DRG (Diagnosis Related Groups)
 

The Diagnosis Related Groups (DRG) were developed for the Health Care Financing Administration as a patient classification scheme which provides a means of relating the type of patients a hospital treats (i.e., its case mix) to the costs incurred by the hospital. While all patients are unique, groups of patients have common demographic, diagnostic and therapeutic attributes that determine their resource needs. The DRGs form a manageable, clinically coherent set of patient classes that relate a hospital's case mix to the resource demands and associated costs experienced by the hospital. Each discharge in the UHDDB was assigned into a DRG based on the principal diagnosis, secondary diagnoses, surgical procedures, age, sex, and discharge status of the patient.

DRGs are used in the Inpatient Hospital Discharge and the Emergency Department Encounter Query Modules.

Code List

(last updated July 2008)

An * indicates that there has been a change to the definition for that DRG number. The IBIS system uses the most recent definition and lists the codes alphabetically.

NumberDefinition
1* CRANIOTOMY AGE >17 EXCEPT FOR TRAUMA (prior to 10-1-02)
1* CRANIOTOMY AGE >17 WITH COMPLICATIONS, COMORBIDITIES (beginning 10-1-02)
2* CRANIOTOMY FOR TRAUMA AGE >17 (prior to 10-1-02)
2* CRANIOTOMY AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES (beginning 10-1-02)
3 CRANIOTOMY AGE 0-17
4* SPINAL PROCEDURES (prior to 10-1-03; no DRG 4 beginning 10-1-03 when DRGs 531-532 were added)
5* EXTRACRANIAL VASCULAR PROCEDURES (prior to 10-1-03; no DRG 5 beginning 10-1-03 when DRGs 533-534 were added)
6 CARPAL TUNNEL RELEASE
7 PERIPHERAL & CRANIAL NERVE & OTHER NERVE SYSTEM PROCEDURES WITH COMPLICATIONS, COMORBIDITIES
8 PERIPHERAL & CRANIAL NERVE & OTHER NERVE SYSTEM PROCEDURES WITHOUT COMPLICATIONS, COMORBIDITIES
9 SPINAL DISORDERS & INJURIES
10 NERVOUS SYSTEM NEOPLASMS WITH COMPLICATIONS, COMORBIDITIES
11 NERVOUS SYSTEM NEOPLASMS WITHOUT COMPLICATIONS, COMORBIDITIES
12 DEGENERATIVE NERVOUS SYSTEM DISORDERS
13 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA
14* SPECIFIC CEREBROVASCULAR DISORDERS EXCEPT TRANSIENT ISCHEMIC ATTACK (prior to 10-1-02)
14* INTRA CRANIAL HEMORRHAGE AND STROKE WITH INFARCTION (beginning 10-1-02, used to 10-1-04)
14* INTRACRANIAL HEMORRHAGE & STROKE W/ INFARCTION (beginning 10-1-03)
14* INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION (beginning 10-1-04)
15* TRANSIENT ISCHEMIC ATTACK & PRECEREBRAL OCCLUSIONS (prior to 10-1-02)
15* NONSPECIFIC CEREBROVASCULAR AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION (beginning 10-1-02)
16 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATIONS, COMORBIDITIES
17 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT COMPLICATIONS, COMORBIDITIES
18 CRANIAL & PERIPHERAL NERVE DISORDERS WITH COMPLICATIONS, COMORBIDITIES
19 CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMPLICATIONS, COMORBIDITIES
20* NERVOUS SYSTEM INFECTION EXCEPT VIRAL MENINGITIS (prior to 10-1-06)
21 VIRAL MENINGITIS
22 HYPERTENSIVE ENCEPHALOPATHY
23 NONTRAUMATIC STUPOR & COMA
24* SEIZURE & HEADACHE AGE >17 WITH COMPLICATIONS, COMORBIDITIES (prior to 10-1-06)
25* SEIZURE & HEADACHE AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES (prior to 10-1-06)
26 SEIZURE & HEADACHE AGE 0-17
27 TRAUMATIC STUPOR & COMA, COMA >1 HR
28 TRAUMATIC STUPOR & COMA, COMA <1 HR AGE >17 WITH COMPLICATIONS, COMORBIDITIES
29 TRAUMATIC STUPOR & COMA, COMA <1 HR AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
30 TRAUMATIC STUPOR & COMA, COMA <1 HR AGE 0-17
31 CONCUSSION AGE >17 WITH COMPLICATIONS, COMORBIDITIES
32 CONCUSSION AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
33 CONCUSSION AGE 0-17
34 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATIONS, COMORBIDITIES
35 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION, COMORBIDITIES
36 RETINAL PROCEDURES
37 ORBITAL PROCEDURES
38 PRIMARY IRIS PROCEDURES
39 LENS PROCEDURES WITH OR WITHOUT VITRECTOMY
40 EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE >17
41 EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE 0-17
42 INTRAOCULAR PROCEDURES EXCEPT RETINA, IRIS & LENS
43 HYPHEMA
44 ACUTE MAJOR EYE INFECTIONS
45 NEUROLOGICAL EYE DISORDERS
46 OTHER DISORDERS OF THE EYE AGE >17 WITH COMPLICATIONS, COMORBIDITIES
47 OTHER DISORDERS OF THE EYE AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
48 OTHER DISORDERS OF THE EYE AGE 0-17
49 MAJOR HEAD & NECK PROCEDURES
50 SIALOADENECTOMY
51 SALIVARY GLAND PROCEDURES EXCEPT SIALOADENECTOMY
52 CLEFT LIP & PALATE REPAIR
53 SINUS & MASTOID PROCEDURES AGE >17
54 SINUS & MASTOID PROCEDURES AGE 0-17
55 MISCELLANEOUS EAR, NOSE, MOUTH & THROAT PROCEDURES
56 RHINOPLASTY
57 TONSIL & ADENOID PROCEDURES, EXCEPT TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE >17
58 TONSIL & ADENOID PROCEDURES, EXCEPT TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE 0-17
59 TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE >17
60 TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE 0-17
61 MYRINGOTOMY WITH TUBE INSERTION AGE >17
62 MYRINGOTOMY WITH TUBE INSERTION AGE 0-17
63 OTHER EAR, NOSE, MOUTH & THROAT OPERATING ROOM PROCEDURES
64 EAR, NOSE, MOUTH & THROAT MALIGNANCY
65 DISEQUILIBRIUM
66 EPISTAXIS
67 EPIGLOTTITIS
68 OTITIS MEDIA & UPPER RESPIRATORY INFECTION AGE >17 WITH COMPLICATIONS, COMORBIDITIES
69 OTITIS MEDIA & UPPER RESPIRATORY INFECTION AGE > 17 WITHOUT COMPLICATIONS, COMORBIDITIES
70 OTITIS MEDIA & UPPER RESPIRATORY INFECTION AGE 0-17
71 LARYNGOTRACHEITIS
72 NASAL TRAUMA & DEFORMITY
73 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES AGE >17
