New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 52 - HOSPITAL SERVICES MANUAL
Subchapter 14 - METHODOLOGY FOR ESTABLISHING DRG PAYMENT RATES FOR INPATIENT SERVICES AT GENERAL ACUTE CARE HOSPITALS BASED ON DRG WEIGHTS AND A STATEWIDE BASE RATE
Section 10:52-14.4 - List of DRG weights
Universal Citation: NJ Admin Code 10:52-14.4
Current through Register Vol. 56, No. 18, September 16, 2024
(a) Initial DRG weights used to calculate reimbursement amounts for inpatient hospital services under this subchapter are as follows:
| DRG | Description | DRG WEIGHTS |
|---|---|---|
| 001 | Craniotomy Age >17 W CC | 3.2119 |
| 002 | Craniotomy Age >17 W/O CC | 2.7378 |
| 006 | Carpal Tunnel Release | 0.6633 |
| 007 | Periph & Cranial Nerve & Other Nerv Syst Proc W | 2.3212 |
| CC | ||
| 008 | Periph & Cranial Nerve & Other Nerv Syst Proc W/O | 1.4428 |
| CC | ||
| 009 | Spinal Disorders & Injuries | 1.5828 |
| 010 | Nervous System Neoplasms W CC | 1.2829 |
| 011 | Nervous System Neoplasms W/O CC | 1.2829 |
| 012 | Degenerative Nervous System Disorders | 1.0623 |
| 013 | Multiple Sclerosis & Cerebellar Ataxia | 1.0800 |
| 014 | Stroke With Infarct | 1.4805 |
| 015 | Nonspecific CVA & Precerebral Occlusion W/O | 0.9027 |
| Infarct | ||
| 016 | Nonspecific Cerebrovascular Disorders W CC | 1.8880 |
| 017 | Nonspecific Cerebrovascular Disorders W/O CC | 0.9870 |
| 018 | Cranial & Peripheral Nerve Disorders W CC | 1.2094 |
| 019 | Cranial & Peripheral Nerve Disorders W/O CC | 0.7888 |
| 020 | Nervous System Infection Except Viral Meningitis | 2.0891 |
| 021 | Viral Meningitis | 0.7901 |
| 022 | Hypertensive Encephalopathy | 1.0677 |
| 023 | Nontraumatic Stupor & Coma | 0.8133 |
| 024 | Seizure & Headache Age >17 W CC | 0.7922 |
| 025 | Seizure & Headache Age >17 W/O CC | 0.6931 |
| 034 | Other Disorders Of Nervous System W CC | 0.7574 |
| 035 | Other Disorders Of Nervous System W/O CC | 0.7574 |
| 036 | Retinal Procedures | 0.9625 |
| 037 | Orbital Procedures | 1.0429 |
| 038 | Primary Iris Procedures | 0.6729 |
| 039 | Lens Procedures With Or Without Vitrectomy | 0.8409 |
| 040 | Extraocular Procedures Except Orbit Age >17 | 0.6970 |
| 041 | Extraocular Procedures Except Orbit Age <18 | 0.6444 |
| 042 | Intraocular Procedures Except Retina, Iris & Lens | 0.8700 |
| 043 | Hyphema | 0.6383 |
| 044 | Acute Major Eye Infections | 0.4071 |
| 045 | Neurological Eye Disorders | 0.7626 |
| 046 | Other Disorders Of The Eye Age >17 W CC | 0.7899 |
| 047 | Other Disorders Of The Eye Age >17 W/O CC | 0.5328 |
| 048 | Other Disorders Of The Eye Age <18 | 0.6672 |
| 049 | Major Head & Neck Procedures Except For | 2.0797 |
| Malignancy | ||
| 050 | Sialoadenectomy | 0.9585 |
| 051 | Salivary Gland Procedures Except Sialoadenectomy | 0.8633 |
| 052 | Cleft Lip & Palate Repair | 0.6552 |
| 053 | Sinus & Mastoid Procedures Age >17 | 0.7550 |
| 054 | Sinus & Mastoid Procedures Age <18 | 0.9076 |
| 055 | Miscellaneous Ear, Nose & Throat Procedures | 0.9325 |
| 056 | Rhinoplasty | 0.7115 |
| 057 | T&a Proc,exc Tonsillect &/or Adenoidect Only,age | 0.5500 |
| >17 | ||
| 058 | T&a Proc,exc Tonsillect &/or Adenoidect Only,age | 0.6663 |
| <18 | ||
| 059 | Tonsillectomy &/or Adenoidectomy Only, Age >17 | 0.4575 |
| 060 | Tonsillectomy &/or Adenoidectomy Only, Age <18 | 0.5894 |
| 061 | Myringotomy W Tube Insertion Age >17 | 0.7150 |
| 062 | Myringotomy W Tube Insertion Age <18 | 0.5835 |
| 063 | Other Ear, Nose, Mouth & Throat O.R. Procedures | 1.0437 |
| 064 | Ear, Nose, Mouth & Throat Malignancy | 1.0927 |
| 065 | Dysequilibrium | 0.6643 |
| 066 | Epistaxis | 0.8008 |
| 067 | Epiglottitis | 0.8089 |
| 068 | Otitis Media & Uri Age >17 W CC | 0.5855 |
| 069 | Otitis Media & Uri Age >17 W/O CC | 0.4129 |
| 070 | Otitis Media & Uri Age <18 | 0.3632 |
| 071 | Laryngotracheitis | 0.3000 |
| 072 | Nasal Trauma & Deformity | 0.5475 |
| 073 | Other Ear, Nose, Mouth & Throat Diagnoses Age >17 | 0.7211 |
| 074 | Other Ear, Nose, Mouth & Throat Diagnoses Age <18 | 0.5273 |
| 075 | Major Chest Procedures | 2.8947 |
| 076 | Other Resp System O.R. Procedures W CC | 2.5834 |
| 077 | Other Resp System O.R. Procedures W/O CC | 1.4352 |
| 078 | Pulmonary Embolism | 1.6340 |
| 079 | Respiratory Infections & Inflammations Age >17 W | 1.5052 |
| CC | ||
| 080 | Respiratory Infections & Inflammations Age >17 | 1.1537 |
| W/O CC | ||
| 082 | Respiratory Neoplasms | 1.5074 |
| 083 | Major Chest Trauma W CC | 1.0603 |
| 084 | Major Chest Trauma W/O CC | 0.6111 |
| 085 | Pleural Effusion W CC | 1.3240 |
| 086 | Pleural Effusion W/O CC | 0.8868 |
| 087 | Pulmonary Edema & Respiratory Failure | 1.2195 |
| 088 | Chronic Obstructive Pulmonary Disease | 0.9119 |
| 089 | Simple Pneumonia & Pleurisy Age >17 W CC | 0.9960 |
| 090 | Simple Pneumonia & Pleurisy Age >17 W/O CC | 0.7394 |
| 092 | Interstitial Lung Disease W CC | 0.9300 |
| 093 | Interstitial Lung Disease W/O CC | 0.7222 |
| 094 | Pneumothorax W CC | 1.1413 |
| 095 | Pneumothorax W/O CC | 0.6000 |
| 096 | Bronchitis & Asthma Age >17 W CC | 0.6430 |
| 097 | Bronchitis & Asthma Age >17 W/O CC | 0.5777 |
| 099 | Respiratory Signs & Symptoms W CC | 0.5831 |
| 100 | Respiratory Signs & Symptoms W/O CC | 0.5723 |
| 101 | Other Respiratory System Diagnoses W CC | 0.6374 |
| 102 | Other Respiratory System Diagnoses W/O CC | 0.5144 |
| 103 | Heart Transplant | 34.0923 |
| 104 | Cardiac Valve Procedures W Cardiac Cath | 6.0292 |
| 105 | Cardiac Valve Procedures W/O Cardiac Cath | 5.5656 |
