New York Codes, Rules and Regulations
Title 10 - Department of Health
Appendices
Appendix D-1 - APPENDIX D-1

APPENDIX D-1.

DIAGNOSIS RELATED GROUPS DRG DESCRIPTION 1 CRANIOTOMY AGE > 17 EXCEPT FOR TRAUMA 2 CRANIOTOMY FOR TRAUMA AGE > 17 3 CRANIOTOMY AGE 0-17 4 SPINAL PROCEDURES 5 EXTRACRANIAL VASCULAR PROCEDURES 6 CARPAL TUNNEL RELEASE 7 PERIPH & CRANIAL NERVE & OTHER NERV SYST PROC W CC 8 PERIPH & CRANIAL NERVE & OTHER NERV SYST PROC W/O CC 9 SPINAL DISORDERS & INJURIES 10 NERVOUS SYSTEM NEOPLASMS W CC 11 NERVOUS SYSTEM NEOPLASMS W/O CC 12 DEGENERATIVE NERVOUS SYSTEM DISORDERS 13 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA 14 SPECIFIC CEREBROVASCULAR DISORDERS EXCEPT TIA 15 TRANSIENT ISCHEMIC ATTACK & PRECEREBRAL OCCLUSIONS 16 NONSPECIFIC CEREBROVASCULAR DISORDERS W CC 17 NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC 18 CRANIAL & PERIPHERAL NERVE DISORDERS W CC 19 CRANIAL & PERIPHERAL NERVE DISORDERS W/O CC 20 NERVOUS SYSTEM INFECTION EXCEPT VIRAL MENINGITIS 21 VIRAL MENINGITIS 22 HYPERTENSIVE ENCEPHALOPATHY 23 NONTRAUMATIC STUPOR & COMA 24 SEIZURE & HEADACHE AGE > 17 W CC 25 SEIZURE & HEADACHE AGE > 17 W/O CC 26 SEIZURE & HEADACHE AGE 0-17 27 TRAUMATIC STUPOR & COMA, COMA > 1 HR 28 TRAUMATIC STUPOR & COMA, COMA < 1 HR AGE > 17 W CC 29 TRAUMATIC STUPOR & COMA, COMA < 1 HR AGE > 17 W/O CC 30 TRAUMATIC STRPOR & COMA, COMA < 1 HR AGE 0-17 31 CONCUSSION AGE > 17 W CC 32 CONCUSSION AGE > 17 W/O CC 33 CONCUSSION AGE 0-17 34 OTHER DISORDERS OF NERVOUS SYSTEM W CC 35 OTHER DISORDERS OF NERVOUS SYSTEM W/O CC 36 RETINAL PROCEDURES 37 ORBITAL PROCEDURES 38 PRIMARY IRIS PROCEDURES 39 LENS PROCEDURES WITH OR WITHOUT 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 44 ACUTE MAJOR EYE INFECTIONS 45 NEUROLOGICAL EYE DISORDERS 46 OTHER DISORDERS OF THE EYE AGE > 17 W CC 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 50 SIALOADENECTOMY 51 SALIVARY GLAND PROCEDURES EXCEPT SIALOADENECTOMY 52 CLEFT LIP & PALATE REPAIR 53 SINUS & MASTOID PROCEDURES AGE > 17 54 SINUS & MASTOID PROCEDURES AGE 0-17 55 MISCELLANEOUS EAR, NOSE, MOUTH & THROAT PROCEDURES 56 RHINOPLASTY 57 T&A PROC. EXCEPT TONSILLECTOMY & ADENOIDECTOMY ONLY, AGE > 17 58 T&A PROC. EXCEPT TONSILLECTOMY & ADENOIDECTOMY ONLY, AGE 0-17 59 TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE > 17 60 TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE 0-17 61 MINGOTOMY W/TUBE INSERTION AGE > 17 62 MINGOTOMY W/TUBE INSERTION AGE 0-17 63 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES 64 EAR, NOSE, MOUTH & THROAT MALIGNANCY 65 DYSEQUILIBRIUM 66 EPISTAXIS 67 EPIGLOTTITIS 68 OTITIS MEDIA & URI AGE > 17 W CC 69 OTITIS MEDIA & URI AGE > 17 W/O CC 70 OTITIS MEDIA & URI AGE 0-17 71 LARYNGOTRACHEITIS 72 NASAL TRAUMA & DEFORMITY 73 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES AGE > 17 74 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES AGE 0-17 75 MAJOR CHEST PROCEDURES 76 OTHER RESP SYSTEM O.R. PROCEDURES W CC 77 OTHER RESP SYSTEM O.R. PROCEDURES W/O CC 78 PULMONARY