 08/01/2014 **********
DRG DRG-WT GALOS LOW AALOS PAC SPPAC  DESCRIPTION
DRGX 20141001
001 253920 286       368       HEART TRANSPLANT OR IMPLAN
002 156820 157       187       HEART TRANSPLANT OR IMPLAN
003 176399 263       322  Y    ECMO OR TRACH W MV 96+ HRS
004 108533 202       244  Y    TRACH W MV 96+ HRS OR PDX
005 104973 152       207       LIVER TRANSPLANT W MCC OR
006 047461 079       088       LIVER TRANSPLANT W/O MCC
007 092986 159       186       LUNG TRANSPLANT
008 053302 098       113       SIMULTANEOUS PANCREAS/KIDN
010 040849 078       096       PANCREAS TRANSPLANT
011 047380 113       141       TRACHEOSTOMY FOR FACE,MOUT
012 033293 084       100       TRACHEOSTOMY FOR FACE,MOUT
013 021357 058       066       TRACHEOSTOMY FOR FACE,MOUT
014 109883 200       251       ALLOGENEIC BONE MARROW TRA
016 058780 175       191       AUTOLOGOUS BONE MARROW TRA
017 041603 089       124       AUTOLOGOUS BONE MARROW TRA
020 094423 139       168       INTRACRANIAL VASCULAR PROC
021 071555 119       134       INTRACRANIAL VASCULAR PROC
022 044934 063       078       INTRACRANIAL VASCULAR PROC
023 052939 079       110  Y    CRANIO W MAJOR DEV IMPL/AC
024 037461 044       063  Y    CRANIO W MAJOR DEV IMPL/AC
025 043374 074       097  Y    CRANIOTOMY & ENDOVASCULAR
026 030011 047       061  Y    CRANIOTOMY & ENDOVASCULAR
027 022824 025       033  Y    CRANIOTOMY & ENDOVASCULAR
028 053968 096       123  Y Y  SPINAL PROCEDURES W MCC
029 031573 048       064  Y Y  SPINAL PROCEDURES W CC OR
030 017835 026       034  Y Y  SPINAL PROCEDURES W/O CC/M
031 041493 077       110  Y    VENTRICULAR SHUNT PROCEDUR
032 020325 033       047  Y    VENTRICULAR SHUNT PROCEDUR
033 015602 020       025  Y    VENTRICULAR SHUNT PROCEDUR
034 037008 045       066       CAROTID ARTERY STENT PROCE
035 022109 020       029       CAROTID ARTERY STENT PROCE
036 017313 013       015       CAROTID ARTERY STENT PROCE
037 031459 056       080       EXTRACRANIAL PROCEDURES W
038 015870 023       034       EXTRACRANIAL PROCEDURES W
039 010582 013       016       EXTRACRANIAL PROCEDURES W/
040 037960 083       112  Y Y  PERIPH/CRANIAL NERVE & OTH
041 021267 049       062  Y Y  PERIPH/CRANIAL NERVE & OTH
042 018586 027       035  Y Y  PERIPH/CRANIAL NERVE & OTH
052 015813 042       057       SPINAL DISORDERS & INJURIE
053 009294 027       035       SPINAL DISORDERS & INJURIE
054 013048 039       053  Y    NERVOUS SYSTEM NEOPLASMS W
055 010191 030       041  Y    NERVOUS SYSTEM NEOPLASMS W
056 017615 052       071  Y    DEGENERATIVE NERVOUS SYSTE
057 010099 036       048  Y    DEGENERATIVE NERVOUS SYSTE
058 016336 052       071       MULTIPLE SCLEROSIS & CEREB
059 010290 039       047       MULTIPLE SCLEROSIS & CEREB
060 007867 030       036       MULTIPLE SCLEROSIS & CEREB
061 027571 057       074       ACUTE ISCHEMIC STROKE W US
062 018555 041       048       ACUTE ISCHEMIC STROKE W US
063 015098 030       034       ACUTE ISCHEMIC STROKE W US
064 017381 046       063  Y    INTRACRANIAL HEMORRHAGE OR
065 010643 034       042  Y    INTRACRANIAL HEMORRHAGE OR
066 007530 024       028  Y    INTRACRANIAL HEMORRHAGE OR
067 014527 041       054       NONSPECIFIC CVA & PRECEREB
068 008395 024       030       NONSPECIFIC CVA & PRECEREB
069 006985 021       026       TRANSIENT ISCHEMIA
070 016438 048       065  Y    NONSPECIFIC CEREBROVASCULA
071 009748 035       045  Y    NONSPECIFIC CEREBROVASCULA
072 006947 023       029  Y    NONSPECIFIC CEREBROVASCULA
073 013290 040       053       CRANIAL & PERIPHERAL NERVE
074 008847 030       038       CRANIAL & PERIPHERAL NERVE
075 016595 052       066       VIRAL MENINGITIS W CC/MCC
076 008629 032       038       VIRAL MENINGITIS W/O CC/MC
077 016245 046       060       HYPERTENSIVE ENCEPHALOPATH
078 009361 032       040       HYPERTENSIVE ENCEPHALOPATH
079 006677 023       027       HYPERTENSIVE ENCEPHALOPATH
080 012790 037       052       NONTRAUMATIC STUPOR & COMA
081 007850 027       036       NONTRAUMATIC STUPOR & COMA
082 019142 032       054       TRAUMATIC STUPOR & COMA, C
083 012401 033       042       TRAUMATIC STUPOR & COMA, C
084 008592 021       026       TRAUMATIC STUPOR & COMA, C
085 019770 047       065  Y    TRAUMATIC STUPOR & COMA, C
086 011181 032       041  Y    TRAUMATIC STUPOR & COMA, C
087 007460 021       026  Y    TRAUMATIC STUPOR & COMA, C
088 015708 038       054       CONCUSSION W MCC
089 009588 027       033       CONCUSSION W CC
090 007353 018       022       CONCUSSION W/O CC/MCC
091 015978 042       059  Y    OTHER DISORDERS OF NERVOUS
092 008989 031       039  Y    OTHER DISORDERS OF NERVOUS
093 006783 022       027  Y    OTHER DISORDERS OF NERVOUS
094 033357 082       107       BACTERIAL & TUBERCULOUS IN
095 023844 060       076       BACTERIAL & TUBERCULOUS IN
096 020726 045       053       BACTERIAL & TUBERCULOUS IN
097 031625 085       109       NON-BACTERIAL INFECT OF NE
098 017189 055       069       NON-BACTERIAL INFECT OF NE
099 011609 038       047       NON-BACTERIAL INFECT OF NE
100 015304 042       056  Y    SEIZURES W MCC
101 007567 026       032  Y    SEIZURES W/O MCC
102 010073 030       040       HEADACHES W MCC
103 006915 023       029       HEADACHES W/O MCC
113 018611 038       052       ORBITAL PROCEDURES W CC/MC
114 011568 024       031       ORBITAL PROCEDURES W/O CC/
115 012780 035       046       EXTRAOCULAR PROCEDURES EXC