| 106 | Coronary Bypass W PTCA | 7.1925 |
| 107 | Coronary Bypass W Cardiac Cath W/O PTCA | 5.2123 |
| 108 | Other Cardiothoracic Proc W/O PDX Cong Anomaly | 3.4442 |
| 109 | Coronary Bypass W/O PTCA Or Cardiac Cath | 4.0944 |
| 110 | Major Cardiovascular Procedures W CC | 3.1909 |
| 111 | Major Cardiovascular Procedures W/O CC | 2.2527 |
| 112 | Percutaneous Cardiovasc Proc W/O AMI, HFI Or | 1.5467 |
| Shock | ||
| 113 | Amputat For Circ System Disord Except Upper Limb | 3.0628 |
| & Toe | ||
| 114 | Upper Limb & Toe Amputation For Circ System | 1.5233 |
| Disorders | ||
| 115 | Prm Card Pacem Impl W AMI/HF/Shock or Aicd Lead | 4.7185 |
| Or gnrtr Proc | ||
| 116 | Other Permanent Cardiac Pacemaker Implant | 2.8361 |
| 117 | Cardiac Pacemaker Revision Except Device | 2.1148 |
| Replacement | ||
| 118 | Cardiac Pacemaker Device Replacement | 2.0903 |
| 119 | Vein Ligation & Stripping | 0.8080 |
| 120 | Other Circulatory System O.R. Procedures | 2.2466 |
| 121 | Circulatory Disorders W AMI & Major Comp, | 2.3300 |
| Discharged Alive | ||
| 122 | Circulatory Disorders W AMI W/O Major Comp, | 1.2617 |
| Discharged Alive | ||
| 123 | Circulatory Disorders W AMI, Expired | 3.2313 |
| 124 | Circ Disorders Except AMI, W Card Cath & Complex | 1.3771 |
| Diag | ||
| 125 | Circ Disorders Except AMI, W Card Cath W/O | 1.0818 |
| Complex Diag | ||
| 126 | Acute & Subacute Endocarditis | 3.1835 |
| 127 | Heart Failure & Shock | 0.9707 |
| 128 | Deep Vein Thrombophlebitis | 1.0677 |
| 129 | Cardiac Arrest, Unexplained | 1.0190 |
| 130 | Peripheral Vascular Disorders W CC | 1.0381 |
| 131 | Peripheral Vascular Disorders W/O CC | 0.8431 |
| 132 | Atherosclerosis W CC | 0.8361 |
| 133 | Atherosclerosis W/O CC | 0.6472 |
| 134 | Hypertension | 0.6183 |
| 135 | Cardiac Congenital & Valvular Disorders Age >17 W | 1.4104 |
| CC | ||
| 136 | Cardiac Congenital & Valvular Disorders Age >17 | 0.7695 |
| W/O CC | ||
| 137 | Cardiac Congenital & Valvular Disorders Age <18 | 1.3098 |
| 138 | Cardiac Arrhythmia & Conduction Disorders W CC | 0.9526 |
| 139 | Cardiac Arrhythmia & Conduction Disorders W/O CC | 0.5514 |
| 140 | Angina Pectoris | 0.7001 |
| 141 | Syncope & Collapse W CC | 0.8193 |
| 142 | Syncope & Collapse W/O CC | 0.6086 |
| 143 | Chest Pain | 0.5705 |
| 144 | Other Circulatory System Diagnoses W CC | 1.0176 |
| 145 | Other Circulatory System Diagnoses W/O CC | 0.5703 |
| 146 | Rectal Resection W CC | 2.8110 |
| 147 | Rectal Resection W/O CC | 1.8643 |
| 148 | Major Small & Large Bowel Procedures W CC | 2.9382 |
| 149 | Major Small & Large Bowel Procedures W/O CC | 1.7707 |
| 150 | Peritoneal Adhesiolysis W CC | 2.1968 |
| 151 | Peritoneal Adhesiolysis W/O CC | 1.0354 |
| 152 | Minor Small & Large Bowel Procedures W CC | 2.1639 |
| 153 | Minor Small & Large Bowel Procedures W/O CC | 0.9690 |
| 154 | Stomach, Esophageal & Duodenal Procedures Age >17 | 2.9951 |
| W CC | ||
| 155 | Stomach,esophageal & Duodenal Procedures Age >17 | 2.0702 |
| W/O CC | ||
| 156 | Stomach, Esophageal & Duodenal Procedures Age <18 | 1.4695 |
| 157 | Anal & Stomal Procedures W CC | 1.3642 |
| 158 | Anal & Stomal Procedures W/O CC | 0.6035 |
| 159 | Hernia Procs Except Inguinal & Femoral Age >17 W | 1.0172 |
| CC | ||
| 160 | Hernia Procs Except Inguinal & Femoral Age >17 | 0.8174 |
| W/O CC | ||
| 161 | Inguinal & Femoral Hernia Procedures Age >17 W CC | 1.0643 |
| 162 | Inguinal & Femoral Hernia Procedures Age >17 W/O | 0.6314 |
| CC | ||
| 163 | Hernia Procedures Age <18 | 0.6330 |
| 164 | Appendectomy W Complicated Principal Diag W CC | 1.7225 |
| 165 | Appendectomy W Complicated Principal Diag W/O CC | 1.0711 |
| 166 | Appendectomy W/O Complicated Principal Diag W CC | 0.8884 |
| 167 | Appendectomy W/O Complicated Principal Diag W/O | 0.7135 |
| CC | ||
| 168 | Mouth Procedures W CC | 1.2265 |
| 169 | Mouth Procedures W/O CC | 0.8354 |
| 170 | Other Digestive System O.R. Procedures W CC | 2.0783 |
| 171 | Other Digestive System O.R. Procedures W/O CC | 1.2233 |
| 172 | Digestive Malignancy W CC | 1.3410 |
| 173 | Digestive Malignancy W/O CC | 1.1295 |
| 174 | G.I. Hemorrhage W CC | 1.1336 |
| 175 | G.I. Hemorrhage W/O CC | 0.8787 |
| 176 | Complicated Peptic Ulcer | 0.8519 |
| 177 | Uncomplicated Peptic Ulcer W CC | 0.8292 |
| 178 | Uncomplicated Peptic Ulcer W/O CC | 0.5684 |
| 179 | Inflammatory Bowel Disease | 0.9008 |
| 180 | G.I. Obstruction W CC | 0.8663 |
| 181 | G.I. Obstruction W/O CC | 0.6297 |
| 182 | Esophagitis,gastroent & Misc Digest Disord Age>17 | 0.9212 |
| W CC | ||
| 183 | Esophagitis,gastroent & Misc Digest Disord Age>17 | 0.6924 |
| W/O CC | ||
| 185 | Dental & Oral Dis Exc Extract & Restorations, Age | 0.5204 |
| >17 | ||
| 186 | Dental & Oral Dis Exc Extract & Restorations, Age | 0.4979 |
| <18 | ||
| 187 | Dental Extractions & Restorations | 0.7625 |
| 188 | Other Digestive System Diagnoses Age >17 W CC | 0.7488 |
| 189 | Other Digestive System Diagnoses Age >17 W/O CC | 0.5612 |
| 191 | Pancreas, Liver & Shunt Procedures W CC | 4.4938 |
| 192 | Pancreas, Liver & Shunt Procedures W/O CC | 2.2530 |
| 193 | Bil Tract Proc Exc Only Cholecyst W Or W/O CDE W | 3.3680 |
| CC | ||
| 194 | Bil Tract Proc Exc Only Cholecystect W Or W/O CDE | 2.1308 |
| W/O CC | ||
| 195 | Total Cholecystectomy W C.D.E. W CC | 2.3683 |
| 196 | Total Cholecystectomy W C.D.E. W/O CC | 2.0276 |
| 197 | Total Cholecystectomy W/O C.D.E. W CC | 1.9304 |
| 198 | Total Cholecystectomy W/O C.D.E. W/O CC | 1.5425 |
