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Episode Clinical Summary	Table of Contents				
LUMBAR SPINE FUSION/REFUSION					
Episode Characteristic	Episode Information				
Episode Overview	This episode includes clinically related services for patients with lumbar spine fusion or refusion as the primary reason for an inpatient hospitalization.				
Episode Subtype Overviews	N/A				
Episode Type	Procedural				
Trigger Rules	"IP hospital admission with a trigger DRG and trigger ICD-9 procedure code, and concurrent surgical trigger CPT-4 code on carrier claim"				
Start Date	3 days before admission to trigger hospital stay 				
Grouping Rules	"Services occurring between the episode start and end date are grouped to the episode using the following grouping rules:
? Service only: Groups services with one of the specified procedure codes listed in the episode?s definition.
? Service-diagnosis pair: Groups services with one of the specified procedure codes only if paired with one of the specified diagnosis codes.
? Service-procedure pair:  Groups services only if paired with relevant procedure code on the same claim. 
The list of codes in the episode's definition can be found on the following page. "				
"Closing Rules
(End Date)"	30 days after discharge from trigger IP hospital stay				
End of Worksheet					
