0.296 3 14 Hyphema 044 44 02M 0.3272 3.2 10 Acute Major Eye Infections 045 45 02M 0.5408 3.5 18 Neurological Eye Disorders 046 46 02M 0.553 3.7 16 Other Disorders of the Eye, > 17, W/ Complications 047 47 02M 0.3582 2.8 18 Other Disorders of the Eye, > 17, W/O

Complications 048 48 02M 0.3142 2.5 7 Other Disorders of the Eye, 0-17 049 49 03S 1.4894 4.9 22 Major Head and Neck Procedures 050 50 03S 0.6045 1.8 8 Sialoadenectomy 051 51 03S 0.5954 1.8 14 Salivary Gland Procedures, Except

Sialoadenectomy 052 52 03S 0.7449 2.1 13 Cleft Lip and Palate Repair

053 53 03S 0.7357 2.1 20 Sinus and Mastoid Procedures, > 17 054 54 03S 0.6248 3 18 Sinus and Mastoid Procedures, 0-17 055 55 03S 0.6245 2 14 Miscellaneous Ear, Nose, Mouth and Throat

Procedures 056 56 03S 0.669 2.3 16 Rhinoplasty

057 57 03S 0.8076 3.1 18 Tonsil and Adenoid Procedure, Except Tonsillectomy, or Adenoidectomy Age >1

058 58 03S 0.3559 1.9 6 Tonsil and Adenoid Procedure, Except Tonsillectomy, or Adenoidectomy Age 0-

059 59 03S 0.4007 1.8 9 Tonsillectomy or Adenoidectomy Only, > 17 060 60 03S 0.2372 1.5 5 Tonsillectomy or Adenoidectomy Only, 0-17

061 61 03S 0.8723 3.2 25 Myringotomy W/ Tube Insertion, > 17 062 62 03S 0.3447 1.6 7 Myringotomy W/ Tube Insertion, 0-17

063 63 03S 0.9901 3.5 13 Other Ear, Nose, Mouth and Throat Operating Room Procedures

064 64 03M 0.9346 4.7 22 Ear, Nose, Mouth and Throat Malignancy

2

DRG DRG NUMB


065 65 03M 0.4265 2.9 10 Dysequilibrium 066 66 03M 0.4562 3.2 10 Epistaxis 067 67 03M 0.6529 3.4 19 Epiglottitis 068 68 03M 0.4355 3.1 10 Otitis Media and Upper Respiratory Infection, > 17,

W/ Complications 069 69 03M 0.3065 2.4 7 Otitis Media and Upper Respiratory Infection, > 17,

W/O Complications 070 70 03M 0.3233 2.3 7 Otitis Media and Upper Respiratory Infection, 0-17 071 71 03M 0.3076 1.9 6 Laryngotracheitis 072 72 03M 0.4326 2.5 17 Nasal Trauma and Deformity 073 73 03M 0.5013 3.1 11 Other Ear, Nose, Mouth and Throat Diagnoses, >

17 074 74 03M 0.3257 2.2 13 Other Ear, Nose, Mouth and Throat Diagnoses, 0-

17 075 75 04S 2.7675 10.3 32 Major Chest Procedures 076 76 04S 2.1439 9.8 32 Other Respiratory System Operating Room

Procedures, W/ Complications 077 77 04S 1.0759 4.6 25 Other Respiratory System Operating Room

Procedures, W/O Complications 078 78 04M 1.1263 7.1 21 Pulmonary Embolism 79 79 04M 1.494 8.4 30 Respiratory Infections and Inflammations, > 17 W/

Complications 080 80 04M 0.8198 6 19 Respiratory Infections and Inflammations, > 17

W/O Complications 081 81 04M 1.0939 5 21 Respiratory Infections and Inflammations, 0-17 082 82 04M 1.1342 6.2 26 Respiratory Neoplasms 083 83 04M 0.7468 4.9 21 Major Chest Trauma, W/ Complications 084 84 04M 0.435 2.8 17 Major Chest Trauma, W/O Complications 085 85 04M 0.9017 5.4 21 Pleural Effusion, W/ Complications 086 86 04M 0.588 4.1 19 Pleural Effusion, W/O Complications 087 87 04M 1.0532 5 24 Pulmonary Edema and Respiratory Failure 088 88 04M 0.6878 4.4 16 Chronic Obstructive Pulmonary Disease 089 89 04M 0.8338 5.5 18 Simple Pneumonia and Pleurisy, > 17, W/

Complications 090 90 04M 0.4676 3.8 11 Simple Pneumonia and Pleurisy, > 17, W/O

Complications 091 91 04M 0.4854 3.1 9 Simple Pneumonia and Pleurisy, 0-17 092 92 04M 0.822 5 18 Interstitial Lung Disease, W/ Complications 093 93 04M 0.5885 3.9 18 Interstitial Lung Disease, W/O Complications 094 94 04M 0.8989 5.4 21 Pneumothorax, W/ Complications 095 95 04M 0.4528 3.3 11 Pneumothorax, W/O Complications 096 96 04M 0.4974 3.5 12 Bronchitis and Asthma, >17, W/ Complications 097 97 04M 0.338 2.6 8 Bronchitis and Asthma, >17, W/O Complications 098 98 04M 0.3911 2.6 8 Bronchitis and Asthma, 0-17 099 99 04M 0.5156 2.7 11 Respiratory Signs and Symptoms, W/

Complications 100 100 04M 0.4206 2.2 11 Respiratory Signs and Symptoms, W/O

Complications 101 101 04M 0.6171 3.6 16 Other Respiratory System Diagnoses, W/

Complications

3

DRG DRG NUMB


102 102 04M 0.3409 2.2 8 Other Respiratory System Diagnoses, W/O Complications

103 103 05S 0 0 0 Heart Transplant (Not Valid) 104 104 05S 6.9288 15.9 38 Cardiac Valve Procedures, W/ Cardiac

