Table 6P.2d - Detailed data analysis for ten cases reporting laser interstitial thermal therapy (LITT) of other anatomic sites across all MS-DRGs																																								
Case Number 	Principal Diagnosis 	Secondary Diagnosis 	Secondary Diagnosis 	Secondary Diagnosis 	Secondary Diagnosis 	Secondary Diagnosis 	Secondary Diagnosis 	Secondary Diagnosis 	Secondary Diagnosis 	Secondary Diagnosis 	Secondary Diagnosis 	Secondary Diagnosis 	Secondary Diagnosis 	Secondary Diagnosis 	Secondary Diagnosis 	Secondary Diagnosis 	Secondary Diagnosis 	Secondary Diagnosis 	Secondary Diagnosis 	Secondary Diagnosis 	Secondary Diagnosis 	Secondary Diagnosis 	Secondary Diagnosis 	Secondary Diagnosis 	Secondary Diagnosis 	Procedure 	Procedure 	Procedure 	Procedure 	Procedure 	Procedure 	Procedure 	Procedure 	Procedure 	Procedure 	Procedure 	Procedure 	Procedure 	Procedure 	Procedure 
1	I12.0 Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease	N18.6 End stage renal disease	N17.0 Acute kidney failure with tubular necrosis	D62 Acute posthemorrhagic anemia	E87.2 Acidosis	N13.6 Pyonephrosis	T86.19 Other complication of kidney transplant	E46 Unspecified protein-calorie malnutrition	"E78.5 Hyperlipidemia, unspecified"	"E03.9 Hypothyroidism, unspecified"	Z79.899 Other long term (current) drug therapy	Z79.82 Long term (current) use of aspirin	Z79.890 Hormone replacement therapy	Z99.2 Dependence on renal dialysis	Z20.822 Contact with and (suspected) exposure to COVID-19	E11.65 Type 2 diabetes mellitus with hyperglycemia	E11.22 Type 2 diabetes mellitus with diabetic chronic kidney disease	"T38.0X5A Adverse effect of glucocorticoids and synthetic analogues, initial encounter"	R34 Anuria and oliguria	Z51.81 Encounter for therapeutic drug level monitoring	G89.18 Other acute postprocedural pain	E87.5 Hyperkalemia	G47.33 Obstructive sleep apnea (adult) (pediatric)	Z96.652 Presence of left artificial knee joint	"Z96.643 Presence of artificial hip joint, bilateral"	"0TY10Z0 Transplantation of left kidney, allogeneic, open approach"	"5A1D70Z Performance of urinary filtration, intermittent, less than 6 hours per day"	"0T778ZZ Dilation of left ureter, via natural or artificial opening endoscopic"	"0T778DZ Dilation of left ureter with intraluminal device, via natural or artificial opening endoscopic"	DVY0KZZ Laser interstitial thermal therapy of prostate	8E0ZXY6 Isolation	"30233N1 Transfusion of nonautologous red blood cells into peripheral vein, percutaneous approach"	"0DH63UZ Insertion of feeding device into stomach, percutaneous approach"	"3E0G76Z Introduction of nutritional substance into upper GI, via natural or artificial opening"	"4A133B1 Monitoring of arterial pressure, peripheral, percutaneous approach"	"4A133J1 Monitoring of arterial pulse, peripheral, percutaneous approach"	"0TB14ZX Excision of left kidney, percutaneous endoscopic approach, diagnostic"	"0T25X0Z Change drainage device in kidney, external approach"	"0T9130Z Drainage of left kidney with drainage device, percutaneous approach"	BT121ZZ Fluoroscopy of left kidney using low osmolar contrast
2	"N43.3 Hydrocele, unspecified"	I10 Essential (primary) hypertension	"N43.41 Spermatocele of epididymis, single"	N40.0 Benign prostatic hyperplasia without lower urinary tract symptoms	Z86.718 Personal history of other venous thrombosis and embolism	Z85.828 Personal history of other malignant neoplasm of skin	Z79.01 Long term (current) use of anticoagulants	Z79.899 Other long term (current) drug therapy	Z88.1 Allergy status to other antibiotic agents	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	"0VBF0ZZ Excision of right spermatic cord, open approach"	"0VBJ0ZZ Excision of right epididymis, open approach"	DVY0KZZ Laser interstitial thermal therapy of prostate												
