COMPOSITION OF LOW-VOLUME QUINTILES FOR MS-LTC-DRGS FY 2027	
MS-LTC-DRG	MS-LTC-DRG Description
Quintile 1	
053	Spinal Disorders and Injuries without CC/MCC
504	Foot Procedures with CC
156	"Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCC"
395	Other Digestive System Diagnoses without CC/MCC
084	Traumatic Stupor and Coma >1 Hour without CC/MCC
069	Transient Ischemia without Thrombolytic
644	Endocrine Disorders with CC
933	Extensive Burns or Full Thickness Burns with MV >96 Hours without Skin Graft
923	"Other Injury, Poisoning and Toxic Effect Diagnoses without MCC"
144	"Other Ear, Nose, Mouth and Throat O.R. Procedures with CC"
443	"Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis without CC/MCC"
381	Complicated Peptic Ulcer with CC
909	Other O.R. Procedures for Injuries without CC/MCC
535	Fractures of Hip and Pelvis with MCC
661	Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC
219	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC
093	Other Disorders of Nervous System without CC/MCC
303	Atherosclerosis without MCC
928	Full Thickness Burn with Skin Graft or Inhalation Injury with CC/MCC
055	Nervous System Neoplasms without MCC
282	"Acute Myocardial Infarction, Discharged Alive without CC/MCC"
481	Hip and Femur Procedures Except Major Joint with CC
203	Bronchitis and Asthma without CC/MCC
076	Viral Meningitis without CC/MCC
153	Otitis Media and URI without MCC
195	Simple Pneumonia and Pleurisy without CC/MCC
686	Kidney and Urinary Tract Neoplasms with MCC
493	"Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC"
601	Non-Malignant Breast Disorders without CC/MCC
270	Other Major Cardiovascular Procedures with MCC
642	Inborn and Other Disorders of Metabolism
726	Benign Prostatic Hypertrophy without MCC
759	"Infections, Female Reproductive System without CC/MCC"
556	Signs and Symptoms of Musculoskeletal System and Connective Tissue without MCC
143	"Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC"
549	Septic Arthritis with CC
220	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC
304	Hypertension with MCC
379	Gastrointestinal Hemorrhage without CC/MCC
187	Pleural Effusion with CC
305	Hypertension without MCC
060	Multiple Sclerosis and Cerebellar Ataxia without CC/MCC
922	"Other Injury, Poisoning and Toxic Effect Diagnoses with MCC"
083	Traumatic Stupor and Coma >1 Hour with CC
373	Major Gastrointestinal Disorders and Peritoneal Infections without CC/MCC
383	Uncomplicated Peptic Ulcer with MCC
977	HIV with or without Other Related Condition
433	Cirrhosis and Alcoholic Hepatitis with CC
552	Medical Back Problems without MCC
Quintile 2	
065	Intracranial Hemorrhage or Cerebral Infarction with CC or tPA in 24 Hours
377	Gastrointestinal Hemorrhage with MCC
594	Skin Ulcers without CC/MCC
434	Cirrhosis and Alcoholic Hepatitis without CC/MCC
312	Syncope and Collapse
357	Other Digestive System O.R. Procedures with CC
072	Other Cerebrovascular Disorders without CC/MCC
179	Respiratory Infections and Inflammations without CC/MCC
420	Hepatobiliary Diagnostic Procedures with MCC
561	"Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC"
616	"Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with MCC or Insertion of Antibiotic-eluting Bone Void Filler"
572	Skin Debridement without CC/MCC
096	Bacterial and Tuberculous Infections of Nervous System without CC/MCC
934	Full Thickness Burn without Skin Graft or Inhalation Injury
750	Other Female Reproductive System O.R. Procedures without CC/MCC
964	Other Multiple Significant Trauma with CC
941	O.R. Procedures with Diagnoses of Other Contact with Health Services without CC/MCC
581	"Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC"
563	"Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCC"
200	Pneumothorax with CC
300	Peripheral Vascular Disorders with CC
694	Urinary Stones without MCC
815	Reticuloendothelial and Immunity Disorders with CC
125	Other Disorders of the Eye without MCC
436	Malignancy of Hepatobiliary System or Pancreas with CC
950	Aftercare without CC/MCC
281	"Acute Myocardial Infarction, Discharged Alive with CC"
074	Cranial and Peripheral Nerve Disorders without MCC
180	Respiratory Neoplasms with MCC
323	Coronary Intravascular Lithotripsy with Intraluminal Device with MCC
041	"Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator"
