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Routine: ICD115I

ICD115I.m

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  1. ICD115I ;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.  ;
  1.  ; Updates for DRGS 481-639
  1.  Q
  1.  ;
  1. MSDRG ;;MS-DRG^MDC^TYPE^MS-DRG TITLE^WEIGHTS^GEOMETRIC MEAN LOS
  1.  ;;481^08^SURG^HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC^2.0749^4.5
  1.  ;;482^08^SURG^HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC^1.5884^3.2
  1.  ;;483^08^SURG^MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES^2.4842^1.7
  1.  ;;485^08^SURG^KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC^3.294^8.3
  1.  ;;486^08^SURG^KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC^2.0083^5
  1.  ;;487^08^SURG^KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC^1.5449^3.5
  1.  ;;488^08^SURG^KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC^2.1066^3.1
  1.  ;;489^08^SURG^KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC^1.2377^1.5
  1.  ;;492^08^SURG^LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC^3.4621^6.7
  1.  ;;493^08^SURG^LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC^2.4017^4.2
  1.  ;;494^08^SURG^LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC^1.8692^2.8
  1.  ;;495^08^SURG^LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC^3.5812^7.7
  1.  ;;496^08^SURG^LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC^1.9875^3.4
  1.  ;;497^08^SURG^LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC^1.4274^1.8
  1.  ;;498^08^SURG^LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC^2.611^5.9
  1.  ;;499^08^SURG^LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC^1.2898^1.9
  1.  ;;500^08^SURG^SOFT TISSUE PROCEDURES WITH MCC^3.2428^7.8
  1.  ;;501^08^SURG^SOFT TISSUE PROCEDURES WITH CC^1.7357^4.1
  1.  ;;502^08^SURG^SOFT TISSUE PROCEDURES WITHOUT CC/MCC^1.3827^2.3
  1.  ;;503^08^SURG^FOOT PROCEDURES WITH MCC^2.6819^7.3
  1.  ;;504^08^SURG^FOOT PROCEDURES WITH CC^1.7271^4.5
  1.  ;;505^08^SURG^FOOT PROCEDURES WITHOUT CC/MCC^1.7057^2.6
  1.  ;;506^08^SURG^MAJOR THUMB OR JOINT PROCEDURES^1.4626^4
  1.  ;;507^08^SURG^MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC^2.1317^5.5
  1.  ;;508^08^SURG^MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC^1.434^2.3
  1.  ;;509^08^SURG^ARTHROSCOPY^1.3262^3.3
  1.  ;;510^08^SURG^SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC^2.7206^5
  1.  ;;511^08^SURG^SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC^1.9938^3.4
  1.  ;;512^08^SURG^SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC^1.6138^2.2
  1.  ;;513^08^SURG^HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC^1.621^3.9
  1.  ;;514^08^SURG^HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC^1.0415^2.2
  1.  ;;515^08^SURG^OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC^3.1615^7
  1.  ;;516^08^SURG^OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC^2.0408^3.9
  1.  ;;517^08^SURG^OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC^1.4944^2.3
  1.  ;;518^08^SURG^BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR^3.6518^5.5
  1.  ;;519^08^SURG^BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC^1.9686^3.2
  1.  ;;520^08^SURG^BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC^1.4315^2
  1.  ;;521^08^SURG^HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC^2.9942^6.4
  1.  ;;522^08^SURG^HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC^2.1122^4.1
  1.  ;;533^08^MED^FRACTURES OF FEMUR WITH MCC^1.6314^4.6
  1.  ;;534^08^MED^FRACTURES OF FEMUR WITHOUT MCC^0.81^2.8
  1.  ;;535^08^MED^FRACTURES OF HIP AND PELVIS WITH MCC^1.2967^3.9
  1.  ;;536^08^MED^FRACTURES OF HIP AND PELVIS WITHOUT MCC^0.7871^2.8
  1.  ;;537^08^MED^SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC^0.967^3.1
  1.  ;;538^08^MED^SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC^0.7091^2.2
  1.  ;;539^08^MED^OSTEOMYELITIS WITH MCC^1.9844^6.4
  1.  ;;540^08^MED^OSTEOMYELITIS WITH CC^1.2982^4.4
  1.  ;;541^08^MED^OSTEOMYELITIS WITHOUT CC/MCC^0.8579^3
  1.  ;;542^08^MED^PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC^1.8237^5.2
  1.  ;;543^08^MED^PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC^1.0907^3.5
  1.  ;;544^08^MED^PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC^0.7675^2.6
  1.  ;;545^08^MED^CONNECTIVE TISSUE DISORDERS WITH MCC^2.4932^5.8
  1.  ;;546^08^MED^CONNECTIVE TISSUE DISORDERS WITH CC^1.1993^3.5
  1.  ;;547^08^MED^CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC^0.8134^2.4
  1.  ;;548^08^MED^SEPTIC ARTHRITIS WITH MCC^1.9498^6.1
  1.  ;;549^08^MED^SEPTIC ARTHRITIS WITH CC^1.2062^4.1
  1.  ;;550^08^MED^SEPTIC ARTHRITIS WITHOUT CC/MCC^0.9208^3.1
  1.  ;;551^08^MED^MEDICAL BACK PROBLEMS WITH MCC^1.7019^4.6
  1.  ;;552^08^MED^MEDICAL BACK PROBLEMS WITHOUT MCC^0.9663^2.9
  1.  ;;553^08^MED^BONE DISEASES AND ARTHROPATHIES WITH MCC^1.3515^4.2
  1.  ;;554^08^MED^BONE DISEASES AND ARTHROPATHIES WITHOUT MCC^0.8218^2.8
