The Diagnosis Related Groups (DRGs) have been developed as the foundation of the Medicare hospital reimbursement system. These DRGs ( Diagnosis Related Groups) are a patient classification system that offers an approach to linking the types of patients that the hospital treats to the cost that the hospital incurs.
The process of designing and developing the DRGs began in the mid-sixties by Yale University. The primary motivation behind the development of DRGs was that DRGs was to develop an efficient framework to monitor health care quality as well as the use of services within hospitals. The first time that large-scale use was made of DRGs occurred in the latter part of the seventies in the State of New Jersey. In the late seventies, the New Jersey State Department of Health employed DRGs as the basis for a prospective payment system , in which hospitals were compensated with a fixed DRG certain amount to every patient they treated.
In 1982 The Tax Equity and Fiscal Responsibility Act amended Section 223 Medicare hospital reimbursement limits to include an adjustment for case-mix which was based on DRGs. In 1983, Congress changed the Social Security Act to include the national DRG-based hospital prospective payments system that would be available to the majority of Medicare patients.
The List of Diagnosis Related Groups is mentioned belowDRG Codes Description 001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC 002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC 003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES 004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES 005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT 006 LIVER TRANSPLANT WITHOUT MCC 007 LUNG TRANSPLANT 008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT 010 PANCREAS TRANSPLANT 011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC 012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC 013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC 014 ALLOGENEIC BONE MARROW TRANSPLANT 016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC 017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC 018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES 019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS 020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC 021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC 022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC 023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR 024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC 025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC 026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC 027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC 028 SPINAL PROCEDURES WITH MCC 029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS 030 SPINAL PROCEDURES WITHOUT CC/MCC 031 VENTRICULAR SHUNT PROCEDURES WITH MCC 032 VENTRICULAR SHUNT PROCEDURES WITH CC 033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC 034 CAROTID ARTERY STENT PROCEDURES WITH MCC 036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC 038 EXTRACRANIAL PROCEDURES WITH CC 040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC 042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC 053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC 055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC 057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC 059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC 061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC 063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC 065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS 067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC 069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC 071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC 073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC 075 VIRAL MENINGITIS WITH CC/MCC 077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC 079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC 081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC 083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC 085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC 087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC 089 CONCUSSION WITH CC 091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC 093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC 095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC 097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC 099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC 100 SEIZURES WITH MCC 101 SEIZURES WITHOUT MCC 102 HEADACHES WITH MCC 103 HEADACHES WITHOUT MCC 113 ORBITAL PROCEDURES WITH CC/MCC 114 ORBITAL PROCEDURES WITHOUT CC/MCC 115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT 116 INTRAOCULAR PROCEDURES WITH CC/MCC 117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC 121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC 122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC 123 NEUROLOGICAL EYE DISORDERS 124 OTHER DISORDERS OF THE EYE WITH MCC 125 OTHER DISORDERS OF THE EYE WITHOUT MCC 135 SINUS AND MASTOID PROCEDURES WITH CC/MCC 136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC 137 MOUTH PROCEDURES WITH CC/MCC 138 MOUTH PROCEDURES WITHOUT CC/MCC 139 SALIVARY GLAND PROCEDURES 140 MAJOR HEAD AND NECK PROCEDURES WITH MCC 141 MAJOR HEAD AND NECK PROCEDURES WITH CC 142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC 143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC 144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC 145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC 146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC 147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC 148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC 149 DYSEQUILIBRIUM 150 EPISTAXIS WITH MCC 151 EPISTAXIS WITHOUT MCC 152 OTITIS MEDIA AND URI WITH MCC 153 OTITIS MEDIA AND URI WITHOUT MCC 154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC 163 MAJOR CHEST PROCEDURES WITH MCC 164 MAJOR CHEST PROCEDURES WITH CC 165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC 166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC 167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC 168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC 175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE 176 PULMONARY EMBOLISM WITHOUT MCC 177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC 178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC 179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC 180 RESPIRATORY NEOPLASMS WITH MCC 181 RESPIRATORY NEOPLASMS WITH CC 182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC 183 MAJOR CHEST TRAUMA WITH MCC 184 MAJOR CHEST TRAUMA WITH CC 185 MAJOR CHEST TRAUMA WITHOUT CC/MCC 186 PLEURAL EFFUSION WITH MCC 187 PLEURAL EFFUSION WITH CC 188 PLEURAL EFFUSION WITHOUT CC/MCC 189 PULMONARY EDEMA AND RESPIRATORY FAILURE 190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC 191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC 192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC 193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC 194 SIMPLE PNEUMONIA AND PLEURISY WITH CC 195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC 196 INTERSTITIAL LUNG DISEASE WITH MCC 197 INTERSTITIAL LUNG DISEASE WITH CC 198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC 199 PNEUMOTHORAX WITH MCC 200 PNEUMOTHORAX WITH CC 201 PNEUMOTHORAX WITHOUT CC/MCC 202 BRONCHITIS AND ASTHMA WITH CC/MCC 203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC 204 RESPIRATORY SIGNS AND SYMPTOMS 205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC 206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC 207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS 208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS 215 OTHER HEART ASSIST SYSTEM IMPLANT 