1-Craniotomy age >17 w CC (Eff:Oct08) Craniotomy & endovascular intracranial procedures w MCC
2-Craniotomy age >17 w/o CC (Eff:Oct08) Craniotomy & endovascular intracranial procedures w CC
3-Craniotomy age 0-17 (Eff:Oct08) Craniotomy & endovascular intracranial procedures w/o CC/MCC
6-Carpal tunnel release (Eff:Oct08) Periph & cranial nerve & other nerv syst proc w MCC
7-Periph & cranial nerve & other nerv syst proc w CC (Eff:Oct08) Periph/cranial nerve & other nerv syst proc w CC or periph neurostim
8-Periph & cranial nerve & other nerv syst proc w/o CC (Eff:Oct08) Periph & cranial nerve & other nerv syst proc w/o CC/MCC
9-Spinal disorders & injuries (Eff:Oct08) w CC/MCC
10-Nervous system neoplasms w CC (Eff:Oct08) w MCC
11-Nervous system neoplasms w/o CC (Eff:Oct08) w/o MCC
12-Degenerative nervous system disorders (Eff:Oct08) w MCC & w/o MCC
13-Multiple sclerosis & cerebellar ataxia (Eff:Oct08) w/o CC/MCC & w MCC & w CC
14-Intracranial hemorrhage or cerebral infarction (Eff:Oct08) w/o CC/MCC & w/o CC & w/o MCC
15-Nonspecific cva & precerebral occlusion w/o infarct (Eff:Oct08) w MCC & w/o MCC
16-Nonspecific cerebrovascular disorders (Eff:Oct08) w MCC
17-Nonspecific cerebrovascular disorders (Eff:Oct08) w/o CC/MCC & w CC
18-Cranial & peripheral nerve disorders (Eff:Oct08) w MCC
19-Cranial & peripheral nerve disorders (Eff:Oct08) w/o MCC
21-Viral meningitis (Eff:Oct08)
22-Hypertensive encephalopathy (Eff:Oct08)
23-Nontraumatic stupor & coma (Eff:Oct08)
26-Seizure & Headache age 0-17 (Eff:Oct08)
27-Traumatic stupor & coma, coma >1 hr (Eff:Oct08) w/o CC/MCC w CC w MCC
28-Traumatic stupor & coma, coma <1 hr age >17 w CC (Eff:Oct08) w MCC
29-Traumatic stupor & coma, coma <1 hr >17 w/o CC (Eff:Oct08) w CC
30-Traumatic stupor & coma, coma <1 hr age 0-17 (Eff:Oct08) w/o CC/MCC
31-Concussion age >17 wCC (Eff:Oct08) w MCC
32-Concussion age >17 w/o CC (Eff:Oct08) w CC
33-Concussion age 0-17 (Eff:Oct08) w/o CC/MCC
34-Other disorders of nervous system w CC (Eff:Oct08) w MCC
35-Other disorders of nervous system w/o CC (Eff:Oct08) w CC w/o CC/MCC
36-Retinal procedures (Eff:Oct08) Intraocular procedures w CC/MCC
37-Orbital procedures (Eff:Oct08) w CC/MCC
38-Primary iris procedures (Eff:Oct08) Intraocular procedures w/o CC/MCC
39-Lens procedures w or w/o vitrectomy
40-Extraocular procedures except orbit age >17
41-Extraocular procedures except orbit age 0-17
42-Intraocular procedures except retina, iris & lens
43-Hyphema (Eff:Oct08) Other disorders of the eye w MCC
44-Acute major eye infections w CC/MCC w/o CC/MCC
45-Neurological eye disorders
46-Other disorders of the eye age >17 w CC (Eff:Oct08) w/o MCC
47-Other disorders of the eye age >17 w/o CC
48-Other disorders of the eye age 0-17
49-Major head & neck procedures (Eff:Oct08) w CC/MCC or major device w/o CC/MCC
50-Sialoadenectomy (Eff:Oct08) Salivary gland procedures
51-Salivary gland procedures except sialoadenectomy
52-Cleft lip & palate repair (Eff:Oct08) Other ear, nose, mouth & throat O.R. procedures w CC/MCC
53-Sinus & mastoid procedures age >17 (Eff:Oct08) w CC/MCC
54-Sinus & mastoid procedures age 0-17 (Eff:Oct08) w/o CC/MCC
55-Other ear, nose, mouth & throat O.R. procedures (Eff:Oct08) w/o CC/MCC
56-Rhinoplasty
57-T&A proc, except tonsillectomy&/or adenoidectomy only age >17
58-T&A proc, except tonsillectomy&/or adenoidectomy only age 0-17
59-Tonsillectomy&/or adenoidectomy only age >17
60-Tonsillectomy&/or adenoidectomy only age 0-17
61-Myringotomy w tube insertion age >17
62-Myringotomy w tube insertion age 0-17
63-Other ear, nose, mouth & throat O.R. procedures
64-Ear, nose, mouth & throat malignancy (Eff:Oct08) w MCC
65-Dysequilibrium
66-Epistaxis (Eff:Oct08) w MCC
67-Epistaxis (Eff:Oct08) Otitis media & URI w MCC
68-Otitis media & URI age >17 (Eff:Oct08) w MCC
69-Otitis media & URI age >17 (Eff:Oct08)
70-Otitis media & URI age 0-17 (Eff:Oct08)
71-Laryngotracheitis
72-Nasal trauma & deformity (Eff:Oct08) w MCC
73-Other ear, nose, mouth & throat diagnoses age > 17 (Eff:Oct08) Nasal trauma & deformity w CC
74-Other ear, nose, mouth & throat diagnoses age 0-17 (Eff:Oct08) Nasal trauma & deformity w/o CC/MCC
75-Major chest procedures (Eff:Oct08) w MCC w CC w/o CC/MCC
76-Other resp system O.R. procedures w CC (Eff:Oct08) w MCC