Catheterization 105 105 05S 4.6093 10.1 32 Cardiac Valve Procedures, W/O Cardiac

Catheterization 106 106 05S 4.813 11.8 31 Coronary Bypass, W/ Cardiac Catheterization

107 107 05S 3.576 9.1 24 Coronary Bypass, W/O Cardiac Catheterization

108 108 05S 3.9654 8.5 31 Other Cardiothoracic Procedures 109 109 0 0 0 Not Valid

110 110 05S 3.513 9 31 Major Cardiovascular Procedures, W/ Complications

111 111 05S 1.7271 5.6 22 Major Cardiovascular Procedures, W/O Complications

112 112 05S 1.8197 4.1 15 Percutaneous Cardiovascular Procedures 113 113 05S 2.684 14.1 36 Amputation for Circulatory System Disorders,

Except Upper Limb and Toe 114 114 05S 1.5091 8.9 31 Upper Limb and Toe Amputation For Circulatory

System Disorders 115 115 05S 3.1289 11.1 33 Permanent Cardiac Pacemaker Implant, W/ Acute

Myocardial Infarction, Heart Failure 116 116 05S 2.5885 5.7 20 Permanent Cardiac Pacemaker Implant, W/O

Acute Myocardial Infarction, Heart Failure 117 117 05S 1.0162 3.8 24 Cardiac Pacemaker Revision, Except Device

Replacement 118 118 05S 1.3567 2.6 20 Cardiac Pacemaker Device Replacement 119 119 05S 0.7219 2.8 20 Vein Ligation and Stripping 120 120 05S 1.9519 7.2 29 Other Circulatory System Operating Room

Procedures 121 121 05M 1.2954 6.5 21 Circulatory Disorders, W/ Acute Myocardial

Infarction And Cardiovascular Complications 122 122 05M 0.9029 4.5 15 Circulatory Disorders, W/ Acute Myocardial

Infarction, W/O Cardiovascular Complications 123 123 05M 1.1581 2.7 19 Circulatory Disorders, W/ Acute Myocardial

Infarction, Expired 124 124 05M 1.2332 4.7 18 Circulatory Disorders, Except Acute Myocardial

Infarction, W/ Cardiac CATHW 125 125 05M 0.8278 2.7 11 Circulatory Disorders, Except Acute Myocardial

Infarction, W/ Cardiac CATHW 126 126 05M 2.6782 15.2 37 Acute and Subacute Endocarditis 127 127 05M 0.8104 5 17 Heart Failure and Shock 128 128 05M 0.5895 5.8 17 Deep Vein Thrombophlebitis 129 129 05M 0.9846 2.1 21 Cardiac Arrest, Unexplained 130 130 05M 0.799 5.8 19 Peripheral Vascular Disorders, W/ Complications 131 131 05M 0.4899 4.3 14 Peripheral Vascular Disorders, W/O Complications

4

DRG DRG NUMB


132 132 05M 0.6353 3.6 12 Atherosclerosis, W/ Complications 133 133 05M 0.5001 2.9 9 Atherosclerosis, W/O Complications 134 134 05M 0.5016 3.5 12 Hypertension 135 135 05M 0.6546 3.8 18 Cardiac Congenital and Valvular Disorders, > 17,

W/ Complications 136 136 05M 0.4204 2.5 15 Cardiac Congenital and Valvular Disorders, > 17,

W/O Complications 137 137 05M 0.4513 2.6 18 Cardiac Congenital and Valvular Disorders, 0-17 138 138 05M 0.6223 3.5 14 Cardiac Arrhythmia and Conduction Disorders, W/

Complications 139 139 05M 0.43 2.6 9 Cardiac Arrhythmia and Conduction Disorders,

W/O Complications 140 140 05M 0.5278 3.1 10 Angina Pectoris 141 141 05M 0.5175 3.3 12 Syncope and Collapse, W/ Complications 142 142 05M 0.3883 2.5 8 Syncope and Collapse, W/O Complications 143 143 05M 0.4501 2.4 8 Chest Pain 144 144 05M 0.9621 4.7 19 Other Circulatory System Diagnoses, W/

Complications 145 145 05M 0.5551 2.9 13 Other Circulatory System Diagnoses, W/O

Complications 146 146 06S 2.3016 11.1 33 Rectal Resection, W/ Complications 147 147 06S 1.3469 7.5 21 Rectal Resection, W/O Complications 148 148 06S 2.6673 11.6 34 Major Small and Large Bowel Procedures, W/

Complications 149 149 06S 1.0325 6 19 Major Small and Large Bowel Procedures, W/O

Complications 150 150 06S 1.8293 8.6 28 Peritoneal Adhesiolysis, W/ Complications 151 151 06S 0.879 4.7 15 Peritoneal Adhesiolysis, W/O Complications 152 152 06S 1.6646 8.9 29 Minor Small and Large Bowel Procedures, W/

Complications 153 153 06S 0.8738 5.4 18 Minor Small and Large Bowel Procedures, W/O

Complications 154 154 06S 3.3883 12.4 34 Stomach, Esophageal and Duodenal Procedures, >

17, W/ Complications 155 155 06S 1.2399 6.3 25 Stomach, Esophageal and Duodenal Procedures, >

17, W/O Complications 156 156 06S 0.5702 4.5 20 Stomach, Esophageal and Duodenal Procedures,

0-17 157 157 06S 0.9394 4.6 18 Anal and Stomal Procedures, W/ Complications 158 158 06S 0.5565 2.7 9 Anal and Stomal Procedures, W/O Complications 159 159 06S 0.9635 4.3 16 Hernia Procedures, Except Inguinal and Femoral,>

17, W/ Complications 160 160 06S 0.6182 2.7 8 Hernia Procedures, Except Inguinal and Femoral,

>17, W/O Complications 161 161 06S 0.8375 3.4 19 Inguinal and Femoral Hernia Procedures, > 17, W/

Complications 162 162 06S 0.4738 1.9 9 Inguinal and Femoral Hernia Procedures, > 17,

