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Triggering and Grouping Codes			Table of Contents	
GASTROINTESTINAL (GI) HEMORRHAGE				
Code	Code Type	Used in Trigger Rule	Code Description	
377	MS-DRG	Y	G.I. Hemorrhage W Mcc	 
378	MS-DRG	Y	G.I. Hemorrhage W Cc	 
379	MS-DRG	Y	G.I. Hemorrhage W/O Cc/Mcc	 
0091	APC	No data	Level II Vascular Ligation	 
0141	APC	No data	Level I Upper GI Procedures	 
0142	APC	No data	Level I Small Intestine Endoscopy	 
0143	APC	No data	Lower GI Endoscopy	 
0260	APC	No data	Level I Plain Film Except Teeth	 
0283	APC	No data	Computed Tomography with Contrast	 
0332	APC	No data	Computed Tomography without Contrast	 
0334	APC	No data	Combined Abdomen and Pelvis CT with 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	 
0343	APC	No data	Level III Pathology	 
0345	APC	No data	Level I Transfusion Laboratory Procedures	 
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	 
0623	APC	No data	Level III Vascular Access Procedures	 
0954	APC	No data	RBC leukocytes reduced	 
0969	APC	No data	RBC leukoreduced irradiated	 
1019	APC	No data	Plate pheres leukoredu irrad	 
9501	APC	No data	Platelet pheres leukoreduced	 
054	CCS	No data	"Other vascular catheterization, not heart"	 
061	CCS	No data	Other OR procedures on vessels other than head and neck	 
070	CCS	No data	"Upper gastrointestinal endoscopy, biopsy"	 
076	CCS	No data	Colonoscopy and biopsy	 
078	CCS	No data	Colorectal resection	 
091	CCS	No data	Peritoneal dialysis	 
098	CCS	No data	Other non-OR gastrointestinal therapeutic procedures	 
179	CCS	No data	CT scan abdomen	 
202	CCS	No data	Electrocardiogram	 
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	 
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	 
240	CCS	No data	"Medications (Injections, infusions and other forms)"	 
B4035	HCPCS	No data	"Enteral Feeding Supply Kit; Pump Fed, Per Day, Includes But Not Limited To Feeding/Flushing Syringe, Administration Set Tubing, Dressings, Tape"	 
B4154	HCPCS	No data	"Enteral Formula, Nutritionally Complete, For Special Metabolic Needs, Excludes Inherited Disease Of Metabolism, Includes Altered Composition Of Proteins, Fats, Carbohydrates, Vitamins And/Or Minerals, May Include Fiber, Administered Through A"	 
B4197	HCPCS	No data	"Parenteral Nutrition Solution; Compounded Amino Acid And Carbohydrates With Electrolytes, Trace Elements And Vitamins, Including Preparation, Any Strength, 74 To 100 Grams Of Protein - Premix"	 
B4199	HCPCS	No data	"Parenteral Nutrition Solution; Compounded Amino Acid And Carbohydrates With Electrolytes, Trace Elements And Vitamins, Including Preparation, Any Strength, Over 100 Grams Of Protein - Premix"	 
E2402	HCPCS	No data	"Negative Pressure Wound Therapy Electrical Pump, Stationary Or Portable"	 
041	ICD-9 Diagnosis	No data	Bacterial infection in conditions classified elsewhere and of unspecified site	 
150	ICD-9 Diagnosis	No data	Malignant neoplasm of esophagus	 
153	ICD-9 Diagnosis	No data	Malignant neoplasm of colon	 
154	ICD-9 Diagnosis	No data	"Malignant neoplasm of rectum, rectosigmoid junction, and anus"	 
211	ICD-9 Diagnosis	No data	Benign neoplasm of other parts of digestive system	 
276	ICD-9 Diagnosis	No data	"Disorders of fluid, electrolyte, and acid-base balance"	 
280	ICD-9 Diagnosis	No data	Iron deficiency anemias	 
281	ICD-9 Diagnosis	No data	Other deficiency anemias	 
285	ICD-9 Diagnosis	No data	Other and unspecified anemias	 
