TABLE 13A. PROPOSED COMPOSITION OF LOW-VOLUME QUINTILES FOR MS-LTC-DRGs FY 2017	
MS-LTC-DRG	MS-LTC-DRG Description
Quintile 1	
053	Spinal disorders & injuries w/o CC/MCC
066	Intracranial hemorrhage or cerebral infarction w/o CC/MCC
075	Viral meningitis w CC/MCC
078	Hypertensive encephalopathy w CC
079	Hypertensive encephalopathy w/o CC/MCC
081	Nontraumatic stupor & coma w/o MCC
087	"Traumatic stupor & coma, coma <1 hr w/o CC/MCC"
093	Other disorders of nervous system w/o CC/MCC
096	Bacterial & tuberculous infections of nervous system w/o CC/MCC
101	Seizures w/o MCC
103	Headaches w/o MCC
124	Other disorders of the eye w MCC
125	Other disorders of the eye w/o MCC
147	"Ear, nose, mouth & throat malignancy w CC"
148	"Ear, nose, mouth & throat malignancy w/o CC/MCC"
156	"Other ear, nose, mouth & throat diagnoses w/o CC/MCC"
179	Respiratory infections & inflammations w/o CC/MCC
195	Simple pneumonia & pleurisy w/o CC/MCC
198	Interstitial lung disease w/o CC/MCC
201	Pneumothorax w/o CC/MCC
203	Bronchitis & asthma w/o CC/MCC
290	Acute & subacute endocarditis w/o CC/MCC
293	Heart failure & shock w/o CC/MCC
301	Peripheral vascular disorders w/o CC/MCC
303	Atherosclerosis w/o MCC
309	Cardiac arrhythmia & conduction disorders w CC
310	Cardiac arrhythmia & conduction disorders w/o CC/MCC
312	Syncope & collapse
316	Other circulatory system diagnoses w/o CC/MCC
378	G.I. hemorrhage w CC
384	Uncomplicated peptic ulcer w/o MCC
386	Inflammatory bowel disease w CC
390	G.I. obstruction w/o CC/MCC
406	"Pancreas, liver & shunt procedures w CC"
411	Cholecystectomy w c.d.e. w MCC
440	Disorders of pancreas except malignancy w/o CC/MCC
502	Soft tissue procedures w/o CC/MCC
533	Fractures of femur w MCC
543	Pathological fractures & musculoskelet & conn tiss malig w CC
556	Signs & symptoms of musculoskeletal system & conn tissue w/o MCC
563	"Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC"
566	Other musculoskeletal sys & connective tissue diagnoses w/o CC/MCC
596	Major skin disorders w/o MCC
644	Endocrine disorders w CC
684	Renal failure w/o CC/MCC
694	Urinary stones w/o esw lithotripsy w/o MCC
754	"Malignancy, female reproductive system w MCC"
759	"Infections, female reproductive system w/o CC/MCC"
809	Major hematol/immun diag exc sickle cell crisis & coagul w CC
835	Acute leukemia w/o major O.R. procedure w CC
837	Chemo w acute leukemia as sdx or w high dose chemo agent w MCC
948	Signs & symptoms w/o MCC
Quintile 2	
054	Nervous system neoplasms w MCC
072	Nonspecific cerebrovascular disorders w/o CC/MCC
080	Nontraumatic stupor & coma w MCC
084	"Traumatic stupor & coma, coma >1 hr w/o CC/MCC"
098	Non-bacterial infect of nervous sys exc viral meningitis w CC
099	Non-bacterial infect of nervous sys exc viral meningitis w/o CC/MCC
153	Otitis media & URI w/o MCC
155	"Other ear, nose, mouth & throat diagnoses w CC"
158	Dental & Oral Diseases w CC
176	Pulmonary embolism w/o MCC
181	Respiratory neoplasms w CC
200	Pneumothorax w CC
206	Other respiratory system diagnoses w/o MCC
274	Percutaneous intracardiac procedures  w/o MCC
281	"Acute myocardial infarction, discharged alive w CC"
282	"Acute myocardial infarction, discharged alive w/o CC/MCC"
294	Deep vein thrombophlebitis w CC/MCC
304	Hypertension w MCC
305	Hypertension w/o MCC
307	Cardiac congenital & valvular disorders w/o MCC
327	"Stomach, esophageal & duodenal proc w CC"
354	Hernia procedures except inguinal & femoral w CC
369	Major esophageal disorders w CC
373	Major gastrointestinal disorders & peritoneal infections w/o CC/MCC
395	Other digestive system diagnoses w/o CC/MCC
433	Cirrhosis & alcoholic hepatitis w CC
446	Disorders of the biliary tract w/o CC/MCC
505	Foot procedures w/o CC/MCC
541	Osteomyelitis w/o CC/MCC
572	Skin debridement w/o CC/MCC
607	Minor skin disorders w/o MCC
645	Endocrine disorders w/o CC/MCC
675	Other kidney & urinary tract procedures w/o CC/MCC
693	Urinary stones w/o esw lithotripsy w MCC
725	Benign prostatic hypertrophy w MCC
727	Inflammation of the male reproductive system w MCC
728	Inflammation of the male reproductive system w/o MCC
