COMPOSITION OF LOW-VOLUME QUINTILES FOR MS-LTC-DRGs FY 2019	
MS-LTC-DRG	MS-LTC-DRG Description
Quintile 1	
069	Transient ischemia w/o thrombolytic
072	Nonspecific cerebrovascular disorders w/o CC/MCC
084	"Traumatic stupor & coma, coma >1 hr w/o CC/MCC"
087	"Traumatic stupor & coma, coma <1 hr w/o CC/MCC"
093	Other disorders of nervous system w/o CC/MCC
099	Non-bacterial infect of nervous sys exc viral meningitis w/o CC/MCC
148	"Ear, nose, mouth & throat malignancy w/o CC/MCC"
168	Other resp system O.R. procedures w/o CC/MCC
181	Respiratory neoplasms w CC
195	Simple pneumonia & pleurisy w/o CC/MCC
198	Interstitial lung disease w/o CC/MCC
200	Pneumothorax w CC
282	"Acute myocardial infarction, discharged alive w/o CC/MCC"
301	Peripheral vascular disorders w/o CC/MCC
310	Cardiac arrhythmia & conduction disorders w/o CC/MCC
316	Other circulatory system diagnoses w/o CC/MCC
379	G.I. hemorrhage w/o CC/MCC
386	Inflammatory bowel disease w CC
390	G.I. obstruction w/o CC/MCC
424	Other hepatobiliary or pancreas O.R. procedures w CC
434	Cirrhosis & alcoholic hepatitis w/o CC/MCC
440	Disorders of pancreas except malignancy w/o CC/MCC
443	"Disorders of liver except malig,cirr,alc hepa w/o CC/MCC"
488	Knee procedures w/o pdx of infection w CC/MCC
494	"Lower extrem & humer proc except hip,foot,femur w/o CC/MCC"
504	Foot procedures w CC
510	"Shoulder,elbow or forearm proc,exc major joint proc w MCC"
543	Pathological fractures & musculoskelet & conn tiss malig w CC
546	Connective tissue disorders w CC
550	Septic arthritis w/o CC/MCC
554	Bone diseases & arthropathies w/o MCC
566	Other musculoskeletal sys & connective tissue diagnoses w/o CC/MCC
596	Major skin disorders w/o MCC
639	Diabetes w/o CC/MCC
645	Endocrine disorders w/o CC/MCC
693	Urinary stones w/o esw lithotripsy w MCC
694	Urinary stones w/o esw lithotripsy w/o MCC
695	Kidney & urinary tract signs & symptoms w MCC
696	Kidney & urinary tract signs & symptoms w/o MCC
722	"Malignancy, male reproductive system w MCC"
726	Benign prostatic hypertrophy w/o MCC
754	"Malignancy, female reproductive system w MCC"
803	Other O.R. proc of the blood & blood forming organs w CC
809	Major hematol/immun diag exc sickle cell crisis & coagul w CC
816	Reticuloendothelial & immunity disorders w/o CC/MCC
866	Viral illness w/o MCC
869	Other infectious & parasitic diseases diagnoses w/o CC/MCC
903	Wound debridements for injuries w/o CC/MCC
909	Other O.R. procedures for injuries w/o CC/MCC
914	Traumatic injury w/o MCC
916	Allergic reactions w/o MCC
917	Poisoning & toxic effects of drugs w MCC
921	Complications of treatment w/o CC/MCC
941	O.R. proc w diagnoses of other contact w health services w/o CC/MCC
951	Other factors influencing health status
Quintile 2	
042	Periph/cranial nerve & other nerv syst proc w/o CC/MCC
053	Spinal disorders & injuries w/o CC/MCC
055	Nervous system neoplasms w/o MCC
060	Multiple sclerosis & cerebellar ataxia w/o CC/MCC
065	Intracranial hemorrhage or cerebral infarction w CC or tPA in 24 hrs
075	Viral meningitis w CC/MCC
077	Hypertensive encephalopathy w MCC
078	Hypertensive encephalopathy w CC
086	"Traumatic stupor & coma, coma <1 hr w CC"
088	Concussion w MCC
096	Bacterial & tuberculous infections of nervous system w/o CC/MCC
124	Other disorders of the eye w MCC
147	"Ear, nose, mouth & throat malignancy w CC"
155	"Other ear, nose, mouth & throat diagnoses w CC"
176	Pulmonary embolism w/o MCC
179	Respiratory infections & inflammations w/o CC/MCC
187	Pleural effusion w CC
188	Pleural effusion w/o CC/MCC
197	Interstitial lung disease w CC
284	"Acute myocardial infarction, expired w CC"
303	Atherosclerosis w/o MCC
304	Hypertension w MCC
305	Hypertension w/o MCC
307	Cardiac congenital & valvular disorders w/o MCC
309	Cardiac arrhythmia & conduction disorders w CC
311	Angina pectoris
341	Appendectomy w/o complicated principal diag w MCC
369	Major esophageal disorders w CC
373	Major gastrointestinal disorders & peritoneal infections w/o CC/MCC
375	Digestive malignancy w CC
381	Complicated peptic ulcer w CC
389	G.I. obstruction w CC
395	Other digestive system diagnoses w/o CC/MCC