116 014005 033       046       INTRAOCULAR PROCEDURES W C
117 008239 018       022       INTRAOCULAR PROCEDURES W/O
121 010635 040       050       ACUTE MAJOR EYE INFECTIONS
122 006352 031       038       ACUTE MAJOR EYE INFECTIONS
123 006732 020       025       NEUROLOGICAL EYE DISORDERS
124 011432 034       046       OTHER DISORDERS OF THE EYE
125 006852 024       031       OTHER DISORDERS OF THE EYE
129 023284 038       054       MAJOR HEAD & NECK PROCEDUR
130 012599 023       028       MAJOR HEAD & NECK PROCEDUR
131 023703 041       057       CRANIAL/FACIAL PROCEDURES
132 014248 022       027       CRANIAL/FACIAL PROCEDURES
133 018644 037       054       OTHER EAR, NOSE, MOUTH & T
134 010083 019       024       OTHER EAR, NOSE, MOUTH & T
135 019150 042       057       SINUS & MASTOID PROCEDURES
136 010509 018       024       SINUS & MASTOID PROCEDURES
137 013735 037       049       MOUTH PROCEDURES W CC/MCC
138 007888 019       024       MOUTH PROCEDURES W/O CC/MC
139 009856 016       021       SALIVARY GLAND PROCEDURES
146 019749 058       082       EAR, NOSE, MOUTH & THROAT
147 012869 039       054       EAR, NOSE, MOUTH & THROAT
148 008205 023       031       EAR, NOSE, MOUTH & THROAT
149 006342 020       025       DYSEQUILIBRIUM
150 012943 037       049       EPISTAXIS W MCC
151 006690 022       027       EPISTAXIS W/O MCC
152 010162 036       045       OTITIS MEDIA & URI W MCC
153 006884 027       032       OTITIS MEDIA & URI W/O MCC
154 013703 041       054       OTHER EAR, NOSE, MOUTH & T
155 008848 031       039       OTHER EAR, NOSE, MOUTH & T
156 006516 023       028       OTHER EAR, NOSE, MOUTH & T
157 015814 047       063       DENTAL & ORAL DISEASES W M
158 008519 030       039       DENTAL & ORAL DISEASES W C
159 005935 020       025       DENTAL & ORAL DISEASES W/O
163 050332 108       132  Y    MAJOR CHEST PROCEDURES W M
164 026010 054       066  Y    MAJOR CHEST PROCEDURES W C
165 018220 033       039  Y    MAJOR CHEST PROCEDURES W/O
166 036610 087       111  Y    OTHER RESP SYSTEM O.R. PRO
167 019818 052       066  Y    OTHER RESP SYSTEM O.R. PRO
168 013291 031       039  Y    OTHER RESP SYSTEM O.R. PRO
175 015271 052       063  Y    PULMONARY EMBOLISM W MCC
176 009670 035       042  Y    PULMONARY EMBOLISM W/O MCC
177 019492 062       077  Y    RESPIRATORY INFECTIONS & I
178 013909 050       061  Y    RESPIRATORY INFECTIONS & I
179 009693 037       045  Y    RESPIRATORY INFECTIONS & I
180 016869 053       069       RESPIRATORY NEOPLASMS W MC
181 011582 037       049       RESPIRATORY NEOPLASMS W CC
182 008088 026       033       RESPIRATORY NEOPLASMS W/O
183 015101 048       060       MAJOR CHEST TRAUMA W MCC
184 009889 034       040       MAJOR CHEST TRAUMA W CC
185 006628 024       028       MAJOR CHEST TRAUMA W/O CC/
186 015452 048       062  Y    PLEURAL EFFUSION W MCC
187 010691 035       045  Y    PLEURAL EFFUSION W CC
188 007609 026       032  Y    PLEURAL EFFUSION W/O CC/MC
189 012136 039       050       PULMONARY EDEMA & RESPIRAT
190 011743 042       051  Y    CHRONIC OBSTRUCTIVE PULMON
191 009370 034       042  Y    CHRONIC OBSTRUCTIVE PULMON
192 007190 028       033  Y    CHRONIC OBSTRUCTIVE PULMON
193 014491 049       060  Y    SIMPLE PNEUMONIA & PLEURIS
194 009688 038       045  Y    SIMPLE PNEUMONIA & PLEURIS
195 007044 029       034  Y    SIMPLE PNEUMONIA & PLEURIS
196 016635 054       069  Y    INTERSTITIAL LUNG DISEASE
197 010615 037       046  Y    INTERSTITIAL LUNG DISEASE
198 008054 028       034  Y    INTERSTITIAL LUNG DISEASE
199 018345 058       075       PNEUMOTHORAX W MCC
200 010084 034       044       PNEUMOTHORAX W CC
201 007096 025       032       PNEUMOTHORAX W/O CC/MCC
202 008775 032       039       BRONCHITIS & ASTHMA W CC/M
203 006535 025       030       BRONCHITIS & ASTHMA W/O CC
204 007041 021       027       RESPIRATORY SIGNS & SYMPTO
205 013999 040       053  Y    OTHER RESPIRATORY SYSTEM D
206 007942 025       032  Y    OTHER RESPIRATORY SYSTEM D
207 053425 124       144  Y    RESPIRATORY SYSTEM DIAGNOS
208 022969 050       068       RESPIRATORY SYSTEM DIAGNOS
215 154348 112       172       OTHER HEART ASSIST SYSTEM
216 095238 130       158  Y Y  CARDIAC VALVE & OTH MAJ CA
217 063291 088       099  Y Y  CARDIAC VALVE & OTH MAJ CA
218 055693 064       073  Y Y  CARDIAC VALVE & OTH MAJ CA
219 077067 098       119  Y Y  CARDIAC VALVE & OTH MAJ CA
220 052056 066       073  Y Y  CARDIAC VALVE & OTH MAJ CA
221 046347 049       054  Y Y  CARDIAC VALVE & OTH MAJ CA
222 086570 099       120       CARDIAC DEFIB IMPLANT W CA
223 062924 044       060       CARDIAC DEFIB IMPLANT W CA
224 076733 079       098       CARDIAC DEFIB IMPLANT W CA
225 058610 041       049       CARDIAC DEFIB IMPLANT W CA
226 069573 064       087       CARDIAC DEFIBRILLATOR IMPL
227 054493 024       035       CARDIAC DEFIBRILLATOR IMPL
228 073113 112       135       OTHER CARDIOTHORACIC PROCE
229 044606 065       075       OTHER CARDIOTHORACIC PROCE
230 040755 043       050       OTHER CARDIOTHORACIC PROCE
231 077247 106       125       CORONARY BYPASS W PTCA W M
232 055976 079       086       CORONARY BYPASS W PTCA W/O
233 073493 118       133  Y    CORONARY BYPASS W CARDIAC
234 048816 080       086  Y    CORONARY BYPASS W CARDIAC
235 057089 090       103  Y    CORONARY BYPASS W/O CARDIA
236 037952 060       065  Y    CORONARY BYPASS W/O CARDIA
