"TABLE 11.  PROPOSED MS-LTC-DRGS, RELATIVE WEIGHTS, GEOMETRIC AVERAGE LENGTH OF STAY, SHORT-STAY OUTLIER (SSO) THRESHOLD FOR DISCHARGES OCCURRING FROM OCTOBER 1, 2019 THROUGH SEPTEMBER 30, 2020 UNDER THE LTCH PPS"					
Proposed      MS-LTC-DRG	MS-LTC-DRG Title	FY 2018 LTCH Cases	Proposed Relative Weight	Proposed Geometric Average Length of Stay1	Proposed Short-Stay Outlier (SSO) Threshold2
1	Heart transplant or implant of heart assist system w MCC	0	0.0000	0.0	0.0
2	Heart transplant or implant of heart assist system w/o MCC	0	0.0000	0.0	0.0
3	"ECMO or trach w MV >96 hrs or PDX exc face, mouth & neck w maj O.R."	330	3.8117	56.1	46.8
4	"Trach w MV >96 hrs or PDX exc face, mouth & neck w/o maj O.R."	"1,538"	2.8112	44.3	36.9
5	Liver transplant w MCC or intestinal transplant	0	0.0000	0.0	0.0
6	Liver transplant w/o MCC	0	0.0000	0.0	0.0
7	Lung transplant	0	0.0000	0.0	0.0
8	Simultaneous pancreas/kidney transplant	0	0.0000	0.0	0.0
10	Pancreas transplant	0	0.0000	0.0	0.0
11	"Tracheostomy for face, mouth & neck diagnoses or laryngectomy w MCC"	0	0.6764	20.1	16.8
12	"Tracheostomy for face, mouth & neck diagnoses or laryngectomy w CC"	0	0.6764	20.1	16.8
13	"Tracheostomy for face, mouth & neck diagnoses or laryngectomy w/o CC/MCC"	0	0.6764	20.1	16.8
14	Allogeneic bone marrow transplant	0	0.6764	20.1	16.8
16	Autologous bone marrow transplant w CC/MCC or T-cell immunotherapy	0	0.6764	20.1	16.8
17	Autologous bone marrow transplant w/o CC/MCC	0	0.6764	20.1	16.8
20	Intracranial vascular procedures w PDX hemorrhage w MCC	0	0.8692	22.9	19.1
21	Intracranial vascular procedures w PDX hemorrhage w CC	0	0.7031	18.4	15.3
22	Intracranial vascular procedures w PDX hemorrhage w/o CC/MCC	0	0.4733	15.4	12.8
23	Craniotomy w major device implant or acute complex CNS PDX w MCC or chemotherapy implant or epilepsy w neurostimulator	2	1.6198	34.8	29.0
24	Cranio w major dev impl/acute complex CNS PDX w/o MCC	0	0.4733	15.4	12.8
25	Craniotomy & endovascular intracranial procedures w MCC	2	1.1225	27.2	22.7
26	Craniotomy & endovascular intracranial procedures w CC	0	0.4733	15.4	12.8
27	Craniotomy & endovascular intracranial procedures w/o CC/MCC	0	0.4733	15.4	12.8
28	Spinal procedures w MCC	1	1.1225	27.2	22.7
29	Spinal procedures w CC or spinal neurostimulators	0	0.6764	20.1	16.8
30	Spinal procedures w/o CC/MCC	0	0.6764	20.1	16.8
31	Ventricular shunt procedures w MCC	2	1.6198	34.8	29.0
32	Ventricular shunt procedures w CC	0	0.6764	20.1	16.8
33	Ventricular shunt procedures w/o CC/MCC	0	0.6764	20.1	16.8
34	Carotid artery stent procedure w MCC	0	0.4733	15.4	12.8
35	Carotid artery stent procedure w CC	0	0.4733	15.4	12.8
36	Carotid artery stent procedure w/o CC/MCC	0	0.4733	15.4	12.8
37	Extracranial procedures w MCC	2	1.6198	34.8	29.0
38	Extracranial procedures w CC	0	1.6198	34.8	29.0
39	Extracranial procedures w/o CC/MCC	0	1.6198	34.8	29.0
40	Periph/cranial nerve & other nerv syst proc w MCC	72	1.6783	35.5	29.6
41	Periph/cranial nerve & other nerv syst proc w CC or periph neurostim	10	1.1225	27.2	22.7
42	Periph/cranial nerve & other nerv syst proc w/o CC/MCC	1	0.6764	20.1	16.8
52	Spinal disorders & injuries w CC/MCC	42	1.1365	37.6	31.3
53	Spinal disorders & injuries w/o CC/MCC	1	0.6764	20.1	16.8
54	Nervous system neoplasms w MCC	11	1.6198	34.8	29.0
55	Nervous system neoplasms w/o MCC	11	1.6198	34.8	29.0
56	Degenerative nervous system disorders w MCC	510	0.8870	25.1	20.9
57	Degenerative nervous system disorders w/o MCC	402	0.6939	22.5	18.8
58	Multiple sclerosis & cerebellar ataxia w MCC	5	0.8210	22.5	18.8
59	Multiple sclerosis & cerebellar ataxia w CC	2	0.6764	20.1	16.8
60	Multiple sclerosis & cerebellar ataxia w/o CC/MCC	0	0.6764	20.1	16.8
61	"Ischemic stroke, precerebral occlusion or transient ischemia w thrombolytic agent w MCC"	0	0.8909	23.2	19.3
62	"Ischemic stroke, precerebral occlusion or transient ischemia w thrombolytic agent w CC"	0	0.6434	20.3	16.9