77-Other resp system O.R. procedures w/o CC (Eff:Oct08) w CC w/o CC/MCC
78-Pulmonary embolism (Eff:Oct08) w MCC w/o MCC
79-Respiratory infections & inflammations age >17 w CC (Eff:Oct08) w MCC
80-Respiratory infections & inflammations age >17 w/o CC (Eff:Oct08) w CC
81-Respiratory infections & inflammations age 0-17 (Eff:Oct08) w/o CC/MCC
82-Respiratory neoplasms (Eff:Oct08) w CC w MCC w/o CC/MCC
83-Major chest trauma w CC (Eff:Oct08) w MCC
84-Major chest trauma w/o CC (Eff:Oct08) w CC w/o CC/MCC
85-Pleural effusion w CC (Eff:Oct08) w MCC
86-Pleural effusion w/o CC (Eff:Oct08) w MCC w/o CC/MCC
87-Pulmonary edema & respiratory failure
88-Chronic obstructive pulmonary disease (Eff:Oct08) w MCC w CC w/o CC/MCC
89-Simple pneumonia & pleurisy age >17 w CC (Eff:Oct08) w MCC
90-Simple pneumonia & pleurisy age >17 w/o CC (Eff:Oct08) w CC
91-Simple pneumonia & pleurisy age 0-17 (Eff:Oct08) w/o CC/ MCC
92-Interstitial lung disease w CC (Eff:Oct08) w MCC
93-Interstitial lung disease w/o CC (Eff:Oct08) w CC w/o CC/MCC
94-Pneumothorax w CC (Eff:Oct08) w MCC
95-Pneumothorax w/o CC (Eff:Oct08) w CC w/o CC/MCC
96-Bronchitis & asthma age >17 w CC (Eff:Oct08) w CC/MCC
97-Bronchitis & asthma age >17 w/o CC (Eff:Oct08) w/o CC/MCC
98-Bronchitis & asthma age 0-17
99-Respiratory signs & symptoms w CC (Eff:Oct08) Respiratory signs & symptoms
100-Respiratory signs & symptoms w/o CC
101-Other respiratory system diagnoses w CC (Eff:Oct08) w MCC
102-Other respiratory system diagnoses w/o CC (Eff:Oct08) w/o MCC
103-Heart transplant or implant of heart assist system (Eff:Oct08) w MCC w/o MCC
104-Cardiac valve & oth maj cardiothoracic proc w card cath (Eff:Oct08) w CC w/o CC/MCC w MCC
105-Cardiac valve & oth maj cardiothoracic proc w/o card cath (Eff:Oct08) w CC w/o CC/MCC w MCC
106-Coronary bypass w PTCA (Eff:Oct08) w/o MCC
108-Other cardiothoracic procedures (Eff:Oct08) w MCC w CC w/o CC/MCC
110-Major cardiovasc procedures w CC (Eff:Oct08) w MCC or thoracic aortic anuerysm repair
111-Major cardiovasc procedures w/o CC (Eff:Oct08) w/o MCC
113-Amputation for circ sys disorders exc upper limb & toe (Eff:Oct08) w MCC w CC w/o CC/MCC
114-Upper limb & toe amputation for circ system disorders (Eff:Oct08) w MCC w CC w/o CC/MCC
117-Cardiac pacemaker revision except device replacement (Eff:Oct08) w MCC w CC w/o CC/MCC
118-Cardiac pacemaker device replacement (Eff:Oct08) w MCC w/o MCC
119-Vein ligation & stripping
120-Other circulatory system O.R. procedures
121-Acute myocardial infarction, discharged alive w MCC
122-Acute myocardial infarction, discharged alive w/o CC/MCC (Eff:Oct08) w CC
123-Acute myocardial infarction, expired (Eff:Oct08) w CC
124-Circulatory disorders except AMI, w card cath w MCC
125-Circulatory disorders except AMI, w card cath w/c MCC
126-Acute & subacute endocarditis (Eff:Oct08) w MCC w CC w/o CC/MCC
127-Heart failure & shock (Eff:Oct08) w MCC w CC w/o CC/MCC
128-Deep vein thrombophlebitis (Eff:Oct08) w CC/MCC w/o CC/MCC
129-Cardiac arrest, unexplained (Eff:Oct08) w MCC w CC w/o CC/MCC
130-Peripheral vascular disorders w CC (Eff:Oct08) w MCC
131-Peripheral vascular disorders w/o CC (Eff:Oct08) w CC w/o CC/MCC
132-Atherosclerosis w CC (Eff:Oct08) w MCC
133-Atherosclerosis w/o CC (Eff:Oct08) w/o MCC
134-Hypertension (Eff:Oct08) w MCC w/o MCC
135-Cardiac congenital & valvular disorders age >17 w CC (Eff:Oct08) w MCC
136-Cardiac congenital & valvular disorders age >17 w/o CC (Eff:Oct08) w/o MCC
137-Cardiac congenital & valvular disorders age 0-17
138-Cardiac arrhythmia & conduction disorders w CC (Eff:Oct08) w MCC
139-Cardiac arrhythmia & conduction disorders w/o CC (Eff:Oct08) w CC w/o CC/MCC
140-Angina pectoris
141-Syncope & collapse w CC
142-Syncope & collapse w/o CC
143-Chest pain
144-Other circulatory system diagnoses w CC (Eff:Oct08) w MCC
145-Other circulatory system diagnoses (Eff:Oct08) w CC w/o CC/MCC
146-Rectal resection w CC (Eff:Oct08) w MCC
147-Rectal resection w/o CC (Eff:Oct08) w CC
149-Major small & large bowel procedures w/o CC (Eff:Oct08) w MCC
150-Peritoneal adhesiolysis w CC (Eff:Oct08) w MCC
151-Peritoneal adhesiolysis w/o CC (Eff:Oct08) w CC w/o CC/MCC
152-Minor small & large bowel procedures w CC (Eff:Oct08) w MCC
153-Minor small & large bowel procedures w/o CC (Eff:Oct08) w CC w/o CC/MCC