237 050843 067       097       MAJOR CARDIOVASC PROCEDURE
238 034241 026       037       MAJOR CARDIOVASC PROCEDURE
239 047590 106       134  Y    AMPUTATION FOR CIRC SYS DI
240 027594 072       088  Y    AMPUTATION FOR CIRC SYS DI
241 014111 044       052  Y    AMPUTATION FOR CIRC SYS DI
242 037242 058       074  Y    PERMANENT CARDIAC PACEMAKE
243 026695 036       045  Y    PERMANENT CARDIAC PACEMAKE
244 021555 024       029  Y    PERMANENT CARDIAC PACEMAKE
245 046485 034       049       AICD GENERATOR PROCEDURES
246 032368 040       054       PERC CARDIOVASC PROC W DRU
247 020586 021       025       PERC CARDIOVASC PROC W DRU
248 030411 048       064       PERC CARDIOVASC PROC W NON
249 018808 024       030       PERC CARDIOVASC PROC W NON
250 029885 051       069       PERC CARDIOVASC PROC W/O C
251 020399 023       030       PERC CARDIOVASC PROC W/O C
252 032646 054       079       OTHER VASCULAR PROCEDURES
253 025532 040       055       OTHER VASCULAR PROCEDURES
254 017304 022       028       OTHER VASCULAR PROCEDURES
255 026051 067       085  Y    UPPER LIMB & TOE AMPUTATIO
256 016986 055       066  Y    UPPER LIMB & TOE AMPUTATIO
257 010558 032       041  Y    UPPER LIMB & TOE AMPUTATIO
258 027613 049       063       CARDIAC PACEMAKER DEVICE R
259 019924 027       035       CARDIAC PACEMAKER DEVICE R
260 037456 079       106       CARDIAC PACEMAKER REVISION
261 018552 035       046       CARDIAC PACEMAKER REVISION
262 013978 024       030       CARDIAC PACEMAKER REVISION
263 018664 037       056       VEIN LIGATION & STRIPPING
264 028292 058       084  Y    OTHER CIRCULATORY SYSTEM O
265 028641 028       043       AICD LEAD PROCEDURES
266 089920 084       106  Y Y  ENDOVASCULAR CARDIAC VALVE
267 067517 050       058  Y Y  ENDOVASCULAR CARDIAC VALVE
280 017289 047       060  Y    ACUTE MYOCARDIAL INFARCTIO
281 010247 030       037  Y    ACUTE MYOCARDIAL INFARCTIO
282 007562 020       024  Y    ACUTE MYOCARDIAL INFARCTIO
283 016753 030       048       ACUTE MYOCARDIAL INFARCTIO
284 007703 018       025       ACUTE MYOCARDIAL INFARCTIO
285 005065 013       016       ACUTE MYOCARDIAL INFARCTIO
286 021240 051       068       CIRCULATORY DISORDERS EXCE
287 011290 025       032       CIRCULATORY DISORDERS EXCE
288 027138 076       095  Y    ACUTE & SUBACUTE ENDOCARDI
289 016991 058       070  Y    ACUTE & SUBACUTE ENDOCARDI
290 012476 039       049  Y    ACUTE & SUBACUTE ENDOCARDI
291 015097 047       059  Y    HEART FAILURE & SHOCK W MC
292 009824 037       045  Y    HEART FAILURE & SHOCK W CC
293 006762 026       031  Y    HEART FAILURE & SHOCK W/O
294 010480 041       050       DEEP VEIN THROMBOPHLEBITIS
295 006926 031       037       DEEP VEIN THROMBOPHLEBITIS
296 012347 018       027       CARDIAC ARREST, UNEXPLAINE
297 006475 013       016       CARDIAC ARREST, UNEXPLAINE
298 004227 011       012       CARDIAC ARREST, UNEXPLAINE
299 014094 044       057  Y    PERIPHERAL VASCULAR DISORD
300 009770 036       044  Y    PERIPHERAL VASCULAR DISORD
301 006776 027       033  Y    PERIPHERAL VASCULAR DISORD
302 010311 029       039       ATHEROSCLEROSIS W MCC
303 006101 019       023       ATHEROSCLEROSIS W/O MCC
304 010016 033       042       HYPERTENSION W MCC
305 006272 021       026       HYPERTENSION W/O MCC
306 013687 039       052       CARDIAC CONGENITAL & VALVU
307 007698 025       031       CARDIAC CONGENITAL & VALVU
308 012107 038       049       CARDIAC ARRHYTHMIA & CONDU
309 007865 027       033       CARDIAC ARRHYTHMIA & CONDU
310 005493 019       023       CARDIAC ARRHYTHMIA & CONDU
311 005662 018       022       ANGINA PECTORIS
312 007423 024       030       SYNCOPE & COLLAPSE
313 006138 018       021       CHEST PAIN
314 019195 050       067  Y    OTHER CIRCULATORY SYSTEM D
315 009613 030       039  Y    OTHER CIRCULATORY SYSTEM D
316 006210 020       024  Y    OTHER CIRCULATORY SYSTEM D
326 053847 112       145  Y    STOMACH, ESOPHAGEAL & DUOD
327 026532 060       078  Y    STOMACH, ESOPHAGEAL & DUOD
328 014949 026       034  Y    STOMACH, ESOPHAGEAL & DUOD
329 050776 117       144  Y    MAJOR SMALL & LARGE BOWEL
330 025491 071       084  Y    MAJOR SMALL & LARGE BOWEL
331 016580 043       048  Y    MAJOR SMALL & LARGE BOWEL
332 047048 105       128  Y    RECTAL RESECTION W MCC
333 024728 063       073  Y    RECTAL RESECTION W CC
334 016032 036       042  Y    RECTAL RESECTION W/O CC/MC
335 042881 109       132  Y    PERITONEAL ADHESIOLYSIS W
336 023539 069       083  Y    PERITONEAL ADHESIOLYSIS W
337 015596 041       050  Y    PERITONEAL ADHESIOLYSIS W/
338 030701 076       092       APPENDECTOMY W COMPLICATED
339 017340 050       059       APPENDECTOMY W COMPLICATED
340 012137 029       035       APPENDECTOMY W COMPLICATED
341 022862 047       064       APPENDECTOMY W/O COMPLICAT
342 013112 027       035       APPENDECTOMY W/O COMPLICAT
343 009404 016       019       APPENDECTOMY W/O COMPLICAT
344 033079 087       112       MINOR SMALL & LARGE BOWEL
345 017107 054       064       MINOR SMALL & LARGE BOWEL
346 011991 038       043       MINOR SMALL & LARGE BOWEL
347 026226 064       087       ANAL & STOMAL PROCEDURES W
348 013825 040       051       ANAL & STOMAL PROCEDURES W
349 009078 025       030       ANAL & STOMAL PROCEDURES W
350 024665 057       076       INGUINAL & FEMORAL HERNIA
351 014024 035       044       INGUINAL & FEMORAL HERNIA