414	Cholecystectomy except by laparoscope w/o c.d.e. w MCC
433	Cirrhosis & alcoholic hepatitis w CC
436	Malignancy of hepatobiliary system or pancreas w CC
446	Disorders of the biliary tract w/o CC/MCC
536	Fractures of hip & pelvis w/o MCC
552	Medical back problems w/o MCC
555	Signs & symptoms of musculoskeletal system & conn tissue w MCC
556	Signs & symptoms of musculoskeletal system & conn tissue w/o MCC
563	"Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC"
581	"Other skin, subcut tiss & breast proc w/o CC/MCC"
594	Skin ulcers w/o CC/MCC
597	Malignant breast disorders w MCC
607	Minor skin disorders w/o MCC
691	Urinary stones w esw lithotripsy w CC/MCC
759	"Infections, female reproductive system w/o CC/MCC"
814	Reticuloendothelial & immunity disorders w MCC
815	Reticuloendothelial & immunity disorders w CC
834	Acute leukemia w/o major O.R. procedure w MCC
847	Chemotherapy w/o acute leukemia as secondary diagnosis w CC
915	Allergic reactions w MCC
983	Extensive O.R. procedure unrelated to principal diagnosis w/o CC/MCC
Quintile 3	
041	Periph/cranial nerve & other nerv syst proc w CC or periph neurostim
054	Nervous system neoplasms w MCC
058	Multiple sclerosis & cerebellar ataxia w MCC
059	Multiple sclerosis & cerebellar ataxia w CC
074	Cranial & peripheral nerve disorders w/o MCC
080	Nontraumatic stupor & coma w MCC
101	Seizures w/o MCC
102	Headaches w MCC
152	Otitis media & URI w MCC
153	Otitis media & URI w/o MCC
157	Dental & Oral Diseases w MCC
158	Dental & Oral Diseases w CC
164	Major chest procedures w CC
183	Major chest trauma w MCC
192	Chronic obstructive pulmonary disease w/o CC/MCC
204	Respiratory signs & symptoms
206	Other respiratory system diagnoses w/o MCC
240	Amputation for circ sys disorders exc upper limb & toe w CC
241	Amputation for circ sys disorders exc upper limb & toe w/o CC/MCC
271	Other major cardiovascular procedures w CC
287	"Circulatory disorders except AMI, w card cath w/o MCC"
293	Heart failure & shock w/o CC/MCC
312	Syncope & collapse
358	Other digestive system O.R. procedures w/o CC/MCC
368	Major esophageal disorders w MCC
378	G.I. hemorrhage w CC
420	Hepatobiliary diagnostic procedures w MCC
485	Knee procedures w pdx of infection w MCC
501	Soft tissue procedures w CC
541	Osteomyelitis w/o CC/MCC
542	Pathological fractures & musculoskelet & conn tiss malig w MCC
549	Septic arthritis w CC
561	"Aftercare, musculoskeletal system & connective tissue w/o CC/MCC"
595	Major skin disorders w MCC
600	Non-malignant breast disorders w CC/MCC
605	"Trauma to the skin, subcut tiss & breast w/o MCC"
643	Endocrine disorders w MCC
644	Endocrine disorders w CC
661	Kidney & ureter procedures for non-neoplasm w/o CC/MCC
684	Renal failure w/o CC/MCC
758	"Infections, female reproductive system w CC"
760	Menstrual & other female reproductive system disorders w CC/MCC
811	Red blood cell disorders w MCC
813	Coagulation disorders
841	Lymphoma & non-acute leukemia w CC
843	Other myeloprolif dis or poorly diff neopl diag w MCC
849	Radiotherapy
864	Fever and inflammatory conditions
868	Other infectious & parasitic diseases diagnoses w CC
908	Other O.R. procedures for injuries w CC
935	Non-extensive burns
948	Signs & symptoms w/o MCC
964	Other multiple significant trauma w CC
977	HIV w or w/o other related condition
Quintile 4	
026	Craniotomy & endovascular intracranial procedures w CC
029	Spinal procedures w CC or spinal neurostimulators
037	Extracranial procedures w MCC
098	Non-bacterial infect of nervous sys exc viral meningitis w CC
131	Cranial/facial procedures w CC/MCC
133	"Other ear, nose, mouth & throat O.R. procedures w CC/MCC"
146	"Ear, nose, mouth & throat malignancy w MCC"
228	Other cardiothoracic procedures w MCC
245	AICD generator procedures
246	Percutaneous cardiovascular procedures w drug-eluting stent w MCC or 4+ arteries or stents
273	Percutaneous intracardiac procedures w MCC
286	"Circulatory disorders except AMI, w card cath w MCC"
290	Acute & subacute endocarditis w/o CC/MCC
327	"Stomach, esophageal & duodenal proc w CC"
344	Minor small & large bowel procedures w MCC