74 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES AGE 0-17
75 MAJOR CHEST PROCEDURES
76 OTHER RESPIRATORY SYSTEM OPERATING ROOM PROCEDURES WITH COMPLICATIONS, COMORBIDITIES
77 OTHER RESPIRATORY SYSTEM OPERATING ROOM PROCEDURES WITHOUT COMPLICATIONS, COMORBIDITIES
78 PULMONARY EMBOLISM
79 RESPIRATORY INFECTIONS & INFLAMMATIONS AGE >17 WITH COMPLICATIONS, COMORBIDITIES
80 RESPIRATORY INFECTIONS & INFLAMMATIONS AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
81 RESPIRATORY INFECTIONS & INFLAMMATIONS AGE 0-17
82 RESPIRATORY NEOPLASMS
83 MAJOR CHEST TRAUMA WITH COMPLICATIONS, COMORBIDITIES
84 MAJOR CHEST TRAUMA WITHOUT COMPLICATIONS, COMORBIDITIES
85 PLEURAL EFFUSION WITH COMPLICATIONS, COMORBIDITIES
86 PLEURAL EFFUSION WITHOUT COMPLICATIONS, COMORBIDITIES
87 PULMONARY EDEMA & RESPIRATORY FAILURE
88 CHRONIC OBSTRUCTIVE PULMONARY DISEASE
89 SIMPLE PNEUMONIA & PLEURISY AGE >17 WITH COMPLICATIONS, COMORBIDITIES
90 SIMPLE PNEUMONIA & PLEURISY AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
91 SIMPLE PNEUMONIA & PLEURISY AGE 0-17
92 INTERSTITIAL LUNG DISEASE WITH COMPLICATIONS, COMORBIDITIES
93 INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATIONS, COMORBIDITIES
94 PNEUMOTHORAX WITH COMPLICATIONS, COMORBIDITIES
95 PNEUMOTHORAX WITHOUT COMPLICATIONS, COMORBIDITIES
96 BRONCHITIS & ASTHMA AGE >17 WITH COMPLICATIONS, COMORBIDITIES
97 BRONCHITIS & ASTHMA AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
98 BRONCHITIS & ASTHMA AGE 0-17
99 RESPIRATORY SIGNS & SYMPTOMS WITH COMPLICATIONS, COMORBIDITIES
100 RESPIRATORY SIGNS & SYMPTOMS WITHOUT COMPLICATIONS, COMORBIDITIES
101 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMPLICATIONS, COMORBIDITIES
102 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMPLICATIONS, COMORBIDITIES
103* HEART TRANSPLANT (prior to 10-1-04)
103* HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM (beginning 10-1-04)
104* CARDIAC VALVE PROCEDURES WITH CARDIAC CATHETER (prior to 10-1-98)
104* CARDIAC VALVE & OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETER (beginning 10-1-98)
105* CARDIAC VALVE PROCEDURES WITHOUT CARDIAC CATHETER (prior to 10-1-98)
105* CARDIAC VALVE & OTHER MAJOR CARDIOTHORACIC PROC WITHOUT CARDIAC CATHETER (beginning 10-1-98)
106* CORONARY BYPASS WITH CARDIAC CATHETER (prior to 10-1-98)
106* CORONARY BYPASS WITH PTCA (beginning 10-1-98)
107* CORONARY BYPASS WITHOUT CARDIAC CATHETER (prior to 10-1-98)
107* CORONARY BYPASS WITH CARDIAC CATHETER (beginning 10-1-98; no DRG 107 beginning 10-1-05 when DRGs 547-548 were added)
108 OTHER CARDIOTHORACIC PROCEDURES
109* CORONARY BYPASS WITHOUT CARDIAC CATHETER (beginning 10-1-98; no DRG 109 beginning 10-1-05 when DRGs 549-550 were added)
110 MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATIONS, COMORBIDITIES
111 MAJOR CARDIOVASCULAR PROCEDURES WITHOUT COMPLICATIONS, COMORBIDITIES
112 PERCUTANEOUS CARDIOVASCULAR PROCEDURES (prior to 10-1-01; no DRG 112 beginning 10-1-01 when DRGs 516-518 were added)
113 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB & TOE
114 UPPER LIMB & TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS
115* PERMANENT CARDIAC PACEMAKER IMPLANT WITH ACUTE MYOCARDIAL INFARCTION, HEART FAILURE OR SHOCK (prior to 10-1-97)
115* PERMANENT CARDIAC PACEMAKER IMPLANT WITH ACUTE MYOCARDIAL INFARCTION, HEART FAILURE OR SHOCK, OR AICD LEAD OR GENERATOR PROC (beginning 10-1-97; no DRG 115 beginning 10-1-05 when DRG 551 was added)
116* OTHER PERMANENT CARDIAC PACEMAKER IMPLANT OR AICD LEAD OR GENERATOR PROC (prior to 10-1-97)
116* OTHER PERMANENT CARDIAC PACEMAKER IMPLANT OR PTCA WITH CORONARY ARTERY STENT IMPLANT (between 10-1-97 and 10-1-01)
116* OTHER CARDIAC PACEMAKER IMPLANTATION (beginning 10-1-01; no DRG 116 beginning 10-1-05 when DRG 552 was added)
117 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT
118 CARDIAC PACEMAKER DEVICE REPLACEMENT
119 VEIN LIGATION & STRIPPING
120 OTHER CIRCULATORY SYSTEM OPERATING ROOM PROCEDURES
121* CIRCULATORY DISORDERS WITH ACUTE MYOCARDIAL INFARCTION & CARDIOVASCULAR COMPLICATIONS, DISCHARGED ALIVE (prior to 10-1-97)
121* CIRCULATORY DISORDERS WITH ACUTE MYOCARDIAL INFARCTION & MAJOR COMPLICATION, DISCHARGED ALIVE (beginning 10-1-97)
122* CIRCULATORY DISORDERS WITH ACUTE MYOCARDIAL INFARCTION WITHOUT CARDIOVASCULAR COMPLICATION, DISCHARGED ALIVE (prior to 10-1-97)
122* CIRCULATORY DISORDERS WITH ACUTE MYOCARDIAL INFARCTION WITHOUT MAJOR COMPLICATION, DISCHARGED ALIVE (beginning 10-1-97)
123 CIRCULATORY DISORDERS WITH ACUTE MYOCARDIAL INFARCTION, EXPIRED
124 CIRCULATORY DISORDERS EXCEPT ACUTE MYOCARDIAL INFARCTION, WITH CARDIAC CATHETER & COMPLEX DIAGNOSES
125 CIRCULATORY DISORDERS EXCEPT ACUTE MYOCARDIAL INFARCTION, WITH CARDIAC CATHETER WITHOUT COMPLEX DIAGNOSES
126 ACUTE & SUBACUTE ENDOCARDITIS
127 HEART FAILURE & SHOCK
128 DEEP VEIN THROMBOPHLEBITIS
129 CARDIAC ARREST, UNEXPLAINED
130 PERIPHERAL, VASCULAR DISORDERS WITH COMPLICATIONS, COMORBIDITIES
131 PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATIONS, COMORBIDITIES
132 ATHEROSCLEROSIS WITH COMPLICATIONS, COMORBIDITIES
133 ATHEROSCLEROSIS WITHOUT COMPLICATIONS, COMORBIDITIES
134 HYPERTENSION
135 CARDIAC CONGENITAL & VALVULAR DISORDERS AGE >17 WITH COMPLICATIONS, COMORBIDITIES
136 CARDIAC CONGENITAL & VALVULAR DISORDERS AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
137 CARDIAC CONGENITAL & VALVULAR DISORDERS AGE 0-17
138 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATIONS, COMORBIDITIES
139 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATIONS, COMORBIDITIES
140 ANGINA PECTORIS
141 SYNCOPE & COLLAPSE WITH COMPLICATIONS, COMORBIDITIES