352 009288 021       025       INGUINAL & FEMORAL HERNIA
353 029077 064       083       HERNIA PROCEDURES EXCEPT I
354 016915 041       050       HERNIA PROCEDURES EXCEPT I
355 012521 026       032       HERNIA PROCEDURES EXCEPT I
356 038573 084       113  Y    OTHER DIGESTIVE SYSTEM O.R
357 021072 052       067  Y    OTHER DIGESTIVE SYSTEM O.R
358 013737 031       039  Y    OTHER DIGESTIVE SYSTEM O.R
368 018641 049       064       MAJOR ESOPHAGEAL DISORDERS
369 010703 034       041       MAJOR ESOPHAGEAL DISORDERS
370 007390 024       029       MAJOR ESOPHAGEAL DISORDERS
371 018633 061       078  Y    MAJOR GASTROINTESTINAL DIS
372 011343 046       056  Y    MAJOR GASTROINTESTINAL DIS
373 008013 035       041  Y    MAJOR GASTROINTESTINAL DIS
374 020182 060       079  Y    DIGESTIVE MALIGNANCY W MCC
375 012429 042       053  Y    DIGESTIVE MALIGNANCY W CC
376 009021 029       036  Y    DIGESTIVE MALIGNANCY W/O C
377 017775 048       061  Y    G.I. HEMORRHAGE W MCC
378 010021 033       039  Y    G.I. HEMORRHAGE W CC
379 006776 023       027  Y    G.I. HEMORRHAGE W/O CC/MCC
380 019265 054       070  Y    COMPLICATED PEPTIC ULCER W
381 010875 036       044  Y    COMPLICATED PEPTIC ULCER W
382 007591 027       032  Y    COMPLICATED PEPTIC ULCER W
383 013215 042       053       UNCOMPLICATED PEPTIC ULCER
384 008510 029       034       UNCOMPLICATED PEPTIC ULCER
385 017649 059       078       INFLAMMATORY BOWEL DISEASE
386 010040 039       049       INFLAMMATORY BOWEL DISEASE
387 007449 030       036       INFLAMMATORY BOWEL DISEASE
388 016100 053       069  Y    G.I. OBSTRUCTION W MCC
389 008717 036       044  Y    G.I. OBSTRUCTION W CC
390 006034 027       031  Y    G.I. OBSTRUCTION W/O CC/MC
391 011976 038       051       ESOPHAGITIS, GASTROENT & M
392 007388 028       035       ESOPHAGITIS, GASTROENT & M
393 016893 047       066       OTHER DIGESTIVE SYSTEM DIA
394 009448 034       043       OTHER DIGESTIVE SYSTEM DIA
395 006574 024       030       OTHER DIGESTIVE SYSTEM DIA
405 055387 108       144  Y    PANCREAS, LIVER & SHUNT PR
406 028067 060       075  Y    PANCREAS, LIVER & SHUNT PR
407 019472 040       048  Y    PANCREAS, LIVER & SHUNT PR
408 038967 100       123       BILIARY TRACT PROC EXCEPT
409 022218 063       075       BILIARY TRACT PROC EXCEPT
410 016205 045       052       BILIARY TRACT PROC EXCEPT
411 036261 095       117       CHOLECYSTECTOMY W C.D.E. W
412 024166 063       074       CHOLECYSTECTOMY W C.D.E. W
413 017708 042       051       CHOLECYSTECTOMY W C.D.E. W
414 035545 087       106  Y    CHOLECYSTECTOMY EXCEPT BY
415 020267 056       065  Y    CHOLECYSTECTOMY EXCEPT BY
416 013465 036       042  Y    CHOLECYSTECTOMY EXCEPT BY
417 024353 059       074       LAPAROSCOPIC CHOLECYSTECTO
418 016600 040       048       LAPAROSCOPIC CHOLECYSTECTO
419 012316 026       030       LAPAROSCOPIC CHOLECYSTECTO
420 034621 081       114       HEPATOBILIARY DIAGNOSTIC P
421 017699 042       056       HEPATOBILIARY DIAGNOSTIC P
422 012352 027       033       HEPATOBILIARY DIAGNOSTIC P
423 041961 098       132       OTHER HEPATOBILIARY OR PAN
424 022993 062       079       OTHER HEPATOBILIARY OR PAN
425 013793 037       044       OTHER HEPATOBILIARY OR PAN
432 016710 047       062       CIRRHOSIS & ALCOHOLIC HEPA
433 009173 033       041       CIRRHOSIS & ALCOHOLIC HEPA
434 006229 024       029       CIRRHOSIS & ALCOHOLIC HEPA
435 017524 052       068       MALIGNANCY OF HEPATOBILIAR
436 011640 039       049       MALIGNANCY OF HEPATOBILIAR
437 008971 027       035       MALIGNANCY OF HEPATOBILIAR
438 017023 051       068       DISORDERS OF PANCREAS EXCE
439 009071 036       044       DISORDERS OF PANCREAS EXCE
440 006423 027       032       DISORDERS OF PANCREAS EXCE
441 018835 050       068  Y    DISORDERS OF LIVER EXCEPT
442 009266 033       042  Y    DISORDERS OF LIVER EXCEPT
443 006512 025       031  Y    DISORDERS OF LIVER EXCEPT
444 016212 047       061       DISORDERS OF THE BILIARY T
445 010654 034       042       DISORDERS OF THE BILIARY T
446 007569 024       029       DISORDERS OF THE BILIARY T
453 111637 095       117       COMBINED ANTERIOR/POSTERIO
454 080184 049       058       COMBINED ANTERIOR/POSTERIO
455 062503 031       035       COMBINED ANTERIOR/POSTERIO
456 094039 099       120       SPINAL FUS EXC CERV W SPIN
457 069074 055       065       SPINAL FUS EXC CERV W SPIN
458 052637 034       038       SPINAL FUS EXC CERV W SPIN
459 066686 068       085  Y    SPINAL FUSION EXCEPT CERVI
460 039998 030       035  Y    SPINAL FUSION EXCEPT CERVI
461 050202 063       076       BILATERAL OR MULTIPLE MAJO
462 034905 034       037       BILATERAL OR MULTIPLE MAJO
463 053345 107       142  Y    WND DEBRID & SKN GRFT EXC
464 030085 063       078  Y    WND DEBRID & SKN GRFT EXC
465 019463 039       048  Y    WND DEBRID & SKN GRFT EXC
466 051513 067       082  Y    REVISION OF HIP OR KNEE RE
467 034231 038       043  Y    REVISION OF HIP OR KNEE RE
468 027652 029       031  Y    REVISION OF HIP OR KNEE RE
469 033905 061       072  Y    MAJOR JOINT REPLACEMENT OR
470 021137 030       032  Y    MAJOR JOINT REPLACEMENT OR
471 048737 063       087       CERVICAL SPINAL FUSION W M
472 029166 024       034       CERVICAL SPINAL FUSION W C
473 022655 015       018       CERVICAL SPINAL FUSION W/O
474 035943 086       109  Y    AMPUTATION FOR MUSCULOSKEL
475 020504 058       072  Y    AMPUTATION FOR MUSCULOSKEL