W/O Complications 163 163 06S 0.2599 1.6 11 Hernia Procedures, 0-17 164 164 06S 1.7989 8.4 25 Appendectomy, W/ Complicated Principal

Diagnosis,W/ Complications 165 165 06S 0.9512 5.2 14 Appendectomy, W/ Complicated Principal

Diagnosis, W/O Complications

5

DRG DRG NUMB


166 166 06S 0.9244 4.1 13 Appendectomy, W/O Complicated Principal Diagnosis, W/ Complications

167 167 06S 0.5751 2.7 7 Appendectomy, W/O Complicated Principal Diagnosis, W/O Complications

168 168 06S 1.1207 4.1 24 Mouth Procedures, W/ Complications 169 169 06S 0.5354 2.1 11 Mouth Procedures, W/O Complications 170 170 06S 2.3969 9.7 32 Other Digestive System Operating Room

Procedures, W/ Complications 171 171 06S 0.8616 4 18 Other Digestive System O.R. Procedures W/O

Complications 172 172 06M 1.1658 6.7 28 Digestive Malignancy, W/ Complications 173 173 06M 0.5452 3.4 21 Digestive Malignancy, W/O Complications 174 174 06M 0.7605 4.4 16 Gastrointestinal Hemorrhage, W/ Complications 175 175 06M 0.3959 2.8 9 Gastrointestinal Hemorrhage, W/O Complications 176 176 06M 0.7887 4.6 17 Complicated Peptic Ulcer 177 177 06M 0.5928 3.8 12 Uncomplicated Peptic Ulcer, W/ Complications 178 178 06M 0.475 3.1 10 Uncomplicated Peptic Ulcer, W/O Complications 179 179 06M 0.7276 4.8 17 Inflammatory Bowel Disease 180 180 06M 0.7192 4.7 18 Gastrointestinal Obstruction, W/ Complications 181 181 06M 0.3567 2.8 9 Gastrointestinal Obstruction, W/O Complications 182 182 06M 0.5291 3.4 12 Esophagitis, Gastroenteritis and Miscellaneous

Digestive Disorders, > 17 W/ 183 183 06M 0.3611 2.4 8 Esophagitis, Gastroenteritis and Miscellaneous

Digestive Disorders, > 17 W/ 184 184 06M 0.2982 2.1 7 Esophagitis, Gastroenteritis and Miscellaneous

Digestive Disorders, 0-17 185 185 03M 0.4943 2.8 11 Dental and Oral Disorders, Except Extractions and

Restorations, > 17 186 186 03M 0.3343 2.6 8 Dental and Oral Disorders, Except Extractions and

Restorations, 0-17 187 187 03M 0.5529 2.8 17 Dental Extractions and Restorations 188 188 06M 0.8338 4.6 18 Other Digestive System Diagnoses, > 17, W/

Complications 189 189 06M 0.4053 2.5 9 Other Digestive System Diagnoses, > 17, W/O

Complications 190 190 06M 0.3285 1.8 9 Other Digestive System Diagnoses, 0-17 191 191 07S 3.5352 12.5 35 Pancreas, Liver and Shunt Procedures, W/

Complications 192 192 07S 1.5554 7 26 Pancreas, Liver and Shunt Procedures, W/O

Complications 193 193 07S 2.4235 11.4 33 Biliary Tract Procedures, W/ Complications, Except

Only Cholecyst W/ Or W/O 194 194 07S 1.442 6.5 23 Biliary Tract Procedures, W/O Complications,

Except Only Cholecyst W/ Or W/O Complications 195 195 07S 1.853 8.4 24 Total Cholecystectomy, W/ C.D.E., W/

Complications 196 196 07S 1.2641 6.3 22 Total Cholecystectomy, W/ C.D.E., W/O

Complications 197 197 07S 1.5648 7 21 Total Cholecystectomy, W/O C.D.E., W/

Complications, Except by Scope 198 198 07S 0.8069 3.9 10 Total Cholecystectomy, W/O C.D.E., W/O

Complications, Except by Scope

6

DRG DRG NUMB


199 199 07S 2.0551 10.3 32 Hepatobiliary Diagnostic Procedure for Malignancy

200 200 07S 2.1548 7 29 Hepatobiliary Diagnostic Procedure for Non-Malignancy

201 201 07S 2.6747 11.5 33 Other Hepatobiliary or Pancreas Operating Room Procedures

202 202 07M 1.0326 5.8 23 Cirrhosis and Alcoholic Hepatitis 203 203 07M 0.9927 5.8 24 Malignancy of Hepatobiliary System or Pancreas 204 204 07M 0.8341 4.8 17 Disorders of Pancreas, Except Malignancy 205 205 07M 0.9644 5.5 22 Disorders of Liver, Except Malignancy, Cirrhosis

and Alcoholic Hepatitis, W 206 206 07M 0.5256 3.3 12 Disorders of Liver, Except Malignancy, Cirrhosis

and Alcoholic Hepatitis, W 207 207 07M 0.7153 4 15 Disorders of the Biliary Tract, W/ Complications

208 208 07M 0.3569 2.1 7 Disorders of the Biliary Tract, W/O Complications

209 209 08S 2.0438 7.8 19 Major Joint and Limb Reattachment Procedures-Lower Extremity

210 210 08S 1.747 9.8 30 Hip and Femur Procedures, Except Major Joint, > 17, W/ Complications

211 211 08S 0.9856 6.1 20 Hip and Femur Procedures, Except Major Joint, > 17, W/O Complications

212 212 08S 0.9887 4.5 24 Hip and Femur Procedures, Except Major Joint, 0-17

213 213 08S 1.9031 10.4 32 Amputation for Musculoskeletal System and Connective Tissue Disorders

214 214 08S 1.7522 6.8 27 Back and Neck Procedures, W/ Complications 215 215 08S 0.8332 3.4 12 Back and Neck Procedures, W/O Complications 216 216 08S 1.8226 9.3 31 Biopsies of Musculoskeletal System and