63	"Ischemic stroke, precerebral occlusion or transient ischemia w thrombolytic agent w/o CC/MCC"	0	0.4733	15.4	12.8
64	Intracranial hemorrhage or cerebral infarction w MCC	74	0.8692	22.9	19.1
65	Intracranial hemorrhage or cerebral infarction w CC or tPA in 24 hrs	39	0.7031	18.4	15.3
66	Intracranial hemorrhage or cerebral infarction w/o CC/MCC	3	0.4733	15.4	12.8
67	Nonspecific cva & precerebral occlusion w/o infarct w MCC	0	0.6434	20.3	16.9
68	Nonspecific cva & precerebral occlusion w/o infarct w/o MCC	0	0.4733	15.4	12.8
69	Transient ischemia w/o thrombolytic	1	0.4733	15.4	12.8
70	Nonspecific cerebrovascular disorders w MCC	132	0.8909	23.2	19.3
71	Nonspecific cerebrovascular disorders w CC	70	0.6434	20.3	16.9
72	Nonspecific cerebrovascular disorders w/o CC/MCC	2	0.4733	15.4	12.8
73	Cranial & peripheral nerve disorders w MCC	32	1.0272	27.0	22.5
74	Cranial & peripheral nerve disorders w/o MCC	21	0.6764	20.1	16.8
75	Viral meningitis w CC/MCC	6	0.6764	20.1	16.8
76	Viral meningitis w/o CC/MCC	0	0.6764	20.1	16.8
77	Hypertensive encephalopathy w MCC	0	0.6764	20.1	16.8
78	Hypertensive encephalopathy w CC	1	0.6764	20.1	16.8
79	Hypertensive encephalopathy w/o CC/MCC	0	0.6764	20.1	16.8
80	Nontraumatic stupor & coma w MCC	2	1.6198	34.8	29.0
81	Nontraumatic stupor & coma w/o MCC	2	0.8210	22.5	18.8
82	"Traumatic stupor & coma, coma >1 hr w MCC"	68	0.8904	24.8	20.7
83	"Traumatic stupor & coma, coma >1 hr w CC"	32	0.6786	21.5	17.9
84	"Traumatic stupor & coma, coma >1 hr w/o CC/MCC"	3	0.4733	15.4	12.8
85	"Traumatic stupor & coma, coma <1 hr w MCC"	22	0.8210	22.5	18.8
86	"Traumatic stupor & coma, coma <1 hr w CC"	16	0.8210	22.5	18.8
87	"Traumatic stupor & coma, coma <1 hr w/o CC/MCC"	2	0.4733	15.4	12.8
88	Concussion w MCC	0	0.8210	22.5	18.8
89	Concussion w CC	0	0.8210	22.5	18.8
90	Concussion w/o CC/MCC	0	0.4733	15.4	12.8
91	Other disorders of nervous system w MCC	162	0.9860	25.2	21.0
92	Other disorders of nervous system w CC	54	0.6864	22.1	18.4
93	Other disorders of nervous system w/o CC/MCC	5	0.4733	15.4	12.8
94	Bacterial & tuberculous infections of nervous system w MCC	170	1.1825	27.3	22.8
95	Bacterial & tuberculous infections of nervous system w CC	37	0.8816	24.5	20.4
96	Bacterial & tuberculous infections of nervous system w/o CC/MCC	3	0.4733	15.4	12.8
97	Non-bacterial infect of nervous sys exc viral meningitis w MCC	58	1.0458	22.8	19.0
98	Non-bacterial infect of nervous sys exc viral meningitis w CC	13	0.6764	20.1	16.8
99	Non-bacterial infect of nervous sys exc viral meningitis w/o CC/MCC	0	0.6764	20.1	16.8
100	Seizures w MCC	32	0.9088	21.1	17.6
101	Seizures w/o MCC	25	0.7798	21.6	18.0
102	Headaches w MCC	1	0.4733	15.4	12.8
103	Headaches w/o MCC	1	0.4733	15.4	12.8
113	Orbital procedures w CC/MCC	0	0.6764	20.1	16.8
114	Orbital procedures w/o CC/MCC	0	0.6764	20.1	16.8
115	Extraocular procedures except orbit	0	1.6198	34.8	29.0
116	Intraocular procedures w CC/MCC	0	1.6198	34.8	29.0
117	Intraocular procedures w/o CC/MCC	0	0.6764	20.1	16.8
121	Acute major eye infections w CC/MCC	3	0.8210	22.5	18.8
122	Acute major eye infections w/o CC/MCC	0	0.6764	20.1	16.8
123	Neurological eye disorders	0	0.6764	20.1	16.8
124	Other disorders of the eye w MCC	1	0.6764	20.1	16.8
125	Other disorders of the eye w/o MCC	0	0.6764	20.1	16.8
129	Major head & neck procedures w CC/MCC or major device	0	1.6198	34.8	29.0
130	Major head & neck procedures w/o CC/MCC	0	0.6764	20.1	16.8
131	Cranial/facial procedures w CC/MCC	0	0.6764	20.1	16.8
132	Cranial/facial procedures w/o CC/MCC	0	0.6764	20.1	16.8
133	"Other ear, nose, mouth & throat O.R. procedures w CC/MCC"	5	1.6198	34.8	29.0
134	"Other ear, nose, mouth & throat O.R. procedures w/o CC/MCC"	0	0.6764	20.1	16.8
135	Sinus & mastoid procedures w CC/MCC	0	0.6764	20.1	16.8
136	Sinus & mastoid procedures w/o CC/MCC	0	0.6764	20.1	16.8
137	Mouth procedures w CC/MCC	1	1.1225	27.2	22.7
138	Mouth procedures w/o CC/MCC	0	0.6764	20.1	16.8
139	Salivary gland procedures	0	1.6198	34.8	29.0