EMBOLISM 79 RESPIRATORY INFECTIONS & INFLAMMATIONS AGE > 17 W CC 80 RESPIRATORY INFECTIONS & INFLAMMATIONS AGE > 17 W/O CC 81 RESPIRATORY INFECTIONS & INFLAMMATIONS AGE 0-17 82 RESPIRATORY NEOPLASMS 83 MAJOR CHEST TRAUMA W CC 84 MAJOR CHEST TRAUMA W/O CC 85 PLEURAL EFFUSION W CC 86 PLEURAL EFFUSION W/O CC 87 PULMONARY EDEMA & RESPIRATORY FAILURE 88 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 89 SIMPLE PNEUMONIA & PLEURISY AGE > 17 W CC 90 SIMPLE PNEUMONIA & PLEURISY AGE > 17 W/O CC 91 SIMPLE PNEUMONIA & PLEURISY AGE 0-17 92 INTERSTITIAL LUNG DISEASE W CC 93 INTERSTITIAL LUNG DISEASE W/O CC 94 PNEUMOTHORAX W CC 95 PNEUMOTHORAX W/O CC 96 BRONCHITIS & ASTHMA AGE > 17 W CC 97 BRONCHITIS & ASTHMA AGE > 17 W/O CC 98 BRONCHITIS & ASTHMA AGE 0-17 99 RESPIRATORY SIGNS & SYMPTOMS W CC 100 RESPIRATORY SIGNS & SYMPTOMS W/O CC 101 OTHER RESPIRATORY SYSTEM DISGNOSES W CC 102 OTHER RESPIRATORY SYSTEM DIAGNOSES W/O CC 103 HEART TRANSPLANT 104 CARDIAC VALVE PROCEDURES W/CARDIAC CATH 105 CARDIAC VALVE PROCEDURES W/O CARDIAC CATH 106 CORONARY BYPASS W/CARDIAC CATH 107 CORONARY BYPASS W/O CARDIAC CATH 108 OTHER CARDIOTHORACIC PROCEDURES 109 NO LONGER VALID 110 MAJOR CARDIOVASCULAR PROCEDURES W CC 111 MAJOR CARDIOVASCULAR PROCEDURES W/O CC 112 PERCUTANEOUS CARDIOVASCULAR PROCEDURES 113 AMPUTATION FOR CIRC SYSTEM DISORDERS EXCEPT UPPER LIMB & TOE 114 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS 115 PERM CARDIAC PACEMAKER IMPLANT W/AMI, HEART FAILURE OR SHOCK 116 PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK 117 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT 118 CARDIAC PACEMAKER DEVICE REPLACEMENT 119 VEIN LIGATION & STRIPPING 120 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 121 CIRCULATORY DISORDERS W/AMI & C.V. COMP DISCH ALIVE 122 CIRCULATORY DISORDERS W/AMI W/O C.V. COMP DISCH ALIVE 123 CIRCULATORY DISORDERS W/AMI, EXPIRED 124 CIRCULATORY DISORDERS EXCEPT AMI, W/CARD CATH & COMPLEX DIAG 125 CIRCULATORY DISORDERS EXCEPT AMI, W/CARD CATH W/O COMPLEX DIAG 126 ACUTE & SUBACUTE ENDOCARDITIS 127 HEART FAILURE & SHOCK 128 DEEP VEIN THROMBOPHLEBITIS 129 CARDIAC ARREST. UNEXPLAINED 130 PERIPHERAL VASCULAR DISORDERS W CC 131 PERIPHERAL VASCULAR DISORDERS W/O CC 132 ATHEROSCLEROSIS W CC 133 ATHEROSCLEROSIS W/O CC 134 HYPERTENSION 135 CARDIAC COGENITAL & VALVULAR DISORDERS AGE > 17 W CC 136 CARDIAC COGENITAL & VALVULAR DISORDERS AGE > 17 W/O CC 137 CARDIAC COGENITAL & VALVULAR DISORDERS AGE 0-17 138 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC 139 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC 140 ANGINA PECTORIS 141 SYNCOPE & COLLAPSE W CC 142 SYNCOPE & COLLAPSE W/O CC 143 CHEST PAIN 144 OTHER CIRCULATORY SYSTEM DIAGNOSES W CC 145 OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC 146 RECTAL RESECTION W CC 147 RECTAL RESECTION W/O CC 148 MAJOR SMALL & LARGE BOWEL PROCEDURES W CC 149 MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC 150 PERITONEAL ADHESIOLYSIS W CC 151 PERITONEAL ADHESIOLYSIS W/O CC 152 MINOR