COMPOSITION OF LOW-VOLUME QUINTILES FOR MS-LTC-DRGS FY 2024	
MS-LTC-DRG	MS-LTC-DRG Description
Quintile 1	
065	Intracranial hemorrhage or cerebral infarction with CC or tPA in 24 hours
066	Intracranial hemorrhage or cerebral infarction without CC/MCC
072	Nonspecific cerebrovascular disorders without CC/MCC
074	Cranial and peripheral nerve disorders without MCC
075	Viral meningitis with CC/MCC
096	Bacterial and tuberculous infections of nervous system without CC/MCC
125	Other disorders of the eye without MCC
148	"Ear, nose, mouth and throat malignancy without CC/MCC"
150	Epistaxis with MCC
176	Pulmonary embolism without MCC
181	Respiratory neoplasms with CC
183	Major chest trauma with MCC
192	Chronic obstructive pulmonary disease without CC/MCC
195	Simple pneumonia and pleurisy without CC/MCC
200	Pneumothorax with CC
284	"Acute myocardial infarction, expired with CC"
295	Deep vein thrombophlebitis without CC/MCC
305	Hypertension without MCC
310	Cardiac arrhythmia and conduction disorders without CC/MCC
316	Other circulatory system diagnoses without CC/MCC
375	Digestive malignancy with CC
378	Gastrointestinal hemorrhage with CC
395	Other digestive system diagnoses without CC/MCC
434	Cirrhosis and alcoholic hepatitis without CC/MCC
517	Other musculoskeletal system and connective tissue O.R. procedures without CC/MCC
544	Pathological fractures and musculoskeletal and connective tissue malignancy without CC/MCC
556	Signs and symptoms of musculoskeletal system and connective tissue without MCC
598	Malignant breast disorders with CC
600	Non-malignant breast disorders with CC/MCC
645	Endocrine disorders without CC/MCC
696	Kidney and urinary tract signs and symptoms without MCC
700	Other kidney and urinary tract diagnoses without CC/MCC
755	"Malignancy, female reproductive system with CC"
759	"Infections, female reproductive system without CC/MCC"
760	Menstrual and other female reproductive system disorders with CC/MCC
802	Other O.R. procedures of the blood and blood forming organs with MCC
809	Major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with CC
837	Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy agent with MCC
858	Postoperative or post-traumatic infections with O.R. procedures without CC/MCC
866	Viral illness without MCC
914	Traumatic injury without MCC
917	Poisoning and toxic effects of drugs with MCC
922	"Other injury, poisoning and toxic effect diagnoses with MCC"
933	Extensive burns or full thickness burns with MV >96 hours without skin graft
948	Signs and symptoms without MCC
950	Aftercare without CC/MCC
951	Other factors influencing health status
Quintile 2	
041	"Peripheral, cranial nerve and other nervous system procedures with CC or peripheral neurostimulator"
054	Nervous system neoplasms with MCC
084	Traumatic stupor and coma >1 hour without CC/MCC
099	Non-bacterial infection of nervous system except viral meningitis without CC/MCC
101	Seizures without MCC
146	"Ear, nose, mouth and throat malignancy with MCC"
149	Dysequilibrium
152	Otitis media and URI with MCC
179	Respiratory infections and inflammations without CC/MCC
187	Pleural effusion with CC
191	Chronic obstructive pulmonary disease with CC
281	"Acute myocardial infarction, discharged alive with CC"
300	Peripheral vascular disorders with CC
302	Atherosclerosis with MCC
312	Syncope and collapse
373	Major gastrointestinal disorders and peritoneal infections without CC/MCC
383	Uncomplicated peptic ulcer with MCC
385	Inflammatory bowel disease with MCC
433	Cirrhosis and alcoholic hepatitis with CC
442	"Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CC"
542	Pathological fractures and musculoskeletal and connective tissue malignancy with MCC
550	Septic arthritis without CC/MCC
561	"Aftercare, musculoskeletal system and connective tissue without CC/MCC"
572	Skin debridement without CC/MCC
595	Major skin disorders with MCC
596	Major skin disorders without MCC
605	"Trauma to the skin, subcutaneous tissue and breast without MCC"
607	Minor skin disorders without MCC
643	Endocrine disorders with MCC
644	Endocrine disorders with CC
660	Kidney and ureter procedures for non-neoplasm with CC
693	Urinary stones with MCC
699	Other kidney and urinary tract diagnoses with CC
725	Benign prostatic hypertrophy with MCC