476 011187 031       039  Y    AMPUTATION FOR MUSCULOSKEL
477 031638 085       104  Y Y  BIOPSIES OF MUSCULOSKELETA
478 022441 055       067  Y Y  BIOPSIES OF MUSCULOSKELETA
479 017312 034       042  Y Y  BIOPSIES OF MUSCULOSKELETA
480 030052 069       080  Y Y  HIP & FEMUR PROCEDURES EXC
481 019776 047       051  Y Y  HIP & FEMUR PROCEDURES EXC
482 016243 038       041  Y Y  HIP & FEMUR PROCEDURES EXC
483 024205 020       024       MAJOR JOINT/LIMB REATTACHM
485 030949 080       095       KNEE PROCEDURES W PDX OF I
486 020656 055       063       KNEE PROCEDURES W PDX OF I
487 015630 040       047       KNEE PROCEDURES W PDX OF I
488 017225 035       042  Y    KNEE PROCEDURES W/O PDX OF
489 013186 024       027  Y    KNEE PROCEDURES W/O PDX OF
492 031873 065       080  Y Y  LOWER EXTREM & HUMER PROC
493 020354 040       047  Y Y  LOWER EXTREM & HUMER PROC
494 015397 027       032  Y Y  LOWER EXTREM & HUMER PROC
495 030476 073       096  Y Y  LOCAL EXCISION & REMOVAL I
496 017289 041       051  Y Y  LOCAL EXCISION & REMOVAL I
497 012230 021       027  Y Y  LOCAL EXCISION & REMOVAL I
498 021416 055       072       LOCAL EXCISION & REMOVAL I
499 010753 023       029       LOCAL EXCISION & REMOVAL I
500 032420 077       102  Y Y  SOFT TISSUE PROCEDURES W M
501 016474 044       056  Y Y  SOFT TISSUE PROCEDURES W C
502 011597 025       030  Y Y  SOFT TISSUE PROCEDURES W/O
503 023338 069       085       FOOT PROCEDURES W MCC
504 015691 050       060       FOOT PROCEDURES W CC
505 012474 029       035       FOOT PROCEDURES W/O CC/MCC
506 012881 034       043       MAJOR THUMB OR JOINT PROCE
507 019154 043       052       MAJOR SHOULDER OR ELBOW JO
508 015198 021       026       MAJOR SHOULDER OR ELBOW JO
509 015494 036       045       ARTHROSCOPY
510 022857 048       058  Y    SHOULDER,ELBOW OR FOREARM
511 016509 033       039  Y    SHOULDER,ELBOW OR FOREARM
512 012963 020       024  Y    SHOULDER,ELBOW OR FOREARM
513 014462 036       048       HAND OR WRIST PROC, EXCEPT
514 008996 022       027       HAND OR WRIST PROC, EXCEPT
515 032235 072       092  Y Y  OTHER MUSCULOSKELET SYS &
516 020434 044       054  Y Y  OTHER MUSCULOSKELET SYS &
517 017251 027       033  Y Y  OTHER MUSCULOSKELET SYS &
518 030628 044       066  Y Y  BACK & NECK PROC EXC SPINA
519 016468 031       040  Y Y  BACK & NECK PROC EXC SPINA
520 011396 019       022  Y Y  BACK & NECK PROC EXC SPINA
533 014495 044       057  Y    FRACTURES OF FEMUR W MCC
534 007594 029       035  Y    FRACTURES OF FEMUR W/O MCC
535 012410 041       052  Y    FRACTURES OF HIP & PELVIS
536 007201 030       035  Y    FRACTURES OF HIP & PELVIS
537 008975 033       041       SPRAINS, STRAINS, & DISLOC
538 006917 026       031       SPRAINS, STRAINS, & DISLOC
539 018276 061       081  Y    OSTEOMYELITIS W MCC
540 012967 047       059  Y    OSTEOMYELITIS W CC
541 009218 035       045  Y    OSTEOMYELITIS W/O CC/MCC
542 019472 060       078  Y    PATHOLOGICAL FRACTURES & M
543 011227 041       051  Y    PATHOLOGICAL FRACTURES & M
544 007936 031       037  Y    PATHOLOGICAL FRACTURES & M
545 025341 061       085  Y    CONNECTIVE TISSUE DISORDER
546 011711 039       050  Y    CONNECTIVE TISSUE DISORDER
547 007985 028       035  Y    CONNECTIVE TISSUE DISORDER
548 019123 061       078       SEPTIC ARTHRITIS W MCC
549 011514 044       055       SEPTIC ARTHRITIS W CC
550 008390 032       039       SEPTIC ARTHRITIS W/O CC/MC
551 015556 048       062  Y    MEDICAL BACK PROBLEMS W MC
552 008698 032       038  Y    MEDICAL BACK PROBLEMS W/O
553 012187 042       054       BONE DISEASES & ARTHROPATH
554 007274 029       035       BONE DISEASES & ARTHROPATH
555 012636 039       051       SIGNS & SYMPTOMS OF MUSCUL
556 007183 026       032       SIGNS & SYMPTOMS OF MUSCUL
557 014269 050       062  Y    TENDONITIS, MYOSITIS & BUR
558 008522 034       040  Y    TENDONITIS, MYOSITIS & BUR
559 018555 050       068  Y    AFTERCARE, MUSCULOSKELETAL
560 010756 035       044  Y    AFTERCARE, MUSCULOSKELETAL
561 006688 021       025  Y    AFTERCARE, MUSCULOSKELETAL
562 013706 043       055  Y    FX, SPRN, STRN & DISL EXCE
563 007756 030       035  Y    FX, SPRN, STRN & DISL EXCE
564 015036 048       062       OTHER MUSCULOSKELETAL SYS
565 009398 035       044       OTHER MUSCULOSKELETAL SYS
566 006871 025       031       OTHER MUSCULOSKELETAL SYS
570 023952 072       093  Y    SKIN DEBRIDEMENT W MCC
571 014664 052       063  Y    SKIN DEBRIDEMENT W CC
572 009919 037       044  Y    SKIN DEBRIDEMENT W/O CC/MC
573 037073 087       129  Y    SKIN GRAFT FOR SKIN ULCER
574 026298 071       093  Y    SKIN GRAFT FOR SKIN ULCER
575 014926 045       056  Y    SKIN GRAFT FOR SKIN ULCER
576 041423 081       116       SKIN GRAFT EXC FOR SKIN UL
577 019812 040       056       SKIN GRAFT EXC FOR SKIN UL
578 013162 026       035       SKIN GRAFT EXC FOR SKIN UL
579 027263 071       092  Y    OTHER SKIN, SUBCUT TISS &
580 015727 041       054  Y    OTHER SKIN, SUBCUT TISS &
581 011338 022       028  Y    OTHER SKIN, SUBCUT TISS &
582 013003 022       029       MASTECTOMY FOR MALIGNANCY
583 010932 017       019       MASTECTOMY FOR MALIGNANCY
584 017682 039       052       BREAST BIOPSY, LOCAL EXCIS
585 013752 021       025       BREAST BIOPSY, LOCAL EXCIS
592 014249 051       066  Y    SKIN ULCERS W MCC
593 010196 043       052  Y    SKIN ULCERS W CC