SMALL & LARGE BOWEL PROCEDURES W CC 153 MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC 154 STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES AGE > 17 W CC 155 STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES AGE > 17 W/O CC 156 STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES AGE 0-17 157 ANAL & STOMAL PROCEDURES W CC 158 ANAL & STOMAL PROCEDURES W/O CC 159 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE 160 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE 161 INGUINAL & FEMORAL HERNIA PROCEDURES AGE > 17 W CC 162 INGUINAL & FEMORAL HERNIA PROCEDURES AGE > 17 W/O CC 163 HERNIA PROCEDURES AGE 0-17 164 APPENDECTOMY W/ COMPLICATED PRINCIPAL DIAG W CC 165 APPENDECTOMY W/COMPLICATED PRINCIPAL DIAG W/O CC 166 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC 167 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC 168 MOUTH PROCEDURES W CC 169 MOUTH PROCEDURES W/O CC 170 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC 171 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC 172 DIGESTIVE MALIGNANCY W CC 173 DIGESTIVE MALIGNANCY W/O CC 174 G.I. HEMORRHAGE W CC 175 G.I. HEMORRHAGE W/O CC 176 COMPLICATED PEPTIC ULCER 177 UNCOMPLICATED PEPTIC ULCER W CC 178 UNCOMPLICATED PEPTIC ULCER W/O CC 179 INFLAMMATORY BOWEL DISEASE 180 G.I. OBSTRUCTION W CC 181 G.I. OBSTRUCTION W/O CC 182 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE > 17 W CC 183 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE > 17 W/O CC 184 ESOPHAGITIS, GASTROENT & MISC DIGEST DIORDERS AGE 0-17 185 DENTAL & ORAL DIS EXCEPT EXTRACTIONS & RESTORATIONS, AGE > 17 186 DENTAL & ORAL DIS EXCEPT EXTRACTIONS & RESTORATIONS, AE > 17 187 DENTAL EXTRACTIONS & RESTORATIONS 188 OTHER DIGESTIVE SYSTEM DIAGNOSIS AGE > 17 W CC 189 OTHER DIGESTIVE SYSTEM DIAGNOSIS AGE > 17 W/O CC 190 OTHER DIGESTIVE SYSTEM DIAGNOSIS AGE 0-17 191 PANCREAS, LIVER & SHUNT PROCEDURES W CC 192 PANCREAS, LIVER & SHUNT PROCEDURES W/O CC 193 BILIARY TRACT PROC EXCEPT ONLY TOT CHOLECYST W/OR W/O C.D.E. W CC 194 BILIARY TRACT PROC EXCEPT ONLY TOT CHOLECYST W/OR W/O C.D.E. W/O CC 195 TOTAL CHOLECYSTECTOMY W/ C.D.E. W CC 196 TOTAL CHOLECYSTECTOMY W/ C.D.E W/O CC 197 TOTAL CHOLECYSTECTOMY W/O C.D.E. W CC 198 TOTAL CHOLECYSTECTOMY W/O C.D.E. W/O CC 199 HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR MALIGNANCY 200 HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR NON-MALIGNANCY 201 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES 202 CIRRHOSIS & ALCOHOLIC HEPATITIS 203 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS 204 DISORDERS OF PANCREAS EXCEPT MALIGNANCY 205 DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC 206 DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC 207 DISORDERS OF THE BILIARY TRACT W CC 208 DISORDERS OF THE BILIARY TRACT W/O CC 209 MAJOR JOINT & LIMB REATTACHMENT PROCEDURES 210 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE > 17 W CC 211 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE > 17 W/O CC 212 