TABLE 13A. COMPOSITION OF LOW-VOLUME QUINTILES FOR MS-LTC-DRGs FY 2016	
MS-LTC-DRG	MS-LTC-DRG Description
Quintile 1	
066	Intracranial hemorrhage or cerebral infarction w/o CC/MCC
069	Transient ischemia
075	Viral meningitis w CC/MCC
086	"Traumatic stupor & coma, coma <1 hr w CC"
087	"Traumatic stupor & coma, coma <1 hr w/o CC/MCC"
096	Bacterial & tuberculous infections of nervous system w/o CC/MCC
101	Seizures w/o MCC
149	Dysequilibrium
153	Otitis media & URI w/o MCC
176	Pulmonary embolism w/o MCC
179	Respiratory infections & inflammations w/o CC/MCC
182	Respiratory neoplasms w/o CC/MCC
183	Major chest trauma w MCC
187	Pleural effusion w CC
195	Simple pneumonia & pleurisy w/o CC/MCC
284	"Acute myocardial infarction, expired w CC"
294	Deep vein thrombophlebitis w CC/MCC
305	Hypertension w/o MCC
312	Syncope & collapse
316	Other circulatory system diagnoses w/o CC/MCC
378	G.I. hemorrhage w CC
383	Uncomplicated peptic ulcer w MCC
395	Other digestive system diagnoses w/o CC/MCC
408	Biliary tract proc except only cholecyst w or w/o c.d.e. w MCC
418	Laparoscopic cholecystectomy w/o c.d.e. w CC
433	Cirrhosis & alcoholic hepatitis w CC
440	Disorders of pancreas except malignancy w/o CC/MCC
443	"Disorders of liver except malig,cirr,alc hepa w/o CC/MCC"
446	Disorders of the biliary tract w/o CC/MCC
485	Knee procedures w pdx of infection w MCC
543	Pathological fractures & musculoskelet & conn tiss malig w CC
552	Medical back problems w/o MCC
562	"Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC"
594	Skin ulcers w/o CC/MCC
596	Major skin disorders w/o MCC
598	Malignant breast disorders w CC
644	Endocrine disorders w CC
693	Urinary stones w/o esw lithotripsy w MCC
694	Urinary stones w/o esw lithotripsy w/o MCC
722	"Malignancy, male reproductive system w MCC"
730	Other male reproductive system diagnoses w/o CC/MCC
755	"Malignancy, female reproductive system w CC"
760	Menstrual & other female reproductive system disorders w CC/MCC
866	Viral illness w/o MCC
869	Other infectious & parasitic diseases diagnoses w/o CC/MCC
914	Traumatic injury w/o MCC
915	Allergic reactions w MCC
918	Poisoning & toxic effects of drugs w/o MCC
948	Signs & symptoms w/o MCC
977	HIV w or w/o other related condition
Quintile 2	
054	Nervous system neoplasms w MCC
065	Intracranial hemorrhage or cerebral infarction w CC or tPA in 24 hrs
071	Nonspecific cerebrovascular disorders w CC
074	Cranial & peripheral nerve disorders w/o MCC
083	"Traumatic stupor & coma, coma >1 hr w CC"
093	Other disorders of nervous system w/o CC/MCC
098	Non-bacterial infect of nervous sys exc viral meningitis w CC
100	Seizures w MCC
121	Acute major eye infections w CC/MCC
125	Other disorders of the eye w/o MCC
152	Otitis media & URI w MCC
155	"Other ear, nose, mouth & throat diagnoses w CC"
156	"Other ear, nose, mouth & throat diagnoses w/o CC/MCC"
158	Dental & Oral Diseases w CC
181	Respiratory neoplasms w CC
200	Pneumothorax w CC
290	Acute & subacute endocarditis w/o CC/MCC
293	Heart failure & shock w/o CC/MCC
303	Atherosclerosis w/o MCC
307	Cardiac congenital & valvular disorders w/o MCC
309	Cardiac arrhythmia & conduction disorders w CC
369	Major esophageal disorders w CC
386	Inflammatory bowel disease w CC
436	Malignancy of hepatobiliary system or pancreas w CC
442	"Disorders of liver except malig,cirr,alc hepa w CC"
516	Other musculoskelet sys & conn tiss O.R. proc w CC
546	Connective tissue disorders w CC
550	Septic arthritis w/o CC/MCC
556	Signs & symptoms of musculoskeletal system & conn tissue w/o MCC
561	"Aftercare, musculoskeletal system & connective tissue w/o CC/MCC"
572	Skin debridement w/o CC/MCC
643	Endocrine disorders w MCC
684	Renal failure w/o CC/MCC
687	Kidney & urinary tract neoplasms w CC
695	Kidney & urinary tract signs & symptoms w MCC
700	Other kidney & urinary tract diagnoses w/o CC/MCC
758	"Infections, female reproductive system w CC"
812	Red blood cell disorders w/o MCC
858	Postoperative or post-traumatic infections w O.R. proc w/o CC/MCC