| 199 | Hepatobiliary Diagnostic Procedure For Malignancy | 2.3890 |
| 200 | Hepatobiliary Diagnostic Procedure For | 2.3407 |
| Non-malignancy | ||
| 201 | Other Hepatobiliary Or Pancreas O.R. Procedures | 3.0256 |
| 202 | Cirrhosis & Alcoholic Hepatitis | 0.9693 |
| 203 | Malignancy Of Hepatobiliary System Or Pancreas | 1.4648 |
| 204 | Disorders Of Pancreas Except Malignancy | 0.8555 |
| 205 | Disorders Of Liver Except Malig,cirr,alc Hepa W | 0.9435 |
| CC | ||
| 206 | Disorders Of Liver Except Malig,cirr,alc Hepa W/O | 0.7797 |
| CC | ||
| 207 | Disorders Of The Biliary Tract W CC | 1.2594 |
| 208 | Disorders Of The Biliary Tract W/O CC | 0.6050 |
| 209 | Major Joint&limb Reattach Proc Of Low Ext, Exc | 2.0846 |
| Hip,exc Comp | ||
| 210 | Hip & Femur Procedures Except Major Joint Age >17 | 2.0344 |
| W CC | ||
| 211 | Hip & Femur Procedures Except Major Joint Age >17 | 2.0344 |
| W/O CC | ||
| 212 | Hip & Femur Procedures Except Major Joint Age <18 | 1.2522 |
| 213 | Amputat For Musculoskelet System & Conn Tissue | 1.4896 |
| Disorders | ||
| 216 | Biopsies Of Musculoskeletal System & Connective | 2.6531 |
| Tissue | ||
| 217 | Wnd Debrid & skin Grft Exc Open Wnd, for ms & | 3.0053 |
| Conn Tis Dis, Exc Hand | ||
| 218 | Low Extrem & Humer Proc Exc Hip,foot,femur Age>17 | 1.9093 |
| W CC | ||
| 219 | Low Extrem & Humer Proc Exc Hip,foot,femur Age>17 | 1.2956 |
| W/O CC | ||
| 220 | Lower Extrem & Humer Proc Except Hip,foot,femur | 0.9052 |
| Age <18 | ||
| 221 | Knee Procedures W CC | 1.7213 |
| 222 | Knee Procedures W/O CC | 0.9898 |
| 223 | Maj Should/elbow Proc, Or Oth Upper Extremity | 1.5593 |
| Proc W CC | ||
| 224 | Should,elbow Or Forearm Proc,exc Maj Joint Proc, | 0.8492 |
| W/O CC | ||
| 225 | Foot Procedures | 1.4314 |
| 226 | Soft Tissue Procedures W CC | 1.7577 |
| 227 | Soft Tissue Procedures W/O CC | 1.0753 |
| 228 | Major Thumb Or Joint Proc,or Oth Hand Or Wrist | 0.9984 |
| Proc W CC | ||
| 229 | Hand Or Wrist Proc, Except Major Joint Proc, W/O | 0.7499 |
| CC | ||
| 230 | Local Excis & Removal Of Int Fix Devices Of Hip & | 1.7811 |
| Femur | ||
| 232 | Arthroscopy | 0.8089 |
| 233 | Other Musculoskelet Sys & Conn Tiss O.R. Proc W | 2.7434 |
| CC | ||
| 234 | Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O | 1.5108 |
| CC | ||
| 235 | Fractures Of Femur | 1.0601 |
| 236 | Fractures Of Hip & Pelvis | 0.9657 |
| 237 | Sprains, Strains, & Dislocations Of Hip, Pelvis & | 0.8497 |
| Thigh | ||
| 238 | Osteomyelitis | 1.4275 |
| 239 | Pathological Fractures & Musculoskelet & Conn | 1.5322 |
| Tiss Malignancy | ||
| 240 | Connective Tissue Disorders W CC | 1.2740 |
| 241 | Connective Tissue Disorders W/O CC | 0.7303 |
| 242 | Septic Arthritis | 0.9319 |
| 243 | Medical Back Problems | 0.9272 |
| 244 | Bone Diseases & Specific Arthropathies W CC | 0.8025 |
| 245 | Bone Diseases & Specific Arthropathies W/O CC | 0.5620 |
| 246 | Non-specific Arthropathies | 0.6331 |
| 247 | Signs & Symptoms Of Musculoskeletal System & Conn | 0.5222 |
| Tissue | ||
| 248 | Tendonitis, Myositis & Bursitis | 0.6866 |
| 249 | Malfunction, Reaction Or Comp Of Orthopedic Dev | 0.8072 |
| Or Proc | ||
| 250 | Fx,sprn,strn & Disl Of Forearm,hand,foot Age>17 W | 0.8497 |
| CC | ||
| 251 | Fx,sprn,strn & Disl Of Forearm,hand,foot Age>17 | 0.4161 |
| W/O CC | ||
| 252 | Fx, Sprn, Strn & Disl Of Forearm, Hand, Foot Age | 0.4382 |
| <18 | ||
| 253 | Fx,sprn,strn & Disl Uparm,lowleg Ex Foot Age>17 W | 0.8595 |
| CC | ||
| 254 | Fx,sprn,strn & Disl Uparm,lowleg Ex Foot Age>17 | 0.5851 |
| W/O CC | ||
| 255 | Fx, Sprn, Strn & Disl Of Uparm,lowleg Ex Foot Age | 0.5207 |
| <18 | ||
| 256 | Other Musculoskeletal System & Connective Tissue | 0.6853 |
| Diag | ||
| 257 | Total Mastectomy For Malignancy W CC | 0.8564 |
| 258 | Total Mastectomy For Malignancy W/O CC | 0.7984 |
| 259 | Subtotal Mastectomy For Malignancy W CC | 0.9239 |
| 260 | Subtotal Mastectomy For Malignancy W/O CC | 0.7501 |
| 261 | Breast Proc For Non-malig Except Biopsy & Local | 0.9888 |
| Excision | ||
| 262 | Breast Biopsy & Local Excision For Non-malignancy | 0.8243 |
| 263 | Skin Graft &/or Debrid For Skn Ulcer, Cellulitis | 2.1984 |
| W CC | ||
| 264 | Skin Graft &/or Debrid For Skn Ulcer, Cellulitis | 1.3353 |
| W/O CC | ||
| 265 | Skin Graft &/or Debrid Exc For Skin Ulcer, Cellul | 2.4912 |
| W CC | ||
| 266 | Skin Graft &/or Debrid Exc For Skn Ulcer, Cellul | 1.3766 |
| W/O CC | ||
| 267 | Perianal & Pilonidal Procedures | 0.5370 |
| 268 | Skin, Subcutaneous Tissue & Breast Plastic | 0.9150 |
| Procedures | ||
| 269 | Other Skin, Subcut Tiss & Breast Procedure W CC | 1.2870 |
| 270 | Other Skin, Subcut Tiss & Breast Procedure W/O CC | 0.8575 |
| 271 | Skin Ulcers | 0.9387 |
| 272 | Major Skin Disorders W CC | 0.8414 |
| 273 | Major Skin Disorders W/O CC | 0.5086 |
| 274 | Malignant Breast Disorders W CC | 2.3640 |
| 275 | Malignant Breast Disorders W/O CC | 1.1423 |
| 276 | Non-maligant Breast Disorders | 0.5689 |
| 277 | Cellulitis Age >17 W CC | 0.8916 |
| 278 | Cellulitis Age >17 W/O CC | 0.7008 |
| 279 | Cellulitis Age <18 | 0.4676 |
| 280 | Trauma To The Skin, Subcut Tiss & Breast Age >17 | 0.6124 |
| W CC | ||
| 281 | Trauma To The Skin, Subcut Tiss & Breast Age >17 | 0.4417 |
| W/O CC | ||
| 282 | Trauma To The Skin, Subcut Tiss & Breast Age <18 | 0.2834 |
| 283 | Minor Skin Disorders W CC | 0.6276 |
| 284 | Minor Skin Disorders W/O CC | 0.4573 |
| 285 | Amputat Of Low Limb For Endocrine,nutrit& Metabol | 2.3424 |
