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Triggering and Grouping Codes			Table of Contents	
CELLULITIS				
Code	Code Type	Used in Trigger Rule	Code Description	
602	MS-DRG	Y	Cellulitis W Mcc	
603	MS-DRG	Y	Cellulitis W/O Mcc	
0015	APC	No data	Level III Debridement & Destruction	 
0016	APC	No data	Level IV Debridement & Destruction	 
0058	APC	No data	Level I Strapping and Cast Application	 
0083	APC	No data	"Coronary Angioplasty, Valvuloplasty, and Level I Endovascular Revascularization of the Lower Extremity"	 
0229	APC	No data	Level II Endovascular Revascularization of the Lower Extremity	 
0260	APC	No data	Level I Plain Film Except Teeth	 
0266	APC	No data	Level II Diagnostic and Screening Ultrasound	 
0279	APC	No data	Level II Angiography and Venography	 
0283	APC	No data	Computed Tomography with Contrast	 
0332	APC	No data	Computed Tomography without Contrast	 
0336	APC	No data	Magnetic Resonance Imaging and Magnetic Resonance Angiography without Contrast	 
0337	APC	No data	Magnetic Resonance Imaging and Magnetic Resonance Angiography without Contrast followed by Contrast	 
0437	APC	No data	Level II Drug Administration	 
0439	APC	No data	Level IV Drug Administration	 
0440	APC	No data	Level V Drug Administration	 
0604	APC	No data	Level 1 Hospital Clinic Visits	 
0605	APC	No data	Level 2 Hospital Clinic Visits	 
0606	APC	No data	Level 3 Hospital Clinic Visits	 
0607	APC	No data	Level 4 Hospital Clinic Visits	 
0608	APC	No data	Level 5 Hospital Clinic Visits	 
0621	APC	No data	Level I Vascular Access Procedures	 
0623	APC	No data	Level III Vascular Access Procedures	 
0659	APC	No data	Hyperbaric Oxygen	 
1240	APC	No data	Apligraf skin sub	 
9124	APC	No data	Daptomycin injection	 
054	CCS	No data	"Other vascular catheterization, not heart"	 
061	CCS	No data	Other OR procedures on vessels other than head and neck	 
091	CCS	No data	Peritoneal dialysis	 
157	CCS	No data	Amputation of lower extremity	 
168	CCS	No data	"Incision and drainage, skin and subcutaneous tissue"	 
169	CCS	No data	"Debridement of wound, infection or burn"	 
179	CCS	No data	CT scan abdomen	 
197	CCS	No data	Other diagnostic ultrasound	 
198	CCS	No data	Magnetic resonance imaging	 
206	CCS	No data	"Microscopic examination (bacterial smear, culture, toxicology)"	 
211	CCS	No data	Therapeutic radiology	 
212	CCS	No data	Diagnostic physical therapy	 
213	CCS	No data	"Physical therapy exercises, manipulation, and other procedures"	 
215	CCS	No data	Other physical therapy and rehabilitation	 
220	CCS	No data	Ophthalmologic and otologic diagnosis and treatment	 
222	CCS	No data	Blood transfusion	 
226	CCS	No data	Other diagnostic radiology and related techniques	 
227	CCS	No data	"Other diagnostic procedures (interview, evaluation, consultation)"	 
231	CCS	No data	Other therapeutic procedures	 
232	CCS	No data	Anesthesia	 
233	CCS	No data	Laboratory - Chemistry and Hematology	 
234	CCS	No data	Pathology	 
235	CCS	No data	Other Laboratory	 
239	CCS	No data	"Transportation - patient, provider, equipment"	 
240	CCS	No data	"Medications (Injections, infusions and other forms)"	 
A5500	HCPCS	No data	"For Diabetics Only, Fitting (Including Follow-Up), Custom Preparation And Supply Of Off-The-Shelf Depth-Inlay Shoe Manufactured To Accommodate Multi- Density Insert(S), Per Shoe"	 
A6021	HCPCS	No data	"Collagen Dressing, Sterile, Pad Size 16 Sq. In. Or Less, Each"	 
A6197	HCPCS	No data	"Alginate Or Other Fiber Gelling Dressing, Wound Cover, Sterile, Pad Size More Than 16 Sq. In. But Less Than Or Equal To 48 Sq. In., Each Dressing"	 