3	"C34.31 Malignant neoplasm of lower lobe, right bronchus or lung"	E43 Unspecified severe protein-calorie malnutrition	J96.21 Acute and chronic respiratory failure with hypoxia	I26.94 Multiple subsegmental pulmonary emboli without acute cor pulmonale	J15.211 Pneumonia due to Methicillin susceptible Staphylococcus aureus	C77.1 Secondary and unspecified malignant neoplasm of intrathoracic lymph nodes	I31.3 Pericardial effusion (noninflammatory)	R04.2 Hemoptysis	J81.1 Chronic pulmonary edema	J44.1 Chronic obstructive pulmonary disease with (acute) exacerbation	J44.0 Chronic obstructive pulmonary disease with (acute) lower respiratory infection	Z66 Do not resuscitate	R13.19 Other dysphagia	Z51.5 Encounter for palliative care	"I27.20 Pulmonary hypertension, unspecified"	"J98.09 Other diseases of bronchus, not elsewhere classified"	E11.65 Type 2 diabetes mellitus with hyperglycemia	I10 Essential (primary) hypertension	"E87.70 Fluid overload, unspecified"	J98.8 Other specified respiratory disorders	K20.80 Other esophagitis without bleeding	I25.10 Atherosclerotic heart disease of native coronary artery without angina pectoris	I48.0 Paroxysmal atrial fibrillation	Z20.822 Contact with and (suspected) exposure to COVID-19	 	"0B538ZZ Destruction of right main bronchus, via natural or artificial opening endoscopic"	"0B528ZZ Destruction of carina, via natural or artificial opening endoscopic"	DBY2KZZ Laser interstitial thermal therapy of lung	"0B738DZ Dilation of right main bronchus with intraluminal device, via natural or artificial opening endoscopic"	"0B778DZ Dilation of left main bronchus with intraluminal device, via natural or artificial opening endoscopic"	"3E0336Z Introduction of nutritional substance into peripheral vein, percutaneous approach"	"02HV33Z Insertion of infusion device into superior vena cava, percutaneous approach"	"0W993ZZ Drainage of right pleural cavity, percutaneous approach"	"5A09357 Assistance with respiratory ventilation, less than 24 consecutive hours, continuous positive airway pressure"						
4	C50.911 Malignant neoplasm of unspecified site of right female breast	C79.51 Secondary malignant neoplasm of bone	"N17.9 Acute kidney failure, unspecified"	E87.1 Hypo-osmolality and hyponatremia	E87.2 Acidosis	N13.6 Pyonephrosis	"M84.48XA Pathological fracture, other site, initial encounter for fracture"	C77.3 Secondary and unspecified malignant neoplasm of axilla and upper limb lymph nodes	C79.31 Secondary malignant neoplasm of brain	K92.1 Melena	M87.051 Idiopathic aseptic necrosis of right femur	M87.052 Idiopathic aseptic necrosis of left femur	"E88.09 Other disorders of plasma-protein metabolism, not elsewhere classified"	Z66 Do not resuscitate	Z51.5 Encounter for palliative care	Z20.822 Contact with and (suspected) exposure to COVID-19	D63.0 Anemia in neoplastic disease	B96.20 Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere	I10 Essential (primary) hypertension	"F41.9 Anxiety disorder, unspecified"	I45.10 Unspecified right bundle-branch block	K82.8 Other specified diseases of gallbladder	"D50.9 Iron deficiency anemia, unspecified"	B96.5 Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified elsewhere	"R19.7 Diarrhea, unspecified"	"07B53ZX Excision of right axillary lymphatic, percutaneous approach, diagnostic"	"0QB03ZX Excision of lumbar vertebra, percutaneous approach, diagnostic"	DMY1KZZ Laser interstitial thermal therapy of right breast	"02HV33Z Insertion of infusion device into superior vena cava, percutaneous approach"											
5	C78.7 Secondary malignant neoplasm of liver and intrahepatic bile duct	K83.1 Obstruction of bile duct	I81 Portal vein thrombosis	C7A.8 Other malignant neuroendocrine tumors	E87.1 Hypo-osmolality and hyponatremia	C24.0 Malignant neoplasm of extrahepatic bile duct	C77.1 Secondary and unspecified malignant neoplasm of intrathoracic lymph nodes	E44.0 Moderate protein-calorie malnutrition	I47.1 Supraventricular tachycardia	C78.89 Secondary malignant neoplasm of other digestive organs	E80.6 Other disorders of bilirubin metabolism	"D64.9 Anemia, unspecified"	I10 Essential (primary) hypertension	Z60.2 Problems related to living alone	R10.9 Unspecified abdominal pain	R93.2 Abnormal findings on diagnostic imaging of