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Routine: ICD120F

ICD120F.m

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  1. ICD120F ;ALB/RFS - YEARLY DRG UPDATE; August 15, 2024@15:24
  1. ;;18.0;DRG Grouper;**120**;October 20, 2000;Build 4
  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^PRE^SURG^HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC^28.1664^28.5
  1. ;;2^PRE^SURG^HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC^9.4038^11.6
  1. ;;3^PRE^SURG^ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES^21.4302^24.1
  1. ;;4^PRE^SURG^TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES^14.1291^23.1
  1. ;;5^PRE^SURG^LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT^10.6486^14.2
  1. ;;6^PRE^SURG^LIVER TRANSPLANT WITHOUT MCC^4.8489^7.5
  1. ;;7^PRE^SURG^LUNG TRANSPLANT^13.0679^20.2
  1. ;;8^PRE^SURG^SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT^5.4408^8.6
  1. ;;10^PRE^SURG^PANCREAS TRANSPLANT^7.9726^9.4
  1. ;;11^PRE^SURG^TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC^5.3956^11.7
  1. ;;12^PRE^SURG^TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC^4.1034^8.5
  1. ;;13^PRE^SURG^TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC^2.6498^6.2
  1. ;;14^PRE^MED^ALLOGENEIC BONE MARROW TRANSPLANT^13.1009^27.6
  1. ;;16^PRE^MED^AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC^6.0355^16.3
  1. ;;17^PRE^MED^AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC^6.0355^16.3
  1. ;;18^PRE^MED^CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES^37.7102^12.3
  1. ;;19^PRE^SURG^SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS^7.9267^11.1
  1. ;;20^01^SURG^INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC^8.0605^9.5
  1. ;;21^01^SURG^INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC^5.3405^5.2
  1. ;;22^01^SURG^INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC^2.7618^1.7
  1. ;;23^01^SURG^CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR^5.7047^7.3
  1. ;;24^01^SURG^CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC^3.8014^3.9
  1. ;;25^01^SURG^CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC^4.472^6.5
  1. ;;26^01^SURG^CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC^3.0584^3
  1. ;;27^01^SURG^CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC^2.4676^1.6
  1. ;;28^01^SURG^SPINAL PROCEDURES WITH MCC^6.0791^9.8
  1. ;;29^01^SURG^SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS^3.3565^4.7
  1. ;;30^01^SURG^SPINAL PROCEDURES WITHOUT CC/MCC^2.2252^2.5
  1. ;;31^01^SURG^VENTRICULAR SHUNT PROCEDURES WITH MCC^4.1903^7
  1. ;;32^01^SURG^VENTRICULAR SHUNT PROCEDURES WITH CC^2.1355^2.7
  1. ;;33^01^SURG^VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC^1.5954^1.5
  1. ;;34^01^SURG^CAROTID ARTERY STENT PROCEDURES WITH MCC^3.8885^4.7
  1. ;;35^01^SURG^CAROTID ARTERY STENT PROCEDURES WITH CC^2.2746^1.9
  1. ;;36^01^SURG^CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC^1.833^1.2
  1. ;;37^01^SURG^EXTRACRANIAL PROCEDURES WITH MCC^3.3207^4.9
  1. ;;38^01^SURG^EXTRACRANIAL PROCEDURES WITH CC^1.6111^1.9
  1. ;;39^01^SURG^EXTRACRANIAL PROCEDURES WITHOUT CC/MCC^1.1382^1.2
  1. ;;40^01^SURG^PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC^3.7718^7
  1. ;;41^01^SURG^PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR^2.2586^3.9
  1. ;;42^01^SURG^PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC^1.7575^2.4