142 SYNCOPE & COLLAPSE WITHOUT COMPLICATIONS, COMORBIDITIES
143 CHEST PAIN
144 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATIONS, COMORBIDITIES
145 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATIONS, COMORBIDITIES
146 RECTAL RESECTION WITH COMPLICATIONS, COMORBIDITIES
147 RECTAL RESECTION WITHOUT COMPLICATIONS, COMORBIDITIES
148* MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATIONS, COMORBIDITIES (prior to 10-1-06)
149 MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATIONS, COMORBIDITIES
150 PERITONEAL ADHESIOLYSIS WITH COMPLICATIONS, COMORBIDITIES
151 PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATIONS, COMORBIDITIES
152 MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATIONS, COMORBIDITIES
153 MINOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATIONS, COMORBIDITIES
154* STOMACH, ESOPHAGEAL, & DUODENAL PROCEDURES AGE >17 WITH COMPLICATIONS, COMORBIDITIES (prior to 10-1-06)
155 STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
156 STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES AGE 0-17
157 ANAL & STOMAL PROCEDURES WITH COMPLICATIONS, COMORBIDITIES
158 ANAL & STOMAL PROCEDURES WITHOUT COMPLICATIONS, COMORBIDITIES
159 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 WITH COMPLICATIONS, COMORBIDITIES
160 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
161 INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 WITH COMPLICATIONS, COMORBIDITIES
162 INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
163 HERNIA PROCEDURES AGE 0-17
164 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH COMPLICATIONS, COMORBIDITIES
165 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT COMPLICATIONS, COMORBIDITIES
166 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH COMPLICATIONS, COMORBIDITIES
167 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT COMPLICATIONS, COMORBIDITIES
168 MOUTH PROCEDURES WITH COMPLICATIONS, COMORBIDITIES
169 MOUTH PROCEDURES WITHOUT COMPLICATIONS, COMORBIDITIES
170 OTHER DIGESTIVE SYSTEM OPERATING ROOM PROCEDURES WITH COMPLICATIONS, COMORBIDITIES
171 OTHER DIGESTIVE SYSTEM OPERATING ROOM PROCEDURES WITHOUT COMPLICATIONS, COMORBIDITIES
172 DIGESTIVE MALIGNANCY WITH COMPLICATIONS, COMORBIDITIES
173 DIGESTIVE MALIGNANCY WITHOUT COMPLICATIONS, COMORBIDITIES
174 GASTROINTESTINAL HEMORRHAGE WITH COMPLICATIONS, COMORBIDITIES
175 GASTROINTESTINAL HEMORRHAGE WITHOUT COMPLICATIONS, COMORBIDITIES
176 COMPLICATED PEPTIC ULCER
177 UNCOMPLICATED PEPTIC ULCER WITH COMPLICATIONS, COMORBIDITIES
178 UNCOMPLICATED PEPTIC ULCER WITHOUT COMPLICATIONS, COMORBIDITIES
179 INFLAMMATORY BOWEL DISEASE
180 GASTROINTESTINAL OBSTRUCTION WITH COMPLICATIONS, COMORBIDITIES
181 GASTROINTESTINAL OBSTRUCTION WITHOUT COMPLICATIONS, COMORBIDITIES
182 ESOPHAGITIS, GASTROENTERITIS, & MISCELLANEOUS DIGESTIVE DISORDERS AGE >17 WITH COMPLICATIONS, COMORBIDITIES
183 ESOPHAGITIS, GASTROENTERITIS, & MISCELLANEOUS DIGESTIVE DISORDERS AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
184 ESOPHAGITIS, GASTROENTERITIS, & MISCELLANEOUS DIGESTIVE DISORDERS AGE 0-17
185 DENTAL & ORAL DIS EXCEPT EXTRACTIONS & RESTORATIONS AGE >17
186 DENTAL & ORAL DIS EXCEPT EXTRACTIONS & RESTORATIONS, AGE 0-17
187 DENTAL EXTRACTIONS & RESTORATIONS
188 OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 WITH COMPLICATIONS, COMORBIDITIES
189 OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
190 OTHER DIGESTIVE SYSTEM DIAGNOSES AGE 0-17
191 PANCREAS, LIVER & SHUNT PROCEDURES WITH COMPLICATIONS, COMORBIDITIES
192 PANCREAS, LIVER & SHUNT PROCEDURES WITHOUT COMPLICATIONS, COMORBIDITIES
193 BILIARY TACT PROCEDURES EXCEPT ONLY TOTAL CHOLECYST WITH OR WITHOUT COMMON DUCT EXPLORATION WITH COMPLICATIONS, COMORBIDITIES
194 BILIARY TRACT PROCEDURES EXCEPT ONLY TOTAL CHOLECYST WITH OR WITHOUT COMMON DUCT EXPLORATION WITHOUT COMPLICATIONS, COMORBIDITIES
195 CHOLECYSTECTOMY WITH COMMON DUCT EXPLORATION WITH COMPLICATIONS, COMORBIDITIES
196 CHOLECYSTECTOMY WITH COMMON DUCT EXPLORATION WITHOUT COMPLICATIONS, COMORBIDITIES
197 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT COMMON DUCT EXPLORATION WITH COMPLICATIONS, COMORBIDITIES
198 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT COMMON DUCT EXPLORATION WITHOUT COMPLICATIONS, COMORBIDITIES
199 HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR MALIGNANCY
200 HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR NON-MALIGNANCY
201 OTHER HEPATOBILIARY OR PANCREAS OPERATING ROOM PROCEDURES
202 CIRRHOSIS & ALCOHOLIC HEPATITIS
203 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS
204 DISORDERS OF PANCREAS EXCEPT MALIGNANCY
205 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS, ALCOHOLIC HEPATITIS WITH COMPLICATIONS, COMORBIDITIES
206 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS, ALCOHOLIC HEPATITIS WITHOUT COMPLICATIONS, COMORBIDITIES
207 DISORDERS OF THE BILIARY TRACT WITH COMPLICATIONS, COMORBIDITIES
208 DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATIONS, COMORBIDITIES
209* MAJOR JOINT & LIMB REATTACHMENT PROCEDURES OF LOWER EXTREMITY (no DRG 209 beginning 10-1-05 when DRGs 544-545 were added)
210 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE >17 WITH COMPLICATIONS, COMORBIDITIES
211 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17
213 AMPUTATION FOR MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DISORDERS
214* BACK & NECK PROCEDURES WITH COMPLICATIONS, COMORBIDITIES (prior to 10-1-97; no DRG 214 beginning 10-1-97 when DRGs 497-500 were added)
215* BACK & NECK PROCEDURES WITHOUT COMPLICATIONS, COMORBIDITIES (prior to 10-1-07; no DRG 215 beginning 10-1-97 when DRGs 497-500 were added)
