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Routine: ICD120I

ICD120I.m

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  1. ICD120I ;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 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^2.0749^4.4^4.9
  1.  ;;482^08^SURG^HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC^1.5864^3.1^3.5
  1.  ;;483^08^SURG^MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES^2.5481^1.8^2.5
  1.  ;;485^08^SURG^KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC^3.2236^8.4^10.2
  1.  ;;486^08^SURG^KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC^2.1207^5.1^5.9
  1.  ;;487^08^SURG^KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC^1.5801^3.6^4.2
  1.  ;;488^08^SURG^KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC^1.9653^2.9^4.2
  1.  ;;489^08^SURG^KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC^1.2386^1.4^1.7
  1.  ;;492^08^SURG^LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC^3.551^6.6^8.5
  1.  ;;493^08^SURG^LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC^2.401^4.2^5.1
  1.  ;;494^08^SURG^LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC^1.8855^2.7^3.3
  1.  ;;495^08^SURG^LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC^3.5203^6.9^9.8
  1.  ;;496^08^SURG^LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC^1.9729^3.2^4.3
  1.  ;;497^08^SURG^LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC^1.343^1.6^2
  1.  ;;498^08^SURG^LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC^2.5247^5.7^7.8
  1.  ;;499^08^SURG^LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC^1.0986^1.8^2.5
  1.  ;;500^08^SURG^SOFT TISSUE PROCEDURES WITH MCC^3.1685^7.6^10.3
  1.  ;;501^08^SURG^SOFT TISSUE PROCEDURES WITH CC^1.7849^4.1^5.2
  1.  ;;502^08^SURG^SOFT TISSUE PROCEDURES WITHOUT CC/MCC^1.3971^2.3^2.9
  1.  ;;503^08^SURG^FOOT PROCEDURES WITH MCC^2.6465^7.3^9
  1.  ;;504^08^SURG^FOOT PROCEDURES WITH CC^1.7556^4^5
  1.  ;;505^08^SURG^FOOT PROCEDURES WITHOUT CC/MCC^1.7556^4^5
  1.  ;;506^08^SURG^MAJOR THUMB OR JOINT PROCEDURES^1.499^4^4.9
  1.  ;;507^08^SURG^MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC^1.9381^4.8^6.4
  1.  ;;508^08^SURG^MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC^1.2415^2.6^3.1
  1.  ;;509^08^SURG^ARTHROSCOPY^1.7565^4^5.4
  1.  ;;510^08^SURG^SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC^2.858^5.1^6.5
  1.  ;;511^08^SURG^SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC^1.9614^3.4^4.1
  1.  ;;512^08^SURG^SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC^1.6077^2.2^2.5
  1.  ;;513^08^SURG^HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC^1.5055^4^5
  1.  ;;514^08^SURG^HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC^1.0196^2.4^2.9
  1.  ;;515^08^SURG^OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC^3.0922^6.8^8.6
  1.  ;;516^08^SURG^OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC^2.0116^3.9^4.9
  1.  ;;517^08^SURG^OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC^1.4926^2.3^2.9
  1.  ;;518^08^SURG^BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR^3.5838^5.4^8
  1.  ;;519^08^SURG^BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC^1.9717^3.2^4.2
  1.  ;;520^08^SURG^BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC^1.4331^2^2.5
  1.  ;;521^08^SURG^HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC^2.9146^6.2^7.3