liver and biliary tract	"R93.5 Abnormal findings on diagnostic imaging of other abdominal regions, including retroperitoneum"	E87.6 Hypokalemia	"L29.9 Pruritus, unspecified"	I07.1 Rheumatic tricuspid insufficiency	"G47.00 Insomnia, unspecified"	"K52.9 Noninfective gastroenteritis and colitis, unspecified"	"K59.00 Constipation, unspecified"	D63.8 Anemia in other chronic diseases classified elsewhere	R53.81 Other malaise	DFY0KZZ Laser interstitial thermal therapy of liver	"0F798DZ Dilation of common bile duct with intraluminal device, via natural or artificial opening endoscopic"	BF131ZZ Fluoroscopy of gallbladder and bile ducts using low osmolar contrast	"0FB78ZX Excision of common hepatic duct, via natural or artificial opening endoscopic, diagnostic"	BF101ZZ Fluoroscopy of bile ducts using low osmolar contrast	"0D9930Z Drainage of duodenum with drainage device, percutaneous approach"									
6	I63.89 Other cerebral infarction	"S72.001A Fracture of unspecified part of neck of right femur, initial encounter for closed fracture"	E87.1 Hypo-osmolality and hyponatremia	I24.8 Other forms of acute ischemic heart disease	"G81.91 Hemiplegia, unspecified affecting right dominant side"	"N39.0 Urinary tract infection, site not specified"	"S42.301A Unspecified fracture of shaft of humerus, right arm, initial encounter for closed fracture"	I16.1 Hypertensive emergency	"M97.31XA Periprosthetic fracture around internal prosthetic right shoulder joint, initial encounter"	E11.51 Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene	E11.65 Type 2 diabetes mellitus with hyperglycemia	"R13.10 Dysphagia, unspecified"	Z89.421 Acquired absence of other right toe(s)	Z89.412 Acquired absence of left great toe	Z89.422 Acquired absence of other left toe(s)	R29.6 Repeated falls	"D72.829 Elevated white blood cell count, unspecified"	B96.5 Pseudomonas (aeruginosa) (mallei) (pseudomallei) as the cause of diseases classified elsewhere	Z96.611 Presence of right artificial shoulder joint	Z03.818 Encounter for observation for suspected exposure to other biological agents ruled out	Z79.84 Long term (current) use of oral hypoglycemic drugs	I10 Essential (primary) hypertension	I16.0 Hypertensive urgency	"D64.9 Anemia, unspecified"	N40.0 Benign prostatic hyperplasia without lower urinary tract symptoms	"0QS6XZZ Reposition right upper femur, external approach"	DVY0KZZ Laser interstitial thermal therapy of prostate	B41G1ZZ Fluoroscopy of left lower extremity arteries using low osmolar contrast	"0QS6XZZ Reposition right upper femur, external approach"	B41G1ZZ Fluoroscopy of left lower extremity arteries using low osmolar contrast	DVY0KZZ Laser interstitial thermal therapy of prostate									
7	N13.6 Pyonephrosis	"A04.72 Enterocolitis due to Clostridium difficile, not specified as recurrent"	B02.9 Zoster without complications	Z87.440 Personal history of urinary (tract) infections	Z87.442 Personal history of urinary calculi	E11.9 Type 2 diabetes mellitus without complications	I10 Essential (primary) hypertension	E87.6 Hypokalemia	I48.91 Unspecified atrial fibrillation	R79.89 Other specified abnormal findings of blood chemistry	"E78.5 Hyperlipidemia, unspecified"	"N17.9 Acute kidney failure, unspecified"	E86.0 Dehydration	"H91.90 Unspecified hearing loss, unspecified ear"	F05 Delirium due to known physiological condition	R94.31 Abnormal electrocardiogram [ECG] [EKG]	I25.10 Atherosclerotic heart disease of native coronary artery without angina pectoris	I65.29 Occlusion and stenosis of unspecified carotid artery	Z87.891 Personal history of nicotine dependence	I21.A1 Myocardial infarction type 2	Z95.0 Presence of cardiac pacemaker	B95.2 Enterococcus as the cause of diseases classified elsewhere	"R33.9 Retention of urine, unspecified"	"K50.90 Crohn's disease, unspecified, without complications"	R62.7 Adult failure to thrive	"0T768DZ Dilation of right ureter with intraluminal device, via natural or artificial opening endoscopic"	"0TC68ZZ Extirpation of matter from right ureter, via natural or artificial opening endoscopic"	DVY0KZZ Laser interstitial thermal therapy of prostate												