216 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE
217 WOUND DEBRIDEMENT & SKIN GRAFT EXCEPT HAND, FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DISORDERS AGE>17 WITH COMPLICATIONS, COMORBIDITIES
218 LOWER EXTREMITY & HUMERUS PROCEDURES EXCEPT HIP, FOOT, FEMUR AGE>17 COMPLICATIONS, COMORBIDITIES
219 LOWER EXTREMITY & HUMERUS PROCEDURES EXCEPT HIP, FOOT, FEMUR AGE>17 WITHOUT COMPLICATIONS, COMORBIDITIES
220 LOWER EXTREMITY & HUMERUS PROCEDURES EXCEPT HIP, FOOT, FEMUR AGE 0-17
221* KNEE PROCEDURES WITH COMPLICATIONS, COMORBIDITIES (prior to 10-1-97; no DRG 221 beginning 10-1-97 when DRGs 501-503 were added)
222* KNEE PROCEDURES WITHOUT COMPLICATIONS, COMORBIDITIES (prior to 10-1-97; no DRG 222 beginning 10-1-97 when DRGs 501-503 were added)
223 MAJOR SHOULDER/ELBOW PROCEDURE, OR OTHER UPPER EXTREMITY PROCEDURES WITH COMPLICATIONS, COMORBIDITIES
224 SHOULDER, ELBOW OR FOREARM PROCEDURE, EXCEPT MAJOR JOINT PROCEDURES WITHOUT COMPLICATIONS, COMORBIDITIES
225 FOOT PROCEDURES
226 SOFT TISSUE PROCEDURES WITH COMPLICATIONS, COMORBIDITIES
227 SOFT TISSUE PROCEDURES WITHOUT COMPLICATIONS, COMORBIDITIES
228 MAJOR THUMB OR JOINT PROCEDURE, OR OTHER HAND OR WRIST PROCEDURE WITH COMPLICATIONS, COMORBIDITIES
229 HAND OR WRIST PROCEDURE, EXCEPT MAJOR JOINT PROCEDURE, WITHOUT COMPLICATIONS, COMORBIDITIES
230 LOCAL EXCISION & REMOVAL OF INTERNAL FIXATION DEVICES OF HIP & FEMUR
231* LOCAL EXCISION & REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP & FEMUR (prior to 10-1-03; no DRG 231 beginning 10-1-03 and DRGs 537-538 were added)
232 ARTHROSCOPY
233 OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE OPERATING ROOM PROCEDURES WITH COMPLICATIONS, COMORBIDITIES
234 OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE OPERATING ROOM PROCEDURES WITHOUT COMPLICATIONS, COMORBIDITIES
235 FRACTURES OF FEMUR
236 FRACTURES OF HIP & PELVIS
237 SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH
238 OSTEOMYELITIS
239 PATHOLOGICAL FRACTURES & MUSCULOSKELETAL & CONNECTIVE TISSUE MALIGNANCY
240 CONNECTIVE TISSUE DISORDERS WITH COMPLICATIONS, COMORBIDITIES
241 CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATIONS, COMORBIDITIES
242 SEPTIC ARTHRITIS
243 MEDICAL BACK PROBLEMS
244 BONE DISEASES & SPECIFIC ARTHROPATHIES WITH COMPLICATIONS, COMORBIDITIES
245 BONE DISEASES & SPECIFIC ARTHROPATHIES WITHOUT COMPLICATIONS, COMORBIDITIES
246 NON-SPECIFIC ARTHROPATHIES
247 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE
248 TENDINITIS, MYOSITIS & BURSITIS
249 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE
250 FRACTURE, SPRAIN, STRAIN, & DISLOCATION OF FOREARM, HAND, FOOT AGE >17 WITH COMPLICATIONS, COMORBIDITIES
251 FRACTURE, SPRAIN, STRAIN, & DISLOCATION OF FOREARM, HAND, FOOT AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
252 FRACTURE, SPRAIN, STRAIN & DISLOCATION OF FOREARM, HAND, FOOT AGE 0-17
253 FRACTURE, SPRAIN, STRAIN & DISLOCATION OF UPPER ARM, LOWER LEG EXCEPT FOOT AGE >17 WITH COMPLICATIONS, COMORBIDITIES
254 FRACTURE, SPRAIN, STRAIN & DISLOCATION OF UPPER ARM, LOWER LEG, EXCEPT FOOT AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
255 FRACTURE, SPRAIN, STRAIN, & DISLOCATION OF UPPER ARM, LOWER LEG EXCEPT FOOT AGE 0-17
256 OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSIS
257 TOTAL MASTECTOMY FOR MALIGNANCY WITH COMPLICATIONS, COMORBIDITIES
258 TOTAL MASTECTOMY FOR MALIGNANCY WITHOUT COMPLICATIONS, COMORBIDITIES
259 SUBTOTAL MASTECTOMY FOR MALIGNANCY WITH COMPLICATIONS, COMORBIDITIES
260 SUBTOTAL MASTECTOMY FOR MALIGNANCY WITHOUT COMPLICATIONS, COMORBIDITIES
261 BREAST PROCEDURE FOR NON-MALIGNANCY EXCEPT BIOPSY & LOCAL EXCISION
262 BREAST BIOPSY & LOCAL EXCISION FOR NON-MALIGNANCY
263 SKIN GRAFT &/OR DEBRIDEMENT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATIONS, COMORBIDITIES
264 SKIN GRAFT &/OR DEBRIDEMENT FOR SKIN ULCER OR CELLULITIS WITHOUT COMPLICATIONS, COMORBIDITIES
265 SKIN GRAFT &/OR DEBRIDEMENT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATIONS, COMORBIDITIES
266 SKIN GRAFT &/OR DEBRIDEMENT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT COMPLICATIONS, COMORBIDITIES
267 PERIANAL & PILONIDAL PROCEDURES
268 SKIN, SUBCUTANEOUS TISSUE & BREAST PLASTIC PROCEDURES
269 OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST PROCEDURES WITH COMPLICATIONS, COMORBIDITIES
270 OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST PROCEDURES WITHOUT COMPLICATIONS, COMORBIDITIES
271 SKIN ULCERS
272 MAJOR SKIN DISORDERS WITH COMPLICATIONS, COMORBIDITIES
273 MAJOR SKIN DISORDERS WITHOUT COMPLICATIONS, COMORBIDITIES
274 MALIGNANT BREAST DISORDERS WITH COMPLICATIONS, COMORBIDITIES
275 MALIGNANT BREAST DISORDERS WITHOUT COMPLICATIONS, COMORBIDITIES
276 NON-MALIGNANT BREAST DISORDERS
277 CELLULITIS AGE >17 WITH COMPLICATIONS, COMORBIDITIES
278 CELLULITIS AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
279 CELLULITIS AGE 0-17
280 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE & BREAST AGE >17 WITH COMPLICATIONS, COMORBIDITIES
281 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE & BREAST AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
282 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE & BREAST AGE 0-17
283 MINOR SKIN DISORDERS WITH COMPLICATIONS, COMORBIDITIES
284 MINOR SKIN DISORDERS WITHOUT COMPLICATIONS, COMORBIDITIES
285 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITION & METABOLIC DISORDERS
286 ADRENAL & PITUITARY PROCEDURES
287 SKIN GRAFTS & WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITION & METABOLIC DISORDERS
288 OPERATING ROOM PROCEDURES FOR OBESITY