728	Inflammation of the male reproductive system without MCC
729	Other male reproductive system diagnoses with CC/MCC
758	"Infections, female reproductive system with CC"
812	Red blood cell disorders without MCC
813	Coagulation disorders
841	Lymphoma and non-acute leukemia with CC
846	Chemotherapy without acute leukemia as secondary diagnosis with MCC
868	Other infectious and parasitic diseases diagnoses with CC
915	Allergic reactions with MCC
921	Complications of treatment without CC/MCC
934	Full thickness burn without skin graft or inhalation injury
947	Signs and symptoms with MCC
977	HIV with or without other related condition
Quintile 3	
055	Nervous system neoplasms without MCC
073	Cranial and peripheral nerve disorders with MCC
083	Traumatic stupor and coma >1 hour with CC
085	Traumatic stupor and coma <1 hour with MCC
095	Bacterial and tuberculous infections of nervous system with CC
098	Non-bacterial infection of nervous system except viral meningitis with CC
147	"Ear, nose, mouth and throat malignancy with CC"
153	Otitis media and URI without MCC
158	Dental and oral diseases with CC
175	Pulmonary embolism with MCC or acute cor pulmonale
180	Respiratory neoplasms with MCC
202	Bronchitis and asthma with CC/MCC
206	Other respiratory system diagnoses without MCC
256	Upper limb and toe amputation for circulatory system disorders with CC
273	Percutaneous and other intracardiac procedures with MCC
283	"Acute myocardial infarction, expired with MCC"
294	Deep vein thrombophlebitis with CC/MCC
304	Hypertension with MCC
308	Cardiac arrhythmia and conduction disorders with MCC
309	Cardiac arrhythmia and conduction disorders with CC
374	Digestive malignancy with MCC
377	Gastrointestinal hemorrhage with MCC
380	Complicated peptic ulcer with MCC
386	Inflammatory bowel disease with CC
389	Gastrointestinal obstruction with CC
392	"Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCC"
439	Disorders of pancreas except malignancy with CC
445	Disorders of the biliary tract with CC
533	Fractures of femur with MCC
535	Fractures of hip and pelvis with MCC
541	Osteomyelitis without CC/MCC
549	Septic arthritis with CC
562	"Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with MCC"
565	Other musculoskeletal system and connective tissue diagnoses with CC
594	Skin ulcers without CC/MCC
604	"Trauma to the skin, subcutaneous tissue and breast with MCC"
642	Inborn and other disorders of metabolism
674	Other kidney and urinary tract procedures with CC
675	Other kidney and urinary tract procedures without CC/MCC
684	Renal failure without CC/MCC
754	"Malignancy, female reproductive system with MCC"
814	Reticuloendothelial and immunity disorders with MCC
823	Lymphoma and non-acute leukemia with other procedures with MCC
824	Lymphoma and non-acute leukemia with other procedures with CC
834	Acute leukemia without major O.R. procedures with MCC
923	"Other injury, poisoning and toxic effect diagnoses without MCC"
928	Full thickness burn with skin graft or inhalation injury with CC/MCC
975	HIV with major related condition with CC
Quintile 4	
058	Multiple sclerosis and cerebellar ataxia with MCC
086	Traumatic stupor and coma <1 hour with CC
100	Seizures with MCC
154	"Other ear, nose, mouth and throat diagnoses with MCC"
157	Dental and oral diseases with MCC
168	Other respiratory system O.R. procedures without CC/MCC
196	Interstitial lung disease with MCC
199	Pneumothorax with MCC
204	Respiratory signs and symptoms
228	Other cardiothoracic procedures with MCC
266	Endovascular cardiac valve replacement and supplement procedures with MCC
290	Acute and subacute endocarditis without CC/MCC
326	"Stomach, esophageal and duodenal procedures with MCC"
368	Major esophageal disorders with MCC
381	Complicated peptic ulcer with CC
417	Laparoscopic cholecystectomy without C.D.E. with MCC
423	Other hepatobiliary or pancreas O.R. procedures with MCC
465	Wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders without CC/MCC
466	Revision of hip or knee replacement with MCC
477	Biopsies of musculoskeletal system and connective tissue with MCC
498	Local excision and removal of internal fixation devices of hip and femur with CC/MCC
501	Soft tissue procedures with CC