155-Stomach, esophageal & duodenal procedures age >17 w/o CC (Eff:Oct08) w MCC
156-Stomach, esophageal & duodenal procedures age 0-17 (Eff:Oct08) w CC
157-Anal & stomal procedures w CC (Eff:Oct08) w MCC
158-Anal & stomal procedures w/o CC (Eff:Oct08) w CC w/o CC/MCC
159-Hernia procedures except inguinal & femoral age >17 w CC (Eff:Oct08) w MCC
160-Hernia procedures except inguinal & femoral age >17 w/o CC (Eff:Oct08) w CC w/o CC/MCC
161-Inguinal & femoral hernia procedures age >17 w CC (Eff:Oct08)w MCC
162-Inguinal & femoral hernia procedures age >17 w/o CC (Eff:Oct08) w MCC
163-Inguinal & femoral hernia procedures age 0-17 (Eff:Oct08) w/o CC/MCC
164-Appendectomy w complicated principal diag w CC (Eff:Oct08) w MCC
165-Appendectomy w complicated principal diag w/o CC (Eff:Oct08) w/o CC/MCC
166-Appendectomy w/o complicated principal diag w CC (Eff:Oct08) w MCC
167-Appendectomy w/o complicated principal diag w/o CC (Eff:Oct08) w CC w/o CC/MCC
168-Mouth procedures w CC (Eff:Oct08) w CC/MCC
169-Mouth procedures w/o CC (Eff:Oct08) w/o CC/MCC
170-Other digestive system O.R. procedures w CC (Eff:Oct08) w MCC
171-Other digestive system O.R. procedures w/o CC (Eff:Oct08) w CC w/o CC/ MCC
172-Digestive malignancy w CC (Eff:Oct08) w MCC
173-Digestive malignancy w/o CC (Eff:Oct08) w CC w/o CC/MCC
174-G.I. hemorrhage w CC (Eff:Oct08) w MCC
175-G.I. hemorrhage w/o CC (Eff:Oct08) w CC w/o CC/MCC
176-Complicated peptic ulcer (Eff:Oct08) w MCC w CC w/o CC/MCC
177-Uncomplicated peptic ulcer w CC (Eff:Oct08) w MCC
178-Uncomplicated peptic ulcer w/o CC (Eff:Oct08) w CC w/o CC/MCC
179-Inflammatory bowel disease (Eff:Oct08) w MCC w CC w/o CC/MCC
180-G.I. obstruction w CC (Eff:Oct08) w MCC
181-G.I. obstruction w/o CC (Eff:Oct08) w CC w/o CC/MCC
182-Esophagitis, gastroent & misc digest disorders age >17 w CC (Eff:Oct08) w MCC
183-Esophagitis, gastroent & misc digest disorders age >17 w/o CC (Eff:Oct08) w CC w/o CC/MCC
184-Esophagitis, gastroent & misc digest disorders age 0-17
185-Dental & Oral Diseases age >17 (Eff:Oct08) w MCC
186-Dental & Oral Diseases age 0-17 (Eff:Oct08) w CC
187-Dental extractions & restorations (Eff:Oct08) Dental & Oral Diseases w/o CC/MCC
188-Other digestive system diagnoses age >17 w CC (Eff:Oct08) w MCC
189-Other digestive system diagnoses age >17 w/o CC (Eff:Oct08) w CC
190-Other digestive system diagnoses age 0-17 (Eff:Oct08) w/o CC/ MCC
191-Pancreas, liver & shunt procedures w CC (Eff:Oct08) w MCC
192-Pancreas, liver & shunt procedures w/o CC (Eff:Oct08) w CC w/o CC/MCC
193-Biliary tract proc except only cholecyst w or w/o c.d.e. w CC (Eff:Oct08) w MCC
194-Biliary tract proc except only cholecyst w or w/o c.d.e. w/o CC (Eff:Oct08) w CC w/o CC/MCC
195-Cholecystectomy w c.d.e. w CC (Eff:Oct08) w MCC
196-Cholecystectomy w c.d.e. w/o CC (Eff:Oct08) w CC w/o CC/MCC
197-Cholecystectomy except by laparoscope w/o c.d.e. w CC (Eff:Oct08) w MCC
198-Cholecystectomy except by laparoscope w/o c.d.e. w/o CC (Eff:Oct08) w CC w/o CC/MCC
199-Hepatobiliary diagnostic procedures for malignancy (Eff:Oct08) w MCC
200-Hepatobiliary diagnostic procedures for non-malignancy (Eff:Oct08) w CC w/o CC/MCC
201-Other hepatobiliary or pancreas O.R. procedures (Eff:Oct08) w MCC w CC w/o CC/MCC
202-Cirrhosis & alcoholic hepatitis (Eff:Oct08) w MCC w CC w/o CC/MCC
203-Malignancy of hepatobiliary system or pancreas (Eff:Oct08) w MCC w CC w/o CC/MCC
204-Disorders of pancreas except malignancy (Eff:Oct08) w MCC w CC w/o CC/MCC
205-Disorders of liver except malig,cirr,alc hepa w CC (Eff:Oct08) w MCC
206-Disorders of liver except malig,cirr,alc hepa w/o CC (Eff:Oct08) w CC w/o CC/MCC
207-Disorders of the biliary tract w CC (Eff:Oct08) w MCC
208-Disorders of the biliary tract w/o CC (Eff:Oct08) w CC w/o CC/MCC
210-Hip & femur procedures except major joint age >17 w CC (Eff:Oct08) w MCC
211-Hip & femur procedures except major joint age >17 w/o CC (Eff:Oct08) w CC
212-Hip & femur procedures except major joint age 0-17 (Eff:Oct08) w/o CC/MCC
213-Amputation for musculoskeletal sys & conn tissue dissorders (Eff:Oct08) w MCC w CC w/o CC/MCC
216-Biopsies of musculoskeletal system & connective tissue (Eff:Oct08) w MCC w CC w/o CC/MCC
217-Wnd debrid & skn grft exc hand, for musculo-conn tiss dis (Eff:Oct08) w MCC w CC w/o CC/MCC
