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Triggering and Grouping Codes			Table of Contents	
KIDNEY/URINARY TRACT INFECTION (UTI)				
Code	Code Type	Used in Trigger Rule	Code Description	
689	MS-DRG	Y	Kidney & Urinary Tract Infections W Mcc	 
690	MS-DRG	Y	Kidney & Urinary Tract Infections W/O Mcc	 
0016	APC	No data	Level IV Debridement & Destruction	 
0131	APC	No data	Level II Laparoscopy	 
0160	APC	No data	Level I Cystourethroscopy and other Genitourinary Procedures	 
0161	APC	No data	Level II Cystourethroscopy and other Genitourinary Procedures	 
0162	APC	No data	Level III Cystourethroscopy and other Genitourinary Procedures	 
0163	APC	No data	Level IV Cystourethroscopy and other Genitourinary Procedures	 
0169	APC	No data	Lithotripsy	 
0260	APC	No data	Level I Plain Film Except Teeth	 
0266	APC	No data	Level II Diagnostic and Screening Ultrasound	 
0283	APC	No data	Computed Tomography with Contrast	 
0331	APC	No data	Combined Abdomen and Pelvis CT without 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	 
0427	APC	No data	Level II Tube or Catheter Changes or Repositioning	 
0429	APC	No data	Level V Cystourethroscopy and other Genitourinary 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	 
0621	APC	No data	Level I Vascular Access Procedures	 
0622	APC	No data	Level II Vascular Access Procedures	 
0623	APC	No data	Level III Vascular Access Procedures	 
091	CCS	No data	Peritoneal dialysis	 
177	CCS	No data	Computerized axial tomography (CT) scan head	 
179	CCS	No data	CT scan abdomen	 
206	CCS	No data	"Microscopic examination (bacterial smear, culture, toxicology)"	 
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	 
226	CCS	No data	Other diagnostic radiology and related techniques	 
227	CCS	No data	"Other diagnostic procedures (interview, evaluation, consultation)"	 
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)"	 
A4351	HCPCS	No data	"Intermittent Urinary Catheter; Straight Tip, With Or Without Coating (Teflon, Silicone, Silicone Elastomer, Or Hydrophilic, Etc.), Each"	 
A4352	HCPCS	No data	"Intermittent Urinary Catheter; Coude (Curved) Tip, With Or Without Coating (Teflon, Silicone, Silicone Elastomeric, Or Hydrophilic, Etc.), Each"	 
A4353	HCPCS	No data	"Intermittent Urinary Catheter, With Insertion Supplies"	 
E2402	HCPCS	No data	"Negative Pressure Wound Therapy Electrical Pump, Stationary Or Portable"	 
038	ICD-9 Diagnosis	No data	Septicemia	 
041	ICD-9 Diagnosis	No data	Bacterial infection in conditions classified elsewhere and of unspecified site	 
185	ICD-9 Diagnosis	No data	Malignant neoplasm of prostate	 
188	ICD-9 Diagnosis	No data	Malignant neoplasm of bladder	 
222	ICD-9 Diagnosis	No data	Benign neoplasm of male genital organs	 
276	ICD-9 Diagnosis	No data	"Disorders of fluid, electrolyte, and acid-base balance"	 
338	ICD-9 Diagnosis	No data	"Pain, not elsewhere classified"	 
415	ICD-9 Diagnosis	No data	Acute pulmonary heart disease	 
437	ICD-9 Diagnosis	No data	Other and ill-defined cerebrovascular disease	 
453	ICD-9 Diagnosis	No data	Other venous embolism and thrombosis	 
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	 
585	ICD-9 Diagnosis	No data	Chronic kidney disease (CKD)	 
590	ICD-9 Diagnosis	No data	Infections of kidney	 
591	ICD-9 Diagnosis	No data	Hydronephrosis	 
592	ICD-9 Diagnosis	No data	Calculus of kidney and ureter	 
593	ICD-9 Diagnosis	No data	Other disorders of kidney and ureter	 
595	ICD-9 Diagnosis	No data	Cystitis	 
596	ICD-9 Diagnosis	No data	Other disorders of bladder	 
599	ICD-9 Diagnosis	No data	Other disorders of urethra and urinary tract	 
600	ICD-9 Diagnosis	No data	Hyperplasia of prostate	 
682	ICD-9 Diagnosis	No data	Other cellulitis and abscess	 
707	ICD-9 Diagnosis	No data	Chronic ulcer of skin	 
753	ICD-9 Diagnosis	No data	Congenital anomalies of urinary system	 
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	 
788	ICD-9 Diagnosis	No data	Symptoms involving urinary 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	 
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	 
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	 
312	MS-DRG	No data	Syncope & Collapse	 
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	 
602	MS-DRG	No data	Cellulitis W Mcc	 
603	MS-DRG	No data	Cellulitis 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"	 
659	MS-DRG	No data	Kidney & Ureter Procedures For Non-Neoplasm W Mcc	 
660	MS-DRG	No data	Kidney & Ureter Procedures For Non-Neoplasm W Cc	 
661	MS-DRG	No data	Kidney & Ureter Procedures For Non-Neoplasm W/O Cc/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	 
698	MS-DRG	No data	Other Kidney & Urinary Tract Diagnoses W Mcc	 
699	MS-DRG	No data	Other Kidney & Urinary Tract Diagnoses W Cc	 
700	MS-DRG	No data	Other Kidney & Urinary Tract Diagnoses W/O Cc/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	 
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	 
947	MS-DRG	No data	Signs & Symptoms W Mcc	 
948	MS-DRG	No data	Signs & Symptoms W/O 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				