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 213 AMPUTATION FOR MUSCULOSKELETAL SYSTEM & CONN TISSUE DISORDERS 214 BACK & NECK PROCEDURES W CC 215 BACK & NECK PROCEDURES W/O CC 216 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE 217 WND DEBRID & SKIN GRFT EXCEPT HAND, FOR MUCSKELET & CONN TISS DIS 218 LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR AGE > 17 W CC 219 LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR AGE > 17 W/O CC 220 LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR AGE 0-17 221 KNEE PROCEDURES W CC 222 KNEE PROCEDURES W/O CC 223 MAJOR SHOULDER/ELBOW PROC. OR OTHER UPPER EXTREMITY PROC W CC 224 SHOULDER, ELBOW OR FOREARM PROC. EXC MAJOR JOINT PROC. W/O CC 225 FOOT PROCEDURES 226 SOFT TISSUE PROCEDURES W CC 227 SOFT TISSUE PROCEDURES W/O CC 228 MAJOR THUMB OR JOINT PROC. OR OTH HAND OR WRIST PROC W CC 229 HAND OR WRIST PROC. EXCEPT MAJOR JOINT PROC. W/O CC 230 LOCAL EXCISION & REMOVAL OF INT FIX DEVICES OF HIP & FEMUR 231 LOCAL EXCISION & REMOVAL OF INT FIX DEVICES EXCEPT HIP & FEMUR 232 ARTHROSCOPY 233 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC 234 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC 235 FRACTURES OF FEMUR 236 FRACTURES OF HIP & PELVIS 237 SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH 238 OSTEOMYELITIS 239 PATHOLOGICAL FRACTURES & MUSCULOSKELETAL & CONN TISS MALIGNANCY 240 CONNECTIVE TISSUE DISORDERS W CC 241 CONNECTIVE TISSUE DISORDERS W/O CC 242 SEPTIC ARTHRITIS 243 MEDICAL BACK PROBLEMS 244 BONE DISEASES & SPECIFIC ARTHROPATHIES W CC 245 BONE DISEASES & SPECIFIC ARTHROPATHIES W/O CC 246 NON-SPECIFIC ARTHROPATHIES 247 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE 248 TENDONITIS, MYOSITIS & BURSITIS 249 AFTER CARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE 250 FX, SPRN, STRN & DISL OF FOREARM, HAND, FOOT AGE > 17 W CC 251 FX, SPRN, STRN & DISL OF FOREARM, HAND, FOOT AGE > 17 W/O CC 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 SYSTEM & CONNECTIVE TISSUE DIAGNOSES 257 TOTAL MASTECTOMY FOR MALIGNANCY W CC 258 TOTAL MASTECTOMY FOR MALIGNANCY W/O CC 259 SUBTOTAL MASTECTOMY FOR MALIGNANCY W CC 260 SUBTOTAL MASTECTOMY FOR MALIGNANCY W/O CC 261 BREAST PROC FOR NON-MALIGNANCY EXCEPT BIOPSY & LOCAL EXCISION 262 BREAST BIOPSY & LOCAL EXCISION FOR NON-MALIGNANCY 263 SKIN GRAFT &/OR DEBRID FOR SKN ULCER OR CELLULITIS W CC 264 SKIN GRAFT &/OR DEBRID FOR SKN ULCER OR CELLULITIS W/O CC 265 SKIN GRAFT &/OR DEBRID EXCEPT FOR SKIN ULCER OR CELLULITIS W CC 266 SKIN GRAFT &/OR DEBRID EXCEPT FOR SKIN ULCER OR CELLULITIS W/O CC 267 PERIANAL & PILONIDAL PROCEDURES 268 SKIN, SUBCUTANEOUS TISSUE & BREAST PLASTIC PROCEDURES 269 OTHER SKIN, SUBCUT TISS & BREAST PROC W CC 270 OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC 271 SKIN ULCERS 272 MAJOR SKIN DISORDERS W CC 273 MAJOR SKIN DISORDERS W/O CC 274 MALIGNANT BREAST DISORDERS W CC 275 MALIGNANT BREAST DISORDERS W/O CC 276 NON-MALIGNANT BREAST DISORDERS 277 CELLULITIS AGE > 17 W CC 278 CELLULITIS AGE > 