  1. ;;52^01^MED^SPINAL DISORDERS AND INJURIES WITH CC/MCC^2.0124^4.2
  1. ;;53^01^MED^SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC^0.9213^2.6
  1. ;;54^01^MED^NERVOUS SYSTEM NEOPLASMS WITH MCC^1.4991^4
  1. ;;55^01^MED^NERVOUS SYSTEM NEOPLASMS WITHOUT MCC^1.0909^3.1
  1. ;;56^01^MED^DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC^2.504^6
  1. ;;57^01^MED^DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC^1.3347^3.8
  1. ;;58^01^MED^MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC^1.8457^4.9
  1. ;;59^01^MED^MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC^1.2235^3.6
  1. ;;60^01^MED^MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC^0.8924^2.8
  1. ;;61^01^MED^ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC^2.7032^4.8
  1. ;;62^01^MED^ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC^1.7808^3.1
  1. ;;63^01^MED^ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC^1.4047^2.2
  1. ;;64^01^MED^INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC^1.9891^4.5
  1. ;;65^01^MED^INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS^1.017^2.8
  1. ;;66^01^MED^INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC^0.6883^1.9
  1. ;;67^01^MED^NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC^1.4558^3.3
  1. ;;68^01^MED^NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC^0.8816^2
  1. ;;69^01^MED^TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC^0.8002^2
  1. ;;70^01^MED^NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC^1.7387^4.6
  1. ;;71^01^MED^NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC^1.0538^3.3
  1. ;;72^01^MED^NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC^0.7501^2.2
  1. ;;73^01^MED^CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC^1.5455^3.9
  1. ;;74^01^MED^CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC^1.0424^2.8
  1. ;;75^01^MED^VIRAL MENINGITIS WITH CC/MCC^1.6621^5.3
  1. ;;76^01^MED^VIRAL MENINGITIS WITHOUT CC/MCC^0.9169^3.4
  1. ;;77^01^MED^HYPERTENSIVE ENCEPHALOPATHY WITH MCC^1.5462^4.2
  1. ;;78^01^MED^HYPERTENSIVE ENCEPHALOPATHY WITH CC^0.9978^2.8
  1. ;;79^01^MED^HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC^0.6616^1.9
  1. ;;80^01^MED^NONTRAUMATIC STUPOR AND COMA WITH MCC^1.9695^4.9
  1. ;;81^01^MED^NONTRAUMATIC STUPOR AND COMA WITHOUT MCC^0.9048^2.8
  1. ;;82^01^MED^TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC^2.3201^4.5
  1. ;;83^01^MED^TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC^1.3903^3.3
  1. ;;84^01^MED^TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC^0.956^2.1
  1. ;;85^01^MED^TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC^2.2659^4.6
  1. ;;86^01^MED^TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC^1.3116^3
  1. ;;87^01^MED^TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC^0.884^1.9
  1. ;;88^01^MED^CONCUSSION WITH MCC^1.4106^3.6
  1. ;;89^01^MED^CONCUSSION WITH CC^1.0721^2.5
  1. ;;90^01^MED^CONCUSSION WITHOUT CC/MCC^0.8572^2
  1. ;;91^01^MED^OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC^1.8228^4.5
  1. ;;92^01^MED^OTHER DISORDERS OF NERVOUS SYSTEM WITH CC^1.0588^3
  1. ;;93^01^MED^OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC^0.7893^2.2
  1. ;;94^01^MED^BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC^3.6484^7.9
  1. ;;95^01^MED^BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC^2.397^5.5