  1.  ;;522^08^SURG^HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC^2.1082^4^4.5
  1.  ;;533^08^MED^FRACTURES OF FEMUR WITH MCC^1.5248^4.2^6
  1.  ;;534^08^MED^FRACTURES OF FEMUR WITHOUT MCC^0.8139^2.9^3.6
  1.  ;;535^08^MED^FRACTURES OF HIP AND PELVIS WITH MCC^1.3299^3.9^5.2
  1.  ;;536^08^MED^FRACTURES OF HIP AND PELVIS WITHOUT MCC^0.8109^2.8^3.4
  1.  ;;537^08^MED^SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC^0.9189^3^3.8
  1.  ;;538^08^MED^SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC^0.6715^2.2^2.7
  1.  ;;539^08^MED^OSTEOMYELITIS WITH MCC^2.0227^6.3^8.3
  1.  ;;540^08^MED^OSTEOMYELITIS WITH CC^1.2944^4.2^5.6
  1.  ;;541^08^MED^OSTEOMYELITIS WITHOUT CC/MCC^0.8748^2.9^3.9
  1.  ;;542^08^MED^PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC^1.8649^5.2^7
  1.  ;;543^08^MED^PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC^1.0608^3.5^4.4
  1.  ;;544^08^MED^PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC^0.7557^2.6^3.1
  1.  ;;545^08^MED^CONNECTIVE TISSUE DISORDERS WITH MCC^2.5267^5.8^8.8
  1.  ;;546^08^MED^CONNECTIVE TISSUE DISORDERS WITH CC^1.1577^3.4^4.5
  1.  ;;547^08^MED^CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC^0.7462^2.4^3
  1.  ;;548^08^MED^SEPTIC ARTHRITIS WITH MCC^2.0145^6.3^8.3
  1.  ;;549^08^MED^SEPTIC ARTHRITIS WITH CC^1.205^3.9^4.9
  1.  ;;550^08^MED^SEPTIC ARTHRITIS WITHOUT CC/MCC^0.8621^2.9^3.4
  1.  ;;551^08^MED^MEDICAL BACK PROBLEMS WITH MCC^1.7063^4.6^6.1
  1.  ;;552^08^MED^MEDICAL BACK PROBLEMS WITHOUT MCC^0.9638^2.9^3.6
  1.  ;;553^08^MED^BONE DISEASES AND ARTHROPATHIES WITH MCC^1.3063^4.1^5.4
  1.  ;;554^08^MED^BONE DISEASES AND ARTHROPATHIES WITHOUT MCC^0.8346^2.8^3.5
  1.  ;;555^08^MED^SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC^1.3465^3.8^5.2
  1.  ;;556^08^MED^SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC^0.8165^2.5^3.3
  1.  ;;557^08^MED^TENDONITIS, MYOSITIS AND BURSITIS WITH MCC^1.5497^4.7^6.5
  1.  ;;558^08^MED^TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC^0.8638^3.1^3.8
  1.  ;;559^08^MED^AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC^1.8561^5.1^7.1
  1.  ;;560^08^MED^AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC^1.1388^3.7^5.1
  1.  ;;561^08^MED^AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC^0.8176^2.8^4.1
  1.  ;;562^08^MED^FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC^1.4637^4.1^5.4
  1.  ;;563^08^MED^FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC^0.8937^2.8^3.5
  1.  ;;564^08^MED^OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC^1.5692^4.8^6.4
  1.  ;;565^08^MED^OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC^1.0196^3.3^4.2
  1.  ;;566^08^MED^OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC^0.748^2.3^2.9
  1.  ;;570^09^SURG^SKIN DEBRIDEMENT WITH MCC^3.0104^7.9^10.7
  1.  ;;571^09^SURG^SKIN DEBRIDEMENT WITH CC^1.6748^4.9^6.3
  1.  ;;572^09^SURG^SKIN DEBRIDEMENT WITHOUT CC/MCC^1.1424^2.9^3.7
  1.  ;;573^09^SURG^SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC^6.1578^12.1^17.2
  1.  ;;574^09^SURG^SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC^3.4647^8.2^11.2
  1.  ;;575^09^SURG^SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC^1.9965^4.6^5.7
  1.  ;;576^09^SURG^SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC^5.3949^9.4^14.1
  1.  ;;577^09^SURG^SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC^2.6626^4.3^6.8
  1.  ;;578^09^SURG^SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC^1.6903^2.5^3.4