| Disord | ||
| 286 | Adrenal & Pituitary Procedures | 2.6281 |
| 287 | Skin Gft & Wound Debrid For Endoc,nutrit & Metab | 1.9038 |
| Disord | ||
| 288 | Gastric Procedures For Obesity | 1.8395 |
| 289 | Parathyroid Procedures | 0.7632 |
| 290 | Thyroid Procedures | 0.7371 |
| 291 | Thyroglossal Procedures | 0.6944 |
| 292 | Other Endocrine, Nutrit & Metab O.R. Proc W CC | 3.8309 |
| 293 | Other Endocrine, Nutrit & Metab O.R. Proc W/O CC | 1.4722 |
| 294 | Diabetes Age >35 | 0.9008 |
| 295 | Diabetes Age <36 | 0.6764 |
| 296 | Nutritional & Misc Metabolic Disorders Age >17 W | 0.7876 |
| CC | ||
| 297 | Nutritional & Misc Metabolic Disorders Age >17 | 0.7871 |
| W/O CC | ||
| 298 | Nutritional & Misc Metabolic Disorders Age <18 | 0.3656 |
| 299 | Inborn Errors Of Metabolism | 0.5845 |
| 300 | Endocrine Disorders W CC | 0.9237 |
| 301 | Endocrine Disorders W/O CC | 0.6695 |
| 302 | Kidney Transplant | 3.8473 |
| 303 | Kidney, Ureter & Major Bladder Proc For Neoplasm | 2.1690 |
| 304 | Kidney, Ureter & Major Blad Proc For Non-neoplasm | 1.5144 |
| W CC | ||
| 305 | Kidney, Ureter & Major Blad Proc For Non-neoplasm | 1.0775 |
| W/O CC | ||
| 306 | Prostatectomy W CC | 2.2061 |
| 307 | Prostatectomy W/O CC | 1.2270 |
| 308 | Minor Bladder Procedures W CC | 2.2232 |
| 309 | Minor Bladder Procedures W/O CC | 1.4349 |
| 310 | Transurethral Procedures W CC | 0.9179 |
| 311 | Transurethral Procedures W/O CC | 0.6970 |
| 312 | Urethral Procedures, Age >17 W CC | 1.4077 |
| 313 | Urethral Procedures, Age >17 W/O CC | 0.7106 |
| 314 | Urethral Procedures, Age <18 | 1.0129 |
| 315 | Other Kidney & Urinary Tract Procedures | 2.2568 |
| 316 | Renal Failure | 1.2065 |
| 317 | Admit For Renal Dialysis | 0.3869 |
| 318 | Kidney & Urinary Tract Neoplasms W CC | 1.7384 |
| 319 | Kidney & Urinary Tract Neoplasms W/O CC | 0.7141 |
| 320 | Kidney & Urinary Tract Infections Age >17 W CC | 0.9014 |
| 321 | Kidney & Urinary Tract Infections Age >17 W/O CC | 0.6656 |
| 322 | Kidney & Urinary Tract Infections Age <18 | 0.4835 |
| 323 | Urinary Stones W CC, &/or Esw Lithotripsy | 0.7778 |
| 324 | Urinary Stones W/O CC | 0.4667 |
| 325 | Kidney & Urinary Tract Signs & Symptoms Age >17 W | 0.9620 |
| CC | ||
| 326 | Kidney & Urinary Tract Signs & Symptoms Age >17 | 0.5335 |
| W/O CC | ||
| 327 | Kidney & Urinary Tract Signs & Symptoms Age <18 | 0.4658 |
| 328 | Urethral Stricture Age >17 W CC | 1.0243 |
| 329 | Urethral Stricture Age >17 W/O CC | 0.6299 |
| 330 | Urethral Stricture Age <18 | 0.8271 |
| 331 | Other Kidney & Urinary Tract Diagnoses Age >17 W | 1.3084 |
| CC | ||
| 332 | Other Kidney & Urinary Tract Diagnoses Age >17 | 0.6631 |
| W/O CC | ||
| 333 | Other Kidney & Urinary Tract Diagnoses Age <18 | 0.8585 |
| 334 | Major Male Pelvic Procedures W CC | 1.5420 |
| 335 | Major Male Pelvic Procedures W/O CC | 1.5420 |
| 336 | Transurethral Prostatectomy W CC | 1.5327 |
| 337 | Transurethral Prostatectomy W/O CC | 0.6790 |
| 338 | Testes Procedures, For Malignancy | 0.9888 |
| 339 | Testes Procedures, Non-malignancy Age >17 | 0.6935 |
| 340 | Testes Procedures, Non-malignancy Age <18 | 0.6146 |
| 341 | Penis Procedures | 1.6573 |
| 342 | Circumcision Age >17 | 0.6326 |
| 343 | Circumcision Age <18 | 0.3295 |
| 344 | Other Male Reproductive Sys O.R. Procs For | 1.5836 |
| Malignancy | ||
| 345 | Other Male Reproductive Sys O.R. Procs Except For | 1.0892 |
| Malig | ||
| 346 | Malignancy, Male Reproductive System, W CC | 1.8396 |
| 347 | Malignancy, Male Reproductive System, W/O CC | 0.9936 |
| 348 | Benign Prostatic Hypertrophy W CC | 0.9761 |
| 349 | Benign Prostatic Hypertrophy W/O CC | 0.6583 |
| 350 | Inflammation Of The Male Reproductive System | 0.6482 |
| 351 | Male Sterilization | 0.3150 |
| 352 | Other Male Reproductive System Diagnoses | 0.4422 |
| 353 | Pelvic Evisceration,rad Hysterectomy & Rad | 1.4018 |
| Vulvectomy | ||
| 354 | Uterine,adnexa Proc For Non-ovarian/Adnexal Malig | 1.5764 |
| W CC | ||
| 355 | Uterine,adnexa Proc For Non-ovarian/Adnexal Malig | 1.0415 |
| W/O CC | ||
| 356 | Female Reproductive System Reconstructive | 0.7491 |
| Procedures | ||
| 357 | Uterine & Adnexa Proc For Ovarian Or Adnexal | 1.9768 |
| Malignancy | ||
| 358 | Uterine & Adnexa Proc For Ca In Situ & Nonmalig W | 1.2104 |
| CC | ||
| 359 | Uterine & Adnexa Proc For Ca In Situ & Nonmalig | 0.7887 |
| W/O CC | ||
| 360 | Vagina, Cervix & Vulva Procedures | 0.7142 |
| 361 | Laparoscopy & Incisional Tubal Interruption | 0.7562 |
| 362 | Endoscopic Tubal Interruption | 0.4751 |
| 363 | D&C, Conization & Radio-implant, For Malignancy | 1.0020 |
| 364 | D&C, Conization Except For Malignancy | 0.7612 |
| 365 | Other Female Reproductive System O.R. Procedures | 1.4257 |
| 366 | Malignancy, Female Reproductive System, W CC | 1.9507 |
| 367 | Malignancy, Female Reproductive System, W/O CC | 0.9892 |
| 368 | Infections, Female Reproductive System | 0.5480 |
| 369 | Menstrual & Other Female Reproductive System | 0.6368 |
| Disorders | ||
| 370 | Cesarean Section W CC | 0.9584 |
| 371 | Cesarean Section W/O CC | 0.8416 |
| 372 | Vaginal Delivery W Complicating Diagnoses | 0.6571 |
| 373 | Vaginal Delivery W/O Complicating Diagnoses | 0.5468 |
| 374 | Vaginal Delivery W Sterilization &/or D&C | 0.8190 |
| 375 | Vaginal Delivery W/O.R. Proc Except Steril &/or | 0.6132 |
| D&C | ||
| 376 | Postpartum & Post Abortion Diagnoses W/O O.R. | 0.5045 |
| Procedure | ||