216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC 217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC 218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC 219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC 220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC 221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC 222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC 223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC 224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC 225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC 226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC 227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC 228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC 229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC 231 CORONARY BYPASS WITH PTCA WITH MCC 232 CORONARY BYPASS WITH PTCA WITHOUT MCC 233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC 234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC 235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC 236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC 239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC 240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC 241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC 242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC 243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC 244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC 245 AICD GENERATOR PROCEDURES 246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS 247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC 248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS 249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC 250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC 251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC 252 OTHER VASCULAR PROCEDURES WITH MCC 253 OTHER VASCULAR PROCEDURES WITH CC 254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC 255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC 256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC 257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC 258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC 259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC 260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC 261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC 262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC 263 VEIN LIGATION AND STRIPPING 264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES 265 AICD LEAD PROCEDURES 266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC 267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC 268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC 269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC 270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC 271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC 272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC 273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC 274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC 280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC 281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC 282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC 283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC 284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC 285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC 286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC 287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC 288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC 289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC 290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC 291 HEART FAILURE AND SHOCK WITH MCC 292 HEART FAILURE AND SHOCK WITH CC 293 HEART FAILURE AND SHOCK WITHOUT CC/MCC 294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC 293 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC 296 CARDIAC ARREST, UNEXPLAINED WITH MCC 297 CARDIAC ARREST, UNEXPLAINED WITH CC 298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC 299 PERIPHERAL VASCULAR DISORDERS WITH MCC 300 PERIPHERAL VASCULAR DISORDERS WITH CC 301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC 302 ATHEROSCLEROSIS WITH MCC 303 ATHEROSCLEROSIS WITHOUT MCC 304 HYPERTENSION WITH MCC 305 HYPERTENSION WITHOUT MCC 306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC 307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC 308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC 309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC 310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC 311 ANGINA PECTORIS 312 SYNCOPE AND COLLAPSE 313 CHEST PAIN 314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC 315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC 316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC 319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC 320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC 326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC 327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC 328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC 329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC 330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC 331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC 332 RECTAL RESECTION WITH MCC 333 RECTAL RESECTION WITH CC 334 RECTAL RESECTION WITHOUT CC/MCC 335 PERITONEAL ADHESIOLYSIS WITH MCC 336 PERITONEAL ADHESIOLYSIS WITH CC 337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC 338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC 339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC 340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC 341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC 342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC 343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC 344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC 345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC 346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC 347 ANAL AND STOMAL PROCEDURES WITH MCC 348 ANAL AND STOMAL PROCEDURES WITH CC 349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC 350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC 351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC 352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC 353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC 354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC 355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC 356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC 357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC 358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC 368 MAJOR ESOPHAGEAL DISORDERS WITH MCC 369 MAJOR ESOPHAGEAL DISORDERS WITH CC 370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC 371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC 372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC 373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC 374 DIGESTIVE MALIGNANCY WITH MCC 375 DIGESTIVE MALIGNANCY WITH CC 376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC 377 GASTROINTESTINAL HEMORRHAGE WITH MCC 378 GASTROINTESTINAL HEMORRHAGE WITH CC 379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC 380 COMPLICATED PEPTIC ULCER WITH MCC 381 COMPLICATED PEPTIC ULCER WITH CC 382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC 383 UNCOMPLICATED PEPTIC ULCER WITH MCC 384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC 385 INFLAMMATORY BOWEL DISEASE WITH MCC 386 INFLAMMATORY BOWEL DISEASE WITH CC 387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC 388 GASTROINTESTINAL OBSTRUCTION WITH MCC 389 GASTROINTESTINAL OBSTRUCTION WITH CC 390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC 391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC 392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC 393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC 394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC 395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC 405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC 406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC 407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC 408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC 409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC 410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC 411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC 412 CHOLECYSTECTOMY WITH C.D.E. WITH CC 413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC 414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC 415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC 416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC 417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC 418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC 419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC 420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC 421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC 422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC 423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC 424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC 425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC 432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC 433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC 434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC 435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC 436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC 437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC 438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC 439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC 440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC 441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC 442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC 443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC 444 DISORDERS OF THE BILIARY TRACT WITH MCC 445 DISORDERS OF THE BILIARY TRACT WITH CC 446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC 453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC 454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC 455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC 456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC 457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC 458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC 459 SPINAL FUSION EXCEPT CERVICAL WITH MCC 460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC 461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC 462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC 463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC 464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC 465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC 466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC 467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC 468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC 469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT 470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC 471 CERVICAL SPINAL FUSION WITH MCC 472 CERVICAL SPINAL FUSION WITH CC 473 CERVICAL SPINAL FUSION WITHOUT CC/MCC 474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC 475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC 475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC 477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC 478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC 479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC 480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC 481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC 482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC 483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES 485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC 486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC 487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC 488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC 489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC 492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC 493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC 494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC 495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC 496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC 497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC 498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC 499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC 500 SOFT TISSUE PROCEDURES WITH MCC 501 SOFT TISSUE PROCEDURES WITH CC 502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC 503 FOOT PROCEDURES WITH MCC 504 FOOT PROCEDURES WITH CC 505 FOOT PROCEDURES WITHOUT CC/MCC 506 MAJOR THUMB OR JOINT PROCEDURES 507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC 508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC 509 ARTHROSCOPY 510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC 511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC 512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC 513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC 514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC 515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC 516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC 517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC 518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR 519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC 520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC 521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC 522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC 533 FRACTURES OF FEMUR WITH MCC 534 FRACTURES OF FEMUR WITHOUT MCC 535 FRACTURES OF HIP AND PELVIS WITH MCC 536 FRACTURES OF HIP AND PELVIS WITHOUT MCC 537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC 538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC 539 OSTEOMYELITIS WITH MCC 540 OSTEOMYELITIS WITH CC 541 OSTEOMYELITIS WITHOUT CC/MCC 542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC 543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC 544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC 545 CONNECTIVE TISSUE DISORDERS WITH MCC 546 CONNECTIVE TISSUE DISORDERS WITH CC 547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC 548 SEPTIC ARTHRITIS WITH MCC 549 SEPTIC ARTHRITIS WITH CC 550 SEPTIC ARTHRITIS WITHOUT CC/MCC 551 MEDICAL BACK PROBLEMS WITH MCC 552 MEDICAL BACK PROBLEMS WITHOUT MCC 553 BONE DISEASES AND ARTHROPATHIES WITH MCC 554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC 555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC 556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC 557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC 558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC 559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC 560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC 561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC 562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC 563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC 564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC 565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC 566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC 570 SKIN DEBRIDEMENT WITH MCC 571 SKIN DEBRIDEMENT WITH CC 572 SKIN DEBRIDEMENT WITHOUT CC/MCC 573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC 574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC 575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC 576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC 577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC 578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC 579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC 580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC 581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC 582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC 583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC 584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC 585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC 592 SKIN ULCERS WITH MCC 593 SKIN ULCERS WITH CC 594 SKIN ULCERS WITHOUT CC/MCC 595 MAJOR SKIN DISORDERS WITH MCC 596 MAJOR SKIN DISORDERS WITHOUT MCC 597 MALIGNANT BREAST DISORDERS WITH MCC 598 MALIGNANT BREAST DISORDERS WITH CC 599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC 600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC 601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC 602 CELLULITIS WITH MCC 603 CELLULITIS WITHOUT MCC 604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC 605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC 606 MINOR SKIN DISORDERS WITH MCC 607 MINOR SKIN DISORDERS WITHOUT MCC 614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC 615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC 616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC 617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC 618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC 619 O.R. PROCEDURES FOR OBESITY WITH MCC 620 O.R. PROCEDURES FOR OBESITY WITH CC 621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC 622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC 623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC 624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC 625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC 626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC 627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC 628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC 629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC 630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC 637 DIABETES WITH MCC 638 DIABETES WITH CC 639 DIABETES WITHOUT CC/MCC 640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC 641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC 642 INBORN AND OTHER DISORDERS OF METABOLISM 643 ENDOCRINE DISORDERS WITH MCC 644 ENDOCRINE DISORDERS WITH CC 645 ENDOCRINE DISORDERS WITHOUT CC/MCC 650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC 651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC 652 KIDNEY TRANSPLANT 653 MAJOR BLADDER PROCEDURES WITH MCC 654 MAJOR BLADDER PROCEDURES WITH CC 655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC 656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC 657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC 658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC 659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC 660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC 661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC 662 MINOR BLADDER PROCEDURES WITH MCC 663 MINOR BLADDER PROCEDURES WITH CC 664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC 665 PROSTATECTOMY WITH MCC 666 PROSTATECTOMY WITH CC 667 PROSTATECTOMY WITHOUT CC/MCC 668 TRANSURETHRAL PROCEDURES WITH MCC 669 TRANSURETHRAL PROCEDURES WITH CC 670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC 671 URETHRAL PROCEDURES WITH CC/MCC 672 URETHRAL PROCEDURES WITHOUT CC/MCC 673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC 674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC 675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC 682 RENAL FAILURE WITH MCC 683 RENAL FAILURE WITH CC 684 RENAL FAILURE WITHOUT CC/MCC 686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC 687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC 688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC 689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC 690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC 693 URINARY STONES WITH MCC 694 URINARY STONES WITHOUT MCC 695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC 696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC 697 URETHRAL STRICTURE 698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC 699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC 700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC 707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC 708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC 709 PENIS PROCEDURES WITH CC/MCC 710 PENIS PROCEDURES WITHOUT CC/MCC 711 TESTES PROCEDURES WITH CC/MCC 712 TESTES PROCEDURES WITHOUT CC/MCC 713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC 714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC 715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC 716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC 717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC 718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC 722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC 723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC 724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC 725 BENIGN PROSTATIC HYPERTROPHY WITH MCC 726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC 727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC 728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC 729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC 730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC 734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC 735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC 736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC 737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC 738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC 739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC 740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC 741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC 742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC 743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC 744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC 745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC 746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC 747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC 748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES 749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC 780 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC 754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC 755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC 756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC 757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC 758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC 759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC 760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC 761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC 768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C 769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES 770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY 776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES 779 ABORTION WITHOUT D&C 783 CESAREAN SECTION WITH STERILIZATION WITH MCC 784 CESAREAN SECTION WITH STERILIZATION WITH CC 785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC 786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC 787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC 788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC 796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC 797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC 798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC 805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC 806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC 807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC 817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC 818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC 819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC 831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC 832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC 833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC 789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY 790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE 791 PREMATURITY WITH MAJOR PROBLEMS 792 PREMATURITY WITHOUT MAJOR PROBLEMS 793 FULL TERM NEONATE WITH MAJOR PROBLEMS 794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS 795 NORMAL NEWBORN 799 SPLENECTOMY WITH MCC 800 SPLENECTOMY WITH CC 801 SPLENECTOMY WITHOUT CC/MCC 802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC 803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC 804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC 808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC 809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC 810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC 811 RED BLOOD CELL DISORDERS WITH MCC 812 RED BLOOD CELL DISORDERS WITHOUT MCC 813 COAGULATION DISORDERS 814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC 815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC 816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC 820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC 821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC 822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC 823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC 824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC 825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC 826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC 827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC 828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC 829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC 830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC 834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC 835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC 836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC 837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC 838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT 839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC 840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC 840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC 842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC 843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC 844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC 845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC 846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC 847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC 848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC 849 RADIOTHERAPY 853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC 854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC 855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC 856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC 857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC 858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC 862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC 863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC 864 FEVER AND INFLAMMATORY CONDITIONS 865 VIRAL ILLNESS WITH MCC 866 VIRAL ILLNESS WITHOUT MCC 867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC 868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC 869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC 870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS 871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC 872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC 876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS 880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION 881 DEPRESSIVE NEUROSES 882 NEUROSES EXCEPT DEPRESSIVE 883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL 884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY 885 PSYCHOSES 886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS 887 OTHER MENTAL DISORDER DIAGNOSES 894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA 895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY 896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC 897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC 901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC 902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC 903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC 904 SKIN GRAFTS FOR INJURIES WITH CC/MCC 905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC 906 HAND PROCEDURES FOR INJURIES 907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC 908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC 909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC 913 TRAUMATIC INJURY WITH MCC 914 TRAUMATIC INJURY WITHOUT MCC 915 ALLERGIC REACTIONS WITH MCC 916 ALLERGIC REACTIONS WITHOUT MCC 917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC 918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC 919 COMPLICATIONS OF TREATMENT WITH MCC 920 COMPLICATIONS OF TREATMENT WITH CC 921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC 922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC 923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC 927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT 928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC 929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC 933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT 934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY 935 NON-EXTENSIVE BURNS 939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC 940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC 941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC 945 REHABILITATION WITH CC/MCC 946 REHABILITATION WITHOUT CC/MCC 947 SIGNS AND SYMPTOMS WITH MCC 948 SIGNS AND SYMPTOMS WITHOUT MCC 949 AFTERCARE WITH CC/MCC 950 AFTERCARE WITHOUT CC/MCC 951 OTHER FACTORS INFLUENCING HEALTH STATUS 955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA 956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA 957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC 958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC 959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC 963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC 964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC 965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC 969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC 970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC 974 HIV WITH MAJOR RELATED CONDITION WITH MCC 975 HIV WITH MAJOR RELATED CONDITION WITH CC 976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC 977 HIV WITH OR WITHOUT OTHER RELATED CONDITION 981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC 982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC 983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC 987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC 988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC 989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC 998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS 999 UNGROUPABLE
Diagnosis related groups (DRGs), are essentially bundled payments for hospital services, categorized by diagnosis and severity.
- MCC Stands for – Multiple Chronic Conditions
- CC Stands for – Chronic Condition
Information Reffrence – All information in the article is taken from authorized sources like www.cms.gov and https://www.aapc.com etc, if any discrepancy is found please let us know through contact us page.
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The author and contributor of this blog "NSingh" is working in Medical Billing and Coding since 2010. He is MBA in marketing and Having vaste experience in different scopes of Medical Billing and Coding as AR-Follow-up, Payment Posting, Charge posting, Coding, etc.