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Routine: ICD125F

ICD125F.m

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ICD125F ;ALB/DMR - YEARLY DRG UPDATE; October 01, 2025@15:42

 ;;18.0;DRG Grouper;**125**;October 20, 2000;Build 4

 ;Per VA Directive 6402, this routine should not be modified.

 ;Updates for DRGS 0-168

 Q

 ;

MSDRG ;;MS-DRG^MDC^TYPE^MS-DRG TITLE^WEIGHTS^GEOMETRIC MEAN LOS

 ;;001^PRE^SURG^HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC^28.0239^25.8

 ;;002^PRE^SURG^HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC^11.3318^8.5

 ;;003^PRE^SURG^ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES^21.2252^22.9

 ;;004^PRE^SURG^TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES^13.8514^22.4

 ;;005^PRE^SURG^LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT^10.3105^14

 ;;006^PRE^SURG^LIVER TRANSPLANT WITHOUT MCC^4.637^7.1

 ;;007^PRE^SURG^LUNG TRANSPLANT^12.9502^19.7

 ;;008^PRE^SURG^SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT^5.6046^8.5

 ;;010^PRE^SURG^PANCREAS TRANSPLANT^3.0699^5.9

 ;;011^PRE^SURG^TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC^5.4541^11.4

 ;;012^PRE^SURG^TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC^4.216^8.6

 ;;013^PRE^SURG^TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC^2.8818^6.5

 ;;014^PRE^MED^ALLOGENEIC BONE MARROW TRANSPLANT^12.0179^25.7

 ;;016^PRE^MED^AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC^5.9297^16.1

 ;;017^PRE^MED^AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC^4.8383^8.3

 ;;018^PRE^MED^CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES^43.1828^12.4

 ;;019^PRE^SURG^SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS^6.6272^10.1

 ;;020^01^SURG^INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC^7.8688^8.8

 ;;021^01^SURG^INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC^5.2938^4.9

 ;;022^01^SURG^INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC^3.0751^1.7