| 377 | Postpartum & Post Abortion Diagnoses W/O.R. | 1.0646 |
| Procedure | ||
| 378 | Ectopic Pregnancy | 0.7727 |
| 379 | Threatened Abortion | 0.5187 |
| 380 | Abortion W/O D&C | 0.4373 |
| 381 | Abortion W D&C, Aspiration Curettage Or | 0.4776 |
| Hysterotomy | ||
| 382 | False Labor | 0.3145 |
| 392 | Splenectomy Age >17 | 2.4662 |
| 393 | Splenectomy Age <18 | 1.6437 |
| 394 | Other O.R. Procs Of The Blood And Blood Forming | 1.3978 |
| Organs | ||
| 395 | Red Blood Cell Disorders Age >17 | 0.7442 |
| 397 | Other Coagulation Disorders | 0.8622 |
| 398 | Reticuloendothelial & Immunity Disorders W CC | 1.3019 |
| 399 | Reticuloendothelial & Immunity Disorders W/O CC | 0.6136 |
| 401 | Lymphoma & Non-acute Leukemia W/Other O.R. Proc W | 2.9221 |
| CC | ||
| 402 | Lymphoma & Non-acute Leukemia W/Other O.R. Proc | 1.8017 |
| W/O CC | ||
| 403 | Lymphoma & Non-acute Leukemia W CC | 1.4177 |
| 404 | Lymphoma & Non-acute Leukemia W/O CC | 1.0859 |
| 406 | Myelopro Disord Or Poor Diff Neopl W Maj O.R. | 3.3865 |
| Proc W CC | ||
| 407 | Myelopro Disord Or Poor Diff Neop W Maj O.R. Proc | 0.8782 |
| W/O CC | ||
| 408 | Myeloprolif Disord Or Poor Diff Neopl W/Other | 1.8385 |
| O.R. Proc | ||
| 409 | Radiotherapy | 1.1226 |
| 410 | Chemotherapy | 1.0711 |
| 413 | Other Myeloprolif Dis Or Poorly Diff Neopl Diag W | 2.4597 |
| CC | ||
| 414 | Other Myeloprolif Dis Or Poorly Diff Neopl Diag | 1.6249 |
| W/O CC | ||
| 415 | O.R. Procedure For Infectious & Parasitic | 2.5884 |
| Diseases | ||
| 416 | Septicemia Age >17 | 1.3320 |
| 417 | Septicemia Age <18 | 0.6108 |
| 418 | Postoperative & Post-traumatic Infections | 0.9950 |
| 419 | Fever Of Unknown Origin Age >17 W CC | 0.7135 |
| 420 | Fever Of Unknown Origin Age >17 W/O CC | 0.5550 |
| 421 | Viral Illness Age >17 | 0.7404 |
| 422 | Viral Illness & Fever Of Unknown Origin Age <18 | 0.3746 |
| 423 | Other Infectious & Parasitic Diseases Diagnoses | 0.8433 |
| 424 | O.R. Procedure W Principal Diagnoses Of Mental | 2.5623 |
| Illness | ||
| 425 | Acute Adjustment Reaction & Psychosocial | 0.8098 |
| Dysfunction | ||
| 426 | Depressive Neuroses | 0.7229 |
| 427 | Neuroses Except Depressive | 0.8305 |
| 428 | Disorders Of Personality & Impulse Control | 1.0420 |
| 429 | Organic Disturbances & Mental Retardation | 1.2436 |
| 430 | Psychoses | 1.0663 |
| 431 | Childhood Mental Disorders | 0.9722 |
| 432 | Other Mental Disorder Diagnoses | 1.0511 |
| 439 | Skin Grafts For Injuries | 1.9455 |
| 440 | Wound Debridements For Injuries Except Open Wound | 2.1161 |
| 441 | Hand Procedures For Injuries | 0.8758 |
| 442 | Other O.R. Procedures For Injuries W CC | 2.2560 |
| 443 | Other O.R. Procedures For Injuries W/O CC | 1.0332 |
| 444 | Injuries To Unspec Or Multiple Sites, Age >17 W | 0.7143 |
| CC | ||
| 445 | Injuries To Unspec Or Multiple Sites, Age >17 W/O | 0.4827 |
| CC | ||
| 446 | Injuries To Unspecified Or Multiple Sites, Age | 0.4544 |
| <18 | ||
| 447 | Allergic Reactions Age >17 | 0.4952 |
| 448 | Allergic Reactions Age <18 | 0.3939 |
| 449 | Poisoning & Toxic Effects Of Drugs Age >17 W CC | 0.7643 |
| 450 | Poisoning & Toxic Effects Of Drugs Age >17 W/O CC | 0.7643 |
| 451 | Poisoning & Toxic Effects Of Drugs Age <18 | 0.4901 |
| 452 | Complications Of Treatment W CC | 0.9207 |
| 453 | Complications Of Treatment W/O CC | 0.5184 |
| 454 | Other Injury, Poisoning & Toxic Effect Diagnosis | 0.9406 |
| W CC | ||
| 455 | Other Injury, Poisoning & Toxic Effect Diagnosis | 0.5334 |
| W/O CC | ||
| 461 | O.R. Proc W Diagnoses Of Other Contact W Health | 0.6711 |
| Services | ||
| 462 | Rehabilitation | 1.4459 |
| 463 | Signs & Symptoms W CC | 0.8114 |
| 464 | Signs & Symptoms W/O CC | 0.5766 |
| 465 | Aftercare W History Of Malignancy As Secondary | 0.6054 |
| Diagnosis | ||
| 466 | Aftercare W/O History Of Malignancy As Secondary | 0.4308 |
| Diagnosis | ||
| 467 | Other Factors Influencing Health Status | 0.6701 |
| 468 | Exten O.R. Procedure Unrelated To Principal | 4.9321 |
| Diagnosis | ||
| 469 | Principal Diagnosis Invalid As Discharge | 0.0000 |
| Diagnosis | ||
| 470 | Ungroupable | 0.0000 |
| 471 | Bilateral Or Multiple Major Joint Procs Of Lower | 6.7981 |
| Extrem | ||
| 476 | Prostatic O.R. Proc Unrelated To Principal | 4.3823 |
| Diagnosis | ||
| 477 | Non-extensive O.R. Proc Unrelated To Principal | 2.6374 |
| Diagnosis | ||
| 478 | Other Vascular Procedures W CC | 2.0642 |
| 479 | Other Vascular Procedures W/O CC | 1.2054 |
| 480 | Liver Transplant and/or Intestinal Transplant | 10.1100 |
| 482 | Tracheostomy for Face, Mouth & Neck Diagnoses | 3.9199 |
| 491 | Major Joint & Limb Reattachment Proc Of Upper | 2.4535 |
| Extremity | ||
| 493 | Laparoscopic Cholecystectomy W/O CDE W CC | 1.7116 |
| 494 | Laparoscopic Cholecystectomy W/O CDE W/O CC | 1.0959 |
| 530 | Craniotomy W Major CC | 6.9247 |
| 531 | Nervous System Procedures Except Craniotomy W | 5.7935 |
| Major CC | ||
| 532 | Tia, Precerbral Occlusions, Seizure & Headache W | 1.3848 |
| Major CC | ||
| 533 | Oth Nerv Sys Disord Exc Tia, Seiz & Headache W | 2.8289 |
| Major CC | ||
| 534 | Eye Procedures W Major CC | 1.9236 |
| 535 | Eye Disorders W Major CC | 1.9442 |
| 536 | Ent & Mouth Procs Except Major Head & Neck W | 2.5763 |
| Major CC | ||
| 538 | Major Chest Procedures W Major CC | 4.4477 |
| 539 | Respiratory Procedures Except Major Chest W Major | 4.4528 |
| CC | ||
| 540 | Respiratory Infections & Inflammations Exc Simple | 2.1162 |
| Pneumonia W Major CC | ||