Connective Tissue 217 217 08S 1.5758 7.4 29 Wound Debridement and Skin Graft, Except Hand,

for Musculoskeletal & Conn. Tissue Disorders 218 218 08S 1.1357 5.3 19 Lower Extremity and Humerus Procedures, Except

Hip, Foot and Femur, > 17, W 219 219 08S 0.7067 3.2 10 Lower Extremity and Humerus Procedures, Except

Hip, Foot And Femur, > 17, W 220 220 08S 0.3954 2.5 12 Lower Extremity and Humerus Procedures, Except

Hip, Foot And Femur, 0-17 221 221 08S 1.4547 6.3 28 Knee Procedures, W/ Complications 222 222 08S 0.7353 3 11 Knee Procedures, W/O Complications 223 223 08S 0.8527 3 15 Major Shoulder/Elbow Procedures, or Other Upper

Extremity Procedures, W/ Co 224 224 08S 0.6036 2.2 7 Shoulder, Elbow or Forearm Procedures, Except

Major Joint Procedures, W/O C 225 225 08S 0.6653 2.8 14 Foot Procedures 226 226 08S 0.8156 3.5 17 Soft Tissue Procedures, W/ Complications 227 227 08S 0.5586 2.2 8 Soft Tissue Procedures, W/O Complications

7

DRG DRG NUMB


228 228 08S 0.8117 2.5 21 Major Thumb or Joint Procedures, or Other Hand or Wrist Procedures, W/ Complications

229 229 08S 0.574 2.1 8 Hand Or Wrist Procedures, Except Major Joint Procedures, W/O Complications

230 230 08S 0.8645 3.8 26 Local Excision and Removal of Int Fix Devices Of Hip And Femur

231 231 08S 0.9537 3.4 19 Local Excision and Removal of Int Fix Devices, Except Hip And Femur

232 232 08S 1.0065 4 26 Arthroscopy 233 233 08S 1.3673 6.1 27 Other Musculoskeletal System and Connect Tissue

O.R. Procedures, W/ Complications 234 234 08S 0.6874 2.9 11 Other Musculoskeletal System and Connect Tissue

O.R. Procedures, W/O Complications 235 235 08M 0.8489 6.2 28 Fractures of Femur 236 236 08M 0.5537 4.5 21 Fractures of Hip And Pelvis 237 237 08M 0.4428 3.4 19 Sprains, Strains, and Dislocations of Hip, Pelvis

and Thigh 238 238 08M 1.1721 8.2 30 Osteomyelitis 239 239 08M 0.9001 6.8 28 Pathological Fractures And Musculoskeletal and

Connective Tissue Malignancy 240 240 08M 0.8896 5.5 24 Connective Tissue Disorders, W/ Complications 241 241 08M 0.4299 3.3 12 Connective Tissue Disorders, W/O Complications 242 242 08M 0.7257 5.1 20 Septic Arthritis 243 243 08M 0.5062 4 14 Medical Back Problems 244 244 08M 0.5743 4.4 14 Bone Diseases and Specific Arthropathies, W/

Complications 245 245 08M 0.4129 3.3 17 Bone Diseases and Specific Arthropathies, W/O

Complications 246 246 08M 0.4944 3.8 19 Non-Specific Arthropathies 247 247 08M 0.3649 2.5 9 Signs and Symptoms of Musculoskeletal System

and Connective Tissues 248 248 08M 0.4366 3.1 11 Tendonitis, Myositis and Bursitis 249 249 08M 0.5481 3.3 21 Aftercare, Musculoskeletal System and Connective

Tissues 250 250 08M 0.5313 3.6 19 Fx., Sprain, Strain and Dislocation of Forearm,

Hand and Foot, > 17, W/ Com 251 251 08M 0.3534 2.3 14 Fx., Sprain, Strain and Dislocation of Forearm,

Hand and Foot, > 17, W/O Co 252 252 08M 0.2643 1.5 5 Fx., Sprain, Strain and Dislocation of Forearm,

Hand and Foot, 0-17 253 253 08M 0.4908 3.7 16 Fx., Sprain, Strain and Dislocation of Upper Arm

and Lower Leg, Ex Foot, >1 254 254 08M 0.3059 2.6 10 Fx., Sprain, Strain and Dislocation of Upper Arm

and Lower Leg, Ex Foot, >1 255 255 08M 0.2756 1.9 8 Fx., Sprain, Strain and Dislocation of Upper Arm

and Lower Leg, Ex Foot, 0- 256 256 08M 0.3932 2.4 11 Other Musculoskeletal System and Connective

Tissue Diagnoses 257 257 09S 0.8799 4 15 Total Mastectomy for Malignancy, W/

Complications

8

DRG DRG NUMB


258 258 09S 0.6762 3 8 Total Mastectomy for Malignancy, W/O Complications

259 259 09S 0.7992 3.1 21 Subtotal Mastectomy for Malignancy, W/ Complications

260 260 09S 0.4951 1.8 7 Subtotal Mastectomy for Malignancy, W/O Complications

261 261 09S 0.6633 2 9 Breast Procedures for Non-Malignancy, Except Biopsy and Local Excision

262 262 09S 0.5652 2.6 17 Breast Biopsy and Local Excision for Non-Malignancy

263 263 09S 1.7217 10.5 33 Skin Graft or Debridement for Skin Ulcer or Cellulitis, W/ Complications

264 264 09S 0.8009 5.6 27 Skin Graft or Debridement for Skin Ulcer or Cellulitis, W/O Complications

265 265 09S 0.9674 4.3 21 Skin Graft or Debridement, Except for Skin Ulcer Or Cellulitis, W/ Complications

266 266 09S 0.5965 2.7 12 Skin Graft or Debridement, Except for Skin Ulcer or Cellulitis, W/O Complications

267 267 09S 0.5922 2.5 17 Perianal and Pilonidal Procedures 268 268 09S 0.8003 2.8 20 Skin, Subcutaneous Tissue and Breast Plastic