868	Other infectious & parasitic diseases diagnoses w CC
913	Traumatic injury w MCC
921	Complications of treatment w/o CC/MCC
923	"Other injury, poisoning & toxic effect diag w/o MCC"
933	Extensive burns or full thickness burns w MV 96+ hrs w/o skin graft
934	Full thickness burn w/o skin grft or inhal inj
935	Non-extensive burns
941	O.R. proc w diagnoses of other contact w health services w/o CC/MCC
970	HIV w extensive O.R. procedure w/o MCC
983	Extensive O.R. procedure unrelated to principal diagnosis w/o CC/MCC
989	Non-extensive O.R. proc unrelated to principal diagnosis w/o CC/MCC
Quintile 3	
041	Periph/cranial nerve & other nerv syst proc w CC or periph neurostim
055	Nervous system neoplasms w/o MCC
072	Nonspecific cerebrovascular disorders w/o CC/MCC
082	"Traumatic stupor & coma, coma >1 hr w MCC"
147	"Ear, nose, mouth & throat malignancy w CC"
168	Other resp system O.R. procedures w/o CC/MCC
188	Pleural effusion w/o CC/MCC
197	Interstitial lung disease w CC
201	Pneumothorax w/o CC/MCC
202	Bronchitis & asthma w CC/MCC
242	Permanent cardiac pacemaker implant w MCC
287	"Circulatory disorders except AMI, w card cath w/o MCC"
301	Peripheral vascular disorders w/o CC/MCC
304	Hypertension w MCC
310	Cardiac arrhythmia & conduction disorders w/o CC/MCC
357	Other digestive system O.R. procedures w CC
373	Major gastrointestinal disorders & peritoneal infections w/o CC/MCC
375	Digestive malignancy w CC
380	Complicated peptic ulcer w MCC
385	Inflammatory bowel disease w MCC
389	G.I. obstruction w CC
415	Cholecystectomy except by laparoscope w/o c.d.e. w CC
445	Disorders of the biliary tract w CC
475	Amputation for musculoskeletal sys & conn tissue dis w CC
507	Major shoulder or elbow joint procedures w CC/MCC
541	Osteomyelitis w/o CC/MCC
566	Other musculoskeletal sys & connective tissue diagnoses w/o CC/MCC
597	Malignant breast disorders w MCC
605	"Trauma to the skin, subcut tiss & breast w/o MCC"
607	Minor skin disorders w/o MCC
624	"Skin grafts & wound debrid for endoc, nutrit & metab dis w/o CC/MCC"
626	"Thyroid, parathyroid & thyroglossal procedures w CC"
660	Kidney & ureter procedures for non-neoplasm w CC
686	Kidney & urinary tract neoplasms w MCC
709	Penis procedures w CC/MCC
728	Inflammation of the male reproductive system w/o MCC
754	"Malignancy, female reproductive system w MCC"
809	Major hematol/immun diag exc sickle cell crisis & coagul w CC
811	Red blood cell disorders w MCC
813	Coagulation disorders
815	Reticuloendothelial & immunity disorders w CC
829	Myeloprolif disord or poorly diff neopl w other O.R. proc w CC/MCC
834	Acute leukemia w/o major O.R. procedure w MCC
841	Lymphoma & non-acute leukemia w CC
849	Radiotherapy
864	Fever
922	"Other injury, poisoning & toxic effect diag w MCC"
928	Full thickness burn w skin graft or inhal inj w CC/MCC
947	Signs & symptoms w MCC
964	Other multiple significant trauma w CC
975	HIV w major related condition w CC
Quintile 4	
023	Cranio w major dev impl/acute complex CNS PDX w MCC or chemo implant
037	Extracranial procedures w MCC
038	Extracranial procedures w CC
058	Multiple sclerosis & cerebellar ataxia w MCC
077	Hypertensive encephalopathy w MCC
102	Headaches w MCC
137	Mouth procedures w CC/MCC
146	"Ear, nose, mouth & throat malignancy w MCC"
159	Dental & Oral Diseases w/o CC/MCC
164	Major chest procedures w CC
240	Amputation for circ sys disorders exc upper limb & toe w CC
250	Perc cardiovasc proc w/o coronary artery stent w MCC
253	Other vascular procedures w CC
255	Upper limb & toe amputation for circ system disorders w MCC
260	Cardiac pacemaker revision except device replacement w MCC
273	Percutaneous intracardiac procedures w MCC
282	"Acute myocardial infarction, discharged alive w/o CC/MCC"
347	Anal & stomal procedures w MCC
354	Hernia procedures except inguinal & femoral w CC
368	Major esophageal disorders w MCC
381	Complicated peptic ulcer w CC
435	Malignancy of hepatobiliary system or pancreas w MCC