146	"Ear, nose, mouth & throat malignancy w MCC"	18	0.8210	22.5	18.8
147	"Ear, nose, mouth & throat malignancy w CC"	11	0.6764	20.1	16.8
148	"Ear, nose, mouth & throat malignancy w/o CC/MCC"	1	0.4733	15.4	12.8
149	Dysequilibrium	1	0.4733	15.4	12.8
150	Epistaxis w MCC	0	1.1225	27.2	22.7
151	Epistaxis w/o MCC	1	0.4733	15.4	12.8
152	Otitis media & URI w MCC	22	1.1225	27.2	22.7
153	Otitis media & URI w/o MCC	8	1.1225	27.2	22.7
154	"Other ear, nose, mouth & throat diagnoses w MCC"	12	0.6764	20.1	16.8
155	"Other ear, nose, mouth & throat diagnoses w CC"	11	0.6764	20.1	16.8
156	"Other ear, nose, mouth & throat diagnoses w/o CC/MCC"	0	0.4733	15.4	12.8
157	Dental & Oral Diseases w MCC	15	0.8210	22.5	18.8
158	Dental & Oral Diseases w CC	5	0.8210	22.5	18.8
159	Dental & Oral Diseases w/o CC/MCC	0	0.6764	20.1	16.8
163	Major chest procedures w MCC	69	2.6634	42.4	35.3
164	Major chest procedures w CC	10	1.1225	27.2	22.7
165	Major chest procedures w/o CC/MCC	1	0.6764	20.1	16.8
166	Other resp system O.R. procedures w MCC	"1,508"	2.3501	40.5	33.8
167	Other resp system O.R. procedures w CC	235	1.9783	37.0	30.8
168	Other resp system O.R. procedures w/o CC/MCC	0	1.9783	37.0	30.8
175	Pulmonary embolism w MCC or acute cor pulmonale	38	0.6651	18.3	15.3
176	Pulmonary embolism w/o MCC	20	0.4733	15.4	12.8
177	Respiratory infections & inflammations w MCC	"1,252"	0.8043	21.5	17.9
178	Respiratory infections & inflammations w CC	371	0.7185	20.0	16.7
179*	Respiratory infections & inflammations w/o CC/MCC	12	0.7185	20.0	16.7
180	Respiratory neoplasms w MCC	21	0.8210	22.5	18.8
181	Respiratory neoplasms w CC	13	0.8210	22.5	18.8
182	Respiratory neoplasms w/o CC/MCC	2	0.4733	15.4	12.8
183	Major chest trauma w MCC	1	0.4733	15.4	12.8
184	Major chest trauma w CC	3	0.4733	15.4	12.8
185	Major chest trauma w/o CC/MCC	0	0.4733	15.4	12.8
186	Pleural effusion w MCC	42	0.7098	20.4	17.0
187*	Pleural effusion w CC	16	0.7098	20.4	17.0
188	Pleural effusion w/o CC/MCC	1	0.4733	15.4	12.8
189	Pulmonary edema & respiratory failure	"14,151"	0.9602	21.5	17.9
190	Chronic obstructive pulmonary disease w MCC	512	0.7592	19.2	16.0
191	Chronic obstructive pulmonary disease w CC	104	0.5740	16.6	13.8
192*	Chronic obstructive pulmonary disease w/o CC/MCC	24	0.5740	16.6	13.8
193	Simple pneumonia & pleurisy w MCC	487	0.7429	19.2	16.0
194	Simple pneumonia & pleurisy w CC	181	0.6547	17.5	14.6
195	Simple pneumonia & pleurisy w/o CC/MCC	11	0.4733	15.4	12.8
196	Interstitial lung disease w MCC	43	0.7866	20.1	16.8
197*	Interstitial lung disease w CC	7	0.7866	20.1	16.8
198	Interstitial lung disease w/o CC/MCC	0	0.7866	20.1	16.8
199	Pneumothorax w MCC	40	0.7284	20.1	16.8
200	Pneumothorax w CC	15	0.4733	15.4	12.8
201	Pneumothorax w/o CC/MCC	1	0.4733	15.4	12.8
202	Bronchitis & asthma w CC/MCC	38	0.6233	17.5	14.6
203*	Bronchitis & asthma w/o CC/MCC	2	0.6233	17.5	14.6
204	Respiratory signs & symptoms	8	0.6764	20.1	16.8
205	Other respiratory system diagnoses w MCC	63	0.9622	23.4	19.5
206	Other respiratory system diagnoses w/o MCC	12	0.6764	20.1	16.8
207	Respiratory system diagnosis w ventilator support >96 hours	"12,390"	1.8602	32.0	26.7
208	Respiratory system diagnosis w ventilator support <=96 hours	"1,609"	1.1083	21.5	17.9
215	Other heart assist system implant	0	1.3414	28.4	23.7
216	Cardiac valve & oth maj cardiothoracic proc w card cath w MCC	0	1.3414	28.4	23.7
217	Cardiac valve & oth maj cardiothoracic proc w card cath w CC	0	1.3414	28.4	23.7
218	Cardiac valve & oth maj cardiothoracic proc w card cath w/o CC/MCC	0	1.3414	28.4	23.7
219	Cardiac valve & oth maj cardiothoracic proc w/o card cath w MCC	0	1.3414	28.4	23.7
220	Cardiac valve & oth maj cardiothoracic proc w/o card cath w CC	0	1.3414	28.4	23.7
221	Cardiac valve & oth maj cardiothoracic proc w/o card cath w/o CC/MCC	0	1.3414	28.4	23.7
222	Cardiac defib implant w cardiac cath w AMI/HF/shock w MCC	0	1.6198	34.8	29.0
223	Cardiac defib implant w cardiac cath w AMI/HF/shock w/o MCC	0	1.6198	34.8	29.0