594 007124 031       039  Y    SKIN ULCERS W/O CC/MCC
595 019629 055       075       MAJOR SKIN DISORDERS W MCC
596 009527 036       046       MAJOR SKIN DISORDERS W/O M
597 016758 054       071       MALIGNANT BREAST DISORDERS
598 011235 038       052       MALIGNANT BREAST DISORDERS
599 007259 024       031       MALIGNANT BREAST DISORDERS
600 009803 038       047       NON-MALIGNANT BREAST DISOR
601 006314 027       033       NON-MALIGNANT BREAST DISOR
602 014557 050       062  Y    CELLULITIS W MCC
603 008447 035       042  Y    CELLULITIS W/O MCC
604 012624 039       051       TRAUMA TO THE SKIN, SUBCUT
605 007664 026       032       TRAUMA TO THE SKIN, SUBCUT
606 013664 042       058       MINOR SKIN DISORDERS W MCC
607 007296 028       036       MINOR SKIN DISORDERS W/O M
614 024642 041       056       ADRENAL & PITUITARY PROCED
615 014243 022       026       ADRENAL & PITUITARY PROCED
616 041611 107       131  Y    AMPUTAT OF LOWER LIMB FOR
617 019956 061       072  Y    AMPUTAT OF LOWER LIMB FOR
618 013512 042       050  Y    AMPUTAT OF LOWER LIMB FOR
619 032890 042       065       O.R. PROCEDURES FOR OBESIT
620 018470 026       031       O.R. PROCEDURES FOR OBESIT
621 015434 018       020       O.R. PROCEDURES FOR OBESIT
622 038047 092       126  Y    SKIN GRAFTS & WOUND DEBRID
623 018308 057       069  Y    SKIN GRAFTS & WOUND DEBRID
624 011314 036       044  Y    SKIN GRAFTS & WOUND DEBRID
625 024896 046       071       THYROID, PARATHYROID & THY
626 013080 021       031       THYROID, PARATHYROID & THY
627 008663 013       015       THYROID, PARATHYROID & THY
628 032935 067       094  Y    OTHER ENDOCRINE, NUTRIT &
629 022471 062       075  Y    OTHER ENDOCRINE, NUTRIT &
630 014305 032       042  Y    OTHER ENDOCRINE, NUTRIT &
637 013944 042       055  Y    DIABETES W MCC
638 008261 030       037  Y    DIABETES W CC
639 006068 022       027  Y    DIABETES W/O CC/MCC
640 011044 033       045  Y    MISC DISORDERS OF NUTRITIO
641 007051 027       034  Y    MISC DISORDERS OF NUTRITIO
642 011429 033       046       INBORN AND OTHER DISORDERS
643 016460 054       068  Y    ENDOCRINE DISORDERS W MCC
644 010199 038       047  Y    ENDOCRINE DISORDERS W CC
645 007180 028       034  Y    ENDOCRINE DISORDERS W/O CC
652 031502 057       066       KIDNEY TRANSPLANT
653 057958 122       151  Y    MAJOR BLADDER PROCEDURES W
654 030973 077       087  Y    MAJOR BLADDER PROCEDURES W
655 022590 049       055  Y    MAJOR BLADDER PROCEDURES W
656 034517 069       090       KIDNEY & URETER PROCEDURES
657 020111 044       052       KIDNEY & URETER PROCEDURES
658 015299 027       030       KIDNEY & URETER PROCEDURES
659 033813 075       100  Y    KIDNEY & URETER PROCEDURES
660 018888 042       055  Y    KIDNEY & URETER PROCEDURES
661 013494 023       027  Y    KIDNEY & URETER PROCEDURES
662 030042 078       103       MINOR BLADDER PROCEDURES W
663 015285 039       052       MINOR BLADDER PROCEDURES W
664 012406 019       024       MINOR BLADDER PROCEDURES W
665 031585 091       117       PROSTATECTOMY W MCC
666 017512 047       063       PROSTATECTOMY W CC
667 009690 022       028       PROSTATECTOMY W/O CC/MCC
668 024989 065       086       TRANSURETHRAL PROCEDURES W
669 012662 030       040       TRANSURETHRAL PROCEDURES W
670 008957 020       025       TRANSURETHRAL PROCEDURES W
671 016170 041       057       URETHRAL PROCEDURES W CC/M
672 008496 018       022       URETHRAL PROCEDURES W/O CC
673 035023 074       106       OTHER KIDNEY & URINARY TRA
674 022600 053       070       OTHER KIDNEY & URINARY TRA
675 014443 022       029       OTHER KIDNEY & URINARY TRA
682 015194 046       061  Y    RENAL FAILURE W MCC
683 009512 036       044  Y    RENAL FAILURE W CC
684 006085 024       029  Y    RENAL FAILURE W/O CC/MCC
685 010025 027       037       ADMIT FOR RENAL DIALYSIS
686 017637 053       071       KIDNEY & URINARY TRACT NEO
687 010054 036       046       KIDNEY & URINARY TRACT NEO
688 006911 021       027       KIDNEY & URINARY TRACT NEO
689 011172 042       052  Y    KIDNEY & URINARY TRACT INF
690 007794 032       038  Y    KIDNEY & URINARY TRACT INF
691 016238 029       038       URINARY STONES W ESW LITHO
692 011286 018       022       URINARY STONES W ESW LITHO
693 013433 039       051       URINARY STONES W/O ESW LIT
694 006859 019       024       URINARY STONES W/O ESW LIT
695 012450 041       053       KIDNEY & URINARY TRACT SIG
696 006619 025       031       KIDNEY & URINARY TRACT SIG
697 009229 026       034       URETHRAL STRICTURE
698 015625 051       064  Y    OTHER KIDNEY & URINARY TRA
699 010170 035       044  Y    OTHER KIDNEY & URINARY TRA
700 007110 026       032  Y    OTHER KIDNEY & URINARY TRA
707 018155 029       039       MAJOR MALE PELVIC PROCEDUR
708 013262 014       016       MAJOR MALE PELVIC PROCEDUR
709 021341 043       070       PENIS PROCEDURES W CC/MCC
710 012949 017       021       PENIS PROCEDURES W/O CC/MC
711 022547 058       081       TESTES PROCEDURES W CC/MCC
712 010632 026       037       TESTES PROCEDURES W/O CC/M
713 014828 035       049       TRANSURETHRAL PROSTATECTOM
714 007933 018       021       TRANSURETHRAL PROSTATECTOM
715 020051 048       066       OTHER MALE REPRODUCTIVE SY
716 011857 015       018       OTHER MALE REPRODUCTIVE SY
717 017717 046       065       OTHER MALE REPRODUCTIVE SY
718 010099 024       030       OTHER MALE REPRODUCTIVE SY
