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Triggering and Grouping Codes			Table of Contents	
LUMBAR SPINE FUSION/REFUSION				
Code	Code Type	Used in Trigger Rule	Code Description	
81.04	ICD-9 Procedure	Y	"Dorsal and dorsolumbar fusion, anterior technique"	 
81.05	ICD-9 Procedure	Y	"Dorsal and dorsolumbar fusion of the posterior column, posterior technique"	 
81.06	ICD-9 Procedure	Y	"Lumbar and lumbosacral fusion, anterior technique"	 
81.07	ICD-9 Procedure	Y	"Lumbar and lumbosacral fusion of the posterior column, posterior technique"	 
81.08	ICD-9 Procedure	Y	"Lumbar and lumbosacral fusion, posterior technique"	 
81.34	ICD-9 Procedure	Y	"Refusion of dorsal and dorsolumbar spine, anterior technique"	 
81.35	ICD-9 Procedure	Y	"Refusion of dorsal and dorsolumbar spine, posterior technique"	 
81.36	ICD-9 Procedure	Y	"Refusion of lumbar and lumbosacral spine, anterior technique"	 
81.37	ICD-9 Procedure	Y	"Refusion of lumbar and lumbosacral spine, posterior column, posterior technique"	 
81.38	ICD-9 Procedure	Y	"Refusion of lumbar and lumbosacral spine, posterior technique"	 
453	MS-DRG	Y	Combined Anterior/Posterior Spinal Fusion W Mcc	 
454	MS-DRG	Y	Combined Anterior/Posterior Spinal Fusion W Cc	 
455	MS-DRG	Y	Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc	 
456	MS-DRG	Y	Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Mcc	 
457	MS-DRG	Y	Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc	 
458	MS-DRG	Y	Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W/O Cc/Mcc	 
459	MS-DRG	Y	Spinal Fusion Except Cervical W Mcc	 
460	MS-DRG	Y	Spinal Fusion Except Cervical W/O Mcc	 
22207	CPT-4	Y	"Osteotomy Of Spine, Posterior Or Posterolateral Approach, 3 Columns, 1 Vertebral Segment (Eg, Pedicle/Vertebral Body Subtraction);Lumbar"	 
22212	CPT-4	Y	"Osteotomy Of Spine, Posterior Or Posterolateral Approach, 1 Vertebral Segment; Thoracic"	 
22214	CPT-4	Y	"Osteotomy Of Spine, Posterior Or Posterolateral Approach, 1 Vertebral Segment; Lumbar"	 
22216	CPT-4	Y	"Osteotomy Of Spine, Posterior Or Posterolateral Approach, 1 Vertebral Segment; Each Additional Vertebral Segment (List Separately In Addition To Primary Procedure)"	 
22327	CPT-4	Y	"Open Treatment And/Or Reduction Of Vertebral Fracture(s) And/ Or Dislocation(s), Posterior Approach, 1 Fractured Vertebra Or Dislocated Segment; Thoracic"	 
22533	CPT-4	Y	"Arthrodesis, Lateral Extracavitary Technique, Including Minimal Discectomy To Prepare Interspace (Other Than For Decompression); Lumbar"	 
22534	CPT-4	Y	"Arthrodesis, Lateral Extracavitary Technique, Including Minimal Discectomy To Prepare Interspace (Other Than For Decompression); Thoracic Or Lumbar, Each Additional Vertebral Segment (List Separately In Addition To Code For Primary Procedure"	 
22551	CPT-4	Y	"Arthrodesis, Anterior Interbody, Including Disc Space Preparation, Discectomy, Osteophytectomy And Decompression Of Spinal Cord And/Or Nerve Roots; Cervical Below C2"	 
22552	CPT-4	Y	"Arthrodesis, Anterior Interbody, Including Disc Space Preparation, Discectomy, Osteophytectomy And Decompression Of Spinal Cord And/Or Nerve Roots; Cervical Below C2, Each Additional Interspace"	 
22556	CPT-4	Y	"Arthrodesis, Anterior Interbody Technique, Including Minimal Discectomy To Prepare Interspace (Other Than For Decompression); Thoracic"	 
22558	CPT-4	Y	"Arthrodesis, Anterior Interbody Technique, Including Minimal Discectomy To Prepare Interspace (Other Than For Decompression); Lumbar"	 
22585	CPT-4	Y	"Arthrodesis, Anterior Interbody Technique, Including Minimal Discectomy To Prepare Interspace (Other Than For Decompression); Each Additional Interspace  "	 