758	"Infections, female reproductive system w CC"
776	Postpartum & post abortion diagnoses w/o O.R. procedure
814	Reticuloendothelial & immunity disorders w MCC
815	Reticuloendothelial & immunity disorders w CC
841	Lymphoma & non-acute leukemia w CC
843	Other myeloprolif dis or poorly diff neopl diag w MCC
868	Other infectious & parasitic diseases diagnoses w CC
915	Allergic reactions w MCC
917	Poisoning & toxic effects of drugs w MCC
918	Poisoning & toxic effects of drugs w/o MCC
921	Complications of treatment w/o CC/MCC
922	"Other injury, poisoning & toxic effect diag w MCC"
923	"Other injury, poisoning & toxic effect diag w/o MCC"
934	Full thickness burn w/o skin grft or inhal inj
985	Prostatic O.R. procedure unrelated to principal diagnosis w CC
Quintile 3	
074	Cranial & peripheral nerve disorders w/o MCC
083	"Traumatic stupor & coma, coma >1 hr w CC"
152	Otitis media & URI w MCC
157	Dental & Oral Diseases w MCC
180	Respiratory neoplasms w MCC
197	Interstitial lung disease w CC
253	Other vascular procedures w CC
256	Upper limb & toe amputation for circ system disorders w CC
261	Cardiac pacemaker revision except device replacement w CC
313	Chest pain
357	Other digestive system O.R. procedures w CC
375	Digestive malignancy w CC
380	Complicated peptic ulcer w MCC
381	Complicated peptic ulcer w CC
382	Complicated peptic ulcer w/o CC/MCC
383	Uncomplicated peptic ulcer w MCC
435	Malignancy of hepatobiliary system or pancreas w MCC
445	Disorders of the biliary tract w CC
478	Biopsies of musculoskeletal system & connective tissue w CC
492	"Lower extrem & humer proc except hip,foot,femur w MCC"
493	"Lower extrem & humer proc except hip,foot,femur w CC"
501	Soft tissue procedures w CC
535	Fractures of hip & pelvis w MCC
550	Septic arthritis w/o CC/MCC
552	Medical back problems w/o MCC
553	Bone diseases & arthropathies w MCC
555	Signs & symptoms of musculoskeletal system & conn tissue w MCC
561	"Aftercare, musculoskeletal system & connective tissue w/o CC/MCC"
577	Skin graft exc for skin ulcer or cellulitis w CC
597	Malignant breast disorders w MCC
604	"Trauma to the skin, subcut tiss & breast w MCC"
605	"Trauma to the skin, subcut tiss & breast w/o MCC"
660	Kidney & ureter procedures for non-neoplasm w CC
662	Minor bladder procedures w MCC
674	Other kidney & urinary tract procedures w CC
686	Kidney & urinary tract neoplasms w MCC
710	Penis procedures w/o CC/MCC
808	Major hematol/immun diag exc sickle cell crisis & coagul w MCC
811	Red blood cell disorders w MCC
812	Red blood cell disorders w/o MCC
834	Acute leukemia w/o major O.R. procedure w MCC
840	Lymphoma & non-acute leukemia w MCC
854	Infectious & parasitic diseases w O.R. procedure w CC
866	Viral illness w/o MCC
909	Other O.R. procedures for injuries w/o CC/MCC
913	Traumatic injury w MCC
914	Traumatic injury w/o MCC
935	Non-extensive burns
947	Signs & symptoms w MCC
963	Other multiple significant trauma w MCC
975	HIV w major related condition w CC
977	HIV w or w/o other related condition
Quintile 4	
028	Spinal procedures w MCC
041	Periph/cranial nerve & other nerv syst proc w CC or periph neurostim
042	Periph/cranial nerve & other nerv syst proc w/o CC/MCC
058	Multiple sclerosis & cerebellar ataxia w MCC
067	Nonspecific cva & precerebral occlusion w/o infarct w MCC
077	Hypertensive encephalopathy w MCC
082	"Traumatic stupor & coma, coma >1 hr w MCC"
133	"Other ear, nose, mouth & throat O.R. procedures w CC/MCC"
146	"Ear, nose, mouth & throat malignancy w MCC"
154	"Other ear, nose, mouth & throat diagnoses w MCC"
164	Major chest procedures w CC
168	Other resp system O.R. procedures w/o CC/MCC
187	Pleural effusion w CC
240	Amputation for circ sys disorders exc upper limb & toe w CC
242	Permanent cardiac pacemaker implant w MCC
243	Permanent cardiac pacemaker implant w CC
260	Cardiac pacemaker revision except device replacement w MCC
273	Percutaneous intracardiac procedures w MCC
284	"Acute myocardial infarction, expired w CC"
287	"Circulatory disorders except AMI, w card cath w/o MCC"