722 017569 056       073       MALIGNANCY, MALE REPRODUCT
723 010635 038       049       MALIGNANCY, MALE REPRODUCT
724 006412 023       030       MALIGNANCY, MALE REPRODUCT
725 011790 043       056       BENIGN PROSTATIC HYPERTROP
726 007029 027       033       BENIGN PROSTATIC HYPERTROP
727 014195 049       062       INFLAMMATION OF THE MALE R
728 008006 032       039       INFLAMMATION OF THE MALE R
729 010390 034       045       OTHER MALE REPRODUCTIVE SY
730 006660 023       030       OTHER MALE REPRODUCTIVE SY
734 025704 046       066       PELVIC EVISCERATION, RAD H
735 012265 019       023       PELVIC EVISCERATION, RAD H
736 044341 102       127       UTERINE & ADNEXA PROC FOR
737 020198 052       061       UTERINE & ADNEXA PROC FOR
738 012746 029       034       UTERINE & ADNEXA PROC FOR
739 033133 067       093       UTERINE,ADNEXA PROC FOR NO
740 016069 032       041       UTERINE,ADNEXA PROC FOR NO
741 011846 018       021       UTERINE,ADNEXA PROC FOR NO
742 015436 031       041       UTERINE & ADNEXA PROC FOR
743 009954 018       020       UTERINE & ADNEXA PROC FOR
744 017484 043       060       D&C, CONIZATION, LAPAROSCO
745 009553 020       024       D&C, CONIZATION, LAPAROSCO
746 014219 033       047       VAGINA, CERVIX & VULVA PRO
747 008892 016       019       VAGINA, CERVIX & VULVA PRO
748 010845 016       020       FEMALE REPRODUCTIVE SYSTEM
749 025541 061       083       OTHER FEMALE REPRODUCTIVE
750 011904 023       028       OTHER FEMALE REPRODUCTIVE
754 019626 059       083       MALIGNANCY, FEMALE REPRODU
755 011066 037       049       MALIGNANCY, FEMALE REPRODU
756 006652 022       030       MALIGNANCY, FEMALE REPRODU
757 015397 057       072       INFECTIONS, FEMALE REPRODU
758 010518 043       053       INFECTIONS, FEMALE REPRODU
759 006931 031       038       INFECTIONS, FEMALE REPRODU
760 008399 027       036       MENSTRUAL & OTHER FEMALE R
761 004988 018       022       MENSTRUAL & OTHER FEMALE R
765 010924 038       047       CESAREAN SECTION W CC/MCC
766 007562 029       031       CESAREAN SECTION W/O CC/MC
767 008513 024       029       VAGINAL DELIVERY W STERILI
768 011184 047       058       VAGINAL DELIVERY W O.R. PR
769 018930 036       058       POSTPARTUM & POST ABORTION
770 008029 016       022       ABORTION W D&C, ASPIRATION
774 007168 026       031       VAGINAL DELIVERY W COMPLIC
775 005643 021       023       VAGINAL DELIVERY W/O COMPL
776 008117 027       036       POSTPARTUM & POST ABORTION
777 010145 018       022       ECTOPIC PREGNANCY
778 005638 021       033       THREATENED ABORTION
779 006389 015       020       ABORTION W/O D&C
780 002880 012       014       FALSE LABOR
781 007546 027       040       OTHER ANTEPARTUM DIAGNOSES
782 004057 017       023       OTHER ANTEPARTUM DIAGNOSES
789 015547 018       018       NEONATES, DIED OR TRANSFER
790 051268 179       179       EXTREME IMMATURITY OR RESP
791 035015 133       133       PREMATURITY W MAJOR PROBLE
792 021127 086       086       PREMATURITY W/O MAJOR PROB
793 035968 047       047       FULL TERM NEONATE W MAJOR
794 012731 034       034       NEONATE W OTHER SIGNIFICAN
795 001724 031       031       NORMAL NEWBORN
799 050131 095       122       SPLENECTOMY W MCC
800 026403 056       071       SPLENECTOMY W CC
801 015477 029       035       SPLENECTOMY W/O CC/MCC
802 033601 078       106       OTHER O.R. PROC OF THE BLO
803 018440 045       060       OTHER O.R. PROC OF THE BLO
804 012265 025       032       OTHER O.R. PROC OF THE BLO
808 022260 061       080       MAJOR HEMATOL/IMMUN DIAG E
809 012037 038       048       MAJOR HEMATOL/IMMUN DIAG E
810 008409 026       033       MAJOR HEMATOL/IMMUN DIAG E
811 012829 036       049       RED BLOOD CELL DISORDERS W
812 008162 026       034       RED BLOOD CELL DISORDERS W
813 016534 036       050       COAGULATION DISORDERS
814 017048 050       069       RETICULOENDOTHELIAL & IMMU
815 009948 034       043       RETICULOENDOTHELIAL & IMMU
816 006882 024       029       RETICULOENDOTHELIAL & IMMU
820 055226 118       156       LYMPHOMA & LEUKEMIA W MAJO
821 023064 046       064       LYMPHOMA & LEUKEMIA W MAJO
822 012805 022       028       LYMPHOMA & LEUKEMIA W MAJO
823 044622 115       147       LYMPHOMA & NON-ACUTE LEUKE
824 022951 060       078       LYMPHOMA & NON-ACUTE LEUKE
825 013803 030       040       LYMPHOMA & NON-ACUTE LEUKE
826 050900 105       139       MYELOPROLIF DISORD OR POOR
827 023214 052       067       MYELOPROLIF DISORD OR POOR
828 015321 028       035       MYELOPROLIF DISORD OR POOR
829 034231 070       106       MYELOPROLIF DISORD OR POOR
830 012523 024       031       MYELOPROLIF DISORD OR POOR
834 052735 102       166       ACUTE LEUKEMIA W/O MAJOR O
835 021042 047       076       ACUTE LEUKEMIA W/O MAJOR O
836 011693 028       040       ACUTE LEUKEMIA W/O MAJOR O
837 064631 165       224       CHEMO W ACUTE LEUKEMIA AS
838 027923 069       099       CHEMO W ACUTE LEUKEMIA AS
839 012525 049       057       CHEMO W ACUTE LEUKEMIA AS
840 031058 077       106  Y    LYMPHOMA & NON-ACUTE LEUKE
841 016226 047       062  Y    LYMPHOMA & NON-ACUTE LEUKE
842 010777 030       039  Y    LYMPHOMA & NON-ACUTE LEUKE
843 017902 055       074       OTHER MYELOPROLIF DIS OR P
844 012058 041       054       OTHER MYELOPROLIF DIS OR P
845 008551 030       039       OTHER MYELOPROLIF DIS OR P