A6550	HCPCS	No data	"Wound Care Set, For Negative Pressure Wound Therapy Electrical Pump, Includes All Supplies And Accessories"	 
E0277	HCPCS	No data	Powered Pressure-Reducing Air Mattress	 
E2402	HCPCS	No data	"Negative Pressure Wound Therapy Electrical Pump, Stationary Or Portable"	 
008	ICD-9 Diagnosis	No data	Intestinal infections due to other organisms	 
038	ICD-9 Diagnosis	No data	Septicemia	 
041	ICD-9 Diagnosis	No data	Bacterial infection in conditions classified elsewhere and of unspecified site	 
173	ICD-9 Diagnosis	No data	Other malignant neoplasm of skin	 
216	ICD-9 Diagnosis	No data	Benign neoplasm of skin	 
250	ICD-9 Diagnosis	No data	Diabetes mellitus	 
276	ICD-9 Diagnosis	No data	"Disorders of fluid, electrolyte, and acid-base balance"	 
443	ICD-9 Diagnosis	No data	Other peripheral vascular disease	 
444	ICD-9 Diagnosis	No data	Arterial embolism and thrombosis	 
453	ICD-9 Diagnosis	No data	Other venous embolism and thrombosis	 
454	ICD-9 Diagnosis	No data	Varicose veins of lower extremities	 
458	ICD-9 Diagnosis	No data	Hypotension	 
459	ICD-9 Diagnosis	No data	Other disorders of circulatory system	 
482	ICD-9 Diagnosis	No data	Other bacterial pneumonia	 
486	ICD-9 Diagnosis	No data	"Pneumonia, organism unspecified"	 
507	ICD-9 Diagnosis	No data	Pneumonitis due to solids and liquids	 
584	ICD-9 Diagnosis	No data	Acute kidney failure	 
681	ICD-9 Diagnosis	No data	Cellulitis and abscess of finger and toe	 
682	ICD-9 Diagnosis	No data	Other cellulitis and abscess	 
686	ICD-9 Diagnosis	No data	Other local infection of skin and subcutaneous tissue	 
692	ICD-9 Diagnosis	No data	Contact dermatitis and other eczema	 
707	ICD-9 Diagnosis	No data	Chronic ulcer of skin	 
709	ICD-9 Diagnosis	No data	Other disorders of skin and subcutaneous tissue	 
719	ICD-9 Diagnosis	No data	Other and unspecified disorders of joint	 
727	ICD-9 Diagnosis	No data	"Other disorders of synovium, tendon, and bursa"	 
728	ICD-9 Diagnosis	No data	"Disorders of muscle, ligament, and fascia"	 
729	ICD-9 Diagnosis	No data	Other disorders of soft tissues	 
730	ICD-9 Diagnosis	No data	"Osteomyelitis, periostitis, and other infections involving bone"	 
733	ICD-9 Diagnosis	No data	Other disorders of bone and cartilage	 
780	ICD-9 Diagnosis	No data	General symptoms	 
782	ICD-9 Diagnosis	No data	Symptoms involving skin and other integumentary tissue	 
786	ICD-9 Diagnosis	No data	Symptoms involving respiratory system and other chest symptoms	 
787	ICD-9 Diagnosis	No data	Symptoms involving digestive system	 
789	ICD-9 Diagnosis	No data	Other symptoms involving abdomen and pelvis	 
820	ICD-9 Diagnosis	No data	Fracture of neck of femur	 
821	ICD-9 Diagnosis	No data	Fracture of other and unspecified parts of femur	 
879	ICD-9 Diagnosis	No data	"Open wound of other and unspecified sites, except limbs"	 
891	ICD-9 Diagnosis	No data	"Open wound of knee, leg (except thigh), and ankle"	 
996	ICD-9 Diagnosis	No data	Complications peculiar to certain specified procedures	 
997	ICD-9 Diagnosis	No data	"Complications affecting specified body systems, not elsewhere classified"	 
998	ICD-9 Diagnosis	No data	"Other complications of procedures, not elsewhere classified"	 
V43	ICD-9 Diagnosis	No data	Organ or tissue replaced by other means	 
V45	ICD-9 Diagnosis	No data	Other postprocedural status	 
V57	ICD-9 Diagnosis	No data	Care involving use of rehabilitation procedures	 
V58	ICD-9 Diagnosis	No data	Encounter for other and unspecified procedure and aftercare	 