224	Cardiac defib implant w cardiac cath w/o AMI/HF/shock w MCC	0	1.6198	34.8	29.0
225	Cardiac defib implant w cardiac cath w/o AMI/HF/shock w/o MCC	0	1.6198	34.8	29.0
226	Cardiac defibrillator implant w/o cardiac cath w MCC	5	1.6198	34.8	29.0
227	Cardiac defibrillator implant w/o cardiac cath w/o MCC	0	1.6198	34.8	29.0
228	Other cardiothoracic procedures w MCC	1	0.8210	22.5	18.8
229	Other cardiothoracic procedures w/o MCC	0	0.8210	22.5	18.8
231	Coronary bypass w PTCA w MCC	0	1.3414	28.4	23.7
232	Coronary bypass w PTCA w/o MCC	0	1.3414	28.4	23.7
233	Coronary bypass w cardiac cath w MCC	0	1.3414	28.4	23.7
234	Coronary bypass w cardiac cath w/o MCC	0	1.3414	28.4	23.7
235	Coronary bypass w/o cardiac cath w MCC	0	1.3414	28.4	23.7
236	Coronary bypass w/o cardiac cath w/o MCC	0	1.3414	28.4	23.7
239	Amputation for circ sys disorders exc upper limb & toe w MCC	25	1.8751	40.1	33.4
240	Amputation for circ sys disorders exc upper limb & toe w CC	16	1.6198	34.8	29.0
241	Amputation for circ sys disorders exc upper limb & toe w/o CC/MCC	0	1.6198	34.8	29.0
242	Permanent cardiac pacemaker implant w MCC	12	1.6198	34.8	29.0
243	Permanent cardiac pacemaker implant w CC	2	0.8210	22.5	18.8
244	Permanent cardiac pacemaker implant w/o CC/MCC	1	0.4733	15.4	12.8
245	AICD generator procedures	1	1.6198	34.8	29.0
246	Percutaneous cardiovascular procedures w drug-eluting stent w MCC or 4+ arteries or stents	0	1.6198	34.8	29.0
247	Perc cardiovasc proc w drug-eluting stent w/o MCC	0	0.8210	22.5	18.8
248	Percutaneous cardiovascular procedures w non-drug-eluting stent w MCC or 4+ arteries or stents	0	0.4733	15.4	12.8
249	Perc cardiovasc proc w non-drug-eluting stent w/o MCC	0	0.4733	15.4	12.8
250	Perc cardiovasc proc w/o coronary artery stent w MCC	0	0.4733	15.4	12.8
251	Perc cardiovasc proc w/o coronary artery stent w/o MCC	0	0.4733	15.4	12.8
252	Other vascular procedures w MCC	39	1.3414	28.4	23.7
253*	Other vascular procedures w CC	9	1.3414	28.4	23.7
254	Other vascular procedures w/o CC/MCC	0	1.3414	28.4	23.7
255	Upper limb & toe amputation for circ system disorders w MCC	7	1.6198	34.8	29.0
256	Upper limb & toe amputation for circ system disorders w CC	3	1.6198	34.8	29.0
257	Upper limb & toe amputation for circ system disorders w/o CC/MCC	0	0.4733	15.4	12.8
258	Cardiac pacemaker device replacement w MCC	1	1.6198	34.8	29.0
259	Cardiac pacemaker device replacement w/o MCC	0	1.3414	28.4	23.7
260	Cardiac pacemaker revision except device replacement w MCC	2	1.6198	34.8	29.0
261	Cardiac pacemaker revision except device replacement w CC	0	1.3414	28.4	23.7
262	Cardiac pacemaker revision except device replacement w/o CC/MCC	0	1.3414	28.4	23.7
263	Vein ligation & stripping	1	0.6764	20.1	16.8
264	Other circulatory system O.R. procedures	233	1.2860	32.1	26.8
265	AICD lead procedures	0	1.3414	28.4	23.7
266	Endovascular cardiac valve replacement & supplement procedures w MCC	0	1.3414	28.4	23.7
267	Endovascular cardiac valve replacement & supplement procedures w/o MCC	0	1.3414	28.4	23.7
268	Aortic and heart assist procedures except pulsation balloon w MCC	0	1.3414	28.4	23.7
269	Aortic and heart assist procedures except pulsation balloon w/o MCC	0	1.3414	28.4	23.7
270	Other major cardiovascular procedures w MCC	7	1.6198	34.8	29.0
271	Other major cardiovascular procedures w CC	3	1.1225	27.2	22.7
272	Other major cardiovascular procedures w/o CC/MCC	0	0.4733	15.4	12.8
273	Percutaneous intracardiac procedures w MCC	2	1.1225	27.2	22.7
274	Percutaneous intracardiac procedures w/o MCC	0	1.1225	27.2	22.7
280	"Acute myocardial infarction, discharged alive w MCC"	189	0.7908	21.9	18.3
281	"Acute myocardial infarction, discharged alive w CC"	52	0.6067	18.4	15.3
282*	"Acute myocardial infarction, discharged alive w/o CC/MCC"	7	0.6067	18.4	15.3
283	"Acute myocardial infarction, expired w MCC"	21	0.8210	22.5	18.8
284*	"Acute myocardial infarction, expired w CC"	3	0.8210	22.5	18.8