| 541 | Simple Pneumonia & Oth Resp Disord Exc | 1.6661 |
| bronchitis,asthma W Major CC | ||
| 543 | Circ Disord Exc AMI,endocarditis,chf & Arrhyt W | 1.6273 |
| Major CC | ||
| 544 | Chf & Cardiac Arrhythmia W Major CC | 2.0902 |
| 545 | Cardiac Valve Procedure W Major CC | 11.4594 |
| 546 | Coronary Bypass W Major CC | 8.7119 |
| 547 | Other Cardiothoracic Procedure W Major CC | 12.0657 |
| 548 | Oth Cardiac Pacemaker Implant/Revision Or AICD | 6.7797 |
| Proc W Major CC | ||
| 549 | Major Cardiovascular Procedures W Major CC | 6.4087 |
| 550 | Other Vascular Procedures W Major CC | 3.6761 |
| 551 | Esophagitis,gastroent & Uncomplicated Ulcers W | 1.2303 |
| Major CC | ||
| 552 | Digest Sys Disord Exc Esop ,gast & Uncomp Ulcers | 1.7468 |
| W Maj CC | ||
| 553 | Digest Sys Proc Exc Hern, m Stom Or Bwl Proc W | 3.6484 |
| Major CC | ||
| 554 | Hernia Procedures W Major CC | 2.7706 |
| 555 | Pancrea,liv & Oth Bil Trt Proc Exc Liv Trplnt W | 5.3172 |
| Major CC | ||
| 556 | Cholecystectomy & Other Hepatobiliary Procs W | 2.3765 |
| Major CC | ||
| 557 | Hepatobiliary & Pancreas Disorders W Major CC | 2.2492 |
| 558 | Maj Musculoskel Procs Exc Bilat Or Mult Maj Jnt W | 4.6850 |
| Maj CC | ||
| 559 | Non-major Musculoskeletal Procedures W Major CC | 3.7296 |
| 560 | Musculo Disord Exc Osteo,sep Arth & Conn Tiss W | 1.2230 |
| Major CC | ||
| 561 | Osteomyel,septic Arthritis & Conn Tiss Disord W | 2.1390 |
| Major CC | ||
| 562 | Major Skin & Breast Disorders W Major CC | 3.2216 |
| 563 | Other Skin Disorders W Major CC | 1.0980 |
| 564 | Skin & Breast Procedures W Major CC | 2.7628 |
| 565 | Endoc, Nutrit & Metab Proc Exc Low Limb Amput W | 5.2531 |
| Maj CC | ||
| 566 | Endoc, Nutrit & Metab Disor Exc Eat Disord Or Cf | 1.7345 |
| W Maj CC | ||
| 567 | Kid & Urin Tract Procs Exc Kidney Transplant W | 4.4894 |
| Major CC | ||
| 568 | Renal Failure W Major CC | 2.8869 |
| 569 | Kid & Urin Tract Disord Exc Renal Failure W Major | 1.3308 |
| CC | ||
| 570 | Male Reproductive Disorders W Major CC | 1.8396 |
| 571 | Male Reproductive Procedures W Major CC | 3.3913 |
| 572 | Female Reproductive Disorders W Major CC | 2.1188 |
| 573 | Non-radical Female Reproductive Procedures W | 3.0549 |
| Major CC | ||
| 574 | Blood,blood Form Organs & Immunolog Disord W | 1.7149 |
| Major CC | ||
| 575 | Blood,blood Form Organs & Immunolog Procs W Major | 5.8966 |
| CC | ||
| 576 | Acute Leukemia W Major CC | 8.9417 |
| 577 | Myeloprol Disord & Poorly Differ Neoplasms W | 2.9596 |
| Major CC | ||
| 578 | Lymphoma & Non-acute Leukemia W Major CC | 3.6695 |
| 579 | Procs For Lymph,leukemia,myeloprolif Disord W | 8.7256 |
| Major CC | ||
| 580 | Syst Infect & Parasitic Disord Exc Septicemia W | 1.9618 |
| Major CC | ||
| 581 | Systemic Infect & Parasitic Disord Procedures W | 5.1776 |
| Major CC | ||
| 582 | Injuries, Poisonings & Toxic Effects of Drugs | 1.7100 |
| Except Multiple Trauma W Major CC | ||
| 583 | Procs For Injuries Except Multiple Trauma W Major | 3.9692 |
| CC | ||
| 584 | Septicemia W Major CC | 2.4470 |
| 585 | Major Stomach,esop,duod,small & Lrg Bowel Proc W | 6.3726 |
| Major CC | ||
| 586 | Ent & Mouth Disorders, Age > 17 With Major CC | 1.9914 |
| 587 | Ent & Mouth Disorders, Age < 18 With Major CC | 1.1098 |
| 588 | Bronchitis And Asthma Age> 17 W Major CC | 1.0037 |
| 589 | Bronchitis And Asthma Age< 17 W Major CC | 0.6935 |
| 602 | Neonate, Birthwt <750g, Discharged Alive | 21.9229 |
| 603 | Neonate, Birthwt <750g,died | 9.9688 |
| 604 | Neonate, Birthwt 750-999g, Discharged Alive | 16.7650 |
| 605 | Neonate, Birthwt 750-999, Died | 15.6277 |
| 606 | Neonate, Bwt 1000-1499g, W Sig ORProc, Disch | 27.6407 |
| Alive | ||
| 607 | Neonate, Bwt 1000-1499g, W/O Signif Or Proc, | 7.0681 |
| Disch Alive | ||
| 608 | Neonate, Birthwt 1000-1499g, Died | 9.4511 |
| 609 | Neonate, Bwt 1500-1999g, W Sig ORProc, W Mult Maj | 14.7394 |
| Prob | ||
| 610 | Neonate, Bwt 1500-1999g, W Sig ORProc, W/O Mul | 3.3572 |
| Maj Prob | ||
| 611 | Neonate, Bwt 1500-1999g, W/O Sig ORProc, W Mul | 5.1749 |
| Maj Prob Or MV 96+ Hrs | ||
| 612 | Neonate, Bwt 1500-1999g, W/O Sig ORProc, W Major | 3.8296 |
| Prob | ||
| 613 | Neonate, Bwt 1500-1999g, W/O Sig ORProc, W Minor | 3.1562 |
| Prob | ||
| 614 | Neonate, Bwt 1500-1999g, W/O Sig ORProc, W/Other | 1.5722 |
| Prob | ||
| 615 | Neonate, Bwt 2000-2499g, W Sig ORProc, W Mul | 14.1787 |
| Major Prob | ||
| 616 | Neonate, Bwt 2000-2499g, W Sig ORProc, W/O Mul | 3.2295 |
| Maj Prob | ||
| 617 | Neonate, Bwt 2000-2499g, W/O Sig ORProc, W Mul | 2.7421 |
| Maj Prob Or MV 96+ Hrs | ||
| 618 | Neonate, Bwt 2000-2499g, W/O Sig ORProc, W Major | 1.6039 |
| Prob | ||
| 619 | Neonate, Bwt 2000-2499g, W/O Sig ORProc, W Minor | 0.9931 |
| Prob | ||
| 620 | Neonate,bwt 2000-2499g,w/o Sig ORProc, W Norm | 0.3201 |
| Newb Diag | ||
| 621 | Neonate, Bwt 2000-2499g, W/O Sig ORProc, W/Other | 0.8898 |
| Prob | ||
| 622 | Neonate, Bwt >2499g, W Sig ORProc, W Mult Major | 8.9415 |
| Prob | ||
| 623 | Neonate, Bwt >2499g, W Sig ORProc, W/O Mult Major | 2.1306 |
| Prob | ||
| 624 | Neonate, Birthwt >2499g, W Minor Abdom Proc | 1.1216 |
| 626 | Neonate, Bwt >2499g, W/O Sig ORProc, W Mult Major | 1.7723 |
| Prob Or MV 96+ Hrs | ||
| 627 | Neonate, Bwt >2499g, W/O Signif Or Proc, W Major | 0.8778 |
| Prob | ||
| 628 | Neonate, Bwt >2499g, W/O Signif Or Proc, W Minor | 0.3906 |
| Prob | ||
| 629 | Neonate, Bwt >2499g, W/O Sign Or Proc, W Norm | 0.2486 |
| Newb Diag | ||