289 PARATHYROID PROCEDURES
290 THYROID PROCEDURES
291 THYROGLOSSAL PROCEDURES
292 OTHER ENDOCRINE, NUTRITION & METABOLIC OPERATING ROOM PROCEDURES WITH COMPLICATIONS, COMORBIDITIES
293 OTHER ENDOCRINE, NUTRITION & METABOLIC OPERATING ROOM PROCEDURES WITHOUT COMPLICATIONS, COMORBIDITIES
294 DIABETES AGE >35
295 DIABETES AGE 0-35
296 NUTRITIONAL & MISCELLANEOUS METABOLIC DISORDERS AGE >17 WITH COMPLICATIONS, COMORBIDITIES
297 NUTRITIONAL & MISCELLANEOUS METABOLIC DISORDERS AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
298 NUTRITIONAL & MISCELLANEOUS METABOLIC DISORDERS AGE 0-17
299 INBORN ERRORS OF METABOLISM
300 ENDOCRINE DISORDERS WITH COMPLICATIONS, COMORBIDITIES
301 ENDOCRINE DISORDERS WITHOUT COMPLICATIONS, COMORBIDITIES
302 KIDNEY TRANSPLANT
303 KIDNEY, URETER & MAJOR BLADDER PROCEDURES FOR NEOPLASM
304 KIDNEY, URETER & MAJOR BLADDER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATIONS, COMORBIDITIES
305 KIDNEY, URETER & MAJOR BLADDER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATIONS, COMORBIDITIES
306 PROSTATECTOMY WITH COMPLICATIONS, COMORBIDITIES
307 PROSTATECTOMY WITHOUT COMPLICATIONS, COMORBIDITIES
308 MINOR BLADDER PROCEDURES WITH COMPLICATIONS, COMORBIDITIES
309 MINOR BLADDER PROCEDURES WITHOUT COMPLICATIONS, COMORBIDITIES
310 TRANSURETHRAL PROCEDURES WITH COMPLICATIONS, COMORBIDITIES
311 TRANSURETHRAL PROCEDURES WITHOUT COMPLICATIONS, COMORBIDITIES
312 URETHRAL PROCEDURES, AGE > 17 WITH COMPLICATIONS, COMORBIDITIES
313 URETHRAL PROCEDURES, AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
314 URETHRAL PROCEDURES, AGE 0-17
315 OTHER KIDNEY & URINARY TRACT OPERATING ROOM PROCEDURES
316 RENAL FAILURE
317 ADMIT FOR RENAL DIALYSIS
318 KIDNEY & URINARY TRACT NEOPLASMS WITH COMPLICATIONS, COMORBIDITIES
319 KIDNEY & URINARY TRACT NEOPLASMS WITHOUT COMPLICATIONS, COMORBIDITIES
320 KIDNEY & URINARY TRACT INFECTIONS AGE >17 WITH COMPLICATIONS, COMORBIDITIES
321 KIDNEY & URINARY TRACT INFECTIONS AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17
323 URINARY STONES WITH COMPLICATIONS, COMORBIDITIES, &/OR EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY
324 URINARY STONES WITHOUT COMPLICATIONS, COMORBIDITIES
325 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE >17 WITH COMPLICATIONS, COMORBIDITIES
326 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
327 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE 0-17
328 URETHRAL STRICTURE AGE >17 WITH COMPLICATIONS, COMORBIDITIES
329 URETHRAL STRICTURE AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
330 URETHRAL STRICTURE AGE 0-17
331 OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE >17 WITH COMPLICATIONS, COMORBIDITIES
332 OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
333 OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE 0-17
334 MAJOR MALE PELVIC PROCEDURES WITH COMPLICATIONS, COMORBIDITIES
335 MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATIONS, COMORBIDITIES
336 TRANSURETHRAL PROSTATECTOMY WITH COMPLICATIONS, COMORBIDITIES
337 TRANSURETHRAL PROSTATECTOMY WITHOUT COMPLICATIONS, COMORBIDITIES
338 TESTES PROCEDURES, FOR MALIGNANCY
339 TESTES PROCEDURES, NON-MALIGNANCY AGE >17
340 TESTES PROCEDURES, NON-MALIGNANCY AGE 0-17
341 PENIS PROCEDURES
342 CIRCUMCISION AGE >17
343 CIRCUMCISION AGE 0-17
344 OTHER MALE REPRODUCTIVE SYSTEM OPERATING ROOM PROCEDURES FOR MALIGNANCY
345 OTHER MALE REPRODUCTIVE SYSTEM OPERATING ROOM PROCEDURES EXCEPT FOR MALIGNANCY
346 MALIGNANCY, MALE REPRODUCTIVE SYSTEM, WITH COMPLICATIONS, COMORBIDITIES
347 MALIGNANCY, MALE REPRODUCTIVE SYSTEM, WITHOUT COMPLICATIONS, COMORBIDITIES
348 BENIGN PROSTATIC HYPERTROPHY WITH COMPLICATIONS, COMORBIDITIES
349 BENIGN PROSTATIC HYPERTROPHY WITHOUT COMPLICATIONS, COMORBIDITIES
350 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM
351 STERILIZATION, MALE
352 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES
353 PELVIC EVISCERATION, RADICAL HYSTERECTOMY & RADICAL VULVECTOMY
354 UTERINE, ADNEXA PROCEDURES FOR NON-OVARIAN/ADNEXAL MALIGNANCY WITH COMPLICATIONS, COMORBIDITIES
355 UTERINE, ADNEXA PROCEDURES FOR NON-OVARIAN/ADNEXAL MALIGNANCY WITHOUT COMPLICATIONS, COMORBIDITIES
356 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
357 UTERINE & ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY
358 UTERINE & ADNEXA PROCEDURE FOR NON-MALIGNANCY WITH COMPLICATIONS, COMORBIDITIES
359 UTERINE & ADNEXA PROCEDURE FOR NON-MALIGNANCY WITHOUT COMPLICATIONS, COMORBIDITIES
360 VAGINA, CERVIX & VULVA PROCEDURES
361 LAPAROSCOPY & INCISIONAL TUBAL INTERRUPTION
362 ENDOSCOPIC TUBAL INTERRUPTION
363 DILATION & CURETTAGE, CONIZATION & RADIO-IMPLANT, FOR MALIGNANCY
364 DILATION & CURETTAGE, CONIZATION EXCEPT FOR MALIGNANCY
365 OTHER FEMALE REPRODUCTIVE SYSTEM OPERATING ROOM PROCEDURES
366 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATIONS, COMORBIDITIES
367 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATIONS, COMORBIDITIES
368 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM
369 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS
370 CESAREAN SECTION WITH COMPLICATIONS, COMORBIDITIES
371 CESAREAN SECTION WITHOUT COMPLICATIONS, COMORBIDITIES
372 VAGINAL DELIVERY WITH COMPLICATING DIAGNOSES
373 VAGINAL DELIVERY WITHOUT COMPLICATING DIAGNOSES
374 VAGINAL DELIVERY WITH STERILIZATION &/OR DILATION & CURETTAGE
375 VAGINAL DELIVERY WITH OPERATING ROOM PROCEDURE EXCEPT STERILIZATION &/OR DILATION & CURETTAGE
376 POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT OPERATING ROOM PROCEDURE
377 POSTPARTUM & POST ABORTION DIAGNOSES WITH OPERATING ROOM PROCEDURE
378 ECTOPIC PREGNANCY
379 THREATENED ABORTION