285	"Acute myocardial infarction, expired w/o CC/MCC"	0	0.8210	22.5	18.8
286	"Circulatory disorders except AMI, w card cath w MCC"	9	1.6198	34.8	29.0
287	"Circulatory disorders except AMI, w card cath w/o MCC"	1	0.4733	15.4	12.8
288	Acute & subacute endocarditis w MCC	400	1.0782	26.1	21.8
289	Acute & subacute endocarditis w CC	91	0.9179	26.2	21.8
290	Acute & subacute endocarditis w/o CC/MCC	6	0.8210	22.5	18.8
291	Heart failure & shock w MCC	944	0.8113	20.2	16.8
292	Heart failure & shock w CC	236	0.6352	18.8	15.7
293	Heart failure & shock w/o CC/MCC	19	0.4733	15.4	12.8
294	Deep vein thrombophlebitis w CC/MCC	0	0.4733	15.4	12.8
295	Deep vein thrombophlebitis w/o CC/MCC	0	0.4733	15.4	12.8
296	"Cardiac arrest, unexplained w MCC"	2	0.4733	15.4	12.8
297	"Cardiac arrest, unexplained w CC"	0	0.4733	15.4	12.8
298	"Cardiac arrest, unexplained w/o CC/MCC"	0	0.4733	15.4	12.8
299	Peripheral vascular disorders w MCC	119	0.8691	22.9	19.1
300	Peripheral vascular disorders w CC	94	0.6997	20.2	16.8
301	Peripheral vascular disorders w/o CC/MCC	3	0.6764	20.1	16.8
302	Atherosclerosis w MCC	32	0.7729	19.8	16.5
303	Atherosclerosis w/o MCC	17	0.6764	20.1	16.8
304	Hypertension w MCC	8	1.1225	27.2	22.7
305	Hypertension w/o MCC	6	0.6764	20.1	16.8
306	Cardiac congenital & valvular disorders w MCC	30	0.7402	18.8	15.7
307	Cardiac congenital & valvular disorders w/o MCC	9	0.6764	20.1	16.8
308	Cardiac arrhythmia & conduction disorders w MCC	45	0.7980	21.8	18.2
309	Cardiac arrhythmia & conduction disorders w CC	25	0.5495	15.3	12.8
310	Cardiac arrhythmia & conduction disorders w/o CC/MCC	4	0.4733	15.4	12.8
311	Angina pectoris	5	0.4733	15.4	12.8
312	Syncope & collapse	19	0.8210	22.5	18.8
313	Chest pain	0	0.4733	15.4	12.8
314	Other circulatory system diagnoses w MCC	839	1.0433	24.2	20.2
315	Other circulatory system diagnoses w CC	115	0.8468	22.7	18.9
316	Other circulatory system diagnoses w/o CC/MCC	3	0.6764	20.1	16.8
319	Other endovascular cardiac valve procedures w MCC	0	1.3414	28.4	23.7
320	Other endovascular cardiac valve procedures w/o MCC	0	1.3414	28.4	23.7
326	"Stomach, esophageal & duodenal proc w MCC"	12	1.6198	34.8	29.0
327	"Stomach, esophageal & duodenal proc w CC"	0	0.4733	15.4	12.8
328	"Stomach, esophageal & duodenal proc w/o CC/MCC"	0	0.4733	15.4	12.8
329	Major small & large bowel procedures w MCC	13	1.6198	34.8	29.0
330	Major small & large bowel procedures w CC	5	1.6198	34.8	29.0
331	Major small & large bowel procedures w/o CC/MCC	0	0.4733	15.4	12.8
332	Rectal resection w MCC	0	1.6198	34.8	29.0
333	Rectal resection w CC	0	0.7601	20.3	16.9
334	Rectal resection w/o CC/MCC	0	0.4733	15.4	12.8
335	Peritoneal adhesiolysis w MCC	0	0.9360	23.2	19.3
336	Peritoneal adhesiolysis w CC	0	0.7601	20.3	16.9
337	Peritoneal adhesiolysis w/o CC/MCC	0	0.4733	15.4	12.8
338	Appendectomy w complicated principal diag w MCC	0	0.9360	23.2	19.3
339	Appendectomy w complicated principal diag w CC	0	0.7601	20.3	16.9
340	Appendectomy w complicated principal diag w/o CC/MCC	0	0.4733	15.4	12.8
341	Appendectomy w/o complicated principal diag w MCC	0	1.1225	27.2	22.7
342	Appendectomy w/o complicated principal diag w CC	0	1.1225	27.2	22.7
343	Appendectomy w/o complicated principal diag w/o CC/MCC	0	1.1225	27.2	22.7
344	Minor small & large bowel procedures w MCC	3	1.1225	27.2	22.7
345	Minor small & large bowel procedures w CC	0	0.7601	20.3	16.9
346	Minor small & large bowel procedures w/o CC/MCC	0	0.4733	15.4	12.8
347	Anal & stomal procedures w MCC	2	1.6198	34.8	29.0
348	Anal & stomal procedures w CC	2	0.6764	20.1	16.8
349	Anal & stomal procedures w/o CC/MCC	0	0.4733	15.4	12.8
350	Inguinal & femoral hernia procedures w MCC	0	0.9360	23.2	19.3
351	Inguinal & femoral hernia procedures w CC	0	0.7601	20.3	16.9
352	Inguinal & femoral hernia procedures w/o CC/MCC	0	0.4733	15.4	12.8
353	Hernia procedures except inguinal & femoral w MCC	3	1.6198	34.8	29.0
354	Hernia procedures except inguinal & femoral w CC	0	0.7601	20.3	16.9