498	Local excision & removal int fix devices of hip & femur w CC/MCC
501	Soft tissue procedures w CC
503	Foot procedures w MCC
510	"Shoulder,elbow or forearm proc,exc major joint proc w MCC"
545	Connective tissue disorders w MCC
553	Bone diseases & arthropathies w MCC
555	Signs & symptoms of musculoskeletal system & conn tissue w MCC
574	Skin graft for skin ulcer or cellulitis w CC
580	"Other skin, subcut tiss & breast proc w CC"
584	"Breast biopsy, local excision & other breast procedures w CC/MCC"
595	Major skin disorders w MCC
600	Non-malignant breast disorders w CC/MCC
604	"Trauma to the skin, subcut tiss & breast w MCC"
617	"Amputat of lower limb for endocrine,nutrit,& metabol dis w CC"
659	Kidney & ureter procedures for non-neoplasm w MCC
665	Prostatectomy w MCC
669	Transurethral procedures w CC
717	Other male reproductive system O.R. proc exc malignancy w CC/MCC
781	Other antepartum diagnoses w medical complications
803	Other O.R. proc of the blood & blood forming organs w CC
808	Major hematol/immun diag exc sickle cell crisis & coagul w MCC
814	Reticuloendothelial & immunity disorders w MCC
816	Reticuloendothelial & immunity disorders w/o CC/MCC
842	Lymphoma & non-acute leukemia w/o CC/MCC
843	Other myeloprolif dis or poorly diff neopl diag w MCC
865	Viral illness w MCC
908	Other O.R. procedures for injuries w CC
951	Other factors influencing health status
Quintile 5	
025	Craniotomy & endovascular intracranial procedures w MCC
028	Spinal procedures w MCC
031	Ventricular shunt procedures w MCC
103	Headaches w/o MCC
133	"Other ear, nose, mouth & throat O.R. procedures w CC/MCC"
157	Dental & Oral Diseases w MCC
216	Cardiac valve & oth maj cardiothoracic proc w card cath w MCC
226	Cardiac defibrillator implant w/o cardiac cath w MCC
227	Cardiac defibrillator implant w/o cardiac cath w/o MCC
243	Permanent cardiac pacemaker implant w CC
256	Upper limb & toe amputation for circ system disorders w CC
270	Other major cardiovascular procedures w MCC
286	"Circulatory disorders except AMI, w card cath w MCC"
326	"Stomach, esophageal & duodenal proc w MCC"
327	"Stomach, esophageal & duodenal proc w CC"
329	Major small & large bowel procedures w MCC
335	Peritoneal adhesiolysis w MCC
336	Peritoneal adhesiolysis w CC
339	Appendectomy w complicated principal diag w CC
405	"Pancreas, liver & shunt procedures w MCC"
417	Laparoscopic cholecystectomy w/o c.d.e. w MCC
423	Other hepatobiliary or pancreas O.R. procedures w MCC
466	Revision of hip or knee replacement w MCC
477	Biopsies of musculoskeletal system & connective tissue w MCC
478	Biopsies of musculoskeletal system & connective tissue w CC
480	Hip & femur procedures except major joint w MCC
481	Hip & femur procedures except major joint w CC
486	Knee procedures w pdx of infection w CC
492	"Lower extrem & humer proc except hip,foot,femur w MCC"
493	"Lower extrem & humer proc except hip,foot,femur w CC"
496	Local excision & removal int fix devices exc hip & femur w CC
518	Back & neck proc exc spinal fusion w MCC or disc device/neurostim
542	Pathological fractures & musculoskelet & conn tiss malig w MCC
576	Skin graft exc for skin ulcer or cellulitis w MCC
577	Skin graft exc for skin ulcer or cellulitis w CC
629	"Other endocrine, nutrit & metab O.R. proc w CC"
668	Transurethral procedures w MCC
685	Admit for renal dialysis
711	Testes procedures w CC/MCC
749	Other female reproductive system O.R. procedures w CC/MCC
802	Other O.R. proc of the blood & blood forming organs w MCC
823	Lymphoma & non-acute leukemia w other O.R. proc w MCC
846	Chemotherapy w/o acute leukemia as secondary diagnosis w MCC
847	Chemotherapy w/o acute leukemia as secondary diagnosis w CC
917	Poisoning & toxic effects of drugs w MCC
957	Other O.R. procedures for multiple significant trauma w MCC
963	Other multiple significant trauma w MCC
969	HIV w extensive O.R. procedure w MCC
984	Prostatic O.R. procedure unrelated to principal diagnosis w MCC
985	Prostatic O.R. procedure unrelated to principal diagnosis w CC