22600	CPT-4	Y	"Arthrodesis, Posterior Or Posterolateral Technique, Single Level; Cervical Below C2 Segment"	 
22610	CPT-4	Y	"Arthrodesis, Posterior Or Posterolateral Technique, Single Level; Thoracic (With Lateral Transverse Technique, When Performed)"	 
22612	CPT-4	Y	"Arthrodesis, Posterior Or Posterolateral Technique, Single Level; Lumbar (With Lateral Transverse Technique, When Performed)"	 
22614	CPT-4	Y	"Arthrodesis, Posterior Or Posterolateral Technique, Single Level; Each Additional Vertebral Segment  "	 
22630	CPT-4	Y	"Arthrodesis, Posterior Interbody Technique, Including Laminectomy And/Or Discectomy To Prepare Interspace (Other Than For Decompression), Single Interspace; Lumbar"	 
22632	CPT-4	Y	"Arthrodesis, Posterior Interbody Technique, Including Laminectomy And/Or Discectomy To Prepare Interspace (Other Than For Decompression), Single Interspace; Each Additional Interspace"	 
22633	CPT-4	Y	"Arthrodesis, Combined Posterior Or Posterolateral Technique With Posterior Interbody Technique Including Laminectomy And/ Or Discectomy Sufficient To Prepare Interspace (Other Than For Decompression), Single Interspace And Segment; Lumbar"	 
22634	CPT-4	Y	"Arthrodesis, Combined Posterior Or Posterolateral Technique With Posterior Interbody Technique Including Laminectomy And/ Or Discectomy Sufficient To Prepare Interspace (Other Than For Decompression), Single Interspace And Segment"	 
22800	CPT-4	Y	"Arthrodesis, Posterior, For Spinal Deformity, With Or Without Cast; Up To 6 Vertebral Segments"	 
22802	CPT-4	Y	"Arthrodesis, Posterior, For Spinal Deformity, With Or Without Cast; 7 To 12 Vertebral Segments"	 
22804	CPT-4	Y	"Arthrodesis, Posterior, For Spinal Deformity, With Or Without Cast; 13 Or More Vertebral Segments"	 
22830	CPT-4	Y	Exploration Of Spinal Fusion	 
22840	CPT-4	Y	"Posterior Non-Segmental Instrumentation (Eg, Harrington Rod Technique, Pedicle Fixation Across 1 Interspace, Atlantoaxial Transarticular Screw Fixation, Sublaminar Wiring At C1, Facet Screw Fixation) "	 
22842	CPT-4	Y	"Posterior Segmental Instrumentation (Eg, Pedicle Fixation, Dual Rods With Multiple Hooks And Sublaminar Wires); 3 To 6 Vertebral Segments  "	 
22843	CPT-4	Y	"Posterior Segmental Instrumentation (Eg, Pedicle Fixation, Dual Rods With Multiple Hooks And Sublaminar Wires); 7 To 12 Vertebral Segments  "	 
22844	CPT-4	Y	"Posterior Segmental Instrumentation (Eg, Pedicle Fixation, Dual Rods With Multiple Hooks And Sublaminar Wires); 13 Or More Vertebral Segments  "	 
22845	CPT-4	Y	Anterior Instrumentation; 2 To 3 Vertebral Segments  	 
22846	CPT-4	Y	Anterior Instrumentation; 4 To 7 Vertebral Segments  	 
22849	CPT-4	Y	Reinsertion Of Spinal Fixation Device	 
22851	CPT-4	Y	"Application Of Intervertebral Biomechanical Device(s) (Eg, Synthetic Cage(s), Methylmethacrylate) To Vertebral Defect Or Interspace"	 
0016	APC	No data	Level IV Debridement & Destruction	 
0039	APC	No data	Level I Implantation of Neurostimulator Generator	 
0207	APC	No data	Level III Nerve Injections	 
0208	APC	No data	Laminotomies and Laminectomies	 
0260	APC	No data	Level I Plain Film Except Teeth	 
0261	APC	No data	Level II Plain Film Except Teeth Including Bone Density Measurement	 
0266	APC	No data	Level II Diagnostic and Screening Ultrasound	 
0267	APC	No data	Level III Diagnostic and Screening Ultrasound	 
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	 
0437	APC	No data	Level II Drug Administration	 
0439	APC	No data	Level IV 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	 