355	Hernia procedures except inguinal & femoral w/o CC/MCC	0	0.4733	15.4	12.8
356	Other digestive system O.R. procedures w MCC	91	1.5427	34.5	28.8
357	Other digestive system O.R. procedures w CC	31	1.2125	31.6	26.3
358	Other digestive system O.R. procedures w/o CC/MCC	0	1.2125	31.6	26.3
368	Major esophageal disorders w MCC	19	1.1225	27.2	22.7
369	Major esophageal disorders w CC	5	0.8210	22.5	18.8
370	Major esophageal disorders w/o CC/MCC	0	0.8210	22.5	18.8
371	Major gastrointestinal disorders & peritoneal infections w MCC	413	0.9360	23.2	19.3
372	Major gastrointestinal disorders & peritoneal infections w CC	175	0.7601	20.3	16.9
373	Major gastrointestinal disorders & peritoneal infections w/o CC/MCC	4	0.4733	15.4	12.8
374	Digestive malignancy w MCC	26	0.8240	23.8	19.8
375*	Digestive malignancy w CC	13	0.8240	23.8	19.8
376	Digestive malignancy w/o CC/MCC	3	0.4733	15.4	12.8
377	G.I. hemorrhage w MCC	66	0.8218	20.9	17.4
378	G.I. hemorrhage w CC	30	0.6872	20.5	17.1
379	G.I. hemorrhage w/o CC/MCC	1	0.4733	15.4	12.8
380	Complicated peptic ulcer w MCC	35	1.0800	26.9	22.4
381	Complicated peptic ulcer w CC	9	0.8210	22.5	18.8
382	Complicated peptic ulcer w/o CC/MCC	0	0.8210	22.5	18.8
383	Uncomplicated peptic ulcer w MCC	2	0.8210	22.5	18.8
384	Uncomplicated peptic ulcer w/o MCC	3	0.8210	22.5	18.8
385	Inflammatory bowel disease w MCC	20	1.1225	27.2	22.7
386	Inflammatory bowel disease w CC	8	1.1225	27.2	22.7
387	Inflammatory bowel disease w/o CC/MCC	0	1.1225	27.2	22.7
388	G.I. obstruction w MCC	118	0.9603	23.2	19.3
389	G.I. obstruction w CC	57	0.7222	20.9	17.4
390	G.I. obstruction w/o CC/MCC	6	0.6764	20.1	16.8
391	"Esophagitis, gastroent & misc digest disorders w MCC"	208	1.0646	24.5	20.4
392	"Esophagitis, gastroent & misc digest disorders w/o MCC"	114	0.7310	21.0	17.5
393	Other digestive system diagnoses w MCC	451	1.1388	26.5	22.1
394	Other digestive system diagnoses w CC	164	0.8723	23.2	19.3
395	Other digestive system diagnoses w/o CC/MCC	9	0.8210	22.5	18.8
405	"Pancreas, liver & shunt procedures w MCC"	2	1.1225	27.2	22.7
406	"Pancreas, liver & shunt procedures w CC"	0	0.6872	20.5	17.1
407	"Pancreas, liver & shunt procedures w/o CC/MCC"	0	0.4733	15.4	12.8
408	Biliary tract proc except only cholecyst w or w/o c.d.e. w MCC	0	0.8218	20.9	17.4
409	Biliary tract proc except only cholecyst w or w/o c.d.e. w CC	0	0.6872	20.5	17.1
410	Biliary tract proc except only cholecyst w or w/o c.d.e. w/o CC/MCC	0	0.4733	15.4	12.8
411	Cholecystectomy w c.d.e. w MCC	0	0.8218	20.9	17.4
412	Cholecystectomy w c.d.e. w CC	0	0.6872	20.5	17.1
413	Cholecystectomy w c.d.e. w/o CC/MCC	0	0.4733	15.4	12.8
414	Cholecystectomy except by laparoscope w/o c.d.e. w MCC	1	1.6198	34.8	29.0
415	Cholecystectomy except by laparoscope w/o c.d.e. w CC	0	1.1225	27.2	22.7
416	Cholecystectomy except by laparoscope w/o c.d.e. w/o CC/MCC	0	1.1225	27.2	22.7
417	Laparoscopic cholecystectomy w/o c.d.e. w MCC	8	1.6198	34.8	29.0
418	Laparoscopic cholecystectomy w/o c.d.e. w CC	3	0.6764	20.1	16.8
419	Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC	0	0.4733	15.4	12.8
420	Hepatobiliary diagnostic procedures w MCC	0	0.4733	15.4	12.8
421	Hepatobiliary diagnostic procedures w CC	0	0.4733	15.4	12.8
422	Hepatobiliary diagnostic procedures w/o CC/MCC	0	0.4733	15.4	12.8
423	Other hepatobiliary or pancreas O.R. procedures w MCC	11	1.1225	27.2	22.7
424	Other hepatobiliary or pancreas O.R. procedures w CC	1	0.8210	22.5	18.8
425	Other hepatobiliary or pancreas O.R. procedures w/o CC/MCC	0	0.4733	15.4	12.8
432	Cirrhosis & alcoholic hepatitis w MCC	67	0.8733	21.7	18.1
433	Cirrhosis & alcoholic hepatitis w CC	25	0.6381	18.4	15.3
434	Cirrhosis & alcoholic hepatitis w/o CC/MCC	3	0.4733	15.4	12.8
435	Malignancy of hepatobiliary system or pancreas w MCC	16	0.8210	22.5	18.8
436	Malignancy of hepatobiliary system or pancreas w CC	7	0.8210	22.5	18.8