V72	ICD-9 Diagnosis	No data	Special investigations and examinations	 
004	MS-DRG	No data	"Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R."	
177	MS-DRG	No data	Respiratory Infections & Inflammations W Mcc	
178	MS-DRG	No data	Respiratory Infections & Inflammations W Cc	
179	MS-DRG	No data	Respiratory Infections & Inflammations W/O Cc/Mcc	
189	MS-DRG	No data	Pulmonary Edema & Respiratory Failure	
193	MS-DRG	No data	Simple Pneumonia & Pleurisy W Mcc	
194	MS-DRG	No data	Simple Pneumonia & Pleurisy W Cc	
195	MS-DRG	No data	Simple Pneumonia & Pleurisy W/O Cc/Mcc	
207	MS-DRG	No data	Respiratory System Diagnosis W Ventilator Support 96+ Hours	
208	MS-DRG	No data	Respiratory System Diagnosis W Ventilator Support <96 Hours	
239	MS-DRG	No data	Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc	
240	MS-DRG	No data	Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Cc	
241	MS-DRG	No data	Amputation For Circ Sys Disorders Exc Upper Limb & Toe W/O Cc/Mcc	
252	MS-DRG	No data	Other Vascular Procedures W Mcc	
253	MS-DRG	No data	Other Vascular Procedures W Cc	
254	MS-DRG	No data	Other Vascular Procedures W/O Cc/Mcc	
299	MS-DRG	No data	Peripheral Vascular Disorders W Mcc	
300	MS-DRG	No data	Peripheral Vascular Disorders W Cc	
301	MS-DRG	No data	Peripheral Vascular Disorders W/O Cc/Mcc	
314	MS-DRG	No data	Other Circulatory System Diagnoses W Mcc	
315	MS-DRG	No data	Other Circulatory System Diagnoses W Cc	
316	MS-DRG	No data	Other Circulatory System Diagnoses W/O Cc/Mcc	
371	MS-DRG	No data	Major Gastrointestinal Disorders & Peritoneal Infections W Mcc	
372	MS-DRG	No data	Major Gastrointestinal Disorders & Peritoneal Infections W Cc	
373	MS-DRG	No data	Major Gastrointestinal Disorders & Peritoneal Infections W/O Cc/Mcc	
463	MS-DRG	No data	"Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Mcc"	
464	MS-DRG	No data	"Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W Cc"	
465	MS-DRG	No data	"Wnd Debrid & Skn Grft Exc Hand, For Musculo-Conn Tiss Dis W/O Cc/Mcc"	
480	MS-DRG	No data	Hip & Femur Procedures Except Major Joint W Mcc	
481	MS-DRG	No data	Hip & Femur Procedures Except Major Joint W Cc	
482	MS-DRG	No data	Hip & Femur Procedures Except Major Joint W/O Cc/Mcc	
539	MS-DRG	No data	Osteomyelitis W Mcc	
540	MS-DRG	No data	Osteomyelitis W Cc	
541	MS-DRG	No data	Osteomyelitis W/O Cc/Mcc	
570	MS-DRG	No data	Skin Debridement W Mcc	
571	MS-DRG	No data	Skin Debridement W Cc	
572	MS-DRG	No data	Skin Debridement W/O Cc/Mcc	
573	MS-DRG	No data	Skin Graft For Skin Ulcer Or Cellulitis W Mcc	
574	MS-DRG	No data	Skin Graft For Skin Ulcer Or Cellulitis W Cc	
575	MS-DRG	No data	Skin Graft For Skin Ulcer Or Cellulitis W/O Cc/Mcc	
579	MS-DRG	No data	"Other Skin, Subcut Tiss & Breast Proc W Mcc"	
580	MS-DRG	No data	"Other Skin, Subcut Tiss & Breast Proc W Cc"	
581	MS-DRG	No data	"Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc"	
592	MS-DRG	No data	Skin Ulcers W Mcc	
593	MS-DRG	No data	Skin Ulcers W Cc	
594	MS-DRG	No data	Skin Ulcers W/O Cc/Mcc	
606	MS-DRG	No data	Minor Skin Disorders W Mcc	
607	MS-DRG	No data	Minor Skin Disorders W/O Mcc	
640	MS-DRG	No data	"Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc"	
641	MS-DRG	No data	"Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc"	
682	MS-DRG	No data	Renal Failure W Mcc	
683	MS-DRG	No data	Renal Failure W Cc	
684	MS-DRG	No data	Renal Failure W/O Cc/Mcc	
689	MS-DRG	No data	Kidney & Urinary Tract Infections W Mcc	
690	MS-DRG	No data	Kidney & Urinary Tract Infections W/O Mcc	
853	MS-DRG	No data	Infectious & Parasitic Diseases W O.R. Procedure W Mcc	
854	MS-DRG	No data	Infectious & Parasitic Diseases W O.R. Procedure W Cc	
855	MS-DRG	No data	Infectious & Parasitic Diseases W O.R. Procedure W/O Cc/Mcc	
862	MS-DRG	No data	Postoperative & Post-Traumatic Infections W Mcc	
863	MS-DRG	No data	Postoperative & Post-Traumatic Infections W/O Mcc	
870	MS-DRG	No data	Septicemia Or Severe Sepsis W Mv 96+ Hours	
871	MS-DRG	No data	Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc	
872	MS-DRG	No data	Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc	
919	MS-DRG	No data	Complications Of Treatment W Mcc	
920	MS-DRG	No data	Complications Of Treatment W Cc	
921	MS-DRG	No data	Complications Of Treatment W/O Cc/Mcc	
945	MS-DRG	No data	Rehabilitation W Cc/Mcc	
946	MS-DRG	No data	Rehabilitation W/O Cc/Mcc	
981	MS-DRG	No data	Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc	
982	MS-DRG	No data	Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc	
983	MS-DRG	No data	Extensive O.R. Procedure Unrelated To Principal Diagnosis W/O Cc/Mcc	
987	MS-DRG	No data	Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Mcc	
988	MS-DRG	No data	Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W Cc	
989	MS-DRG	No data	Non-Extensive O.R. Proc Unrelated To Principal Diagnosis W/O Cc/Mcc	
042	Revenue Center	No data	Physical Therapy	 
043	Revenue Center	No data	Occupational Therapy	 
055	Revenue Center	No data	Skilled Nursing	 
057	Revenue Center	No data	Home Health Aid	 
End of Worksheet				