003	CCS	No data	"Laminectomy, excision intervertebral disc"	 
007	CCS	No data	Other diagnostic nervous system procedures	 
091	CCS	No data	Peritoneal dialysis	 
148	CCS	No data	Other fracture and dislocation procedure	 
158	CCS	No data	Spinal fusion	 
168	CCS	No data	"Incision and drainage, skin and subcutaneous tissue"	 
180	CCS	No data	Other CT scan	 
197	CCS	No data	Other diagnostic ultrasound	 
198	CCS	No data	Magnetic resonance imaging	 
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)"	 
231	CCS	No data	Other therapeutic procedures	 
232	CCS	No data	Anesthesia	 
233	CCS	No data	Laboratory - Chemistry and Hematology	 
235	CCS	No data	Other Laboratory	 
237	CCS	No data	Ancillary Services	 
240	CCS	No data	"Medications (Injections, infusions and other forms)"	 
E0748	HCPCS	No data	"Osteogenesis Stimulator, Electrical, Non-Invasive, Spinal Applications"	 
E2402	HCPCS	No data	"Negative Pressure Wound Therapy Electrical Pump, Stationary Or Portable"	 
L0631	HCPCS	No data	"Lumbar-Sacral Orthosis, Sagittal Control, With Rigid Anterior And Posterior Panels, Posterior Extends From Sacrococcygeal Junction To T-9 Vertebra, Produces Intracavitary Pressure To Reduce Load On The Intervertebral Discs, Includes Straps"	 
L0637	HCPCS	No data	"Lumbar-Sacral Orthosis, Sagittal-Coronal Control, With Rigid Anterior And Posterior Frame/Panels, Posterior Extends From Sacrococcygeal Junction To T-9 Vertebra, Lateral Strength Provided By Rigid Lateral Frame/Panels, Produces Intracavi"	 
041	ICD-9 Diagnosis	No data	Bacterial infection in conditions classified elsewhere and of unspecified site	 
136	ICD-9 Diagnosis	No data	Other and unspecified infectious and parasitic diseases	 
276	ICD-9 Diagnosis	No data	"Disorders of fluid, electrolyte, and acid-base balance"	 
285	ICD-9 Diagnosis	No data	Other and unspecified anemias	 
338	ICD-9 Diagnosis	No data	"Pain, not elsewhere classified"	 
344	ICD-9 Diagnosis	No data	Other paralytic syndromes	 
453	ICD-9 Diagnosis	No data	Other venous embolism and thrombosis	 
584	ICD-9 Diagnosis	No data	Acute kidney failure	 
707	ICD-9 Diagnosis	No data	Chronic ulcer of skin	 
715	ICD-9 Diagnosis	No data	Osteoarthrosis and allied disorders	 
719	ICD-9 Diagnosis	No data	Other and unspecified disorders of joint	 
721	ICD-9 Diagnosis	No data	Spondylosis and allied disorders	 
722	ICD-9 Diagnosis	No data	Intervertebral disc disorders	 
724	ICD-9 Diagnosis	No data	Other and unspecified disorders of back	 
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	 
737	ICD-9 Diagnosis	No data	Curvature of spine	 
738	ICD-9 Diagnosis	No data	Other acquired musculoskeletal deformity	 
781	ICD-9 Diagnosis	No data	Symptoms involving nervous and musculoskeletal systems	 
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	 
788	ICD-9 Diagnosis	No data	Symptoms involving urinary system	 
789	ICD-9 Diagnosis	No data	Other symptoms involving abdomen and pelvis	 
793	ICD-9 Diagnosis	No data	Nonspecific (abnormal) findings on radiological and other examination of body structure	 
805	ICD-9 Diagnosis	No data	Fracture of vertebral column without mention of spinal cord injury	 
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"	 
V45	ICD-9 Diagnosis	No data	Other postprocedural status	 
V53	ICD-9 Diagnosis	No data	Fitting and adjustment of other device	 
V54	ICD-9 Diagnosis	No data	Other orthopedic aftercare	 
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	 
V67	ICD-9 Diagnosis	No data	Follow-up examination	 
V72	ICD-9 Diagnosis	No data	Special investigations and examinations	 
02.94	ICD-9 Procedure	No data	Insertion or replacement of skull tongs or halo traction device	 