| 630 | Neonate, Bwt >2499g, W/O Sig ORProc, W/Other Prob | 0.4692 |
| 631 | BPD And Other Chron Resp Diseas Arising In | 1.3731 |
| Perinatal Period | ||
| 633 | Mult,other And Unspec Congenital Anomalies W CC | 2.2852 |
| 634 | Mult,other And Unspec Congenital Anomalies W/O CC | 2.2852 |
| 635 | Neonatal Aftercare For Weight Gain | 1.3924 |
| 636 | Infant Aftercare For Weight Gain, Age>28 Days & | 1.9727 |
| <1 Year | ||
| 637 | Neonate, Died W/in One Day Of Birth, Born Here | 0.2682 |
| 638 | Neonate, Died W/in One Day Of Birth, Not Born | 0.9414 |
| Here | ||
| 639 | Neonate, Transferred <5 Days Of Birth, Born Here | 0.2531 |
| 640 | Neonate, Transferred <5 Days Of Birth, Not Born | 0.2822 |
| Here | ||
| 641 | Neonate, Bwt >2499 Grams W ECMO | 13.4550 |
| 650 | High Risk Cesarean Section W CC | 1.3912 |
| 651 | High Risk Cesarean Section W/O CC | 0.9996 |
| 652 | High Risk Vaginal Delivery W Sterilization And/or | 1.2167 |
| D & C | ||
| 700 | Tracheostomy For HIV Infection | 19.0652 |
| 701 | HIV W/O.R. Procedure & Ventilation Or Nutrition | 10.4605 |
| Support | ||
| 702 | HIV W/O.R. Procedure W Multiple Major Related | 8.4742 |
| Infections | ||
| 703 | HIV W/O.R. Procedure W Major Related Diagnosis | 3.8141 |
| 704 | HIV W/O.R. Procedure W/O Major Related Diagnosis | 3.2017 |
| 705 | HIV W Multiple Major Related Infections W TB | 6.9240 |
| 706 | HIV W Multiple Major Related Infections W/O TB | 3.4419 |
| 707 | HIV W Ventilator Or Nutritional Support | 3.7718 |
| 708 | HIV W Major Related Diagnosis, Discharge AMA | 1.2738 |
| 709 | HIV W Major Related Diag W Mult Major Or Sign | 4.1577 |
| Diag W TB | ||
| 710 | HIV W Major Related Diag W Mult Maj OR Sign Diag | 2.0843 |
| W/O TB | ||
| 711 | HIV W Major Relat Diag W/O Mult Maj OR Signif | 2.7215 |
| Diag W TB | ||
| 712 | HIV W Maj Relat Diag W/O Mult Maj OR Signif Diag | 1.5821 |
| W/O TB | ||
| 713 | HIV W Significant Related Diagnosis, Discharged | 0.8933 |
| AMA | ||
| 714 | HIV W Significant Related Diagnosis | 1.2861 |
| 715 | HIV W/Other Related Diagnoses | 0.6051 |
| 716 | HIV W/O Other Related Diagnoses | 0.5892 |
| 730 | Craniotomy For Multiple Significant Trauma | 7.4960 |
| 731 | Spine, Hip, Femur Or Limb Proc For Mult Signif | 6.1765 |
| Trauma | ||
| 732 | Other O.R. Procedures For Multiple Significant | 3.6514 |
| Trauma | ||
| 733 | Head, Chest & Lower Limb Diagnoses Of Mult Signif | 1.7576 |
| Trauma | ||
| 734 | Other Diagnoses Of Multiple Significant Trauma | 1.7323 |
| 737 | Ventricular Shunt Revision | 1.9126 |
| 738 | Craniotomy, Age <18 W CC | 4.5824 |
| 739 | Craniotomy, Age <18 W/O CC | 2.4000 |
| 740 | Cystic Fibrosis | 2.1574 |
| 743 | Opioid Abuse Or Dependence Left Against Medical | 0.2114 |
| Advice | ||
| 744 | Opioid Abuse Or Dependence W CC | 0.5347 |
| 745 | Opioid Abuse Or Dependence W/O CC | 0.3608 |
| 746 | Cocaine Or Other Drug Abuse Or Dependence Left | 0.3263 |
| AMA | ||
| 747 | Cocaine Or Other Drug Abuse Or Dependence W CC | 0.7014 |
| 748 | Cocaine Or Other Drug Abuse Or Dependence W/O CC | 0.7014 |
| 749 | Alcohol Abuse Or Dependence Left AMA | 0.3018 |
| 750 | Alcohol Abuse Or Dependence W CC | 0.8665 |
| 751 | Alcohol Abuse Or Dependence W/O CC | 0.5300 |
| 752 | Lead Poisoning | 0.6685 |
| 753 | Compulsive Nutrition Disorder Rehabilitation | 2.4205 |
| 754 | Tertiary Aftercare, Age => 1 Year | 1.0005 |
| 755 | Spinal Fusion W CC | 3.1777 |
| 756 | Spinal Fusion W/O CC | 3.1777 |
| 757 | Back & Neck Procedures Except Spinal Fusion W CC | 1.6469 |
| 758 | Back & Neck Procedures Except Spinal Fusion W/O | 1.2315 |
| CC | ||
| 759 | Multiple Channel Cochlear Implants | 8.9849 |
| 760 | Hemophilia Factors Viii And Ix | 1.6503 |
| 761 | Traumatic Stupor & Coma, Coma >1 Hr | 0.8201 |
| 762 | Concussion,intracran Inj W Coma <1 Hr Or No Coma | 0.4464 |
| Age <18 | ||
| 763 | Traumatic Stupor & Coma, Coma <1 Hr Age <18 | 0.9120 |
| 764 | Concuss ,intracran Inj W Coma<1 Hr Or No Coma | 0.8332 |
| Age>17 W CC | ||
| 765 | Concuss intracran Inj W Coma<1 Hr /no Coma Age>17 | 0.5454 |
| W/O CC | ||
| 766 | Traumatic Stupor & Coma, Coma <1 Hr Age >17 W CC | 1.4348 |
| 767 | Traumatic Stupor & Coma, Coma <1 Hr Age >17 W/O | 0.7802 |
| CC | ||
| 768 | Seizure & Headache Age <18 W CC | 0.5792 |
| 769 | Seizure & Headache Age <18 W/O CC | 0.5792 |
| 770 | Respiratory Infections & Inflammations Exc Simple | 1.7841 |
| Pneumonia Age <18 W CC | ||
| 771 | Respiratory Infections & Inflammations Exc Simple | 1.1278 |
| Pneumonia Age <18 W/O CC | ||
| 772 | Simple Pneumonia & Pleurisy Age <18 W CC | 0.6024 |
| 773 | Simple Pneumonia & Pleurisy Age <18 W/O CC | 0.4401 |
| 774 | Bronchitis & Asthma Age <18 W CC | 0.6228 |
| 775 | Bronchitis & Asthma Age <18 W/O CC | 0.4319 |
| 776 | Esophagitis,gastroent & Misc Digest Disord Age | 0.4797 |
| <18 W CC | ||
| 777 | Esophagit,gastroent & Misc Digest Disord Age <18 | 0.3215 |
| W/O CC | ||
| 778 | Other Digestive System Diagnoses Age <18 W CC | 0.6202 |
| 779 | Other Digestive System Diagnoses Age <18 W/O CC | 0.4600 |
| 780 | Acute Leukemia W/O Major O.R. Procedure Age <18 W | 5.2075 |
| CC | ||
| 781 | Acute Leukemia W/O Major O.R. Procedure Age <18 | 1.8332 |
| W/O CC | ||
| 782 | Acute Leukemia W/O Major O.R. Procedure Age >17 W | 7.0876 |
| CC | ||
| 783 | Acute Leukemia W/O Major O.R. Procedure Age >17 | 1.8376 |
| W/O CC | ||
| 784 | Acquired Hemolytic Anemia Or Sickle Cell Crisis | 0.5964 |
| Age <18 | ||