218-Lower extrem & humer proc except hip,foot,femur age >17 w CC (Eff:Oct08) w MCC
219-Lower extrem & humer proc except hip,foot,femur age >17 w/o CC (Eff:Oct08) w CC
220-Lower extrem & humer proc except hip,foot,femur age 0-17 (Eff:Oct08) w/o CC/MCC
223-Major shoulder or elbow joint procedures w CC (Eff:Oct08) w CC/MCC w/o CC/MCC
224-Shoulder,elbow or forearm proc,exc major joint proc w/o CC (Eff:Oct08) w MCC w CC w/o CC/MCC
225-Foot procedures (Eff:Oct08) w MCC w CC w/o CC/MCC
226-Soft tissue procedures w CC (Eff:Oct08) w MCC
227-Soft tissue procedures w/o CC (Eff:Oct08) w CC w/o CC/MCC
228-Major thumb or joint procedures
229-Hand or wrist proc, except major thumb or joint proc w/o CC (Eff:Oct08) w CC/MCC w/o CC/MCC
230-Local excision & removal int fix devices of hip & femur (Eff:Oct08) w CC/MCC w/o CC/MCC
232-Arthroscopy
233-Other musculoskelet sys & conn tiss O.R. proc w CC (Eff:Oct08) w MCC
234-Other musculoskelet sys & conn tiss O.R. proc w/o CC (Eff:Oct08) w CC w/o CC/MCC
235-Fractures of femur (Eff:Oct08) w MCC w/o MCC
236-Fractures of hip & pelvis (Eff:Oct08) w MCC w/o MCC w/o CC/MCC
237-Sprains, strains, & dislocations of hip, pelvis & thigh (Eff:Oct08) w CC/MCC w/o CC/MCC
238-Osteomyelitis (Eff:Oct08) w MCC w CC w/o CC/MCC
239-Pathological fractures & musculoskelet & conn tiss malig (Eff:Oct08) w MCC w CC
240-Connective tissue disorders w CC (Eff:Oct08) w MCC
241-Connective tissue disorders w/o CC (Eff:Oct08) w CC w/o CC/MCC
242-Septic arthritis (Eff:Oct08) w MCC
243-Medical back problems (Eff:Oct08) w MCC w/o MCC
244-Bone diseases & arthropathies w CC (Eff:Oct08) w MCC
245-Bone diseases & arthropathies w/o CC (Eff:Oct08) w/o MCC
246-Non-specific arthropathies
247-Signs & symptoms of musculoskeletal system & conn tissue (Eff:Oct08) w MCC w/o MCC
248-Tendonitis, myositis & bursitis (Eff:Oct08) w MCC w/o MCC
249-Aftercare, musculoskeletal system & connective tissue (Eff:Oct08) w MCC w CC w/o CC/MCC
250-Fx, sprn, strn & disl of forearm, hand, foot age >17 w CC (Eff:Oct08) w MCC
251-Fx, sprn, strn & disl of forearm, hand, foot age >17 w/o CC (Eff:Oct08) w/o MCC
252-Fx, sprn, strn & disl of forearm, hand, foot age 0-17
253-Fx, sprn, strn & disl of uparm, lowleg ex foot age >17 w CC
254-Fx, sprn, strn & disl of uparm, lowleg ex foot age >17 w/o CC
255-Fx, sprn, strn & disl of uparm, lowleg ex foot age 0-17
256-Other musculoskeletal sys & connective tissue diagnoses (Eff:Oct08) w MCC w CC w/o CC/MCC
257-Mastectomy for malignancy w CC (Eff:Oct08) w CC/MCC
258-Mastectomy for malignancy w/o CC (Eff:Oct08) w/o CC/MCC
259-Subtotal mastectomy for malignancy w CC (Eff:Oct08) Breast biopsy, local excision & other breast procedures w CC/MCC
260-Subtotal mastectomy for malignancy w/o CC (Eff:Oct08) Breast biopsy, local excision & other breast procedures w CC/MCC
261-Brest proc for non-malignancy except biopsy & local excision
262-Brest biopsy & local excision for non-malignancy
263-Skin graft &/or debrid for skn ulcer or cellulitis w CC (Eff:Oct08) w MCC
264-Skin graft &/or debrid for skn ulcer or cellulitis w/o CC (Eff:Oct08) w CC
265-Skin graft &/or debrid exc for skin ulcer or cellulitis w CC (Eff:Oct08) w MCC
266-Skin graft &/or debrid exc for skin ulcer or cellulitis w/o CC (Eff:Oct08) w CC w/o CC/MCC
267-Perianal & pilonidal proc (Eff:Oct08) Other skin, subcut tiss & breast proc w MCC
268-Skn subcut tiss & brest plastic procedures(Eff:Oct08) Other skin, subcut tiss & breast proc w CC
269-Other skin, subcut tiss & breast proc w CC(Eff:Oct08) Other skin, subcut tiss & breast proc w/o CC/MCC
270-Other skin, subcut tiss & breast proc w/o CC
271-Skin ulcers (Eff:Oct08) w MCC w CC w/o CC/MCC
272-Major skin ulcers w CC (Eff:Oct08) w MCC
273-Major skin ulcers w/o CC (Eff:Oct08) w/o MCC
274-Malignant breast disorders w CC (Eff:Oct08) w MCC
275-Malignant breast disorders w/o CC (Eff:Oct08) w CC w/o CC/MCC
276-Non-malignant breast disorders (Eff:Oct08) w CC/MCC w/o CC/MCC
277-Cellulitis age >17 w CC (Eff:Oct08) w MCC
278-Cellulitis age >17 w/o CC (Eff:Oct08) w/o MCC
279-Cellulitis age 0-17
280-Trauma to the skin, subcut tiss & breast age >17 w CC (Eff:Oct08) w MCC
281-Trauma to the skin, subcut tiss & breast age >17 w/o CC (Eff:Oct08) w/o MCC