Procedures 269 269 09 1.2019 6 26 Other Skin, Subcutaneous Tissue and Breast

Procedures, W/ Complications 270 270 09 0.7136 3.1 13 Other Skin, Subcutaneous Tissue and Breast

Procedures, W/O Complications 271 271 09M 0.7797 6 24 Skin Ulcers 272 272 09M 0.7656 5.5 23 Major Skin Disorders, W/Complications 273 273 09M 0.4679 3.9 19 Major Skin Disorders, W/O Complications 274 274 09M 0.9078 5.5 24 Malignant Breast Disorders, W/ Complications 275 275 09M 0.4468 2.4 16 Malignant Breast Disorders, W/O Complications 276 276 09M 0.4876 3.6 18 Non-Malignant Breast Disorders 277 277 09M 0.6429 5.2 18 Cellulitis, > 17, W/ Complications 278 278 09M 0.3926 3.7 12 Cellulitis, > 17, W/O Complications 279 279 09M 0.4893 3.1 9 Cellulitis, 0-17 280 280 09M 0.2929 2.1 9 Trauma to the Skin, Subcutaneous Tissue and

Breast, > 17, W/ Complications 281 281 09M 0.2217 1.7 7 Trauma to the Skin, Subcutaneous Tissue and

Breast, > 17, W/O Complications 282 282 09M 0.24 1.7 6 Trauma to the Skin, Subcutaneous Tissue and

Breast, 0-17 283 283 09M 0.4802 3.7 14 Minor Skin Disorders, W/Complications 284 284 09M 0.2635 2.3 8 Minor Skin Disorders, W/O Complications 285 285 10S 2.2526 12.9 35 Amputation of Lower Limb for Endocrine,

Nutritional and Metabolic Disorders 286 286 10S 2.0214 7.8 28 Adrenal and Pituitary Procedures 287 287 10S 1.5905 9.9 32 Skin Grafts and Wound Debridement for Endocrine,

Nutritional and Metab. Dis 288 288 10S 1.6284 5.7 21 Operating Room Procedures for Obesity 289 289 10S 0.9446 3.4 22 Parathyroid Procedures

9

DRG DRG NUMB


290 290 10S 0.6618 2.3 7 Thyroid Procedures 291 291 10S 0.4442 1.9 9 Thyroglossal Procedures 292 292 10S 2.2751 9.8 32 Other Endocrine, Nutritional and Metabolic O.R.

Procedures, W/ Complication 293 293 10S 1.0103 4.8 25 Other Endocrine, Nutritional and Metabolic O.R.

Procedures, W/O Complications 294 294 10M 0.5623 4.5 15 Diabetes, Over 35 Years of Age 295 295 10M 0.5476 3.3 11 Diabetes, 35 Years of Age and Under 296 296 10M 0.6512 4.4 18 Nutritional and Misc. Metabolic Disorders, > 17, W/

Complications 297 297 10M 0.362 2.9 11 Nutritional and Misc. Metabolic Disorders, > 17,

W/O Complications 298 298 10M 0.4545 2.6 11 Nutritional and Miscellaneous Metabolic Disorders,

0-17 299 299 10M 0.6411 3.9 19 Inborn Errors of Metabolism 300 300 10M 0.7893 5.2 20 Endocrine Disorders, W/ Complications 301 301 10M 0.4521 3.2 11 Endocrine Disorders, W/O Complications 302 302 11S 3.2752 11.4 33 Kidney Transplant 303 303 11S 2.2295 9.6 31 Kidney, Ureter and Major Bladder Procedures for

Neoplasm 304 304 11S 1.7965 7.7 29 Kidney, Ureter and Major Bladder Procedures for

Non-Neoplasm, W/ Complications 305 305 11S 0.9676 4.4 14 Kidney, Ureter and Major Bladder Procedures for

Non-Neoplasm, W/O Complications 306 306 11S 1.1707 6 25 Prostatectomy, W/ Complications 307 307 11S 0.5763 4.1 15 Prostatectomy, W/O Complications 308 308 11S 1.5743 6.8 28 Minor Bladder Procedures, W/ Complications 309 309 11S 0.8541 3.2 17 Minor Bladder Procedures, W/O Complications 310 310 11S 0.9342 4.1 16 Transurethral Procedures, W/ Complications 311 311 11S 0.6341 2.7 8 Transurethral Procedures, W/O Complications 312 312 11S 0.7364 4.5 24 Urethral Procedures, > 17, W/ Complications 313 313 11S 0.4157 2.9 14 Urethral Procedures, > 17, W/O Complications 314 314 11S 0.3921 4.3 17 Urethral Procedures, 0-17 315 315 11S 1.9759 6.7 29 Other Kidney and Urinary Tract Operating Room

Procedures 316 316 11M 1.0042 5.3 22 Renal Failure 317 317 11M 0.4483 3.3 19 Admit for Renal Dialysis 318 318 11M 0.9571 5.4 25 Kidney and Urinary Tract Neoplasms, W/

Complications 319 319 11M 0.4815 3.5 20 Kidney and Urinary Tract Neoplasms, W/O

Complications 320 320 11M 0.6834 4.9 17 Kidney and Urinary Tract Infections, > 17, W/

Complications 321 321 11M 0.3747 3.1 9 Kidney and Urinary Tract Infections, > 17, W/O

Complications 322 322 11M 0.3903 3.2 9 Kidney and Urinary Tract Infections, 0-17 323 323 11M 0.607 2.8 10 Urinary Stones, W/ Complications or

Extracorporeal Shock Wave Lithotripsy 324 324 11M 0.3371 1.9 7 Urinary Stones, W/O Complications 325 325 11M 0.5205 3.6 13 Kidney and Urinary Tract Signs and Symptoms, >

17, W/ Complications 326 326 11M 0.3435 2.4 14 Kidney and Urinary Tract Signs and Symptoms, >