  1. ;;96^01^MED^BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC^2.397^5.5
  1. ;;97^01^MED^NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC^3.5848^8.7
  1. ;;98^01^MED^NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC^2.1691^5.7
  1. ;;99^01^MED^NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC^1.3932^3.9
  1. ;;100^01^MED^SEIZURES WITH MCC^1.9852^4.4
  1. ;;101^01^MED^SEIZURES WITHOUT MCC^0.9216^2.7
  1. ;;102^01^MED^HEADACHES WITH MCC^1.1594^3.1
  1. ;;103^01^MED^HEADACHES WITHOUT MCC^0.8502^2.3
  1. ;;113^02^SURG^ORBITAL PROCEDURES WITH CC/MCC^2.237^4.7
  1. ;;114^02^SURG^ORBITAL PROCEDURES WITHOUT CC/MCC^1.1821^2.1
  1. ;;115^02^SURG^EXTRAOCULAR PROCEDURES EXCEPT ORBIT^1.5309^3.7
  1. ;;116^02^SURG^INTRAOCULAR PROCEDURES WITH CC/MCC^1.6685^4.1
  1. ;;117^02^SURG^INTRAOCULAR PROCEDURES WITHOUT CC/MCC^1.0122^2.1
  1. ;;121^02^MED^ACUTE MAJOR EYE INFECTIONS WITH CC/MCC^1.1631^4.1
  1. ;;122^02^MED^ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC^0.6783^2.7
  1. ;;123^02^MED^NEUROLOGICAL EYE DISORDERS^0.8032^2.1
  1. ;;124^02^MED^OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT^1.3038^3.4
  1. ;;125^02^MED^OTHER DISORDERS OF THE EYE WITHOUT MCC^0.8257^2.3
  1. ;;135^03^SURG^SINUS AND MASTOID PROCEDURES WITH CC/MCC^2.4109^3.8
  1. ;;136^03^SURG^SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC^0.9782^1.3
  1. ;;137^03^SURG^MOUTH PROCEDURES WITH CC/MCC^1.3985^3.4
  1. ;;138^03^SURG^MOUTH PROCEDURES WITHOUT CC/MCC^0.8135^1.6
  1. ;;139^03^SURG^SALIVARY GLAND PROCEDURES^1.3729^2.4
  1. ;;140^03^SURG^MAJOR HEAD AND NECK PROCEDURES WITH MCC^4.229^7
  1. ;;141^03^SURG^MAJOR HEAD AND NECK PROCEDURES WITH CC^2.1483^3.1
  1. ;;142^03^SURG^MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC^1.5723^1.9
  1. ;;143^03^SURG^OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC^3.3017^6.2
  1. ;;144^03^SURG^OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC^1.7566^2.8
  1. ;;145^03^SURG^OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC^1.1847^1.7
  1. ;;146^03^MED^EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC^2.2939^5.9
  1. ;;147^03^MED^EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC^1.2447^3.5
  1. ;;148^03^MED^EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC^0.7632^2.1
  1. ;;149^03^MED^DYSEQUILIBRIUM^0.7475^1.9
  1. ;;150^03^MED^EPISTAXIS WITH MCC^1.3821^3.6
  1. ;;151^03^MED^EPISTAXIS WITHOUT MCC^0.758^2.2
  1. ;;152^03^MED^OTITIS MEDIA AND URI WITH MCC^1.1347^3.2
  1. ;;153^03^MED^OTITIS MEDIA AND URI WITHOUT MCC^0.7117^2.2
  1. ;;154^03^MED^OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC^1.6262^4.1
  1. ;;155^03^MED^OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC^0.9336^2.8
  1. ;;156^03^MED^OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC^0.6724^2.1
  1. ;;157^03^MED^DENTAL AND ORAL DISEASES WITH MCC^1.6374^4.4
  1. ;;158^03^MED^DENTAL AND ORAL DISEASES WITH CC^0.9405^2.8
  1. ;;159^03^MED^DENTAL AND ORAL DISEASES WITHOUT CC/MCC^0.6596^2
  1. ;;163^04^SURG^MAJOR CHEST PROCEDURES WITH MCC^4.6089^6.8
  1. ;;164^04^SURG^MAJOR CHEST PROCEDURES WITH CC^2.5168^3.5
  1. ;;165^04^SURG^MAJOR CHEST PROCEDURES WITHOUT CC/MCC^1.8639^2.1
  1. ;;166^04^SURG^OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC^3.851^7.9
  1. ;;167^04^SURG^OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC^1.8271^3.4
  1. ;;168^04^SURG^OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC^1.3538^1.9
  1. ;;EXIT