| 785 | Other Red Blood Cell Disorders Age <18 | 0.4326 |
| 786 | Major Head & Neck Procedures For Malignancy | 4.1069 |
| 787 | Laparoscopic Cholecystectomy W CDE | 1.8547 |
| 789 | Knee Revision or Major Joint & Limb Reattach Proc | 3.7541 |
| Low Ext, Exc Hip, For Comp | ||
| 790 | Wnd Debrid & Skin Grft For Open Wound,ms Conn | 0.8638 |
| Tis, Exc Hnd | ||
| 791 | Wound Debridements For Open Wound Injuries | 1.3700 |
| 792 | Craniotomy For Mult Sig Trauma W Non-traumatic | 12.1776 |
| Major CC | ||
| 793 | Proc For Mul Sig Trauma Exc Craniot W Non-traum | 6.2368 |
| Major CC | ||
| 794 | Diag For Multiple Signif Trauma W Non-traumatic | 2.0561 |
| Major CC | ||
| 795 | Lung Transplant | 36.1282 |
| 796 | Lower Extremity Revascularization W CC | 3.5366 |
| 797 | Lower Extremity Revascularization W/O CC | 1.5879 |
| 798 | Tuberculosis With Operating Room Procedure | 4.5582 |
| 799 | Tuberculosis Left Against Medical Advice | 2.0008 |
| 800 | Tuberculosis W CC | 1.2661 |
| 801 | Tuberculosis W/O CC | 1.2661 |
| 802 | Pneumocystosis | 2.3819 |
| 803 | Allogeneic Bone Marrow Transplant | 20.8772 |
| 804 | Autologous Bone Marrow Transplant | 5.4177 |
| 805 | Simultaneous Kidney And Pancreas Transplant For | 21.4888 |
| Diabetic and Renal Failure | ||
| 806 | Combined Anterior/posterior Spinal Fusion W CC | 6.8196 |
| 807 | Combined Anterior/posterior Spinal Fusion W/O CC | 3.9928 |
| 808 | Percuataneous Cardiovasc Proc W AMI, Hf Or Shock | 2.3186 |
| 809 | Other Cardiothoracic Procedures W PDX Congenital | 6.2120 |
| Anomaly | ||
| 810 | Intracranial Hemorrhage | 1.8148 |
| 811 | Heart Assist System Implant | 8.3172 |
| 812 | Malfunction, Reaction & Comp Of Cardiac Or Vasc | 0.9698 |
| Dev Or Proc | ||
| 813 | Nonbacterial Gastroenteritis & Abdominal Pain Age | 0.6785 |
| >17 W CC | ||
| 814 | Nonbacterial Gastroenteritis & Abdominal Pain Age | 0.6338 |
| >17 W/O CC | ||
| 815 | Nonbacterial Gastroenteritis & Abdominal Pain Age | 0.3979 |
| <18 W CC | ||
| 816 | Nonbacterial Gastroenteritis & Abdominal Pain Age | 0.2835 |
| <18 W/O CC | ||
| 817 | Hip Revision Or Hip Replacement For Complications | 1.8842 |
| 818 | Hip Replacements Except For Complications | 2.3865 |
| 819 | Create, Revise Or Remove Renal Access Device | 1.5259 |
| 820 | Malfunctions, Reactions & Comp Of Gu | 0.7523 |
| Device/Graft/Transplant | ||
| 821 | Extensive Burns Or Full Thickness Burns W MV 96+ | 20.2280 |
| Hrs W Skin Graft | ||
| 822 | Extensive Burns Or Full Thickness Burns W MV 96+ | 11.7845 |
| Hrs W/O Skin Graft | ||
| 823 | Full Thick Burn W Skin Graft Or Inhal Inj W CC Or | 4.8899 |
| Sig Trauma | ||
| 824 | Full Thick Burn W Skin Graft Or Inhal Inj W/O CC | 4.1930 |
| Or Sig Trauma | ||
| 825 | Full Thick Burn W/O Skin Graft Or Inhal Inj W CC | 2.7417 |
| Or Sig Trauma | ||
| 826 | Full Thick Burn W/O Skin Graft Or Inhal Inj W/O | 1.7317 |
| CC Or Sig Trauma | ||
| 827 | Non-extensive Burns W Inhal Inj, CC Or | 1.4931 |
| Significant Trauma | ||
| 828 | Non-extensive Burns W/O Inhal Inj, CC Or Sig. | 1.4931 |
| Trauma | ||
| 829 | Pancreas Transplant For Diabetic and Renal | 21.4888 |
| Failure | ||
| 832 | Transient Ischemia | 0.7890 |
| 833 | Intracranial Vascular Procedures W PDX Hemorrhage | 4.8433 |
| 836 | Spinal Procedures W CC | 2.3586 |
| 837 | Spinal Procedures W/O CC | 2.1181 |
| 838 | Extracranial Procedures W CC | 1.9032 |
| 839 | Extracranial Procedures W/O CC | 1.0715 |
| 849 | Cardiac Defib Implant W Cardiac Cath W | 5.6694 |
| AMI/HF/Shock | ||
| 850 | Cardiac Defib Implant W Cardiac Cath W/O | 5.6694 |
| AMI/HF/Shock | ||
| 851 | Cardiac Defibrillator W/O Cardiac Catheter | 5.4784 |
| 852 | Percutaneous Cardiovas Proc W Non-drug Eluting | 1.9772 |
| Stent W/O AMI | ||
| 853 | Percutaneous Cardiovas Proc W Drug Eluting Stent | 2.4087 |
| W AMI | ||
| 854 | Percutaneous Cardiovas Proc W Drug Eluting Stent | 1.7132 |
| W/O AMI | ||
| 864 | Cervical Spinal Fusion W CC | 2.8409 |
| 865 | Cervical Spinal Fusion W/O CC | 1.4101 |
| 866 | Local Excision & Rem Of Int Fix Devices Exc Hip & | 2.3017 |
| Femur W CC | ||
| 867 | Local Excision & Rem Of Int Fix Devices Exc Hip & | 1.2991 |
| Femur W/O CC | ||
| 874 | Lymphoma & Leukemia W Major O.R. Procedure W CC | 3.8098 |
| 875 | Lymphoma & Leukemia W Major O.R. Procedure W/O CC | 1.8455 |
| 876 | Chemo W Acute Leuk As SDX Or W Use Of High Dose | 0.9738 |
| Chemo Agent | ||
| 877 | Ecmo Or Trach W MV 96+ Hrs Or PDX Exc Face, Mouth | 21.6449 |
| & Neck W Maj OR | ||
| 878 | Trach W MV 96+ Hrs Or PDX Exc Face, Mouth & Neck | 13.4781 |
| W/O Maj OR | ||
| 879 | Craniotomy W Implant Of Chemo Agent Or Acute | 9.2432 |
| Complex CNS PDX | ||
| 880 | Acute Ischemic Stroke W Use Of Thrombolytic Agent | 3.6136 |
| 881 | Respiratory System Diagnosis W MV 96+ Hrs | 5.6576 |
| 882 | Respiratory System Diagnosis W MV < 96 Hrs | 1.9020 |
| 883 | Laproscopic Appendectomy | 0.8467 |
| 884 | Spinal Fusion Exc Cerv W Curvature Of The Spine | 4.3258 |
| Or Malignanc | ||
| 885 | Other Antepartum Diagnoses W O.R. Procedure | 0.6596 |
| 886 | Other Antepartum Diagnoses W/O O.R. Procedure | 0.5273 |
(b) In subsequent rate years, the resulting DRG weights from the recalibration process will be accessible on the New Jersey Medicaid Management Information System website www.njmmis.com.
Disclaimer: These regulations may not be the most recent version. New Jersey may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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