  1.  ;;555^08^MED^SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC^1.399^3.9
  1.  ;;556^08^MED^SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC^0.8244^2.6
  1.  ;;557^08^MED^TENDONITIS, MYOSITIS AND BURSITIS WITH MCC^1.5568^5.1
  1.  ;;558^08^MED^TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC^0.8784^3.1
  1.  ;;559^08^MED^AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC^1.8505^5.1
  1.  ;;560^08^MED^AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC^1.1321^3.9
  1.  ;;561^08^MED^AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC^0.7802^2.7
  1.  ;;562^08^MED^FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC^1.5207^4.3
  1.  ;;563^08^MED^FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC^0.8956^2.8
  1.  ;;564^08^MED^OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC^1.5619^5
  1.  ;;565^08^MED^OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC^0.9994^3.3
  1.  ;;566^08^MED^OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC^0.7505^2.4
  1.  ;;570^09^SURG^SKIN DEBRIDEMENT WITH MCC^2.9222^7.9
  1.  ;;571^09^SURG^SKIN DEBRIDEMENT WITH CC^1.6919^5.1
  1.  ;;572^09^SURG^SKIN DEBRIDEMENT WITHOUT CC/MCC^1.1396^3
  1.  ;;573^09^SURG^SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC^6.2181^12.2
  1.  ;;574^09^SURG^SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC^3.4058^8
  1.  ;;575^09^SURG^SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC^2.046^4.4
  1.  ;;576^09^SURG^SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC^5.6831^9.3
  1.  ;;577^09^SURG^SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC^2.6491^4.6
  1.  ;;578^09^SURG^SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC^1.6105^2.6
  1.  ;;579^09^SURG^OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC^3.3422^8
  1.  ;;580^09^SURG^OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC^1.7466^4.1
  1.  ;;581^09^SURG^OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC^1.3467^2.1
  1.  ;;582^09^SURG^MASTECTOMY FOR MALIGNANCY WITH CC/MCC^1.6671^2.4
  1.  ;;583^09^SURG^MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC^1.5219^1.7
  1.  ;;584^09^SURG^BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC^1.9586^3.5
  1.  ;;585^09^SURG^BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC^1.684^2.1
  1.  ;;592^09^MED^SKIN ULCERS WITH MCC^2.0901^5.9
  1.  ;;593^09^MED^SKIN ULCERS WITH CC^1.2099^4.3
  1.  ;;594^09^MED^SKIN ULCERS WITHOUT CC/MCC^0.7874^3.1
  1.  ;;595^09^MED^MAJOR SKIN DISORDERS WITH MCC^2.175^5.7
  1.  ;;596^09^MED^MAJOR SKIN DISORDERS WITHOUT MCC^1.009^3.5
  1.  ;;597^09^MED^MALIGNANT BREAST DISORDERS WITH MCC^1.6005^4.7
  1.  ;;598^09^MED^MALIGNANT BREAST DISORDERS WITH CC^1.1988^3.4
  1.  ;;599^09^MED^MALIGNANT BREAST DISORDERS WITHOUT CC/MCC^0.6214^1.9
  1.  ;;600^09^MED^NON-MALIGNANT BREAST DISORDERS WITH CC/MCC^1.0255^3.4
  1.  ;;601^09^MED^NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC^0.6226^2.5
  1.  ;;602^09^MED^CELLULITIS WITH MCC^1.4875^4.8
  1.  ;;603^09^MED^CELLULITIS WITHOUT MCC^0.8847^3.2
  1.  ;;604^09^MED^TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC^1.5062^3.9
  1.  ;;605^09^MED^TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC^0.9088^2.6
  1.  ;;606^09^MED^MINOR SKIN DISORDERS WITH MCC^1.5858^4.7
  1.  ;;607^09^MED^MINOR SKIN DISORDERS WITHOUT MCC^0.8935^3
  1.  ;;614^10^SURG^ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC^2.2524^2.8
  1.  ;;615^10^SURG^ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC^1.4711^1.6
  1.  ;;616^10^SURG^AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC^3.9577^10.1
  1.  ;;617^10^SURG^AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC^1.9845^5.8
  1.  ;;618^10^SURG^AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC^1.1615^3.4
  1.  ;;619^10^SURG^O.R. PROCEDURES FOR OBESITY WITH MCC^2.5885^2.6
  1.  ;;620^10^SURG^O.R. PROCEDURES FOR OBESITY WITH CC^1.6222^1.6
  1.  ;;621^10^SURG^O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC^1.5173^1.3
  1.  ;;622^10^SURG^SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC^3.8256^9.3
  1.  ;;623^10^SURG^SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC^1.8614^5.4
  1.  ;;624^10^SURG^SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC^1.1145^2.9
  1.  ;;625^10^SURG^THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC^2.9212^5.1
  1.  ;;626^10^SURG^THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC^1.4919^2
  1.  ;;627^10^SURG^THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC^1.236^1.3
  1.  ;;628^10^SURG^OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC^4.0145^8.4
  1.  ;;629^10^SURG^OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC^2.2628^6.2
  1.  ;;630^10^SURG^OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC^1.3963^2.1
  1.  ;;637^10^MED^DIABETES WITH MCC^1.4493^4.1
  1.  ;;638^10^MED^DIABETES WITH CC^0.8994^3
  1.  ;;639^10^MED^DIABETES WITHOUT CC/MCC^0.6225^2.1
  1.  ;;EXIT