03.02	ICD-9 Procedure	No data	Reopening of laminectomy site	 
03.09	ICD-9 Procedure	No data	Other exploration and decompression of spinal canal	 
03.31	ICD-9 Procedure	No data	Spinal tap	 
03.32	ICD-9 Procedure	No data	Biopsy of spinal cord or spinal meninges	 
03.51	ICD-9 Procedure	No data	Repair of spinal meningocele	 
03.53	ICD-9 Procedure	No data	Repair of vertebral fracture	 
03.59	ICD-9 Procedure	No data	Other repair and plastic operations on spinal cord structures	 
03.91	ICD-9 Procedure	No data	Injection of anesthetic into spinal canal for analgesia	 
03.92	ICD-9 Procedure	No data	Injection of other agent into spinal canal	 
38.95	ICD-9 Procedure	No data	Venous catheterization for renal dialysis	 
39.27	ICD-9 Procedure	No data	Arteriovenostomy for renal dialysis	 
39.95	ICD-9 Procedure	No data	Hemodialysis	 
39.98	ICD-9 Procedure	No data	"Control of hemorrhage, not otherwise specified"	 
44.43	ICD-9 Procedure	No data	Endoscopic control of gastric or duodenal bleeding	 
77.09	ICD-9 Procedure	No data	"Sequestrectomy, other bones"	 
77.19	ICD-9 Procedure	No data	"Other incision of bone without division, other bones"	 
77.60	ICD-9 Procedure	No data	"Local excision of lesion or tissue of bone, unspecified site"	 
77.69	ICD-9 Procedure	No data	"Local excision of lesion or tissue of bone, other bones"	 
77.79	ICD-9 Procedure	No data	"Excision of bone for graft, other bones"	 
77.89	ICD-9 Procedure	No data	"Other partial ostectomy, other bones"	 
78.09	ICD-9 Procedure	No data	"Bone graft, other bones"	 
78.59	ICD-9 Procedure	No data	"Internal fixation of bone without fracture reduction, other bones"	 
78.69	ICD-9 Procedure	No data	"Removal of implanted devices from bone, other bones"	 
78.99	ICD-9 Procedure	No data	"Insertion of bone growth stimulator, other bones"	 
80.51	ICD-9 Procedure	No data	Excision of intervertebral disc	 
81.00	ICD-9 Procedure	No data	"Spinal fusion, not otherwise specified"	 
81.62	ICD-9 Procedure	No data	Fusion or refusion of 2-3 vertebrae	 
81.63	ICD-9 Procedure	No data	Fusion or refusion of 4-8 vertebrae	 
81.65	ICD-9 Procedure	No data	Percutaneous vertebroplasty	 
81.66	ICD-9 Procedure	No data	Percutaneous vertebral augmentation	 
81.91	ICD-9 Procedure	No data	Arthrocentesis	 
81.92	ICD-9 Procedure	No data	Injection of therapeutic substance into joint or ligament	 
83.02	ICD-9 Procedure	No data	Myotomy	 
83.09	ICD-9 Procedure	No data	Other incision of soft tissue	 
83.14	ICD-9 Procedure	No data	Fasciotomy	 
83.32	ICD-9 Procedure	No data	Excision of lesion of muscle	 
83.39	ICD-9 Procedure	No data	Excision of lesion of other soft tissue	 
83.44	ICD-9 Procedure	No data	Other fasciectomy	 
83.45	ICD-9 Procedure	No data	Other myectomy	 
83.49	ICD-9 Procedure	No data	Other excision of soft tissue	 
83.65	ICD-9 Procedure	No data	Other suture of muscle or fascia	 
83.82	ICD-9 Procedure	No data	Graft of muscle or fascia	 
84.51	ICD-9 Procedure	No data	Insertion of interbody spinal fusion device	 
84.52	ICD-9 Procedure	No data	Insertion of recombinant bone morphogenetic protein	 
84.56	ICD-9 Procedure	No data	Insertion or replacement of (cement) spacer	 
84.59	ICD-9 Procedure	No data	Insertion of other spinal devices	 
84.68	ICD-9 Procedure	No data	"Revision or replacement of artificial spinal disc prosthesis, lumbosacral"	 
84.80	ICD-9 Procedure	No data	Insertion or replacement of interspinous process device(s)	 
84.81	ICD-9 Procedure	No data	Revision of interspinous process device(s)	 
84.83	ICD-9 Procedure	No data	Revision of pedicle-based dynamic stabilization device(s)	 