357	Other digestive system O.R. procedures w CC
383	Uncomplicated peptic ulcer w MCC
385	Inflammatory bowel disease w MCC
421	Hepatobiliary diagnostic procedures w CC
435	Malignancy of hepatobiliary system or pancreas w MCC
456	Spinal fus exc cerv w spinal curv/malig/infec or ext fus 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
476	Amputation for musculoskeletal sys & conn tissue dis w/o CC/MCC
493	"Lower extrem & humer proc except hip,foot,femur w CC"
502	Soft tissue procedures w/o CC/MCC
503	Foot procedures w MCC
535	Fractures of hip & pelvis w MCC
545	Connective tissue disorders w MCC
553	Bone diseases & arthropathies w MCC
562	"Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC"
577	Skin graft exc for skin ulcer or cellulitis w CC
629	"Other endocrine, nutrit & metab O.R. proc w CC"
642	Inborn and other disorders of metabolism
659	Kidney & ureter procedures for non-neoplasm w MCC
665	Prostatectomy w MCC
687	Kidney & urinary tract neoplasms w CC
709	Penis procedures w CC/MCC
711	Testes procedures w CC/MCC
723	"Malignancy, male reproductive system w CC"
729	Other male reproductive system diagnoses w CC/MCC
746	"Vagina, cervix & vulva procedures w CC/MCC"
749	Other female reproductive system O.R. procedures w CC/MCC
812	Red blood cell disorders w/o MCC
840	Lymphoma & non-acute leukemia w MCC
846	Chemotherapy w/o acute leukemia as secondary diagnosis w MCC
858	Postoperative or post-traumatic infections w O.R. proc w/o CC/MCC
865	Viral illness w MCC
918	Poisoning & toxic effects of drugs w/o 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 graft or inhal inj
963	Other multiple significant trauma w MCC
975	HIV w major related condition w CC
Quintile 5	
011	"Tracheostomy for face, mouth & neck diagnoses or laryngectomy w MCC"
023	Craniotomy w major device implant or acute complex CNS PDX w MCC or chemotherapy implant or epilepsy w neurostimulator
025	Craniotomy & endovascular intracranial procedures w MCC
032	Ventricular shunt procedures w CC
067	Nonspecific cva & precerebral occlusion w/o infarct w MCC
121	Acute major eye infections w CC/MCC
184	Major chest trauma w CC
226	Cardiac defibrillator implant w/o cardiac cath w MCC
242	Permanent cardiac pacemaker implant w MCC
243	Permanent cardiac pacemaker implant 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
270	Other major cardiovascular procedures w MCC
326	"Stomach, esophageal & duodenal proc w MCC"
329	Major small & large bowel procedures w MCC
330	Major small & large bowel procedures w CC
347	Anal & stomal procedures w MCC
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
480	Hip & femur procedures except major joint w MCC
481	Hip & femur procedures except major joint w CC
483	Major joint/limb reattachment procedure of upper extremities
492	"Lower extrem & humer proc except hip,foot,femur w MCC"
495	Local excision & removal int fix devices exc hip & femur w MCC
498	Local excision & removal int fix devices of hip & femur w CC/MCC
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
572	Skin debridement w/o CC/MCC
576	Skin graft exc for skin ulcer or cellulitis w MCC
617	"Amputat of lower limb for endocrine,nutrit,& metabol dis w CC"
653	Major bladder procedures w MCC
660	Kidney & ureter procedures for non-neoplasm w CC
668	Transurethral procedures w MCC
669	Transurethral procedures w CC
674	Other kidney & urinary tract procedures w CC
686	Kidney & urinary tract neoplasms w MCC
713	Transurethral prostatectomy w CC/MCC
802	Other O.R. proc of the blood & blood forming organs w MCC
808	Major hematol/immun diag exc sickle cell crisis & coagul w MCC
823	Lymphoma & non-acute leukemia w other proc w MCC
904	Skin grafts for injuries w CC/MCC
913	Traumatic injury w MCC
922	"Other injury, poisoning & toxic effect diag w MCC"
928	Full thickness burn w skin graft or inhal inj w CC/MCC
929	Full thickness burn w skin graft or inhal inj w/o CC/MCC
957	Other O.R. procedures for multiple significant trauma w MCC
969	HIV w extensive O.R. procedure w MCC
988	Non-extensive O.R. proc unrelated to principal diagnosis w CC