092	Other Disorders of Nervous System with CC
301	Peripheral Vascular Disorders without CC/MCC
868	Other Infectious and Parasitic Diseases Diagnoses with CC
550	Septic Arthritis without CC/MCC
154	"Other Ear, Nose, Mouth and Throat Diagnoses with MCC"
605	"Trauma to the Skin, Subcutaneous Tissue and Breast without MCC"
578	Skin Graft Except for Skin Ulcer or Cellulitis without CC/MCC
963	Other Multiple Significant Trauma with MCC
378	Gastrointestinal Hemorrhage with CC
446	Disorders of the Biliary Tract without CC/MCC
947	Signs and Symptoms with MCC
465	Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders without CC/MCC
302	Atherosclerosis with MCC
375	Digestive Malignancy with CC
565	Other Musculoskeletal System and Connective Tissue Diagnoses with CC
290	Acute and Subacute Endocarditis without CC/MCC
629	"Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC"
755	"Malignancy, Female Reproductive System with CC"
Quintile 3	
533	Fractures of Femur with MCC
192	Chronic Obstructive Pulmonary Disease without CC/MCC
596	Major Skin Disorders without MCC
286	"Circulatory Disorders Except AMI, with Cardiac Catheterization with MCC"
663	Minor Bladder Procedures with CC
197	Interstitial Lung Disease with CC
384	Uncomplicated Peptic Ulcer without MCC
442	"Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with CC"
684	Renal Failure without CC/MCC
675	Other Kidney and Urinary Tract Procedures without CC/MCC
101	Seizures without MCC
697	Urethral Stricture
604	"Trauma to the Skin, Subcutaneous Tissue and Breast with MCC"
503	Foot Procedures with MCC
812	Red Blood Cell Disorders without MCC
760	Menstrual and Other Female Reproductive System Disorders with CC/MCC
147	"Ear, Nose, Mouth and Throat Malignancy with CC"
052	Spinal Disorders and Injuries with CC/MCC
095	Bacterial and Tuberculous Infections of Nervous System with CC
935	Non-Extensive Burns
542	Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with MCC
204	Respiratory Signs and Symptoms
042	"Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC"
439	Disorders of Pancreas Except Malignancy with CC
607	Minor Skin Disorders without MCC
380	Complicated Peptic Ulcer with MCC
390	Gastrointestinal Obstruction without CC/MCC
124	Other Disorders of the Eye with MCC or Thrombolytic Agent
546	Connective Tissue Disorders with CC
746	"Vagina, Cervix and Vulva Procedures with CC/MCC"
164	Major Chest Procedures with CC
086	Traumatic Stupor and Coma <1 Hour with CC
196	Interstitial Lung Disease with MCC
545	Connective Tissue Disorders with MCC
423	Other Hepatobiliary or Pancreas O.R. Procedures with MCC
843	Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with MCC
102	Headaches with MCC
054	Nervous System Neoplasms with MCC
307	Cardiac Congenital and Valvular Disorders without MCC
809	Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders with CC
948	Signs and Symptoms without MCC
031	Ventricular Shunt Procedures with MCC
206	Other Respiratory System Diagnoses without MCC
176	Pulmonary Embolism without MCC
085	Traumatic Stupor and Coma <1 Hour with MCC
098	Non-Bacterial Infection of Nervous System Except Viral Meningitis with CC
158	Dental and Oral Diseases with CC
495	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC
157	Dental and Oral Diseases with MCC
Quintile 4	
075	Viral Meningitis with CC/MCC
435	Malignancy of Hepatobiliary System or Pancreas with MCC
309	Cardiac Arrhythmia and Conduction Disorders with CC
976	HIV with Major Related Condition without CC/MCC
606	Minor Skin Disorders with MCC
674	Other Kidney and Urinary Tract Procedures with CC
306	Cardiac Congenital and Valvular Disorders with MCC
834	Acute Leukemia with MCC
445	Disorders of the Biliary Tract with CC
840	Lymphoma and Non-Acute Leukemia with MCC
146	"Ear, Nose, Mouth and Throat Malignancy with MCC"
199	Pneumothorax with MCC
823	Lymphoma and Non-Acute Leukemia with Other Procedures with MCC
368	Major Esophageal Disorders with MCC
754	"Malignancy, Female Reproductive System with MCC"
776	Postpartum and Post Abortion Diagnoses without O.R. Procedures
502	Soft Tissue Procedures without CC/MCC
362	Other Circulatory System O.R. Procedures without MCC
940	O.R. Procedures with Diagnoses of Other Contact with Health Services with CC
385	Inflammatory Bowel Disease with MCC