17, W/O Complications

10

DRG DRG NUMB


327 327 11M 0.5071 2.5 17 Kidney and Urinary Tract Signs And Symptoms, 0-17

328 328 11M 0.5861 3.4 20 Urethral Stricture, > 17, W/ Complications 329 329 11M 0.3736 2.8 12 Urethral Stricture, > 17, W/O Complications 330 330 11M 0.2528 1.8 5 Urethral Stricture, 0-17 331 331 11M 0.8318 4.9 18 Other Kidney and Urinary Tract Diagnoses, > 17,

W/ Complications 332 332 11M 0.5578 3.3 12 Other Kidney and Urinary Tract Diagnoses, > 17,

W/O Complications 333 333 11M 0.6823 3.7 17 Other Kidney and Urinary Tract Diagnoses, 0-17

334 334 12S 1.4951 7 25 Major Male Pelvic Procedures, W/ Complications 335 335 12S 1.1708 5.3 16 Major Male Pelvic Procedures, W/O Complications 336 336 12S 0.8534 4.6 19 Transurethral Prostatectomy, W/ Complications 337 337 12S 0.6049 3.4 8 Transurethral Prostatectomy, W/O Complications 338 338 12S 0.8479 4 21 Testes Procedures, for Malignancy 339 339 12S 0.708 3 20 Testes Procedures, Non-Malignancy, > 17 340 340 12S 0.3113 1.9 8 Testes Procedures, Non-Malignancy, 0-17 341 341 12S 0.9792 3.2 18 Penis Procedures 342 342 12S 0.5824 2 15 Circumcision, > 17 343 343 12S 0.3435 1.6 5 Circumcision, 0-17 344 344 12S 0.8655 3.4 20 Other Male Reproductive System Operating Room

Procedures for Malignancy 345 345 12S 0.6548 4.8 20 Other Male Reproductive System Operating Room

Procedures, Except for Malign 346 346 12M 0.8357 5.5 23 Malignancy, Male Reproductive System, W/

Complications 347 347 12M 0.4265 2.3 16 Malignancy, Male Reproductive System, W/O

Complications 348 348 12M 0.5854 3.8 18 Benign Prostatic Hypertrophy, W/ Complications 349 349 12M 0.3565 2.6 15 Benign Prostatic Hypertrophy, W/O Complications 350 350 12M 0.4465 3.4 12 Inflammation of the Male Reproductive System 351 351 12M 0.3023 1.1 3 Sterilization, Male 352 352 12M 0.4345 2.8 17 Other Male Reproductive System Diagnoses 353 353 13S 1.581 7.7 25 Pelvic Evisceration, Radical Hysterectomy and

Radical Vulvectomy 354 354 13S 1.1057 5.4 22 Uterine, Adnexa Procedures for Non-

Ovarian/Adnexal Malignancy, W/ Complications 355 355 13S 0.5538 2.9 7 Uterine, Adnexa Procedures for Non-

Ovarian/Adnexal Malignancy, W/O Complications 356 356 13S 0.5846 3 7 Female Reproductive System Reconstructive

Procedures 357 357 13S 1.72 7.7 28 Uterine and Adnexa Procedures for Ovarian or

Adnexal Malignancy 358 358 13S 0.8573 4.2 12 Uterine and Adnexa Procedures for Non-

Malignancy, W/ Complications 359 359 13S 0.6159 3.1 7 Uterine and Adnexa Procedures for Non-

Malignancy, W/O Complications 360 360 13S 0.611 3 13 Vagina, Cervix and Vulva Procedures 361 361 13S 0.8067 2.6 9 Laparoscopy and Incisional Tubal Interruption 362 362 13S 0.4518 2.3 9 Endoscopic Tubal Interruption

11

DRG DRG NUMB


363 363 13S 0.6036 3 12 Dilatation and Curettage, Conization and Radio-Implant, for Malignancy

364 364 13S 0.5014 2.4 9 Dilatation and Curettage, Conization, Except for Malignancy

365 365 13S 1.0415 4.4 16 Other Female Reproductive System Operating Room Procedures

366 366 13M 0.8221 4.6 19 Malignancy, Female Reproductive System, W/ Complications

367 367 13M 0.3906 2.6 20 Malignancy, Female Reproductive System, W/O Complications

368 368 13M 0.4375 2.9 8 Infections, Female Reproductive System 369 369 13M 0.2906 1.9 7 Menstrual and Other Female Reproductive System

Disorders 370 370 14S 0.8781 4.2 12 Cesarean Section, W/ Complications 371 371 14S 0.7295 3.4 7 Cesarean Section, W/O Complications 372 372 14M 0.5559 2.2 7 Vaginal Delivery, W/ Complicating Diagnoses 373 373 14M 0.4565 1.6 4 Vaginal Delivery, W/O Complicating Diagnoses 374 374 14S 0.6546 2 4 Vaginal Delivery, W/ Sterilization or Dilatation and

Curettage 375 375 14S 0.5314 3.3 16 Vaginal Delivery, W/ Operating Room Procedures,

Except Sterilization or D&C 376 376 14M 0.2548 2 7 Postpartum and Post Abortion Diagnoses, W/O

Operating Room Procedures 377 377 14S 0.6 2.4 11 Postpartum and Post Abortion Diagnoses, W/

Operating Room Procedures 378 378 14M 0.614 2.6 6 Ectopic Pregnancy 379 379 14M 0.2259 1.7 8 Threatened Abortion 380 380 14M 0.2652 1.4 4 Abortion, W/O Dilatation and Curettage 381 381 14S 0.2705 1.3 4 Abortion, W/ Dilatation and Curettage, Aspiration

Curettage or Hysterotomy 382 382 14M 0.1367 1.1 2 False Labor 383 383 14M 0.2592 2.2 8 Other Antepartum Diagnoses, W/ Medical

Complications 384 384 14M 0.2 1.5 7 Other Antepartum Diagnoses, W/O Medical

Complications 385 385 15 0.7308 1.4 14 Neonates, Died or Transferred to Another Acute