513	"Hand or wrist procedures, except major thumb or joint procedures with CC/MCC"
543	Pathological fractures and musculoskeletal and connective tissue malignancy with CC
545	Connective tissue disorders with MCC
552	Medical back problems without MCC
554	Bone diseases and arthropathies without MCC
576	Skin graft except for skin ulcer or cellulitis with MCC
597	Malignant breast disorders with MCC
629	"Other endocrine, nutritional and metabolic O.R. procedures with CC"
686	Kidney and urinary tract neoplasms with MCC
687	Kidney and urinary tract neoplasms with CC
717	Other male reproductive system O.R. procedures except malignancy with CC/MCC
757	"Infections, female reproductive system with MCC"
803	Other O.R. procedures of the blood and blood forming organs with CC
808	Major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with MCC
811	Red blood cell disorders with MCC
840	Lymphoma and non-acute leukemia with MCC
865	Viral illness with MCC
903	Wound debridements for injuries without CC/MCC
904	Skin grafts for injuries with CC/MCC
908	Other O.R. procedures for injuries with CC
935	Non-extensive burns
957	Other O.R. procedures for multiple significant trauma with MCC
963	Other multiple significant trauma with MCC
969	HIV with extensive O.R. procedures with MCC
988	Non-extensive O.R. procedures unrelated to principal diagnosis with CC
Quintile 5	
012	"Tracheostomy for face, mouth and neck diagnoses or laryngectomy with CC"
023	Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC or chemotherapy implant or epilepsy with neurostimulator
028	Spinal procedures with MCC
053	Spinal disorders and injuries without CC/MCC
080	Nontraumatic stupor and coma with MCC
239	Amputation for circulatory system disorders except upper limb and toe with MCC
240	Amputation for circulatory system disorders except upper limb and toe with CC
242	Permanent cardiac pacemaker implant with MCC
252	Other vascular procedures with MCC
255	Upper limb and toe amputation for circulatory system disorders with MCC
265	AICD lead procedures
270	Other major cardiovascular procedures with MCC
287	"Circulatory disorders except AMI, with cardiac catheterization without MCC"
306	Cardiac congenital and valvular disorders with MCC
307	Cardiac congenital and valvular disorders without MCC
329	Major small and large bowel procedures with MCC
330	Major small and large bowel procedures with CC
344	Minor small and large bowel procedures with MCC
357	Other digestive system O.R. procedures with CC
405	"Pancreas, liver and shunt procedures with MCC"
435	Malignancy of hepatobiliary system or pancreas with MCC
456	"Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions with MCC"
474	Amputation for musculoskeletal system and connective tissue disorders with MCC
475	Amputation for musculoskeletal system and connective tissue disorders with CC
492	"Lower extremity and humerus procedures except hip, foot and femur with MCC"
503	Foot procedures with MCC
504	Foot procedures with CC
516	Other musculoskeletal system and connective tissue O.R. procedures with CC
518	Back and neck procedures except spinal fusion with MCC or disc device or neurostimulator
553	Bone diseases and arthropathies with MCC
555	Signs and symptoms of musculoskeletal system and connective tissue with MCC
574	Skin graft for skin ulcer or cellulitis with CC
577	Skin graft except for skin ulcer or cellulitis with CC
578	Skin graft except for skin ulcer or cellulitis without CC/MCC
616	"Amputation of lower limb for endocrine, nutritional and metabolic disorders with MCC"
617	"Amputation of lower limb for endocrine, nutritional and metabolic disorders with CC"
619	O.R. procedures for obesity with MCC
628	"Other endocrine, nutritional and metabolic O.R. procedures with MCC"
659	Kidney and ureter procedures for non-neoplasm with MCC
662	Minor bladder procedures with MCC
711	Testes procedures with CC/MCC
749	Other female reproductive system O.R. procedures with CC/MCC
843	Other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with MCC
854	Infectious and parasitic diseases with O.R. procedures with CC
857	Postoperative or post-traumatic infections with O.R. procedures with CC
902	Wound debridements for injuries with CC
940	O.R. procedures with diagnoses of other contact with health services with CC