336	Peritoneal adhesiolysis w CC
417	Laparoscopic cholecystectomy w/o c.d.e. w MCC
418	Laparoscopic cholecystectomy w/o c.d.e. w CC
423	Other hepatobiliary or pancreas O.R. procedures w MCC
465	"Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w/o CC/MCC"
475	Amputation for musculoskeletal sys & conn tissue dis w CC
480	Hip & femur procedures except major joint w MCC
485	Knee procedures w pdx of infection w MCC
496	Local excision & removal int fix devices exc hip & femur w CC
503	Foot procedures w MCC
516	Other musculoskelet sys & conn tiss O.R. proc w CC
542	Pathological fractures & musculoskelet & conn tiss malig w MCC
545	Connective tissue disorders w MCC
546	Connective tissue disorders w CC
580	"Other skin, subcut tiss & breast proc w CC"
595	Major skin disorders w MCC
600	Non-malignant breast disorders w CC/MCC
617	"Amputat of lower limb for endocrine,nutrit,& metabol dis w CC"
643	Endocrine disorders w MCC
665	Prostatectomy w MCC
668	Transurethral procedures w MCC
669	Transurethral procedures w CC
685	Admit for renal dialysis
709	Penis procedures w CC/MCC
717	Other male reproductive system O.R. proc exc malignancy w CC/MCC
813	Coagulation disorders
829	Myeloprolif disord or poorly diff neopl w other O.R. proc w CC/MCC
858	Postoperative or post-traumatic infections w O.R. proc w/o CC/MCC
864	Fever
902	Wound debridements for injuries w CC
908	Other O.R. procedures for injuries w CC
941	O.R. proc w diagnoses of other contact w health services w/o CC/MCC
Quintile 5	
011	"Tracheostomy for face,mouth & neck diagnoses w MCC"
026	Craniotomy & endovascular intracranial procedures w CC
031	Ventricular shunt procedures w MCC
037	Extracranial procedures w MCC
038	Extracranial procedures w CC
102	Headaches w MCC
121	Acute major eye infections w CC/MCC
226	Cardiac defibrillator implant w/o cardiac cath w MCC
227	Cardiac defibrillator implant w/o cardiac cath w/o MCC
245	AICD generator procedures
255	Upper limb & toe amputation for circ system disorders w MCC
270	Other major cardiovascular procedures w MCC
286	"Circulatory disorders except AMI, w card cath w MCC"
326	"Stomach, esophageal & duodenal proc w MCC"
329	Major small & large bowel procedures w MCC
335	Peritoneal adhesiolysis w MCC
344	Minor small & large bowel procedures w MCC
347	Anal & stomal procedures w MCC
353	Hernia procedures except inguinal & femoral w MCC
385	Inflammatory bowel disease w MCC
405	"Pancreas, liver & shunt procedures w MCC"
420	Hepatobiliary diagnostic procedures w MCC
436	Malignancy of hepatobiliary system or pancreas w CC
453	Combined anterior/posterior spinal fusion w MCC
467	Revision of hip or knee replacement w CC
474	Amputation for musculoskeletal sys & conn tissue dis w MCC
477	Biopsies of musculoskeletal system & connective tissue w MCC
498	Local excision & removal int fix devices of hip & femur w CC/MCC
504	Foot procedures w CC
507	Major shoulder or elbow joint procedures w CC/MCC
513	"Hand or wrist proc, except major thumb or joint proc w CC/MCC"
518	Back & neck proc exc spinal fusion w MCC or disc device/neurostim
574	Skin graft for skin ulcer or cellulitis w CC
576	Skin graft exc for skin ulcer or cellulitis w MCC
629	"Other endocrine, nutrit & metab O.R. proc w CC"
659	Kidney & ureter procedures for non-neoplasm w MCC
696	Kidney & urinary tract signs & symptoms w/o MCC
711	Testes procedures w CC/MCC
746	"Vagina, cervix & vulva procedures w CC/MCC"
749	Other female reproductive system O.R. procedures w CC/MCC
760	Menstrual & other female reproductive system disorders w CC/MCC
769	Postpartum & post abortion diagnoses w O.R. procedure
802	Other O.R. proc of the blood & blood forming organs w MCC
846	Chemotherapy w/o acute leukemia as secondary diagnosis w MCC
849	Radiotherapy
906	Hand procedures for injuries
928	Full thickness burn w skin graft or inhal inj w CC/MCC
957	Other O.R. procedures for multiple significant trauma w MCC
964	Other multiple significant trauma w CC
969	HIV w extensive O.R. procedure w MCC
984	Prostatic O.R. procedure unrelated to principal diagnosis w MCC