17 W/O CC 279 CELLULITIS AGE 0-17 280 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE > 17 W CC 281 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE > 17 W/O CC 282 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE 0-17 283 MINOR SKIN DISORDERS W CC 284 MINOR SKIN DISORDERS W/O CC 285 AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT & METABOL DISORDERS 286 ADRENAL & PITUITARY PROCEDURES 287 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DISORDERS 288 O.R. PROCEDURES FOR OBESITY 289 PARATHYROID PROCEDURES 290 THYROID PROCEDURES 291 THYROGLOSSAL PROCEDURES 292 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC 293 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC 294 DIABETES AGE > 35 295 DIABETES AGE 0-35 296 NUTRITIONAL & MISC METABOLIC DISORDERS AGE > 17 W CC 297 NUTRITIONAL & MISC METABOLIC DISORDERS AGE > 17 W/O CC 298 NUTRITIONAL & MISC METABOLIC DISORDERS AGE 0-17 299 INBORN ERRORS OF METABOLISM 300 ENDOCRINE DISORDERS W CC 301 ENDOCRINE DISORDERS W/O CC 302 KIDNEY TRANSPLANT 303 KIDNEY, URETER & MAJOR BLADDER PROCEDURES FOR NEOPLASM 304 KIDNEY, URETER & MAJOR BLADDER PROC FOR NON-NEOPL W CC 305 KIDNEY, URETER & MAJOR BLADDER PROC FOR NON-NEOPL W/O CC 306 PROSTATECTOMY W CC 307 PROSTATECTOMY W/O CC 308 MINOR BLADDER PROCEDURES W CC 309 MINOR BLADDER PROCEDURES W/O CC 310 TRANSURETHRAL PROCEDURES W CC 311 TRANSURETHRAL PROCEDURES W/O CC 312 URETHRAL PROCEDURES AGE > 17 W CC 313 URETHRAL PROCEDURES AGE > 17 W/O CC 314 URETHRAL PROCEDURES AGE 0-17 315 OTHER KIDNEY & URINARY TRACT O.R. PROCEDURES 316 RENAL FAILURE 317 ADMIT FOR RENAL DIALYSIS 318 KIDNEY & URINARY TRACT NEOPLASMS W CC 319 KIDNEY & URINARY TRACT NEOPLASMS W/O CC 320 KIDNEY & URINARY TRACT INFECTIONS AGE > 17 W CC 321 KIDNEY & URINARY TRACT INFECTIONS AGE > 17 W/O CC 322 KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 323 URINARY STONES W CC, &/OR ESW LITHOTRIPSY 324 URINARY STONES W/O CC 325 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE > 17 W CC 326 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE > 17 W/O CC 327 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE 0-17 328 URETHRAL STRICTURE AGE > 17 W CC 329 URETHRAL STRICTURE AGE > 17 W/O CC 330 URETHRAL STRICTURE AGE 0-17 331 OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE > 17 W CC 332 OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE > 17 W/O CC 333 OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE 0-17 334 MAJOR MALE PELVIC PROCEDURES W CC 335 MAJOR MALE PELVIC PROCEDURES W/O CC 336 TRANSURETHRAL PROSTATECTOMY W CC 337 TRANSURETHRAL PROSTATECTOMY W/O CC 338 TESTES PROCEDURES, FOR MALIGNANCY 339 TESTES PROCEDURES, NON-MALIGNANCY AGE > 17 340 TESTES PROCEDURES, NON-MALIGNANCY AGE 0-17 341 PENIS PROCEDURES 342 CIRCUMCISION AGE > 17 343 CIRCUMCISION AGE 0-17 344 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY 345 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXCEPT FOR MALIGNANCY 346 MALIGNANCY, MALE REPRODUCTIVE SYSTEM, W CC 347 MALIGNANCY, MALE