286	ICD-9 Diagnosis	No data	Coagulation defects	 
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	 
455	ICD-9 Diagnosis	No data	Hemorrhoids	 
458	ICD-9 Diagnosis	No data	Hypotension	 
459	ICD-9 Diagnosis	No data	Other disorders of circulatory system	 
486	ICD-9 Diagnosis	No data	"Pneumonia, organism unspecified"	 
507	ICD-9 Diagnosis	No data	Pneumonitis due to solids and liquids	 
530	ICD-9 Diagnosis	No data	Diseases of esophagus	 
531	ICD-9 Diagnosis	No data	Gastric ulcer	 
535	ICD-9 Diagnosis	No data	Gastritis and duodenitis	 
536	ICD-9 Diagnosis	No data	Disorders of function of stomach	 
537	ICD-9 Diagnosis	No data	Other disorders of stomach and duodenum	 
557	ICD-9 Diagnosis	No data	Vascular insufficiency of intestine	 
562	ICD-9 Diagnosis	No data	Diverticula of intestine	 
569	ICD-9 Diagnosis	No data	Other disorders of intestine	 
578	ICD-9 Diagnosis	No data	Gastrointestinal hemorrhage	 
584	ICD-9 Diagnosis	No data	Acute kidney failure	 
586	ICD-9 Diagnosis	No data	Unspecified renal failure	 
682	ICD-9 Diagnosis	No data	Other cellulitis and abscess	 
707	ICD-9 Diagnosis	No data	Chronic ulcer of skin	 
780	ICD-9 Diagnosis	No data	General symptoms	 
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	 
790	ICD-9 Diagnosis	No data	Nonspecific findings on examination of blood	 
793	ICD-9 Diagnosis	No data	Nonspecific (abnormal) findings on radiological and other examination of body structure	 
996	ICD-9 Diagnosis	No data	Complications peculiar to certain specified procedures	 
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	 
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	 
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	 
291	MS-DRG	No data	Heart Failure & Shock W Mcc	 
292	MS-DRG	No data	Heart Failure & Shock W Cc	 
293	MS-DRG	No data	Heart Failure & Shock 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	 
326	MS-DRG	No data	"Stomach, Esophageal & Duodenal Proc W Mcc"	 
327	MS-DRG	No data	"Stomach, Esophageal & Duodenal Proc W Cc"	 
328	MS-DRG	No data	"Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc"	 
329	MS-DRG	No data	Major Small & Large Bowel Procedures W Mcc	 
330	MS-DRG	No data	Major Small & Large Bowel Procedures W Cc	 
331	MS-DRG	No data	Major Small & Large Bowel Procedures W/O Cc/Mcc	 
356	MS-DRG	No data	Other Digestive System O.R. Procedures W Mcc	 
357	MS-DRG	No data	Other Digestive System O.R. Procedures W Cc	 
358	MS-DRG	No data	Other Digestive System O.R. Procedures 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	 
391	MS-DRG	No data	"Esophagitis, Gastroent & Misc Digest Disorders W Mcc"	 
392	MS-DRG	No data	"Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc"	 
393	MS-DRG	No data	Other Digestive System Diagnoses W Mcc	 
394	MS-DRG	No data	Other Digestive System Diagnoses W Cc	 
395	MS-DRG	No data	Other Digestive System Diagnoses W/O Cc/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	 
811	MS-DRG	No data	Red Blood Cell Disorders W Mcc	 
812	MS-DRG	No data	Red Blood Cell Disorders 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	 
945	MS-DRG	No data	Rehabilitation W Cc/Mcc	 
946	MS-DRG	No data	Rehabilitation W/O Cc/Mcc	 
042	Revenue Center	No data	Physical Therapy	 
043	Revenue Center	No data	Occupational Therapy	 
044	Revenue Center	No data	Speech Language Pathology	 
055	Revenue Center	No data	Skilled Nursing	 
057	Revenue Center	No data	Home Health Aid	 
End of Worksheet				