437	Malignancy of hepatobiliary system or pancreas w/o CC/MCC	0	0.4733	15.4	12.8
438	Disorders of pancreas except malignancy w MCC	132	0.9426	20.6	17.2
439	Disorders of pancreas except malignancy w CC	45	0.8200	22.3	18.6
440	Disorders of pancreas except malignancy w/o CC/MCC	1	0.4733	15.4	12.8
441	"Disorders of liver except malig, cirr, alc hepa w MCC"	81	0.8446	21.1	17.6
442	"Disorders of liver except malig, cirr, alc hepa w CC"	29	0.7337	18.9	15.8
443	"Disorders of liver except malig, cirr, alc hepa w/o CC/MCC"	0	0.7337	18.9	15.8
444	Disorders of the biliary tract w MCC	89	0.9745	23.7	19.8
445	Disorders of the biliary tract w CC	31	0.6839	21.1	17.6
446*	Disorders of the biliary tract w/o CC/MCC	3	0.6839	21.1	17.6
453	Combined anterior/posterior spinal fusion w MCC	0	0.9978	24.4	20.3
454	Combined anterior/posterior spinal fusion w CC	0	0.7635	22.0	18.3
455	Combined anterior/posterior spinal fusion w/o CC/MCC	0	0.4733	15.4	12.8
456	Spinal fus exc cerv w spinal curv/malig/infec or ext fus w MCC	0	0.9978	24.4	20.3
457	Spinal fus exc cerv w spinal curv/malig/infec or ext fus w CC	0	0.7635	22.0	18.3
458	Spinal fus exc cerv w spinal curv/malig/infec or ext fus w/o CC/MCC	0	0.4733	15.4	12.8
459	Spinal fusion except cervical w MCC	0	0.9978	24.4	20.3
460	Spinal fusion except cervical w/o MCC	0	0.7635	22.0	18.3
461	Bilateral or multiple major joint procs of lower extremity w MCC	0	0.9978	24.4	20.3
462	Bilateral or multiple major joint procs of lower extremity w/o MCC	0	0.7635	22.0	18.3
463	"Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w MCC"	262	1.5116	37.2	31.0
464	"Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w CC"	147	1.2931	34.4	28.7
465	"Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w/o CC/MCC"	3	0.8210	22.5	18.8
466	Revision of hip or knee replacement w MCC	0	1.6198	34.8	29.0
467	Revision of hip or knee replacement w CC	0	1.1225	27.2	22.7
468	Revision of hip or knee replacement w/o CC/MCC	0	1.1225	27.2	22.7
469	Major hip and knee joint replacement or reattachment of lower extremity w MCC or total ankle replacement	0	1.6198	34.8	29.0
470	Major hip and knee joint replacement or reattachment of lower extremity w/o MCC	0	1.1225	27.2	22.7
471	Cervical spinal fusion w MCC	1	1.6198	34.8	29.0
472	Cervical spinal fusion w CC	0	0.7635	22.0	18.3
473	Cervical spinal fusion w/o CC/MCC	0	0.4733	15.4	12.8
474	Amputation for musculoskeletal sys & conn tissue dis w MCC	20	1.6198	34.8	29.0
475	Amputation for musculoskeletal sys & conn tissue dis w CC	8	1.1225	27.2	22.7
476	Amputation for musculoskeletal sys & conn tissue dis w/o CC/MCC	0	1.1225	27.2	22.7
477	Biopsies of musculoskeletal system & connective tissue w MCC	5	1.6198	34.8	29.0
478	Biopsies of musculoskeletal system & connective tissue w CC	4	1.6198	34.8	29.0
479	Biopsies of musculoskeletal system & connective tissue w/o CC/MCC	0	1.6198	34.8	29.0
480	Hip & femur procedures except major joint w MCC	3	1.1225	27.2	22.7
481	Hip & femur procedures except major joint w CC	0	1.1225	27.2	22.7
482	Hip & femur procedures except major joint w/o CC/MCC	0	1.1225	27.2	22.7
483	Major joint/limb reattachment procedure of upper extremities	1	0.4733	15.4	12.8
485	Knee procedures w pdx of infection w MCC	0	1.6198	34.8	29.0
486	Knee procedures w pdx of infection w CC	1	1.6198	34.8	29.0
487	Knee procedures w pdx of infection w/o CC/MCC	0	1.6198	34.8	29.0
488	Knee procedures w/o pdx of infection w CC/MCC	0	0.6764	20.1	16.8
489	Knee procedures w/o pdx of infection w/o CC/MCC	0	0.6764	20.1	16.8
492	"Lower extrem & humer proc except hip, foot, femur w MCC"	4	0.8210	22.5	18.8
493	"Lower extrem & humer proc except hip, foot, femur w CC"	1	0.6764	20.1	16.8
494	"Lower extrem & humer proc except hip, foot, femur w/o CC/MCC"	0	0.6764	20.1	16.8
495	Local excision & removal int fix devices exc hip & femur w MCC	3	1.1225	27.2	22.7
496	Local excision & removal int fix devices exc hip & femur w CC	0	1.1225	27.2	22.7