Care Facility 386 386 15 4.4277 10.2 32 Extreme Immaturity or Respiratory Distress

Syndrome 387 387 15 2.4088 9.2 31 Prematurity, W/ Major Problems 388 388 15 0.7143 4 22 Prematurity, W/O Major Problems 389 389 15 0.6477 3.5 14 Full-Term Neonate, W/ Major Problems 390 390 15 0.1493 2.4 9 Neonate, W/ Other Significant Problems 391 391 15 0 1.8 5 Normal Newborn 392 392 16S 2.4154 8.8 29 Splenectomy, > 17 393 393 16S 1.3791 7.4 24 Splenectomy, 0-17 394 394 16S 1.3544 4.9 24 Other Operating Room Procedures of the Blood

and Blood Forming Organs 395 395 16M 0.7397 4.5 16 Red Blood Cell Disorders, > 17 396 396 16M 0.4832 3.3 11 Red Blood Cell Disorders, 0-17

12

DRG DRG NUMB


397 397 16M 0.783 3.6 15 Coagulation Disorders 398 398 16M 0.8565 4.7 16 Reticuloendothelial and Immunity Disorders, W/

Complications 399 399 16M 0.4622 3 10 Reticuloendothelial and Immunity Disorders, W/O

Complications 400 400 17S 2.1178 7.2 29 Lymphoma and Leukemia, W/ Major Operating

Room Procedure 401 401 17S 2.3778 10.4 32 Lymphoma and Non-Acute Leukemia, W/ Other

O.R. Procedures, W/ Complications 402 402 17M 0.8021 3.8 22 Lymphoma and Non-Acute Leukemia, W/ Other

O.R. Procedures, W/O Complication 403 403 17M 1.4564 7.3 29 Lymphoma and Non-Acute Leukemia, W/

Complications 404 404 17M 0.6236 3.5 19 Lymphoma and Non-Acute Leukemia, W/O

Complications 405 405 17 0.8572 4.4 23 Acute Leukemia, W/O Major Operating Room

Procedure, 0-17 406 406 17S 2.3683 9.6 31 Myeloproliferative Disord or Poorly Diff Neoplasm,

W/ Major O.R. Procedure, 407 407 17S 0.9806 5 27 Myeloproliferative Disord or Poorly Diff Neoplasm,

W/ Major O.R. Procedure, 408 408 17S 1.357 5 27 Myeloproliferative Disord or Poorly Diff Neoplasm,

W/ Other O.R. Procedure 409 409 17M 0.6784 4.3 15 Radiotherapy 410 410 17M 0.7182 3.3 10 Chemotherapy W/O Acute Leukemia as Secondary

Diagnosis 411 411 17M 0.3897 3.3 14 History of Malignancy, W/O Endoscopy 412 412 17M 0.3931 2.1 21 History of Malignancy, W/ Endoscopy 413 413 17M 1.2185 7 29 Other Myeloproliferative Disord or Poorly Diff

Neoplasm Diagnosis, W/ Complications 414 414 17M 0.5285 3.3 20 Other Myeloproliferative Disord or Poorly Diff

Neoplasm Diagnosis, W/O Complications 415 415 18S 2.5797 11.3 33 Operating Room Procedure for Infectious and

Parasitic Diseases 416 416 18M 1.2997 6.9 28 Septicemia, > 17 417 417 18M 0.9066 3.8 13 Septicemia, 0-17 418 418 18M 0.6008 4.3 17 Postoperative and Post-Traumatic Infections 419 419 18M 0.6846 4.4 20 Fever of Unknown Origin,> 17, W/ Complications 420 420 18M 0.506 3.6 19 Fever of Unknown Origin,> 17, W/O Complications 421 421 18M 0.4784 3.2 12 Viral Illness, > 17 422 422 18M 0.3751 2.5 7 Viral Illness and Fever of Unknown Origin, 0-17 423 423 18M 1.0299 5.3 25 Other Infectious and Parasitic Diseases Diagnoses 424 424 19S 0.4454 2.7 999 Operating Room Procedure w/ Principal Diagnoses

of Mental Illness 425 425 19M 0.2706 1.8 999 Acute Adjust React and Disturbances of

Psychosocial Dysfunction 426 426 19M 0.1692 1.5 999 Depressive Neuroses 427 427 19M 0.189 1.6 999 Neuroses Except Depressive 428 428 19M 0.1493 1.3 999 Disorders of Personality and Impulse Control 429 429 19M 0.2652 2.3 999 Organic Disturbances and Mental Retardation

13

DRG DRG NUMB


430 430 19M 0.1857 1.9 999 Psychoses 431 431 19M 0.1798 1.7 999 Childhood Mental Disorders 432 432 19M 0.6563 2 999 Other Mental Disorder Diagnoses 433 433 20 0.1878 1.8 6 Alcohol/Drug Abuse or Dependence, Left Against

Medical Advice 434 434 20 0.3857 3 11 Alcohol/Drug Abuse or Dependence, Detox or

Other Symptomatic Treatment, W/C 435 435 20 0.2321 2.5 8 Alcohol/Drug Abuse or Dependence, Detox or

Other Symptomatic Treatment, W/O 436 436 20 0 0 0 Alcohol/Drug Dependence, W/ Rehabilitation

Therapy 437 437 20 0.2321 2.5 8 Alcohol/Drug Dependence, Combined

Rehabilitation and Detox Therapy 438 438 0 0 0 Not Valid 439 439 21S 1.1576 5.8 28 Skin Grafts for Injuries 440 440 21S 1.0662 4.9 27 Wound Debridements for Injuries 441 441 21S 0.6974 2.3 17 Hand Procedures for Injuries 442 442 21S 1.7531 5.8 28 Other Operating Room Procedures for Injuries, W/

Complications 443 443 21S 0.7119 2.6 11 Other Operating Room Procedures for Injuries,