 ;;023^01^SURG^CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR^5.7303^7.1

 ;;024^01^SURG^CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC^3.9119^3.7

 ;;025^01^SURG^CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC^4.5467^6.4

 ;;026^01^SURG^CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC^3.1092^2.8

 ;;027^01^SURG^CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC^2.5229^1.5

 ;;028^01^SURG^SPINAL PROCEDURES WITH MCC^6.0083^9.5

 ;;029^01^SURG^SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS^3.4116^4.7

 ;;030^01^SURG^SPINAL PROCEDURES WITHOUT CC/MCC^2.1952^2.6

 ;;031^01^SURG^VENTRICULAR SHUNT PROCEDURES WITH MCC^4.4805^7

 ;;032^01^SURG^VENTRICULAR SHUNT PROCEDURES WITH CC^2.131^2.5

 ;;033^01^SURG^VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC^1.6629^1.5

 ;;034^01^SURG^CAROTID ARTERY STENT PROCEDURES WITH MCC^3.8707^4.7

 ;;035^01^SURG^CAROTID ARTERY STENT PROCEDURES WITH CC^2.3905^1.9

 ;;036^01^SURG^CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC^1.9428^1.2

 ;;037^01^SURG^EXTRACRANIAL PROCEDURES WITH MCC^3.2921^4.7

 ;;038^01^SURG^EXTRACRANIAL PROCEDURES WITH CC^1.6226^1.9

 ;;039^01^SURG^EXTRACRANIAL PROCEDURES WITHOUT CC/MCC^1.1755^1.2

 ;;040^01^SURG^PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC^3.8612^7.2

 ;;041^01^SURG^PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR^2.1987^3.8

 ;;042^01^SURG^PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC^1.7277^2.3

 ;;052^01^MED^SPINAL DISORDERS AND INJURIES WITH CC/MCC^1.7808^4.1

 ;;053^01^MED^SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC^0.9792^2.6

 ;;054^01^MED^NERVOUS SYSTEM NEOPLASMS WITH MCC^1.5269^4

 ;;055^01^MED^NERVOUS SYSTEM NEOPLASMS WITHOUT MCC^1.0196^2.9

 ;;056^01^MED^DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC^2.3231^5.7

 ;;057^01^MED^DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC^1.2956^3.8

 ;;058^01^MED^MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC^1.7095^4.6

 ;;059^01^MED^MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC^1.2409^3.6

 ;;060^01^MED^MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC^0.9198^2.9

 ;;061^01^MED^ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC^2.7571^4.7

 ;;062^01^MED^ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC^1.7572^3

 ;;063^01^MED^ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC^1.4038^2.2

 ;;064^01^MED^INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC^2.011^4.4

 ;;065^01^MED^INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS^1.0103^2.8

 ;;066^01^MED^INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC^0.6844^1.9

 ;;067^01^MED^PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC^1.4687^3.4

 ;;068^01^MED^PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC^0.8644^2

 ;;069^01^MED^TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC^0.7988^2

 ;;070^01^MED^OTHER CEREBROVASCULAR DISORDERS WITH MCC^1.6648^4.5

 ;;071^01^MED^OTHER CEREBROVASCULAR DISORDERS WITH CC^1.026^3.3

 ;;072^01^MED^OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC^0.7562^2.3

 ;;073^01^MED^CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC^1.6043^4.1

 ;;074^01^MED^CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC^1.0308^2.8

 ;;075^01^MED^VIRAL MENINGITIS WITH CC/MCC^1.9175^5.5

 ;;076^01^MED^VIRAL MENINGITIS WITHOUT CC/MCC^0.7488^2.6

 ;;080^01^MED^NONTRAUMATIC STUPOR AND COMA WITH MCC^1.81^4.7

 ;;081^01^MED^NONTRAUMATIC STUPOR AND COMA WITHOUT MCC^0.8956^2.8

 ;;082^01^MED^TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC^2.2856^4.4

 ;;083^01^MED^TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC^1.3958^3.2

 ;;084^01^MED^TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC^0.9558^2.1

 ;;085^01^MED^TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC^2.2719^4.6

 ;;086^01^MED^TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC^1.3027^2.9

 ;;087^01^MED^TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC^0.9147^1.9

 ;;088^01^MED^CONCUSSION WITH MCC^1.3518^3.4

 ;;089^01^MED^CONCUSSION WITH CC^1.0986^2.5

 ;;090^01^MED^CONCUSSION WITHOUT CC/MCC^0.8232^1.9

 ;;091^01^MED^OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC^1.7562^4.4

 ;;092^01^MED^OTHER DISORDERS OF NERVOUS SYSTEM WITH CC^1.023^3

 ;;093^01^MED^OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC^0.7963^2.2

 ;;094^01^MED^BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC^3.5194^7.9

 ;;095^01^MED^BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC^2.5792^5.6

 ;;096^01^MED^BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC^2.5792^5.6

 ;;097^01^MED^NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC^3.6118^8.7

 ;;098^01^MED^NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC^2.2949^5.9

 ;;099^01^MED^NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC^1.3624^3.8

 ;;100^01^MED^SEIZURES WITH MCC^1.9368^4.3

 ;;101^01^MED^SEIZURES WITHOUT MCC^0.9026^2.6

 ;;102^01^MED^HEADACHES WITH MCC^1.1209^2.9

 ;;103^01^MED^HEADACHES WITHOUT MCC^0.8363^2.3

 ;;113^02^SURG^ORBITAL PROCEDURES WITH CC/MCC^2.3511^4.7

 ;;114^02^SURG^ORBITAL PROCEDURES WITHOUT CC/MCC^1.353^2.3

 ;;115^02^SURG^EXTRAOCULAR PROCEDURES EXCEPT ORBIT^1.5349^3.8

 ;;116^02^SURG^INTRAOCULAR PROCEDURES WITH CC/MCC^1.8081^4

 ;;117^02^SURG^INTRAOCULAR PROCEDURES WITHOUT CC/MCC^1.0849^1.9

 ;;121^02^MED^ACUTE MAJOR EYE INFECTIONS WITH CC/MCC^1.1633^4.1

 ;;122^02^MED^ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC^0.7858^3.2

 ;;123^02^MED^NEUROLOGICAL EYE DISORDERS^0.7986^2.1

 ;;124^02^MED^OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT^1.3231^3.2

 ;;125^02^MED^OTHER DISORDERS OF THE EYE WITHOUT MCC^0.7678^2.2

 ;;135^03^SURG^SINUS AND MASTOID PROCEDURES WITH CC/MCC^2.1152^3.6

 ;;136^03^SURG^SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC^1.0153^1.3

 ;;137^03^SURG^MOUTH PROCEDURES WITH CC/MCC^1.4932^3.4

 ;;138^03^SURG^MOUTH PROCEDURES WITHOUT CC/MCC^0.8862^1.6

 ;;139^03^SURG^SALIVARY GLAND PROCEDURES^1.2086^2

 ;;140^03^SURG^MAJOR HEAD AND NECK PROCEDURES WITH MCC^4.2653^6.9

 ;;141^03^SURG^MAJOR HEAD AND NECK PROCEDURES WITH CC^2.1811^3

 ;;142^03^SURG^MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC^1.5964^1.9

 ;;143^03^SURG^OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC^3.7466^6.2

 ;;144^03^SURG^OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC^1.7329^2.8

 ;;145^03^SURG^OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC^1.2023^1.6

 ;;146^03^MED^EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC^2.1174^5.5

 ;;147^03^MED^EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC^1.2715^3.5

 ;;148^03^MED^EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC^0.7971^1.9

 ;;149^03^MED^DYSEQUILIBRIUM^0.7516^1.9

 ;;150^03^MED^EPISTAXIS WITH MCC^1.3315^3.4

 ;;151^03^MED^EPISTAXIS WITHOUT MCC^0.734^2.1

 ;;152^03^MED^OTITIS MEDIA AND URI WITH MCC^1.1822^3.2

 ;;153^03^MED^OTITIS MEDIA AND URI WITHOUT MCC^0.7382^2.2

 ;;154^03^MED^OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC^1.5635^3.9

 ;;155^03^MED^OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC^0.9165^2.8

 ;;156^03^MED^OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC^0.6911^2

 ;;157^03^MED^DENTAL AND ORAL DISEASES WITH MCC^1.7168^4.5

 ;;158^03^MED^DENTAL AND ORAL DISEASES WITH CC^0.9098^2.8

 ;;159^03^MED^DENTAL AND ORAL DISEASES WITHOUT CC/MCC^0.7085^2.1

 ;;163^04^SURG^MAJOR CHEST PROCEDURES WITH MCC^4.4818^6.3

 ;;164^04^SURG^MAJOR CHEST PROCEDURES WITH CC^2.524^3.4

 ;;165^04^SURG^MAJOR CHEST PROCEDURES WITHOUT CC/MCC^1.9142^2

 ;;166^04^SURG^OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC^3.7377^7.6

 ;;167^04^SURG^OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC^1.8034^3.4

 ;;168^04^SURG^OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC^1.3664^1.8

 ;;EXIT