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Routine: ICD115F

ICD115F.m

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  1. ICD115F ;ALB/DMR - YEARLY DRG UPDATE; October 01, 2020@15:42
  1. ;;18.0;DRG Grouper;**115**;October 20, 2000;Build 7
  1. ;Per VA Directive 6402, this routine should not be modified.
  1. ;Updates for DRGS 0-168
  1. Q
  1. ;
  1. MSDRG ;;MS-DRG^MDC^TYPE^MS-DRG TITLE^WEIGHTS^GEOMETRIC MEAN LOS
  1. ;;1^98^SURG^HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC^27.0986^30.3
  1. ;;2^98^SURG^HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC^12.2441^9.6
  1. ;;3^98^SURG^ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES^21.3203^26.7
  1. ;;4^98^SURG^TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES^14.7^26.1
  1. ;;5^98^SURG^LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT^10.35^14.8
  1. ;;6^98^SURG^LIVER TRANSPLANT WITHOUT MCC^4.8369^7.8
  1. ;;7^98^SURG^LUNG TRANSPLANT^12.2664^18.5
  1. ;;8^98^SURG^SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT^5.2617^8.7
  1. ;;10^98^SURG^PANCREAS TRANSPLANT^4.8136^9.5
  1. ;;11^98^SURG^TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC^5.1563^11.5
  1. ;;12^98^SURG^TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC^4.0049^8.5
  1. ;;13^98^SURG^TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC^2.6857^6.3
  1. ;;14^98^MED^ALLOGENEIC BONE MARROW TRANSPLANT^11.4609^25.6
  1. ;;16^98^MED^AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC^6.177^16.6
  1. ;;17^98^MED^AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC^6.177^16.6
  1. ;;18^98^MED^CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES^36.8427^12.9
  1. ;;19^98^SURG^SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS^7.9935^11.6
  1. ;;20^01^SURG^INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC^8.4524^10.2
  1. ;;21^01^SURG^INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC^6.1414^6.3
  1. ;;22^01^SURG^INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC^3.4767^2.5
  1. ;;23^01^SURG^CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR^5.6688^7.5
  1. ;;24^01^SURG^CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC^3.7888^4
  1. ;;25^01^SURG^CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC^4.416^6.6
  1. ;;26^01^SURG^CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC^2.9531^3.1
  1. ;;27^01^SURG^CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC^2.4329^1.6
  1. ;;28^01^SURG^SPINAL PROCEDURES WITH MCC^6.0261^10.2
  1. ;;29^01^SURG^SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS^3.4282^4.9
  1. ;;30^01^SURG^SPINAL PROCEDURES WITHOUT CC/MCC^2.319^2.7
  1. ;;31^01^SURG^VENTRICULAR SHUNT PROCEDURES WITH MCC^4.1166^7
  1. ;;32^01^SURG^VENTRICULAR SHUNT PROCEDURES WITH CC^2.1538^2.7
  1. ;;33^01^SURG^VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC^1.6229^1.6
  1. ;;34^01^SURG^CAROTID ARTERY STENT PROCEDURES WITH MCC^3.9014^4.9
  1. ;;35^01^SURG^CAROTID ARTERY STENT PROCEDURES WITH CC^2.2995^2
  1. ;;36^01^SURG^CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC^1.8082^1.2
  1. ;;37^01^SURG^EXTRACRANIAL PROCEDURES WITH MCC^3.3756^5.1
  1. ;;38^01^SURG^EXTRACRANIAL PROCEDURES WITH CC^1.5999^1.9
  1. ;;39^01^SURG^EXTRACRANIAL PROCEDURES WITHOUT CC/MCC^1.141^1.2
  1. ;;40^01^SURG^PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC^3.8505^7.4
  1. ;;41^01^SURG^PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR^2.2307^3.9