488	Knee Procedures without Principal Diagnosis of Infection with CC/MCC
902	Wound Debridements for Injuries with CC
544	Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy without CC/MCC
921	Complications of Treatment without CC/MCC
918	Poisoning and Toxic Effects of Drugs without MCC
155	"Other Ear, Nose, Mouth and Throat Diagnoses with CC"
725	Benign Prostatic Hypertrophy with MCC
695	Kidney and Urinary Tract Signs and Symptoms with MCC
374	Digestive Malignancy with MCC
693	Urinary Stones with MCC
865	Viral Illness with MCC
574	Skin Graft for Skin Ulcer or Cellulitis with CC
854	Infectious and Parasitic Diseases with O.R. Procedures with CC
239	Amputation for Circulatory System Disorders Except Upper Limb and Toe with MCC
553	Bone Diseases and Arthropathies with MCC
758	"Infections, Female Reproductive System with CC"
152	Otitis Media and URI with MCC
440	Disorders of Pancreas Except Malignancy without CC/MCC
316	Other Circulatory System Diagnoses without CC/MCC
814	Reticuloendothelial and Immunity Disorders with MCC
576	Skin Graft Except for Skin Ulcer or Cellulitis with MCC
709	Penis Procedures with CC/MCC
475	Amputation for Musculoskeletal System and Connective Tissue Disorders with CC
722	"Malignancy, Male Reproductive System with MCC"
073	Cranial and Peripheral Nerve Disorders with MCC
908	Other O.R. Procedures for Injuries with CC
255	Upper Limb and Toe Amputation for Circulatory System Disorders with MCC
866	Viral Illness without MCC
159	Dental and Oral Diseases without CC/MCC
Quintile 5	
808	Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders with MCC
344	Minor Small and Large Bowel Procedures with MCC
917	Poisoning and Toxic Effects of Drugs with MCC
857	Postoperative or Post-Traumatic Infections with O.R. Procedures with CC
335	Peritoneal Adhesiolysis with MCC
904	Skin Grafts for Injuries with CC/MCC
855	Infectious and Parasitic Diseases with O.R. Procedures without CC/MCC
597	Malignant Breast Disorders with MCC
474	Amputation for Musculoskeletal System and Connective Tissue Disorders with MCC or Insertion of Antibiotic-eluting Bone Void Filler
577	Skin Graft Except for Skin Ulcer or Cellulitis with CC
240	Amputation for Circulatory System Disorders Except Upper Limb and Toe with CC
067	Precerebral Occlusion without Infarction with MCC
813	Coagulation Disorders
595	Major Skin Disorders with MCC
975	HIV with Major Related Condition with CC
566	Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC
555	Signs and Symptoms 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
643	Endocrine Disorders with MCC
403	Hip or Knee Procedures with Principal Diagnosis of Periprosthetic Joint Infection with MCC or Insertion of Antibiotic-eluting Bone Void Filler
717	Other Male Reproductive System O.R. Procedures with CC/MCC
202	Bronchitis and Asthma with CC/MCC
749	Other Female Reproductive System O.R. Procedures with CC/MCC
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC
329	Major Small and Large Bowel Procedures with MCC
869	Other Infectious and Parasitic Diseases Diagnoses without CC/MCC
659	Kidney and Ureter Procedures for Non-Neoplasm with MCC
175	Pulmonary Embolism with MCC or Acute Cor Pulmonale
541	Osteomyelitis without CC/MCC
957	Other O.R. Procedures for Multiple Significant Trauma with MCC
711	Testes Procedures with CC/MCC
252	Other Vascular Procedures with MCC
417	Laparoscopic Cholecystectomy without C.D.E. with MCC
228	Other Cardiothoracic Procedures with MCC
266	Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC
386	Inflammatory Bowel Disease with CC
477	Biopsies of Musculoskeletal System and Connective Tissue with MCC or Insertion of Antibiotic-eluting Bone Void Filler
424	Other Hepatobiliary or Pancreas O.R. Procedures with CC
121	Acute Major Eye Infections with CC/MCC
405	"Pancreas, Liver and Shunt Procedures with MCC"
969	HIV with Extensive O.R. Procedures with MCC
326	"Stomach, Esophageal and Duodenal Procedures with MCC"
492	"Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC or Insertion of Antibiotic-eluting Bone Void Filler"
011	"Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC"
210	Cardiac Pacemaker Revision or Device Replacement with MCC
353	Hernia Procedures Except Inguinal and Femoral with MCC
029	Spinal Procedures with CC or Spinal Neurostimulators