282-Trauma to the skin, subcut tiss & breast age 0-17
283-Minor skin disorders w CC (Eff:Oct08) w MCC
284-Minor skin disorders w/o CC (Eff:Oct08) w/o MCC
285-Amputat of lower limb for endocrine,nutrit,& metabol dis (Eff:Oct08) w MCC w CC w/o CC/MCC
286-Adrenal & pituitary procedures (Eff:Oct08) w CC/MCC w/o CC/MCC
287-Skin grafts & wound debrid for endoc, nutrit & metab dis (Eff:Oct08) w MCC w CC w/o CC/MCC
288-O.R. procedures for obesity (Eff:Oct08) w MCC w CC w/o CC/MCC
289-Parathyroid procedures (Eff:Oct08) Thyroid, parathyroid & thyroglossal procedures w MCC
290-Thyroid procedures (Eff:Oct08) Thyroid, parathyroid & thyroglossal procedures w CC
291-Thyroglossal procedures (Eff:Oct08) Thyroid, parathyroid & thyroglossal procedures w/o CC/MCC
292-Other endocrine, nutrit & metab O.R. proc w CC (Eff:Oct08) w MCC
293-Other endocrine, nutrit & metab O.R. proc w/o CC (Eff:Oct08) w CC w/o CC/MCC
294-Diabetes age >35 (Eff:Oct08) w MCC
295-Diabetes age 0-35 (Eff:Oct08) w CC w/o CC/MCC
296-Nutritional & misc metabolic disorders >17 w CC (Eff:Oct08) w MCC
297-Nutritional & misc metabolic disorders >17w/o CC (Eff:Oct08) w/o MCC
298-Nutritional & misc metabolic disorders 0-17
299-Inborn errors of metabolism
300-Endocrine disorders w CC (Eff:Oct08) w MCC
301-Endocrine disorders w/o CC (Eff:Oct08) w CC w/o CC/MCC
302-Kidney transplant
303-Kidney & ureter procedures for neoplasm (Eff:Oct08) w MCC w CC w/o CC/MCC
304-Kidney & ureter procedures for non-neoplasm w CC (Eff:Oct08) w MCC
305-Kidney & ureter procedures for non-neoplasm w/o CC (Eff:Oct08) w CC w/o CC/MCC
306-Prostatectomy w CC (Eff:Oct08) w MCC
307-Prostatectomy w/o CC (Eff:Oct08) w CC w/o CC/MCC
308-Minor bladder procedures w CC (Eff:Oct08) w MCC
309-Minor bladder procedures w/o CC (Eff:Oct08) w CC w/o CC/MCC
310-Transurethral procedures w CC (Eff:Oct08) w MCC
311-Transurethral procedures w/o CC (Eff:Oct08) w CC w/o CC/MCC
312-Urethral procedures age >17 w CC (Eff:Oct08) w MCC
313-Urethral procedures age >17 w/o CC (Eff:Oct08) w CC w/o CC/MCC
314-Urethral procedures age 0-17
315-Other kidney & urinary tract procedures (Eff:Oct08) w MCC w CC w/o CC/MCC
316-Renal failure (Eff:Oct08) w MCC w CC w/o CC/MCC
317-Admit for renal dialysis
318-Kidney & urinary tract neoplasms w CC (Eff:Oct08) w MCC
319-Kidney & urinary tract neoplasms w/o CC (Eff:Oct08) w CC w/o CC/MCC
320-Kidney & urinary tract infections age >17 w CC (Eff:Oct08) w MCC
321-Kidney & urinary tract infections age >17 w/o CC (Eff:Oct08) w CC w/o CC/MCC
322-Kidney & urinary tract infections age 0-17
323-Urinary stones w esw lithotripsy (Eff:Oct08) w CC/MCC w/o CC/MCC
324-Urinary stones w/o esw lithotripsy w/o CC (Eff:Oct08) w MCC w/o MCC
325-Kidney & urinary tract signs & symptoms age >17 w CC (Eff:Oct08) w MCC
326-Kidney & urinary tract signs & symptoms age >17 w/o CC (Eff:Oct08) w/o MCC
327-Kidney & urinary tract signs & symptoms age 0-17
328-Urethral stricture age >17 w CC (Eff:Oct08) Urethral stricture
329-Urethral stricture age >17 w/o CC
330-Urethral stricture age 0-17
331-Other kidney & urinary tract diagnoses age >17 w CC (Eff:Oct08) w MCC
332-Other kidney & urinary tract diagnoses age >17 w/o CC (Eff:Oct08) w CC w/o CC/MCC
333-Other kidney & urinary tract diagnoses age 0-17
334-Major male pelvic procedures w CC (Eff:Oct08) w CC/MCC
335-Major male pelvic procedures w/o CC (Eff:Oct08) w/o CC/MCC
336-Transurethral prostatectomy w CC (Eff:Oct08) w CC/MCC
337-Transurethral prostatectomy w/o CC (Eff:Oct08) w/o CC/MCC
338-Testes procedures for malignancy (Eff:Oct08) Testes procedures w CC/MCC
339-Testes procedures for non-malignancy age >17 (Eff:Oct08) Testes procedures w/o CC/MCC
340-Testes procedures for non-malignancy age >17
341-Penis procedures (Eff:Oct08) w CC/MCC w/o CC/MCC
342-Circumcision age >17
343-Circumcision age 0-17
344-Other male reproductive system O.R. proc for malignancy (Eff:Oct08) w CC/MCC w/o CC/MCC
345-Other male reproductive system O.R. proc exc for malignancy (Eff:Oct08) w CC/MCC w/o CC/MCC
346-Malignancy, male reproductive system w CC (Eff:Oct08) w MCC
347-Malignancy, male reproductive system w/o CC (Eff:Oct08) w CC w/o CC/MCC
348-Benign prostatic hypertrophy w CC (Eff:Oct08) w MCC
349-Benign prostatic hypertrophy w/o CC (Eff:Oct08) w/o MCC