REPRODUCTIVE SYSTEM, W/O CC 348 BENIGN PROSTATIC HYPERTROPHY W CC 349 BENIGN PROSTATIC HYPERTROPHY W/O CC 350 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM 351 STERILIZATION, MALE 352 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES 353 PELVIC EVISCERATION, RADICAL HYSTERECTOMY & RADICAL VULVECTOMY 354 UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC 355 UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC 356 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 357 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY 358 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC 359 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC 360 VAGINA, CERVIX & VULVA PROCEDURES 361 LAPAROSCOPY & INCISIONAL TUBAL INTERRUPTION 362 ENDOSCOPIC TUBAL INTERRUPTION 363 D&C, CONIZATION & RADIO-IMPLANT, FOR MALIGNANCY 364 D&C, CONIZATION EXCEPT FOR MALIGNANCY 365 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES 366 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC 367 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC 368 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM 369 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS 370 CESAREAN SECTION W CC 371 CESAREAN SECTION W/O CC 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 (TABLE EXCLUDED) 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 > 17 393 SPLENECTOMY AGE 0-17 394 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS 395 RED BLOOD CELL DISORDERS AGE > 17 396 RED BLOOD CELL DISORDERS AGE 0-17 397 COAGULATION DISORDERS 398 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC 399 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC 400 LYMPHOMA & LEUKEMIA W/MAJOR O.R. PROCEDURE 401 LYMPHOMA & NON-ACUTE LEUKEMIA W/OTHER O.R. PROC W CC 402 LYMPHOMA & NON-ACUTE LEUKEMIA W/OTHER O.R. PROC W/O CC 403 LYMPHOMA & NON-ACUTE LEUKEMIA W CC 404 LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC 405 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE 0-17 406 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W/MAJ. O.R. PROC W CC 407 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W/MAJ. O.R. PROC W/O CC 408 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W/OTHER O.R. PROC 409 RADIOTHERAPY 410 CHEMOTHERAPY 411 HISTORY OF MALIGNANCY W/O ENDOSCOPY 412 HISTORY OF MALIGNANCY W/ENDOSCOPY 413 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC 414 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC 415 O.R. PROCEDURE FOR INFECTIOUS & PARASITIC DISEASES 416 SEPTICEMIA AGE > 17 417 SEPTICEMIA AGE 0-17 418 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS 419 FEVER OF UNKNOWN ORIGIN AGE > 17 W CC 420 FEVER OF UNKNOWN ORIGIN AGE > 17 W/O CC 421 VIRAL ILLNESS AGE > 17 422 VIRAL ILLNESS & FEVER OF UNKNOWN ORIGIN AGE 0-17 423 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES 424 O.R. PROCEDURE W/PRINCIPAL DIAGNOSES OF MENTAL ILLNESS 425 ACUTE ADJUST REACT & DISTURBANCES OF PSYCHOSOCIAL DYSFUNCTION 426 DEPRESSIVE NEUROSES 427 