846 023264 058       080       CHEMOTHERAPY W/O ACUTE LEU
847 011569 031       037       CHEMOTHERAPY W/O ACUTE LEU
848 008454 025       030       CHEMOTHERAPY W/O ACUTE LEU
849 014657 046       059       RADIOTHERAPY
853 052068 108       139  Y    INFECTIOUS & PARASITIC DIS
854 023877 067       081  Y    INFECTIOUS & PARASITIC DIS
855 017057 034       048  Y    INFECTIOUS & PARASITIC DIS
856 048177 100       134  Y    POSTOPERATIVE OR POST-TRAU
857 020500 057       070  Y    POSTOPERATIVE OR POST-TRAU
858 013390 038       047  Y    POSTOPERATIVE OR POST-TRAU
862 018506 055       072  Y    POSTOPERATIVE & POST-TRAUM
863 009836 037       045  Y    POSTOPERATIVE & POST-TRAUM
864 008419 029       036       FEVER
865 015131 043       059       VIRAL ILLNESS W MCC
866 007425 028       034       VIRAL ILLNESS W/O MCC
867 027245 070       095  Y    OTHER INFECTIOUS & PARASIT
868 010897 039       049  Y    OTHER INFECTIOUS & PARASIT
869 006877 027       033  Y    OTHER INFECTIOUS & PARASIT
870 058698 126       147  Y    SEPTICEMIA OR SEVERE SEPSI
871 018072 051       066  Y    SEPTICEMIA OR SEVERE SEPSI
872 010528 040       047  Y    SEPTICEMIA OR SEVERE SEPSI
876 033533 074       147       O.R. PROCEDURE W PRINCIPAL
880 006704 023       031       ACUTE ADJUSTMENT REACTION
881 006464 033       044       DEPRESSIVE NEUROSES
882 006935 033       045       NEUROSES EXCEPT DEPRESSIVE
883 013062 043       078       DISORDERS OF PERSONALITY &
884 010783 041       059  Y    ORGANIC DISTURBANCES & MEN
885 010217 054       074       PSYCHOSES
886 008288 039       062       BEHAVIORAL & DEVELOPMENTAL
887 009329 030       045       OTHER MENTAL DISORDER DIAG
894 004450 021       030       ALCOHOL/DRUG ABUSE OR DEPE
895 012152 096       123       ALCOHOL/DRUG ABUSE OR DEPE
896 015244 048       065  Y    ALCOHOL/DRUG ABUSE OR DEPE
897 006905 032       040  Y    ALCOHOL/DRUG ABUSE OR DEPE
901 039929 090       132       WOUND DEBRIDEMENTS FOR INJ
902 017433 051       070       WOUND DEBRIDEMENTS FOR INJ
903 011280 033       044       WOUND DEBRIDEMENTS FOR INJ
904 033637 073       107       SKIN GRAFTS FOR INJURIES W
905 013889 036       046       SKIN GRAFTS FOR INJURIES W
906 011789 023       033       HAND PROCEDURES FOR INJURI
907 037872 074       102  Y    OTHER O.R. PROCEDURES FOR
908 019575 043       057  Y    OTHER O.R. PROCEDURES FOR
909 012556 026       033  Y    OTHER O.R. PROCEDURES FOR
913 011410 034       047       TRAUMATIC INJURY W MCC
914 007009 024       030       TRAUMATIC INJURY W/O MCC
915 015381 037       050       ALLERGIC REACTIONS W MCC
916 005137 017       021       ALLERGIC REACTIONS W/O MCC
917 014051 035       048  Y    POISONING & TOXIC EFFECTS
918 006412 021       028  Y    POISONING & TOXIC EFFECTS
919 016750 044       060       COMPLICATIONS OF TREATMENT
920 009850 030       040       COMPLICATIONS OF TREATMENT
921 006602 022       028       COMPLICATIONS OF TREATMENT
922 014953 039       057       OTHER INJURY, POISONING &
923 007348 023       033       OTHER INJURY, POISONING &
927 155499 229       289       EXTENSIVE BURNS OR FULL TH
928 053820 111       150       FULL THICKNESS BURN W SKIN
929 023344 057       073       FULL THICKNESS BURN W SKIN
933 027557 024       056       EXTENSIVE BURNS OR FULL TH
934 015748 041       058       FULL THICKNESS BURN W/O SK
935 014717 033       050       NON-EXTENSIVE BURNS
939 027647 062       089       O.R. PROC W DIAGNOSES OF O
940 018274 037       053       O.R. PROC W DIAGNOSES OF O
941 013531 022       029       O.R. PROC W DIAGNOSES OF O
945 012709 086       104  Y    REHABILITATION W CC/MCC
946 010662 066       076  Y    REHABILITATION W/O CC/MCC
947 011368 036       048  Y    SIGNS & SYMPTOMS W MCC
948 007131 026       033  Y    SIGNS & SYMPTOMS W/O MCC
949 010525 031       045       AFTERCARE W CC/MCC
950 005508 024       033       AFTERCARE W/O CC/MCC
951 009188 025       054       OTHER FACTORS INFLUENCING
955 055727 080       116       CRANIOTOMY FOR MULTIPLE SI
956 036692 066       080  Y    LIMB REATTACHMENT, HIP & F
957 068453 099       140       OTHER O.R. PROCEDURES FOR
958 038602 072       088       OTHER O.R. PROCEDURES FOR
959 025447 046       057       OTHER O.R. PROCEDURES FOR
963 027071 055       082       OTHER MULTIPLE SIGNIFICANT
964 014769 042       052       OTHER MULTIPLE SIGNIFICANT
965 009418 029       036       OTHER MULTIPLE SIGNIFICANT
969 060815 123       170       HIV W EXTENSIVE O.R. PROCE
970 022085 055       072       HIV W EXTENSIVE O.R. PROCE
974 026849 067       093       HIV W MAJOR RELATED CONDIT
975 013047 045       058       HIV W MAJOR RELATED CONDIT
976 008774 032       039       HIV W MAJOR RELATED CONDIT
977 011305 035       047       HIV W OR W/O OTHER RELATED
981 049968 100       131  Y    EXTENSIVE O.R. PROCEDURE U
982 028150 058       074  Y    EXTENSIVE O.R. PROCEDURE U
983 018039 028       037  Y    EXTENSIVE O.R. PROCEDURE U
984 034344 096       130       PROSTATIC O.R. PROCEDURE U
985 018509 051       069       PROSTATIC O.R. PROCEDURE U
986 010453 025       034       PROSTATIC O.R. PROCEDURE U
987 033008 084       111  Y    NON-EXTENSIVE O.R. PROC UN
988 017643 048       064  Y    NON-EXTENSIVE O.R. PROC UN
989 010454 023       031  Y    NON-EXTENSIVE O.R. PROC UN
998 000000 000       000       PRINCIPAL DIAGNOSIS INVALI
999 000000 000       000       UNGROUPABLE