350-Inflammation of the male reproductive system (Eff:Oct08) w MCC w/o MCC
351-Sterilization, male (Eff:Oct08) Other male reproductive system diagnoses w CC/MCC
352-Other male reproductive system diagnoses (Eff:Oct08) w/o CC/MCC
353-Pelvic evisceration, rad hysterectomy & rad vulvectomy (Eff:Oct08) w CC/MCC w/o CC/MCC
354-Uterine,adnexa proc for non-ovarian/adnexal malig w CC (Eff:Oct08) w MCC
355-Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC (Eff:Oct08) w CC w/o CC/MCC
356-Female reproductive system reconstructive procedures
357-Uterine & adnexa proc for ovarian or adnexal malignancy (Eff:Oct08) w MCC w CC w/o CC/MCC
358-Uterine & adnexa proc for non-malignancy w CC (Eff:Oct08) w CC/MCC
359-Uterine & adnexa proc for non-malignancy w/o CC (Eff:Oct08) w/o CC/MCC
360-Vagina, cervix & vulva procedures (Eff:Oct08) w CC/MCC w/o CC/MCC
361-D&C, conization, laparoscopy & tubal interruption (Eff:Oct08) w CC/MCC
362-D&C, conization, laparoscopy & tubal interruption (Eff:Oct08) w/o CC/MCC
363-D&C, conization & radio-implant for malignancy
364-D&C, conization except for malignancy
365-Other female reproductive system O.R. procedures (Eff:Oct08) w CC/MCC w/o CC/MCC
366-Malignancy, female reproductive system w CC (Eff:Oct08) w MCC
367-Malignancy, female reproductive system w/o CC(Eff:Oct08) w CC w/o CC/MCC
368-Infections, female reproductive system (Eff:Oct08) w MCC w CC w/o CC/MCC
369-Menstrual & other female reproductive system disorders (Eff:Oct08) w CC/MCC w/o CC/MCC
370-Cesarean section w CC (Eff:Oct08) w CC/MCC
371-Cesarean section w/o CC (Eff:Oct08) w/o CC/MCC
372-Vaginal delivery w complicating diagnoses
373-Vaginal delivery w/o complicating diagnoses
374-Vaginal delivery w sterilization &/or D&C
375-Vaginal delivery w O.R. proc except steril &/or D&C
376-Postpartum & post abortion diagnoses w/o O.R. procedure
377-Postpartum & post abortion diagnoses w O.R. procedure
378-Ectopic pregnancy
379-Threatened abortion
380-Abortion w/o D&C
381-Abortion w D&C, aspiration curettage or hysterotomy
382-False labor
383-Other antepartum diagnoses w medical complications
384-Other antepartum diagnoses w/o medical complications
385-Neonates, died or transferred to another acute care facility
386-Extreme immaturity or respiratory distress syndrome, neonate
387-Prematurity w major problems
388-Prematurity w/o major problems
389-Full term neonate w major problems
390-Neonate w other significant problems
391-Normal newborn
392-Splenectomy age >17 (Eff:Oct08) w MCC
393-Splenectomy age 0-17 (Eff:Oct08) w CC w/o CC/MCC
394-Other O.R. proc of the blood & blood forming organs (Eff:Oct08) w MCC w CC w/o CC/MCC
395-Red blood cell disorders age >17 (Eff:Oct08) w MCC
396-Red blood cell disorders age 0-17 (Eff:Oct08) w/o MCC
397-Coagulation disorders
398-Reticuloendothelial & immunity disorders w CC (Eff:Oct08) w MCC
399-Reticuloendothelial & immunity disorders w/o CC (Eff:Oct08) w CC w/o CC/MCC
401-Lymphoma & non-acute leukemia w other O.R. proc w CC (Eff:Oct08) w MCC
402-Lymphoma & non-acute leukemia w other O.R. proc w/o CC (Eff:Oct08) w CC w/o CC/MCC
403-Lymphoma & non-acute leukemia w CC (Eff:Oct08) w MCC
404-Lymphoma & non-acute leukemia w/o CC (Eff:Oct08) w CC
405-Acute leukemia w/o major O.R. procedure age 0-17 (Eff:Oct08) w MCC
406-Myeloprolif disord or poorly diff neopl w maj O.R. proc w CC (Eff:Oct08) w MCC
407-Myeloprolif disord or poorly diff neopl w maj O.R. proc w/o CC (Eff:Oct08) w CC
408-Myeloprolif disord or poorly diff neopl w other O.R. proc (Eff:Oct08) w/o CC/MCC
409-Radiotherapy
410-Chemotherapy w/o acute leukemia as secondary diagnosis (Eff:Oct08) w MCC w CC w/o CC/MCC
411-History of malignancy w/o endoscopy
412-History of malignancy w endoscopy
413-Other myeloprolif dis or poorly diff neopl diag w CC (Eff:Oct08) w MCC
414-Other myeloprolif dis or poorly diff neopl diag w/o CC (Eff:Oct08) w CC w/o CC/MCC
417-Septicemia age 0-17 (Eff:Oct08) w MV 96+ hours
418-Postoperative & post-traumatic infections (Eff:Oct08) w MCC w/o Mcc
419-Fever of unknown origin age >17 w CC (Eff:Oct08) Fever of unknown origin
420-Fever of unknown origin age >17 w/o CC
421-Viral illness age >17 (Eff:Oct08) Viral illness w MCC
422-Viral illness & fever of unknown origin age 0-17 (Eff:Oct08) Viral illness w/o MCC