NEUROSES EXCEPT DEPRESSIVE 428 DISORDERS OF PERSONALITY & IMPLUSE CONTROL 429 ORGANIC DISTRIBANCES & MENTAL RETARDATION 430 PSYCHOSES 431 CHILDHOOD MENTAL DISORDERS 432 OTHER MENTAL DISORDER DIAGNOSES 433 ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA 434 ALC/DRUG ABUSE OR DEPEND, DETOX OR OTH SYMPT TREAT W CC 435 ALC/DRUG ABUSE OR DEPEND, DETOX OR OTH SYMPT TREAT W/O CC 436 ALC/DRUG DEPENDENCE, W/REHABILITATION THERAPY 437 ALC/DRUG DEPENDENCE, COMBINED REHAB & DETOX THERAPY 438 NO LONGER VALID 439 SKIN GRAFTS FOR INJURIES 440 WOUND DEBRIDEMENTS FOR INJURIES 441 HAND PROCEDURES FOR INJURIES 442 OTHER O.R. PROCEDURES FOR INJURIES W CC 443 OTHER O.R. PROCEDURES FOR INJURIES W/O CC 444 TRAUMATIC INJURY AGE > 17 W CC 445 TRAUMATIC INJURY AGE > 17 W/O CC 446 TRAUMATIC INJURY AGE 0-17 447 ALLERGIC REACTIONS AGE > 17 448 ALLERGIC REACTIONS AGE 0-17 449 POISONING & TOXIC EFFECTS OF DRUGS AGE > 17 W CC 450 POISONING & TOXIC EFFECTS OF DRUS AGE > 17 W/O CC 451 POISONING & TOXIC EFFECTS OF DRUGS AGE 0-17 452 COMPLICATIONS OF TREATMENT W CC 453 COMPLICATIONS OF TREATMENT W/O CC 454 OTHER INJURY, POISONING & TOXIC EFFECT DIAG W CC 455 OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O CC 456 BURNS, TRANSFERRED TO ANOTHER ACUTE CARE FACILITY TABLE EXCLUDED 457 EXTENSIVE BURNS W/O O.R. PROCEDURE 458 NON-EXTENSIVE BURNS W/SKIN GRAFT 459 NON-EXTENSIVE BURNS W/WOUND DEBRIDEMENT OR OTHER 460 NON-EXTENSIVE BURNS W/O O.R. PROCEDURE 461 O.R. PROC W/DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES 462 REHABILITATION 463 SIGNS & SYMPTOMS W CC 464 SIGNS & SYMPTOMS W/O CC 465 AFTERCARE W/HISTORY OF MALIGNANCY AS SECONDARY DIAGNOSIS 466 AFTERCARE W/O HISTORY OF MALIGNANCY AS SECONDARY DIAGNOSIS 467 OTHER FACTORS INFLUENCING HEALTH STATUS 468 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 469 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS 470 UNGROUPABLE 471 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY 472 EXTENSIVE BURNS W/O.R. PROCEDURE 473 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE > 17 474 NO LONGER VALID 475 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT 476 PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 477 NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 478 OTHER VASCULAR PROCEDURES W CC 479 OTHER VASCULAR PROCEDURES W/O CC 480 LIVER TRANSPLANT 481 BONE MARROW TRANSPLANT 482 TRACHEOSTOMY W/MOUTH, LARNXY OR PHARYNX DISORDER 483 TRACHEOSTOMY EXCEPT FOR MOUTH, LARNXY OR PHARYNX DISORDER 484 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 485 LIMB REATTACH., HIP AND FEMUR PROCS FOR MULTI SIGN TRAUMA 486 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 487 OTHER MULTIPLE SIGNIFICANT TRAUMA 488 HIV W EXTENSIVE O.R. PROCEDURE 489 HIV W MAJOR RELATED CONDITION 490 HIV W OR W/O OTHER RELATED CONDITION 491 MAJOR JOINT AND LIMB REATTACHMENT PROCEDURES, UPPER EXTREMITY 492 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS

(cf. §709.2[d] )

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