8	N99.820 Postprocedural hemorrhage of a genitourinary system organ or structure following a genitourinary system procedure	I47.2 Ventricular tachycardia	I42.8 Other cardiomyopathies	D68.32 Hemorrhagic disorder due to extrinsic circulating anticoagulants	"R31.9 Hematuria, unspecified"	N40.1 Benign prostatic hyperplasia with lower urinary tract symptoms	C67.2 Malignant neoplasm of lateral wall of bladder	Z20.822 Contact with and (suspected) exposure to COVID-19	R33.8 Other retention of urine	I48.0 Paroxysmal atrial fibrillation	Z79.01 Long term (current) use of anticoagulants	"I50.9 Heart failure, unspecified"	"T45.525A Adverse effect of antithrombotic drugs, initial encounter"	 	 	 	 	 	 	 	 	 	 	 	 	DVY0KZZ Laser interstitial thermal therapy of prostate	"0TBB8ZZ Excision of bladder, via natural or artificial opening endoscopic"	"0T9B70Z Drainage of bladder with drainage device, via natural or artificial opening"	"4B02XSZ Measurement of cardiac pacemaker, external approach"											
9	N99.89 Other postprocedural complications and disorders of genitourinary system	"N17.9 Acute kidney failure, unspecified"	N13.8 Other obstructive and reflux uropathy	E87.5 Hyperkalemia	I25.10 Atherosclerotic heart disease of native coronary artery without angina pectoris	"I12.9 Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease"	"N18.30 Chronic kidney disease, stage 3 unspecified"	D63.1 Anemia in chronic kidney disease	"R31.9 Hematuria, unspecified"	R33.8 Other retention of urine	"E03.9 Hypothyroidism, unspecified"	"G40.909 Epilepsy, unspecified, not intractable, without status epilepticus"	N40.1 Benign prostatic hyperplasia with lower urinary tract symptoms	R35.1 Nocturia	E78.2 Mixed hyperlipidemia	"Z86.73 Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits"	Z20.828 Contact with and (suspected) exposure to other viral communicable diseases	"Z98.41 Cataract extraction status, right eye"	"Z98.42 Cataract extraction status, left eye"	Z95.1 Presence of aortocoronary bypass graft	"Z96.643 Presence of artificial hip joint, bilateral"	N32.0 Bladder-neck obstruction	 	 	 	DVY0KZZ Laser interstitial thermal therapy of prostate														
10	C34.90 Malignant neoplasm of unspecified part of unspecified bronchus or lung 	"C77.9 Secondary and unspecified malignant neoplasm of lymph node, unspecified "	C78.7 Secondary malignant neoplasm of liver and intrahepatic bile duct  	C79.31 Secondary malignant neoplasm of brain 	C79.51 Secondary malignant neoplasm of bone 	I50.32 Chronic diastolic (congestive) heart failure 	R04.2 Hemoptysis 	I87.1 Compression of vein 	Z20.822 Contact with and (suspected) exposure to COVID-19 	M54.2 Cervicalgia 	"R13.10 Dysphagia, unspecified "	"R16.0 Hepatomegaly, not elsewhere classified "	Z92.3 Personal history of irradiation 	Z92.21 Personal history of antineoplastic chemotherapy 	Z90.710 Acquired absence of both cervix and uterus 	Z90.11 Acquired absence of right breast and nipple 	Z85.828 Personal history of other malignant neoplasm of skin 	Z85.3 Personal history of malignant neoplasm of breast 	Z85.118 Personal history of other malignant neoplasm of bronchus and lung 	Z17.0 Estrogen receptor positive status [ER+] 	Z15.01 Genetic susceptibility to malignant neoplasm of breast 	Z80.6 Family history of leukemia 	Z80.8 Family history of malignant neoplasm of other organs or systems 	 	 	DBY2KZZ Laser interstitial thermal therapy of lung	DB023ZZ Beam radiation of lung using electrons													
																																								
	Notes:																																							
	"For the associated severity level designations (CC or MCC) for the secondary diagnoses listed, we refer the reader to the V39.1 ICD-10 MS-DRG Definitions Manual (Appendix G and Appendix H), available via the internet on the CMS web page at: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software"																																							
