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Routine: ICD120H

ICD120H.m

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  1. ICD120H ;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 330-480
  1.  Q
  1.  ;
  1. MSDRG ;;MS-DRG^MDC^TYPE^MS-DRG TITLE^WEIGHTS^GEOMETRIC MEAN LOS
  1.  ;;330^06^SURG^MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC^2.3637^4.9
  1.  ;;331^06^SURG^MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC^1.651^2.8
  1.  ;;332^06^SURG^RECTAL RESECTION WITH MCC^3.4685^6.4
  1.  ;;333^06^SURG^RECTAL RESECTION WITH CC^2.1251^3.5
  1.  ;;334^06^SURG^RECTAL RESECTION WITHOUT CC/MCC^1.6584^2.3
  1.  ;;335^06^SURG^PERITONEAL ADHESIOLYSIS WITH MCC^3.6239^8.7
  1.  ;;336^06^SURG^PERITONEAL ADHESIOLYSIS WITH CC^2.1124^5.4
  1.  ;;337^06^SURG^PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC^1.535^3.2
  1.  ;;344^06^SURG^MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC^2.6944^6.5
  1.  ;;345^06^SURG^MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC^1.4892^4
  1.  ;;346^06^SURG^MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC^1.2452^2.8
  1.  ;;347^06^SURG^ANAL AND STOMAL PROCEDURES WITH MCC^2.3666^5.6
  1.  ;;348^06^SURG^ANAL AND STOMAL PROCEDURES WITH CC^1.2588^3.1
  1.  ;;349^06^SURG^ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC^0.8809^1.7
  1.  ;;350^06^SURG^INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC^2.4198^4.9
  1.  ;;351^06^SURG^INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC^1.5047^2.9
  1.  ;;352^06^SURG^INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC^1.1025^1.9
  1.  ;;353^06^SURG^HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC^2.9328^5.8
  1.  ;;354^06^SURG^HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC^1.7011^3.3
  1.  ;;355^06^SURG^HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC^1.3331^2
  1.  ;;356^06^SURG^OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC^4.2654^7.7
  1.  ;;357^06^SURG^OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC^2.2519^4.4
  1.  ;;358^06^SURG^OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC^1.355^2.5
  1.  ;;368^06^MED^MAJOR ESOPHAGEAL DISORDERS WITH MCC^1.6699^4.2
  1.  ;;369^06^MED^MAJOR ESOPHAGEAL DISORDERS WITH CC^1.0176^3
  1.  ;;370^06^MED^MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC^0.6979^2
  1.  ;;371^06^MED^MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC^1.7483^5.3
  1.  ;;372^06^MED^MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC^1.0293^3.7
  1.  ;;373^06^MED^MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC^0.7253^2.8
  1.  ;;374^06^MED^DIGESTIVE MALIGNANCY WITH MCC^2.1115^5.6
  1.  ;;375^06^MED^DIGESTIVE MALIGNANCY WITH CC^1.2287^3.6
  1.  ;;376^06^MED^DIGESTIVE MALIGNANCY WITHOUT CC/MCC^0.8829^2.3
  1.  ;;377^06^MED^GASTROINTESTINAL HEMORRHAGE WITH MCC^1.8181^4.5
  1.  ;;378^06^MED^GASTROINTESTINAL HEMORRHAGE WITH CC^0.9859^2.9
  1.  ;;379^06^MED^GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC^0.6366^2
  1.  ;;380^06^MED^COMPLICATED PEPTIC ULCER WITH MCC^1.9243^5
  1.  ;;381^06^MED^COMPLICATED PEPTIC ULCER WITH CC^1.0891^3.2
  1.  ;;382^06^MED^COMPLICATED PEPTIC ULCER WITHOUT CC/MCC^0.7493^2.4
  1.  ;;383^06^MED^UNCOMPLICATED PEPTIC ULCER WITH MCC^1.2642^3.8
  1.  ;;384^06^MED^UNCOMPLICATED PEPTIC ULCER WITHOUT MCC^0.8696^2.5
  1.  ;;385^06^MED^INFLAMMATORY BOWEL DISEASE WITH MCC^1.6247^5
  1.  ;;386^06^MED^INFLAMMATORY BOWEL DISEASE WITH CC^0.9924^3.4
  1.  ;;387^06^MED^INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC^0.6703^2.5
  1.  ;;388^06^MED^GASTROINTESTINAL OBSTRUCTION WITH MCC^1.47^4.5
  1.  ;;389^06^MED^GASTROINTESTINAL OBSTRUCTION WITH CC^0.8017^3
  1.  ;;390^06^MED^GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC^0.5471^2.3
  1.  ;;391^06^MED^ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC^1.2849^3.8
  1.  ;;392^06^MED^ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC^0.7803^2.5
  1.  ;;393^06^MED^OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC^1.6559^4.3
  1.  ;;394^06^MED^OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC^0.9413^2.9
  1.  ;;395^06^MED^OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC^0.6364^2.1
  1.  ;;397^06^SURG^APPENDIX PROCEDURES WITH MCC^2.4776^5.1
  1.  ;;398^06^SURG^APPENDIX PROCEDURES WITH CC^1.5133^3
  1.  ;;399^06^SURG^APPENDIX PROCEDURES WITHOUT CC/MCC^1.1241^1.9
  1.  ;;402^08^SURG^SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL^3.9292^2.4
  1.  ;;405^07^SURG^PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC^5.4284^8.5
  1.  ;;406^07^SURG^PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC^2.8082^4.7
  1.  ;;407^07^SURG^PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC^2.1356^3.2
  1.  ;;408^07^SURG^BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC^3.5011^7.5
  1.  ;;409^07^SURG^BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC^2.0963^4.6
  1.  ;;410^07^SURG^BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC^1.551^3.3
  1.  ;;411^07^SURG^CHOLECYSTECTOMY WITH C.D.E. WITH MCC^2.7134^5.7
  1.  ;;412^07^SURG^CHOLECYSTECTOMY WITH C.D.E. WITH CC^2.1315^4.4