  1. ;;42^01^SURG^PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC^1.7398^2.4
  1. ;;52^01^MED^SPINAL DISORDERS AND INJURIES WITH CC/MCC^1.9445^4.6
  1. ;;53^01^MED^SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC^0.9838^2.8
  1. ;;54^01^MED^NERVOUS SYSTEM NEOPLASMS WITH MCC^1.4735^4
  1. ;;55^01^MED^NERVOUS SYSTEM NEOPLASMS WITHOUT MCC^1.0732^3
  1. ;;56^01^MED^DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC^2.394^6.1
  1. ;;57^01^MED^DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC^1.3632^4
  1. ;;58^01^MED^MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC^1.7279^4.7
  1. ;;59^01^MED^MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC^1.1872^3.7
  1. ;;60^01^MED^MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC^0.8974^2.9
  1. ;;61^01^MED^ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC^2.8028^5
  1. ;;62^01^MED^ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC^1.8717^3.2
  1. ;;63^01^MED^ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC^1.4868^2.2
  1. ;;64^01^MED^INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC^2.003^4.6
  1. ;;65^01^MED^INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS^1.0164^2.9
  1. ;;66^01^MED^INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC^0.6875^1.9
  1. ;;67^01^MED^NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC^1.4169^3.3
  1. ;;68^01^MED^NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC^0.871^2.1
  1. ;;69^01^MED^TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC^0.7987^2.1
  1. ;;70^01^MED^NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC^1.7895^4.9
  1. ;;71^01^MED^NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC^1.0618^3.4
  1. ;;72^01^MED^NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC^0.783^2.4
  1. ;;73^01^MED^CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC^1.513^3.9
  1. ;;74^01^MED^CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC^1.0262^2.9
  1. ;;75^01^MED^VIRAL MENINGITIS WITH CC/MCC^1.9138^6
  1. ;;76^01^MED^VIRAL MENINGITIS WITHOUT CC/MCC^0.9225^3.2
  1. ;;77^01^MED^HYPERTENSIVE ENCEPHALOPATHY WITH MCC^1.5109^4.1
  1. ;;78^01^MED^HYPERTENSIVE ENCEPHALOPATHY WITH CC^1.0169^2.9
  1. ;;79^01^MED^HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC^0.7408^2.2
  1. ;;80^01^MED^NONTRAUMATIC STUPOR AND COMA WITH MCC^2.2087^5.4
  1. ;;81^01^MED^NONTRAUMATIC STUPOR AND COMA WITHOUT MCC^0.9095^2.7
  1. ;;82^01^MED^TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC^2.2783^4.5
  1. ;;83^01^MED^TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC^1.3564^3.3
  1. ;;84^01^MED^TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC^0.9197^2.1
  1. ;;85^01^MED^TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC^2.2728^4.7
  1. ;;86^01^MED^TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC^1.3171^3
  1. ;;87^01^MED^TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC^0.8862^2
  1. ;;88^01^MED^CONCUSSION WITH MCC^1.5338^3.9
  1. ;;89^01^MED^CONCUSSION WITH CC^1.1499^2.5
  1. ;;90^01^MED^CONCUSSION WITHOUT CC/MCC^0.9348^1.9
  1. ;;91^01^MED^OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC^1.7892^4.5
  1. ;;92^01^MED^OTHER DISORDERS OF NERVOUS SYSTEM WITH CC^1.0261^3.1
  1. ;;93^01^MED^OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC^0.7744^2.2
  1. ;;94^01^MED^BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC^3.6227^8.6
  1. ;;95^01^MED^BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC^2.3842^5.9