380 ABORTION WITHOUT DILATION & CURETTAGE
381 ABORTION WITH DILATION & CURETTAGE, ASPIRATION CURETTAGE OR HYSTEROTOMY
382 FALSE LABOR
383 OTHER ANTEPARTUM DIAGNOSES WITH MEDICAL COMPLICATIONS
384 OTHER ANTEPARTUM DIAGNOSES WITHOUT MEDICAL COMPLICATIONS
385 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY
386 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE
387 PREMATURITY WITH MAJOR PROBLEMS
388 PREMATURITY WITHOUT MAJOR PROBLEMS
389 FULL TERM NEONATE WITH MAJOR PROBLEMS
390 NEONATE WITH OTHER SIGNIFICANT PROBLEMS
391 NORMAL NEWBORN
392 SPLENECTOMY AGE >17
393 SPLENECTOMY AGE 0-17
394 OTHER OPERATING ROOM PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS
395 RED BLOOD CELL DISORDERS AGE >17
396 RED BLOOD CELL DISORDERS AGE 0-17
397 COAGULATION DISORDERS
398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMPLICATIONS, COMORBIDITIES
399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITHOUT COMPLICATIONS, COMORBIDITIES
400* LYMPHOMA & LEUKEMIA WITH MAJOR OPERATING ROOM PROCEDURE (prior to 10-1-03; no DRG 400 beginning 10-1-03 when DRGs 539-540 were added)
401 LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER OPERATING ROOM PROCEDURES WITH COMPLICATIONS, COMORBIDITIES
402 LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER OPERATING ROOM PROCEDURES WITHOUT COMPLICATIONS, COMORBIDITIES
403 LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATIONS, COMORBIDITIES
404 LYMPHOMA & NON-ACUTE LEUKEMIA WITHOUT COMPLICATIONS, COMORBIDITIES
405 ACUTE LEUKEMIA WITHOUT MAJOR OPERATING ROOM PROCEDURE AGE 0-17
406 MYELOPROLIFERATIVE DISORDER OR POORLY DIFFUSED NEOPLASMS WITH MAJOR OPERATING ROOM PROCEDURES WITH COMPLICATIONS, COMORBIDITIES
407 MYELOPROLIFERATIVE DISORDER OR POORLY DIFFUSED NEOPLASMS WITH MAJOR OPERATING ROOM PROCEDURES WITHOUT COMPLICATIONS, COMORBIDITIES OPERATING ROOM PROCEDURES WITHOUT COMPLICATIONS, COMORBIDITIES
408 MYELOPROLIFERATIVE DISORDER OR POORLY DIFFUSED NEOPLASMS WITH OTHER OPERATING ROOM PROCEDURES
409 RADIOTHERAPY
410 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS
411 HISTORY OF MALIGNANCY WITHOUT ENDOSCOPY
412 HISTORY OF MALIGNANCY WITH ENDOSCOPY
413 OTHER MYELOPROLIFERATIVE DISEASES OR POORLY DIFFUSED NEOPLASM DIAGNOSES WITH COMPLICATIONS, COMORBIDITIES
414 OTHER MYELOPROLIFERATIVE DISEASES OR POORLY DIFFUSED NEOPLASM DIAGNOSES WITHOUT COMPLICATIONS, COMORBIDITIES
415* OPERATING ROOM PROCEDURE FOR INFECTIOUS & PARASITIC DISEASES (prior to 10-1-06)
416* SEPTICEMIA AGE >17 (prior to 10-1-06)
417 SEPTICEMIA AGE 0-17
418 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS
419 FEVER OF UNKNOWN ORIGIN AGE >17 WITH COMPLICATIONS, COMORBIDITIES
420 FEVER OF UNKNOWN ORIGIN AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
421 VIRAL ILLNESS AGE >17
422 VIRAL ILLNESS & FEVER OF UNKNOWN ORIGIN AGE 0-17
423 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES
424 OPERATING ROOM PROCEDURE WITH PRINCIPAL DIAGNOSES OF MENTAL ILLNESS
425* ACUTE ADJUSTMENT REACTIONS & DISTURBANCES OF PSYCHOSOCIAL DYSFUNCTION (prior to 10/01/99)
425* ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION (beginning 10/01/99)
426 DEPRESSIVE NEUROSES
427 NEUROSES EXCEPT DEPRESSIVE
428 DISORDERS OF PERSONALITY & IMPULSE CONTROL
429 ORGANIC DISTURBANCES & MENTAL RETARDATION
430 PSYCHOSES
431 CHILDHOOD MENTAL DISORDERS
432 OTHER MENTAL DISORDER DIAGNOSES
433 ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE
434* ALCOHOL/DRUG ABUSE OR DEPENDENCE, DETOXIFICATION OR OTHER SYMPTOM TREATMENT WITH COMPLICATIONS, COMORBIDITIES (prior to 10-1-01; no DRG 434 beginning 10-1-01 when DRGs 521-523 were added)
435* ALCOHOL/DRUG ABUSE OR DEPENDENCE, DETOXIFICATION OR OTHER SYMPTOM TREATMENT WITHOUT COMPLICATIONS, COMORBIDITIES (prior to 10-1-01; no DRG 435 beginning 10-1-01 when DRGs 521-523 were added)
436* ALCOHOL/DRUG DEPENDENCE WITH REHABILITATION THERAPY (prior to 10-1-01; no DRG 436 beginning 10-1-01 when DRGs 521-523 were added)
437* ALCOHOL/DRUG DEPENDENCE, COMBINED REHABILITATION & DETOXIFICATION THERAPY (prior to 10-1-01; no DRG 437 beginning 10-1-01 when DRGs 521-523 were added)
439 SKIN GRAFTS FOR INJURIES
440 WOUND DEBRIDEMENTS FOR INJURIES
441 HAND PROCEDURES FOR INJURIES
442 OTHER OPERATING ROOM PROCEDURES FOR INJURIES WITH COMPLICATIONS, COMORBIDITIES
443 OTHER OPERATING ROOM PROCEDURES FOR INJURIES WITHOUT COMPLICATIONS, COMORBIDITIES
444 TRAUMATIC INJURY AGE >17 WITH COMPLICATIONS, COMORBIDITIES
445 TRAUMATIC INJURY AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
446 TRAUMATIC INJURY AGE 0-17
447 ALLERGIC REACTIONS AGE >17
448 ALLERGIC REACTIONS AGE 0-17
449 POISONING & TOXIC EFFECTS OF DRUGS AGE >17 WITH COMPLICATIONS, COMORBIDITIES
450 POISONING & TOXIC EFFECTS OF DRUGS AGE >17 WITHOUT COMPLICATIONS, COMORBIDITIES
451 POISONING & TOXIC EFFECTS OF DRUGS AGE 0-17
452 COMPLICATIONS OF TREATMENT WITH COMPLICATIONS, COMORBIDITIES
453 COMPLICATIONS OF TREATMENT WITHOUT COMPLICATIONS, COMORBIDITIES
454 OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES WITH COMPLICATIONS, COMORBIDITIES
455 OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES WITHOUT COMPLICATIONS, COMORBIDITIES
456* BURNS, TRANSFERRED TO ANOTHER ACUTE CARE FACILITY (prior to 10-1-98; no DRG 456 beginning 10-1-98 when DRGs 504-511 were added)
457* EXTENSIVE BURNS WITHOUT OPERATING ROOM PROCEDURE (prior to 10-1-98; no DRG 457 beginning 10-1-98 when DRGs 504-511 were added)
458* NON-EXTENSIVE BURNS WITH SKIN GRAFT (prior to 10-1-98; no DRG 458 beginning 10-1-98 when DRGs 504-511 were added)
459* NON-EXTENSIVE BURNS WITH WOUND DEBRIDEMENT OR OTHER OPERATING ROOM PROCEDURE (prior to 10-1-98; no DRG 459 beginning 10-1-98 when DRGs 504-511 were added)