86.04	ICD-9 Procedure	No data	Other incision with drainage of skin and subcutaneous tissue	 
86.05	ICD-9 Procedure	No data	Incision with removal of foreign body or device from skin and subcutaneous tissue	 
86.22	ICD-9 Procedure	No data	"Excisional debridement of wound, infection, or burn"	 
86.28	ICD-9 Procedure	No data	"Nonexcisional debridement of wound, infection or burn"	 
86.59	ICD-9 Procedure	No data	Closure of skin and subcutaneous tissue of other sites	 
86.74	ICD-9 Procedure	No data	Attachment of pedicle or flap graft to other sites	 
87.21	ICD-9 Procedure	No data	Contrast myelogram	 
88.93	ICD-9 Procedure	No data	Magnetic resonance imaging of spinal canal	 
88.94	ICD-9 Procedure	No data	Magnetic resonance imaging of musculoskeletal	 
93.59	ICD-9 Procedure	No data	"Other immobilization, pressure, and attention to wound"	 
96.59	ICD-9 Procedure	No data	Other irrigation of wound	 
028	MS-DRG	No data	Spinal Procedures W Mcc	 
029	MS-DRG	No data	Spinal Procedures W Cc Or Spinal Neurostimulators	 
030	MS-DRG	No data	Spinal Procedures 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	 
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"	 
471	MS-DRG	No data	Cervical Spinal Fusion W Mcc	 
472	MS-DRG	No data	Cervical Spinal Fusion W Cc	 
473	MS-DRG	No data	Cervical Spinal Fusion W/O Cc/Mcc	 
490	MS-DRG	No data	Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim	 
491	MS-DRG	No data	Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc	 
495	MS-DRG	No data	Local Excision & Removal Int Fix Devices Exc Hip & Femur W Mcc	 
496	MS-DRG	No data	Local Excision & Removal Int Fix Devices Exc Hip & Femur W Cc	 
497	MS-DRG	No data	Local Excision & Removal Int Fix Devices Exc Hip & Femur W/O Cc/Mcc	 
515	MS-DRG	No data	Other Musculoskelet Sys & Conn Tiss O.R. Proc W Mcc	 
516	MS-DRG	No data	Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc	 
517	MS-DRG	No data	Other Musculoskelet Sys & Conn Tiss O.R. Proc 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	 
551	MS-DRG	No data	Medical Back Problems W Mcc	 
552	MS-DRG	No data	Medical Back Problems W/O Mcc	 
559	MS-DRG	No data	"Aftercare, Musculoskeletal System & Connective Tissue W Mcc"	 
560	MS-DRG	No data	"Aftercare, Musculoskeletal System & Connective Tissue W Cc"	 
561	MS-DRG	No data	"Aftercare, Musculoskeletal System & Connective Tissue 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	 
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	 
856	MS-DRG	No data	Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc	 
857	MS-DRG	No data	Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc	 
858	MS-DRG	No data	Postoperative Or Post-Traumatic Infections W O.R. Proc 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	 
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	 
901	MS-DRG	No data	Wound Debridements For Injuries W Mcc	 
902	MS-DRG	No data	Wound Debridements For Injuries W Cc	 
903	MS-DRG	No data	Wound Debridements For Injuries W/O Cc/Mcc	 
907	MS-DRG	No data	Other O.R. Procedures For Injuries W Mcc	 
908	MS-DRG	No data	Other O.R. Procedures For Injuries W Cc	 
909	MS-DRG	No data	Other O.R. Procedures For Injuries W/O Cc/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	 
939	MS-DRG	No data	O.R. Proc W Diagnoses Of Other Contact W Health Services W Mcc	 
940	MS-DRG	No data	O.R. Proc W Diagnoses Of Other Contact W Health Services W Cc	 
941	MS-DRG	No data	O.R. Proc W Diagnoses Of Other Contact W Health Services 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	 
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				