  1. ;;96^01^MED^BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC^2.1797^4.5
  1. ;;97^01^MED^NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC^3.6369^9.1
  1. ;;98^01^MED^NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC^2.1545^6.1
  1. ;;99^01^MED^NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC^1.3202^3.9
  1. ;;100^01^MED^SEIZURES WITH MCC^1.9825^4.5
  1. ;;101^01^MED^SEIZURES WITHOUT MCC^0.9096^2.7
  1. ;;102^01^MED^HEADACHES WITH MCC^1.2066^3.1
  1. ;;103^01^MED^HEADACHES WITHOUT MCC^0.8424^2.3
  1. ;;113^02^SURG^ORBITAL PROCEDURES WITH CC/MCC^2.5073^4.9
  1. ;;114^02^SURG^ORBITAL PROCEDURES WITHOUT CC/MCC^1.2318^2.1
  1. ;;115^02^SURG^EXTRAOCULAR PROCEDURES EXCEPT ORBIT^1.5644^3.6
  1. ;;116^02^SURG^INTRAOCULAR PROCEDURES WITH CC/MCC^1.8308^4.2
  1. ;;117^02^SURG^INTRAOCULAR PROCEDURES WITHOUT CC/MCC^1.1984^2
  1. ;;121^02^MED^ACUTE MAJOR EYE INFECTIONS WITH CC/MCC^1.2812^4.4
  1. ;;122^02^MED^ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC^0.7445^3
  1. ;;123^02^MED^NEUROLOGICAL EYE DISORDERS^0.804^2.1
  1. ;;124^02^MED^OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT^1.3219^3.4
  1. ;;125^02^MED^OTHER DISORDERS OF THE EYE WITHOUT MCC^0.7975^2.3
  1. ;;135^03^SURG^SINUS AND MASTOID PROCEDURES WITH CC/MCC^2.6521^4.2
  1. ;;136^03^SURG^SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC^0.9391^1.3
  1. ;;137^03^SURG^MOUTH PROCEDURES WITH CC/MCC^1.5047^3.7
  1. ;;138^03^SURG^MOUTH PROCEDURES WITHOUT CC/MCC^0.8657^1.6
  1. ;;139^03^SURG^SALIVARY GLAND PROCEDURES^1.1877^2.2
  1. ;;140^03^SURG^MAJOR HEAD AND NECK PROCEDURES WITH MCC^3.7781^7
  1. ;;141^03^SURG^MAJOR HEAD AND NECK PROCEDURES WITH CC^2.0717^3.1
  1. ;;142^03^SURG^MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC^1.545^2
  1. ;;143^03^SURG^OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC^3.3256^6.3
  1. ;;144^03^SURG^OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC^1.7305^3
  1. ;;145^03^SURG^OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC^1.2211^1.7
  1. ;;146^03^MED^EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC^2.111^5.5
  1. ;;147^03^MED^EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC^1.2358^3.6
  1. ;;148^03^MED^EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC^0.8897^2.2
  1. ;;149^03^MED^DYSEQUILIBRIUM^0.7447^1.9
  1. ;;150^03^MED^EPISTAXIS WITH MCC^1.3145^3.4
  1. ;;151^03^MED^EPISTAXIS WITHOUT MCC^0.7707^2.2
  1. ;;152^03^MED^OTITIS MEDIA AND URI WITH MCC^1.1882^3.2
  1. ;;153^03^MED^OTITIS MEDIA AND URI WITHOUT MCC^0.7348^2.3
  1. ;;154^03^MED^OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC^1.5382^4.2
  1. ;;155^03^MED^OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC^0.9466^2.9
  1. ;;156^03^MED^OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC^0.6555^2.1
  1. ;;157^03^MED^DENTAL AND ORAL DISEASES WITH MCC^1.707^4.7
  1. ;;158^03^MED^DENTAL AND ORAL DISEASES WITH CC^0.9385^2.9
  1. ;;159^03^MED^DENTAL AND ORAL DISEASES WITHOUT CC/MCC^0.6752^2
  1. ;;163^04^SURG^MAJOR CHEST PROCEDURES WITH MCC^4.7136^7.5
  1. ;;164^04^SURG^MAJOR CHEST PROCEDURES WITH CC^2.5504^3.7
  1. ;;165^04^SURG^MAJOR CHEST PROCEDURES WITHOUT CC/MCC^1.8764^2.2
  1. ;;166^04^SURG^OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC^4.0578^8.4
  1. ;;167^04^SURG^OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC^1.8198^3.5
  1. ;;168^04^SURG^OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC^1.3557^1.8
  1. ;;EXIT