423-Other infectious & parasitic diseases diagnoses (Eff:Oct08) w MCC w CC w/o CC/MCC
424-O.R. procedure w principal diagnoses of mental illness
425-Acute adjustment reaction & psychosocial dysfunction
426-Depressive neuroses
427-Neuroses except depressive
428-Disorders of personality & impulse control
429-Organic disturbances & mental retardation
430-Psychoses
431-Childhood mental disorders (Eff:Oct08) Behavioral & developmental disorders
432-Other mental disorder diagnoses
433-Alcohol/drug abuse or dependence, left ama
439-Skin grafts for injuries (Eff:Oct08) w CC/MCC w/o CC/MCC
440-Wound debridements for injuries (Eff:Oct08) w MCC w CC w/o CC/MCC
441-Hand procedures for injuries
442-Other O.R. procedures for injuries (Eff:Oct08) w MCC
443-Other O.R. procedures for injuries (Eff:Oct08) w CC w/o CC/MCC
444-Traumatic injury age >17 w CC (Eff:Oct08) w MCC
445-Traumatic injury age >17 w/o CC (Eff:Oct08) w/o MCC
446-Traumatic injury age 0-17
447-Allergic reactions age >17 (Eff:Oct08) w MCC
448-Allergic reactions age 0-17 (Eff:Oct08) w/o MCC
449-Poisoning & toxic effects of drugs age >17 w CC (Eff:Oct08) w MCC
450-Poisoning & toxic effects of drugs age >17 w/o CC (Eff:Oct08) w/o MCC
451-Poisoning & toxic effects of drugs age 0-17
452-Complications of treatment w CC (Eff:Oct08) w MCC
453-Complications of treatment w/o CC (Eff:Oct08) w CC w/o CC/MCC
454-Other injury, poisoning & toxic effect diag w CC (Eff:Oct08) w MCC
455-Other injury, poisoning & toxic effect diag w/o CC (Eff:Oct08) w/o MCC
461-O.R. proc w diagnoses of other contact w health services (Eff:Oct08) w MCC w CC w/o CC/MCC
462-Rehabilitation (Eff:Oct08) w CC/MCC w/o CC/MCC
463-Signs & symptoms w CC (Eff:Oct08) w MCC
464-Signs & symptoms w/o CC (Eff:Oct08) w/o MCC
465-Aftercare w history of malignancy as secondary diag (Eff:Oct08) Aftercare w MCC
466-Aftercare w/o history of malignancy as secondary diag (Eff:Oct08) Aftercare w/o MCC
467-Other factors influencing health status
468-Extensive O.R. procedure unrelated to principal diagnosis (Eff:Oct08) w MCC w CC w/o CC/MCC
469-Principal diagnosis invalid as discharge diagnosis
470-Ungroupable
471-Bilateral or multiple major joint procs of lower extremity (Eff:Oct08) w MCC w/o MCC
473-Acute leukemia w/o major O.R. procedure age >17 (Eff:Oct08) w CC w/o CC/MCC
476-Prostatic O.R. procedure unrelated to principal diagnosis (Eff:Oct08) w MCC w CC w/o CC/MCC
477-Non-extensive O.R. proc unrelated to principal diagnosis (Eff:Oct08) w MCC w CC w/o CC/MCC
479-Other vascular procedures w/o CC (Eff:Oct08) w MCC
481-Bone marrow transplant
482-Tracheostomy for face,mouth & neck diagnoses (Eff:Oct08) w MCC w CC w/o CC/MCC
484-Craniotomy for multiple significant trauma
485-Limb reattachment, hip & femur proc for multiple significant trauma
486-Other O.R. procedures for multiple significant trauma (Eff:Oct08) w MCC w CC w/o CC/MCC
487-Other multiple significant trauma (Eff:Oct08) w MCC w CC w/o CC/MCC
491-Major joint & limb reattachment proc of upper extremity (Eff:Oct08) w CC/MCC w/o CC/MCC
492-Chemo w acute leukemia or w high dose chemo agent (Eff:Oct08) as sdx w MCC as sdx w CC
493-Laparoscopic cholecystectomy w/o c.d.e. w CC (Eff:Oct08) w MCC
494-Laparoscopic cholecystectomy w/o c.d.e. w/o CC (Eff:Oct08) w CC w/o CC/MCC
496-Combined anterior/posterior spinal fusion (Eff:Oct08) w MCC w CC w/o CC/MCC
497-Spinal fusion except cervical w CC (Eff:Oct08) w MCC
498-Spinal fusion except cervical w/o CC (Eff:Oct08) w/o MCC
499-Back & neck proc exc spinal fusion w CC (Eff:Oct08) w CC/MCC or disc device/neurostim
500-Back & neck proc exc spinal fusion w/o CC (Eff:Oct08) w/o CC/MCC
501-Knee procedures w pdx of infection w CC (Eff:Oct08) w MCC
502-Knee procedures w pdx of infection w CC (Eff:Oct08) w CC w/o CC/MCC
503-Knee procedures w/o pdx of infection (Eff:Oct08) w CC/MCC w/o CC/MCC
504-Extensive burns or full thickness burns w MV 96+ hrs w skin graft
505-Extensive burns or full thickness burns w MV 96+ hrs w/o skin graft
506-Full thickness burn w skin graft or inhal inj w CC or sig trauma
507-Full thickness burn w skin graft or inhal inj w/o CC or sig trauma
508-Full thickness burn w/o skin grft or inhal inj w CC or sig trauma
509-Full thickness burn w/o skin grft or inhal inj w/o CC or sig trauma