W/O Complications 444 444 M 0.3641 2.6 10 Traumatic Injury, > 17, W/ Complications 445 445 M 0.2737 2.1 8 Traumatic Injury, > 17, W/O Complications 446 446 M 0.3262 1.8 6 Traumatic Injury, 0-17 447 447 21M 0.3717 2.1 8 Allergic Reactions, > 17 448 448 21M 0.2604 2.4 11 Allergic Reactions, 0-17 449 449 21M 0.4463 2.3 10 Poisoning and Toxic Effects Of Drugs, > 17, W/

Complications 450 450 21M 0.2722 1.5 5 Poisoning and Toxic Effects Of Drugs, > 17, W/O

Complications 451 451 21M 0.7718 1.8 7 Poisoning and Toxic Effects Of Drugs, 0-17 452 452 21M 0.6721 3.6 19 Complications of Treatment, W/ Complications 453 453 21M 0.2917 2 9 Complications of Treatment, W/O Complications 454 454 21M 0.5647 3 17 Other Injury, Poisoning and Toxic Effects

Diagnoses, W/ Complications 455 455 21M 0.3639 2.1 8 Other Injury, Poisoning and Toxic Effects

Diagnoses, W/O Complications 456 456 22 1.8912 5 27 Burns, Transferred to Another Acute Care Facility 457 457 22M 1.4198 3.6 19 Extensive Burns, W/O Operating Room Procedure 458 458 22S 3.1206 14.3 36 Non-Extensive Burns, W/ Skin Graft 459 459 22S 1.3567 7.5 29 Non-Extensive Burns, W/ Wound Debridement or

Other O.R. Procedure 460 460 22M 0.5766 3.7 17 Non-Extensive Burns, W/O O.R. Procedure 461 461 23S 1.1826 3.6 24 Operating Room Procedures W/ Diagnoses of

Other Contact W/ Health Services 462 462 23M 0 0 0 Rehabilitation (Not Valid) 463 463 23M 0.5133 3.7 14 Signs and Symptoms, W/ Complications 464 464 23M 0.3794 2.8 17 Signs and Symptoms, W/O Complications 465 465 23M 0.3887 1.8 14 Aftercare, W/ History of Malignancy as Secondary

Diagnosis

14

DRG DRG NUMB


466 466 23M 0.5114 2.6 24 Aftercare, W/O History of Malignancy as Secondary Diagnosis

467 467 23M 0.2742 2.2 8 Other Factors Influencing Health Status 468 468 2.1851 8.7 31 Extensive Operating Room Procedure Unrelated to

Principal Diagnosis 469 469 0 0 0 Principal Diagnosis Invalid as a Discharge

Diagnosis 470 470 0 0 0 Ungroupable 471 471 08S 3.7165 10.7 32 Bilateral or Multiple Major Joint Procedures of the

Lower Extremity 472 472 22S 9.6547 15.1 37 Extensive Burns, W/ O.R. Procedure 473 473 17 3.7198 11 33 Acute Leukemia, W/O Major O.R. Procedure, > 17 474 474 0 0 0 Not Valid 475 475 04M 2.7132 8 30 Respiratory System Diagnosis, W/ Ventilator

Support 476 476 2.023 12.8 33 Prostatic O.R. Procedure Unrelated to Principal

Diagnosis 477 477 1.3253 5.8 26 Non-Extensive O.R. Procedure Unrelated to

Principal Diagnosis 478 478 05S 2.0889 6.8 28 Other Vascular Procedures, W/ Complications 479 479 05S 1.2661 4.2 16 Other Vascular Procedures, W/O Complications 480 480 S 0 0 0 Liver Transplant (Not Valid) 481 481 S 0 0 0 Bone Marrow Transplant (Not Valid) 482 482 S 3.1488 12.8 35 Tracheostomy, for Face, Mouth & Neck Diagnoses 483 483 S 11.1526 31.8 54 Tracheostomy, Except for Face, Mouth, & Neck

Diagnoses 484 484 24S 4.6032 11 33 Craniotomy for Multiple Significant Trauma 485 485 24S 3.2039 13.3 35 Limb Reattachment, Hip and Femur Procedures for

Multiple Significant Trauma 486 486 24S 4.1058 10 32 Other Operating Room Procedures for Multiple

Significant Trauma 487 487 24M 1.4151 5.8 28 Other Multiple Significant Trauma 488 488 25S 3.0091 11.9 34 HIV, W/ Extensive O.R. Procedure 489 489 25M 1.2952 6.8 27 HIV, W/ Major Related Condition 490 490 25M 0.7804 4.3 19 HIV, W/ or W/O Other Related Condition 491 491 08S 1.4617 4.5 22 Major Joint & Limb Reattachment Procedures -

Upper Extremity 492 492 17M 1.7071 5.7 28 Chemotherapy W/ Acute Leukemia as Secondary

Diagnosis 493 493 07S 1.3448 4.2 16 Laparoscopic Cholecystectomy W/O C.D.E. W/

Complications 494 494 07S 0.8668 2 7 Laparoscopic Cholecystectomy W/O C.D.E. W/O

Complications 495 495 0 0 0 Lung Transplant (Not Valid) 985 985 15 5.5267 6.4 28 Neonates, Died or Transferred to Another Acute

Care Facility (For Perinatal Level 3 Facilities)

15

DRG DRG NUMB


986 986 15 10.0331 23.7 46 Extreme Immaturity or Respiratory Distress Syndrome (For Perinatal Level 3 Facilities)

987 987 15 3.5908 12 34 Prematurity, W/ Major Problems (For Perinatal Level Facilities)

989 989 15 1.0755 4 19 Full-Term Neonate, W/ Major Problems (For Perinatal Level 3 Facilities)

16

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Table B HFS Diagnosis Related Groups (DRG) Reimbursement ... · Table B HFS Diagnosis Related Groups (DRG) Reimbursement Factors Effective for Admissions On and After January 1, 1995