  1.  ;;413^07^SURG^CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC^1.6624^2.8
  1.  ;;414^07^SURG^CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC^3.5036^7.6
  1.  ;;415^07^SURG^CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC^1.978^4.5
  1.  ;;416^07^SURG^CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC^1.3702^2.8
  1.  ;;417^07^SURG^LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC^2.3765^4.9
  1.  ;;418^07^SURG^LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC^1.6585^3.3
  1.  ;;419^07^SURG^LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC^1.3176^2.3
  1.  ;;420^07^SURG^HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC^3.5292^6.5
  1.  ;;421^07^SURG^HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC^1.6375^3.4
  1.  ;;422^07^SURG^HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC^1.4693^2.5
  1.  ;;423^07^SURG^OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC^4.0671^8.1
  1.  ;;424^07^SURG^OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC^2.2831^4.9
  1.  ;;425^07^SURG^OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC^1.5457^2.6
  1.  ;;426^08^SURG^MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE^10.4816^7.6
  1.  ;;427^08^SURG^MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC^7.0987^4
  1.  ;;428^08^SURG^MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC^5.5052^2.6
  1.  ;;429^08^SURG^COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC^8.34^9.7
  1.  ;;430^08^SURG^COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC^5.4701^3.5
  1.  ;;432^07^MED^CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC^1.9591^4.9
  1.  ;;433^07^MED^CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC^1.0697^3.3
  1.  ;;434^07^MED^CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC^0.6964^2.1
  1.  ;;435^07^MED^MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC^1.8245^4.8
  1.  ;;436^07^MED^MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC^1.1276^3.3
  1.  ;;437^07^MED^MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC^0.7851^2.3
  1.  ;;438^07^MED^DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC^1.6638^4.8
  1.  ;;439^07^MED^DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC^0.8602^3
  1.  ;;440^07^MED^DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC^0.6151^2.3
  1.  ;;441^07^MED^DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC^1.8903^4.8
  1.  ;;442^07^MED^DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC^0.9662^3.2
  1.  ;;443^07^MED^DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC^0.7026^2.4
  1.  ;;444^07^MED^DISORDERS OF THE BILIARY TRACT WITH MCC^1.6845^4.5
  1.  ;;445^07^MED^DISORDERS OF THE BILIARY TRACT WITH CC^1.0844^3
  1.  ;;446^07^MED^DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC^0.7972^2.2
  1.  ;;447^08^SURG^MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE^6.7042^8
  1.  ;;448^08^SURG^MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC^4.0832^3.2
  1.  ;;450^08^SURG^SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE^5.1497^6.3
  1.  ;;451^08^SURG^SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC^3.0858^2.4
  1.  ;;456^08^SURG^SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC^8.4686^10.1
  1.  ;;457^08^SURG^SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC^5.739^5
  1.  ;;458^08^SURG^SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC^4.3177^2.6
  1.  ;;461^08^SURG^BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC^5.9904^7.1
  1.  ;;462^08^SURG^BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC^2.8636^2.2
  1.  ;;463^08^SURG^WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC^5.4007^10.5
  1.  ;;464^08^SURG^WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC^2.9486^5.5
  1.  ;;465^08^SURG^WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC^1.7359^2.1
  1.  ;;466^08^SURG^REVISION OF HIP OR KNEE REPLACEMENT WITH MCC^5.0943^7.1
  1.  ;;467^08^SURG^REVISION OF HIP OR KNEE REPLACEMENT WITH CC^3.4249^3
  1.  ;;468^08^SURG^REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC^2.6232^1.5
  1.  ;;469^08^SURG^MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT^3.2685^3.5
  1.  ;;470^08^SURG^MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC^1.8855^1.7
  1.  ;;471^08^SURG^CERVICAL SPINAL FUSION WITH MCC^4.857^7.1
  1.  ;;472^08^SURG^CERVICAL SPINAL FUSION WITH CC^2.897^2.5
  1.  ;;473^08^SURG^CERVICAL SPINAL FUSION WITHOUT CC/MCC^2.3672^1.6
  1.  ;;474^08^SURG^AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC^4.4844^10.2
  1.  ;;475^08^SURG^AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC^2.1571^5.7
  1.  ;;476^08^SURG^AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC^1.163^2.5
  1.  ;;477^08^SURG^BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC^3.4388^8.8
  1.  ;;478^08^SURG^BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC^2.3384^5.2
  1.  ;;479^08^SURG^BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC^1.7757^3.3
  1.  ;;480^08^SURG^HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC^2.941^6.3
  1.  ;;EXIT