510-Non-extensive burns w CC or sig trauma
511-Non-extensive burns w/o CC or sig trauma
515-Cardiac defibrillator implant w/o cardiac cath (Eff:Oct08) w MCC w/o MCC
518-Perc cardiovasc proc w/o coronary artery stent or AMI (Eff:Oct08) w MCC w/o MCC
519-Cervical spinal fusion w CC (Eff:Oct08) w MCC
520-Cervical spinal fusion w/o CC (Eff:Oct08) w CC w/o CC/MCC
521-Alcohol/drug abuse or dependence w CC (Eff:Oct08) Alcohol/drug abuse or dependence w rehabilitation therapy
522-Alcohol/drug abuse or dependence w rehabilitation therapy w/o CC (Eff:Oct08) w/o rehabilitation therapy w MCC
523-Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o CC (Eff:Oct08) w/o MCC
524-Transient ischemia
525-Other heart assist system implant
528-Intracranial vascular procedures w PDX hemorrhage (Eff:Oct08) w MCC w CC w/o CC/MCC
529-Ventricular shunt procedures w CC (Eff:Oct08) w MCC
530-Ventricular shunt procedures w/o CC (Eff:Oct08) w CC w/o CC/MCC
531-Spinal procedures w CC (Eff:Oct08) w MCC
532-Spinal procedures w/o CC (Eff:Oct08) w CC or spinal neurostimulators
533-Extracranial procedures w CC (Eff:Oct08) w MCC
534-Extracranial procedures w/o CC (Eff:Oct08) w CC w/o CC/MCC
535-Cardiac defib implant w cardiac cath w AMI/HF/shock (Eff:Oct08) w MCC
536-Cardiac defib implant w cardiac cath w/o AMI/HF/shock (Eff:Oct08) w MCC w/o MCC
537-Local excision & removal int fix devices exc hip & femur w CC (Eff:Oct08) w MCC
538-Local excision & removal int fix devices exc hip & femur w/o CC (Eff:Oct08) w CC w/o CC/MCC
539-Lymphoma & leukemia w major O.R. procedure w CC (Eff:Oct08) w MCC
540-Lymphoma & leukemia w major O.R. procedure w/o CC (Eff:Oct08) w CC w/o CC/MCC
541-ECMO or trach w MV 96+ hrs or PDX exc face, mouth & neck w maj O.R.
542-Trach w MV 96+ hrs or PDX exc face, mouth & neck w/o maj O.R.
543-Cranio w major dev impl/acute complex CNS PDX (Eff:Oct08) w MCC or chemo implant w/o MCC
544-Major joint replacement or reattachment of lower extremity (Eff:Oct08) w MCC w/o MCC
545-Revision of hip or knee replacement (Eff:Oct08) w MCC w CC w/o CC/MCC
546-Spinal fus exc cerv w spinal curv/malig/infec or 9+ fus (Eff:Oct08) w MCC w CC w/o CC/MCC
547-Coronary bypass w cardiac cath w MCC
548-Coronary bypass w cardiac cath w/o MCC
549-Coronary bypass w/o cardiac cath w MCC
550-Coronary bypass w/o cardiac cath w/o MCC
551-Permanent cardiac pacemaker implant w MCC
552-Permanent cardiac pacemaker implant (Eff:Oct08) w CC w/o CC/MCC
553-Other vascular procedures w CC
554-Other vascular procedures w/o CC/MCC
555-Perc cardiovasc proc w non-drug-eluting stent w MCC or 4+ ves/stents
556-Perc cardiovasc proc w non-drug-eluting stent w/o MCC
557-Perc cardiovasc proc w drug-eluting stent w MCC or 4+ vessels/stents
558-Perc cardiovasc proc w drug-eluting stent w/o MCC
559-Acute ischemic stroke w use of thrombolytic agent (Eff:Oct08) w MCC w CC w/o CC/MCC
560-Bacterial & tuberculous infections of nervous system (Eff:Oct08) w MCC w CC w/o CC/MCC
561-Non-bacterial infect of nervous sys exc viral meningitis (Eff:Oct08) w MCC w CC w/o CC/MCC
562-Seizures age >17 w CC (Eff:Oct08) w/o MCC
563-Seizures age >17 w/o CC
564-Headaches age >17 (Eff:Oct08) w MCC w/o MCC
565-Respiratory system diagnosis w ventilator support 96+ hours
566-Respiratory system diagnosis w ventilator support <96 hours
567-Stomach, esophageal & duodenal proc age >17 w GI DX (Eff:Oct08) w/o CC/MCC
568-Stomach, esophageal & duodenal proc age >17 w/o GI DX
569-Major small & large bowel procedures w CC w GI DX (Eff:Oct08) w CC
570-Major small & large bowel procedures w CC w/o GI DX (Eff:Oct08) w/o CC/MCC
571-Major esophageal disorders (Eff:Oct08) w MCC w CC w/o CC/MCC
572-Major gastrointestinal disorders & peritoneal infections (Eff:Oct08) w MCC w CC w/o CC/MCC
573-Major bladder procedures (Eff:Oct08) w MCC w CC w/o CC/MCC
574-Major hematol/immun diag exc sickle cell crisis & coagul (Eff:Oct08) w MCC w CC w/o CC/MCC
575-Septicemia w MV 96+ hours age >17
576-Septicemia w/o MV 96+ hours age >17 (Eff:Oct08) w MCC w/o MCC
577-Carotid artery stent procedure (Eff:Oct08) w MCC w CC w/o CC/MCC
578-Infectious & parasitic diseases w O.R. procedure (Eff:Oct08) w MCC w CC w/o CC/MCC
579-Postoperative or post-traumatic infections w O.R. proc (Eff:Oct08) w MCC w CC w/o CC/MCC