  1.  ;;579^09^SURG^OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC^3.2591^7.7^11.1
  1.  ;;580^09^SURG^OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC^1.7729^4.2^5.6
  1.  ;;581^09^SURG^OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC^1.4391^2.1^2.7
  1.  ;;582^09^SURG^MASTECTOMY FOR MALIGNANCY WITH CC/MCC^1.7511^2.5^3.5
  1.  ;;583^09^SURG^MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC^1.6425^1.7^2
  1.  ;;584^09^SURG^BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC^2.0473^3.4^4.4
  1.  ;;585^09^SURG^BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC^1.985^2.2^2.5
  1.  ;;592^09^MED^SKIN ULCERS WITH MCC^2.0562^5.8^8.5
  1.  ;;593^09^MED^SKIN ULCERS WITH CC^1.2226^4.2^5.6
  1.  ;;594^09^MED^SKIN ULCERS WITHOUT CC/MCC^0.8486^3.1^4.2
  1.  ;;595^09^MED^MAJOR SKIN DISORDERS WITH MCC^2.115^5.4^7.9
  1.  ;;596^09^MED^MAJOR SKIN DISORDERS WITHOUT MCC^1.081^3.4^4.6
  1.  ;;597^09^MED^MALIGNANT BREAST DISORDERS WITH MCC^1.7565^4.8^7
  1.  ;;598^09^MED^MALIGNANT BREAST DISORDERS WITH CC^1.0608^3.3^4.3
  1.  ;;599^09^MED^MALIGNANT BREAST DISORDERS WITHOUT CC/MCC^0.8549^2.9^3.7
  1.  ;;600^09^MED^NON-MALIGNANT BREAST DISORDERS WITH CC/MCC^0.9572^3.3^4.3
  1.  ;;601^09^MED^NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC^0.5995^2.5^2.9
  1.  ;;602^09^MED^CELLULITIS WITH MCC^1.4694^4.6^6
  1.  ;;603^09^MED^CELLULITIS WITHOUT MCC^0.8809^3.1^3.9
  1.  ;;604^09^MED^TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC^1.4857^3.8^5.2
  1.  ;;605^09^MED^TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC^0.9237^2.6^3.3
  1.  ;;606^09^MED^MINOR SKIN DISORDERS WITH MCC^1.6101^4.4^6.9
  1.  ;;607^09^MED^MINOR SKIN DISORDERS WITHOUT MCC^0.8643^2.9^3.8
  1.  ;;614^10^SURG^ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC^2.2788^2.7^4
  1.  ;;615^10^SURG^ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC^1.4329^1.5^1.8
  1.  ;;616^10^SURG^AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC^3.8649^10^12.5
  1.  ;;617^10^SURG^AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC^1.9322^5.7^6.8
  1.  ;;618^10^SURG^AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC^1.245^4.2^4.7
  1.  ;;619^10^SURG^O.R. PROCEDURES FOR OBESITY WITH MCC^2.7264^2.5^4.2
  1.  ;;620^10^SURG^O.R. PROCEDURES FOR OBESITY WITH CC^1.5969^1.5^1.9
  1.  ;;621^10^SURG^O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC^1.4617^1.2^1.3
  1.  ;;622^10^SURG^SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC^3.744^9^12.1
  1.  ;;623^10^SURG^SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC^1.914^5.4^6.7
  1.  ;;624^10^SURG^SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC^0.9958^2.6^3.2
  1.  ;;625^10^SURG^THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC^2.8669^4.6^7.1
  1.  ;;626^10^SURG^THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC^1.5092^1.9^2.6
  1.  ;;627^10^SURG^THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC^1.2668^1.3^1.6
  1.  ;;628^10^SURG^OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC^3.9463^8.4^11.7
  1.  ;;629^10^SURG^OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC^2.2501^6.2^7.4
  1.  ;;630^10^SURG^OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC^1.4012^2^2.7
  1.  ;;637^10^MED^DIABETES WITH MCC^1.4563^4^5.4
  1.  ;;638^10^MED^DIABETES WITH CC^0.9172^3^3.8
  1.  ;;639^10^MED^DIABETES WITHOUT CC/MCC^0.6266^2^2.5
  1.  ;;EXIT