460* NON-EXTENSIVE BURNS WITHOUT OPERATING ROOM PROCEDURE (prior to 10-1-98; no DRG 460 beginning 10-1-98 when DRGs 504-511 were added)
461 OPERATING ROOM PROCEDURE WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES
462 REHABILITATION
463 SIGNS & SYMPTOMS WITH COMPLICATIONS, COMORBIDITIES
464 SIGNS & SYMPTOMS WITHOUT COMPLICATIONS, COMORBIDITIES
465 AFTERCARE WITH HISTORY OF MALIGNANCY AS SECONDARY DIAGNOSIS
466 AFTERCARE WITHOUT HISTORY OF MALIGNANCY AS SECONDARY DIAGNOSIS
467 OTHER FACTORS INFLUENCING HEALTH STATUS
468 EXTENSIVE OPERATING ROOM PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
469 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS
470 UNGROUPABLE
471 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY
472* EXTENSIVE BURNS WITH OPERATING ROOM PROCEDURE (prior to 10-1-98; no DRG 472 beginning 10-1-05 when DRG 553 was added)
473 ACUTE LEUKEMIA WITHOUT MAJOR OPERATING ROOM PROCEDURE AGE >17
475 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT
476 PROSTATIC OPERATING ROOM PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
477 NON-EXTENSIVE OPERATING ROOM PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
478* OTHER VASCULAR PROCEDURES WITH COMPLICATIONS, CORMORBIDITIES (prior to 10-1-05; no DRG 478 beginning 10-1-05 when DRGs 553-554 were added)
479 OTHER VASCULAR PROCEDURES WITHOUT COMPLICATIONS, CORMORBIDITIES
480* LIVER TRANSPLANT (prior to 10-1-04)
480* LIVER TRANSPLANT AND/OR INTENSTINAL TRANSPLANT (beginning 10-1-04)
481 BONE MARROW TRANSPLANT
482 TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES
483* TRACHEOSTOMY EXCEPT FOR FACE, MOUTH, & NECK DIAGNOSES (prior to 10-1-02)
483* TRACHEOSTOMY WITH MECHANICAL VENTILATION 96+ HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH, & NECK (beginning 10-1-02, used to 10-1-04)
483* TRACHEOSTOMY WITH MECHANICAL VENTILATION 96+ HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH, AND NECK DIAGNOSES (prior to 10-1-04; no DRG 483 beginning 10-1-04 when DRGs 541-542 were added)
484 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
485 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURE FOR MULTIPLE SIGNIFICANT TRAUMA
486 OTHER OPERATING ROOM PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
487 OTHER MULTIPLE SIGNIFICANT TRAUMA
488 HIV WITH EXTENSIVE OPERATING ROOM PROCEDURE
489 HIV WITH MAJOR RELATED CONDITION
490 HIV WITH OR WITHOUT OTHER RELATED CONDITION
491 MAJOR JOINT & LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITY
492* CHEMOTHERAPY W/ ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS (prior to 10-1-03)
492* CHEMOTHERAPY W/ ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH USE OF HIGH-DOSE CHEMOTHERAPY AGENT (beginning 10-1-03)
493 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT COMMON DUCT EXPLORATION WITH COMPLICATIONS, COMORBIDITIES
494 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT COMMON DUCT EXPLORATION WITHOUT COMPLICATIONS, COMORBIDITIES
495 LUNG TRANSPLANT
496* COMBINED ANTERIOR/POSTERIOR SPINAL FUSION (added 10-1-97)
497* SPINAL FUSION WITH COMPLICATIONS AND COMORBIDITIES (between 10-1-97 and 10-1-01)
497* SPINAL FUSION EXCEPT CERVICAL WITH COMPLICATIONS AND COMORBIDITIES (added 10-1-01)
498* SPINAL FUSION WITHOUT COMPLICATIONS AND COMORBIDITIES (between 10-1-97 and 10-1-01)
498* SPINAL FUSION EXCEPT CERVICAL WITHOUT COMPLICATIONS AND COMORBIDITIES (added 10-1-01)
499* BACK & NECK PROCEDURES EXCEPT SPINAL FUSION WITH COMPLICATIONS AND COMORBIDITIES (added 10-1-97)
500* BACK & NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT COMPLICATIONS AND COMORBIDITIES (added 10-1-97)
501* KNEE PROCEDURES W PDX OF INFECTION WITH COMPLICATIONS AND COMORBIDITIES (added 10-1-97)
502* KNEE PROCEDURES W PDX OF INFECTION WITHOUT COMPLICATIONS AND COMORBIDITIES (added 10-1-97)
503* KNEE PROCEDURES WITHOUT PDX OF INFECTION (added 10-1-97)
504* EXTENSIVE 3rd DEGREE BURNS WITH SKIN GRAFT (added 10-1-98, used to 10-1-04)
504* EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MECHANICAL VENTILATION 96+ HOURS WITH SKIN GRAFT (beginning 10-1-04)
505* EXTENSIVE BURNS OR FULL THICKNESS BURNS WITHOUT SKIN GRAFT (added 10-1-98, used to 10-1-04)
505* EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MECHANICAL VENTILATION 96+ HOURS WITHOUT SKIN GRAFT (beginning 10-1-04)
506* FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC OR SIGNIFICANT TRAUMA (added 10-1-98)
507* FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC OR SIGNIFICANT TRAUMA (added 10-1-98)
508* FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY WITH CC OR SIGNIFICANT TRAUMA (added 10-1-98)
509* FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY WITHOUT CC OR SIGNIFICANT TRAUMA (added 10-1-98)
510* NON-EXTENSIVE BURNS WITH CC OR SIGNIFICANT TRAUMA (added 10-1-98)
511* NON-EXTENSIVE BURNS WITHOUT CC OR SIGNIFICANT TRAUMA (added 10-1-98)
512* SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT (added 10-1-01)
513* PANCREAS TRANSPLANTS (added 10-1-01)
514* CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION (added 10-1-01; no DRG 514 beginning 10-1-03 when replaced by DRG 535-DRG 536)
515* CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION (added 10-1-01)
516* PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH ACUTE MYOCARDIAL INFARCTION (added 10-1-01; no DRG 516 beginning 10-1-05 when DRG 555 was added)
517* PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT ACUTE MYOCARDIAL INFARCTION, WITH CORONARY ARTERY STENT IMPLANT (added 10-1-01; no DRG 517 beginning 10-1-05 when DRG 556 was added)
518* PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT ACUTE MYOCARDIAL INFARCTION, WITHOUT CORONARY ARTERY STENT IMPLANT (added 10-1-01)
519* CERVICAL SPINAL FUSION WITH COMPLICATIONS AND COMORBIDITIES (added 10-1-01)
520* CERVICAL SPINAL FUSION WITHOUT COMPLICATIONS AND COMORBIDITIES (added 10-1-01)
521* ALCOHOL/DRUG ABUSE OR DEPENDENCE WITH COMPLICATIONS AND COMORBIDITIES (added 10-1-01)
522* ALCOHOL/DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY WITHOUT COMPLICATIONS AND COMORBIDITIES (added 10-1-01)
523* ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMPLICATIONS AND COMORBIDITIES (added 10-1-01)
524* TRANSIENT ISCHEMIA (added 10-1-02)
525* HEART ASSIST SYSTEM IMPLANT (added 10-1-02, used to 10-1-04)
525* OTHER HEART ASSIST SYSTEM IMPLANT (beginning 10-1-04)
526* PERCUTANEOUS CARDIOVASCULAR PROCEDURE WITH DRUG-ELUDING STENT WITH ACUTE MYOCARDIAL INFARCTION (added 04-1-03; no DRG 526 beginning 10-1-05 when DRG 557 was added)
527* PERCUTANEOUS CARDIOVASCULAR PROCEDURE WITH DRUG-ELUDING STENT WITHOUT ACUTE MYOCARDIAL INFARCTION (added 04-1-03; no DRG 527 beginning 10-1-05 when DRG 558 was added)
528* INTRA CRANIAL VASCULAR PROCEDURE WITH PRINCIPAL DIAGNOSIS OF HEMORRHAGE (added 10-1-03)
529* VENTRICULAR SHUNT PROCEDURES WITH CC (added 10-1-03)
530* VENTRICULAR SHUNT PROCEDURES WITHOUT CC (added 10-1-03)
531* SPINAL PROCEDURES WITH CC (added 10-1-03)
532* SPINAL PROCEDURES WITHOUT CC (added 10-1-03)
533* EXTRACRANIAL VASCULAR PROCEDURES WITH CC (added 10-1-03)
534* EXTRACRANIAL VASCULAR PROCEDURES WITHOUT CC (added 10-1-03)
535* CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH ACUTE MYOCARDIAL INFARCTION (AMI), HEART FAILURE OR SHOCK (added 10-1-03)
536* CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT ACUTE MYOCARDIAL INFARCTION (AMI), HEART FAILURE OR SHOCK (added 10-1-03)
537* LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC (added 10-1-03)
538* LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC (added 10-1-03)
539* LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH CC (added 10-1-03)
540* LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURE WITHOUT CC (added 10-1-03)
541* ECMO OR TRACHEOSTOMY WITH MECHANICAL VENTILATION 96+ HOURS OR PRINCIPAL DIAGNOSES EXCEPT FACE, MOUTH AND NECK DIAGNOSES WITH MAJOR OPERATING ROOM PROCEDURE (added 10-1-04)
542* TRACHEOSTOMY WITH MECHANICAL VENTILATION 96+ HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK DIAGNOSES WITHOUT MAJOR OPERATING ROOM PROCEDURE (added 10-1-04)
543* CRANIOTOMY WITH IMPLANT OF CHEMO AGENT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS (after 10-1-04)
543* CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS (added 10-1-04 until 10-1-06)
544* MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY (added 10-1-05)
545* REVISION OF HIP OR KNEE REPLACEMENT (added 10-1-05)
546* SPINAL FUSIONS EXCEPT CERVICAL WITH CURVATURE OF THE SPINE OR MALIGNANCY (added 10-1-05)
547* CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCV DIAGNOSIS (added 10-1-05)
548* CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCV DIAGNOSIS (added 10-1-05)
549* CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCV DIAGNOSIS (added 10-1-05)
550* CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCV DIAGNOSIS (added 10-1-05)
551* PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCV DIAGNOSIS OR AICD LEAD OR GENERATOR (added 10-1-05)
552* OTHER PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT MCV DIAGNOSIS (added 10-1-05)
553* OTHER VASCULAR PROCEDURES WITH COMPLICATIONS AND COMORBIDITIES (added 10-1-05)
554* OTHER VASCULAR PROCEDURES WITHOUT COMPLICATIONS AND COMORBIDITIES (added 10-1-05)
555* PERCUTANEOUS CARDIOVASCULAR PROCEDURE WITH MCV DIAGNOSIS (added 10-1-05)
556* PERCUTANEOUS CARDIOVASCULAR PROCEDURE WITH NON DRUG-ELUTING STENT WITHOUT MCV DIAGNOSIS (added 10-1-05)
557* PERCUTANEOUS CARDIOVASCULAR PROCEDURE WITH NON DRUG-ELUTING STENT WITH MCV DIAGNOSIS (added 10-1-05)
558* PERCUTANEOUS CARDIOVASCULAR PROCEDURE WITH NON DRUG-ELUTING STENT WITHOUT MCV DIAGNOSIS (added 10-1-05)
559* ACUTE ISCHEMIC STROKE WITH USE OF THROMBOLYTIC AGENT (added 10-1-05)
560* BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM (added 10-1-06)
561* NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS (added 10-1-06)
562* SEIZURE AGE >17 W COMPLICATIONS & COMORBIDITIES (added 10-1-06)
563* SEIZURE AGE >17 WITHOUT COMPLICATIONS & COMORBIDITIES (added 10-1-06)
564* HEADACHES >17(added 10-1-06)
565* RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT 96+ HRS (added 10-1-06)
566* RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <96 HRS (added 10-1-06)
567* STOMACH, ESOPHAGEAL & DUODENAL PROC AGE >17 W CC W MAJOR GI DX (added 10-1-06)
568* STOMACH, ESOPHAGEAL & DUODENAL PROC AGE >17 W CC W/O MAJOR GI DX (added 10-1-06)
569* MAJOR SMALL & LARGE BOWEL PROCEDURES W CC W MAJOR GI DX (added 10-1-06)
570* MAJOR SMALL & LARGE BOWEL PROCEDURES W CC W/O MAJOR GI DX (added 10-1-06)
571* MAJOR ESOPHAGEAL DISORDERS (added 10-1-06)
572* MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS (added 10-1-06)
573* MAJOR BLADDER PROCEDURES (added 10-1-06)
574* MAJOR HEMATOLOGIC/IMMUNOLOGIC DX EXCEP SCYLE CELL CRISIS & COAG (added 10-1-06)
575* SEPTICEMIA W MECHANICAL VENTILATOR 96+ HOURS AGE >17 (added 10-1-06)
576* SEPTICEMIA W MECHANICAL VENTILATOR W/0 96+ HOURS AGE >17 (added 10-1-06)
577* CAROTID ARTERY STENT PROCEDURE (added 10-1-06)
578* INFECTIOUS & PARASITIC DISEASES W OR PROCEDURE (added 10-1-06)
579* POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W OR PROCEDURE (added 10-1-06)


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