497	Local excision & removal int fix devices exc hip & femur w/o CC/MCC	0	1.1225	27.2	22.7
498	Local excision & removal int fix devices of hip & femur w CC/MCC	8	1.1225	27.2	22.7
499	Local excision & removal int fix devices of hip & femur w/o CC/MCC	0	1.1225	27.2	22.7
500	Soft tissue procedures w MCC	86	1.3913	32.7	27.3
501	Soft tissue procedures w CC	50	1.2521	31.3	26.1
502	Soft tissue procedures w/o CC/MCC	0	1.2521	31.3	26.1
503	Foot procedures w MCC	7	1.6198	34.8	29.0
504	Foot procedures w CC	5	1.1225	27.2	22.7
505	Foot procedures w/o CC/MCC	0	1.1225	27.2	22.7
506	Major thumb or joint procedures	0	0.6764	20.1	16.8
507	Major shoulder or elbow joint procedures w CC/MCC	0	0.6764	20.1	16.8
508	Major shoulder or elbow joint procedures w/o CC/MCC	0	0.6764	20.1	16.8
509	Arthroscopy	0	0.6764	20.1	16.8
510	"Shoulder, elbow or forearm proc, exc major joint proc w MCC"	2	1.1225	27.2	22.7
511	"Shoulder, elbow or forearm proc, exc major joint proc w CC"	4	1.1225	27.2	22.7
512	"Shoulder, elbow or forearm proc, exc major joint proc w/o CC/MCC"	0	1.1225	27.2	22.7
513	"Hand or wrist proc, except major thumb or joint proc w CC/MCC"	4	1.1225	27.2	22.7
514	"Hand or wrist proc, except major thumb or joint proc w/o CC/MCC"	0	1.1225	27.2	22.7
515	Other musculoskelet sys & conn tiss O.R. proc w MCC	40	1.6203	35.5	29.6
516	Other musculoskelet sys & conn tiss O.R. proc w CC	14	1.6198	34.8	29.0
517	Other musculoskelet sys & conn tiss O.R. proc w/o CC/MCC	0	1.6198	34.8	29.0
518	Back & neck proc exc spinal fusion w MCC or disc device/neurostim	2	1.6198	34.8	29.0
519	Back & neck proc exc spinal fusion w CC	0	0.7635	22.0	18.3
520	Back & neck proc exc spinal fusion w/o CC/MCC	0	0.4733	15.4	12.8
533	Fractures of femur w MCC	1	1.1225	27.2	22.7
534	Fractures of femur w/o MCC	0	1.1225	27.2	22.7
535	Fractures of hip & pelvis w MCC	3	0.6764	20.1	16.8
536	Fractures of hip & pelvis w/o MCC	2	0.6764	20.1	16.8
537	"Sprains, strains, & dislocations of hip, pelvis & thigh w CC/MCC"	0	0.6764	20.1	16.8
538	"Sprains, strains, & dislocations of hip, pelvis & thigh w/o CC/MCC"	0	0.6764	20.1	16.8
539	Osteomyelitis w MCC	615	1.0921	28.5	23.8
540	Osteomyelitis w CC	270	0.9341	27.6	23.0
541*	Osteomyelitis w/o CC/MCC	10	0.9341	27.6	23.0
542	Pathological fractures & musculoskelet & conn tiss malig w MCC	5	1.1225	27.2	22.7
543	Pathological fractures & musculoskelet & conn tiss malig w CC	3	1.1225	27.2	22.7
544	Pathological fractures & musculoskelet & conn tiss malig w/o CC/MCC	0	1.1225	27.2	22.7
545	Connective tissue disorders w MCC	22	1.1225	27.2	22.7
546	Connective tissue disorders w CC	8	1.1225	27.2	22.7
547	Connective tissue disorders w/o CC/MCC	0	1.1225	27.2	22.7
548	Septic arthritis w MCC	101	1.0743	28.5	23.8
549	Septic arthritis w CC	36	0.8336	23.3	19.4
550	Septic arthritis w/o CC/MCC	3	0.4733	15.4	12.8
551	Medical back problems w MCC	51	1.0826	28.1	23.4
552	Medical back problems w/o MCC	28	0.7215	25.0	20.8
553*	Bone diseases & arthropathies w MCC	2	0.8210	22.5	18.8
554	Bone diseases & arthropathies w/o MCC	3	0.8210	22.5	18.8
555	Signs & symptoms of musculoskeletal system & conn tissue w MCC	1	1.1225	27.2	22.7
556	Signs & symptoms of musculoskeletal system & conn tissue w/o MCC	6	0.6764	20.1	16.8
557	"Tendonitis, myositis & bursitis w MCC"	120	1.0981	27.2	22.7
558	"Tendonitis, myositis & bursitis w/o MCC"	86	0.7957	23.4	19.5
559	"Aftercare, musculoskeletal system & connective tissue w MCC"	623	0.9623	25.6	21.3
560	"Aftercare, musculoskeletal system & connective tissue w CC"	461	0.8108	24.0	20.0
561	"Aftercare, musculoskeletal system & connective tissue w/o CC/MCC"	19	0.6764	20.1	16.8
562*	"Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC"	1	0.8210	22.5	18.8
563	"Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC"	6	0.8210	22.5	18.8
564	Other musculoskeletal sys & connective tissue diagnoses w MCC	111	0.9978	24.4	20.3
565	Other musculoskeletal sys & connective tissue diagnoses w CC	73	0.7635	22.0	18.3
566	Other musculoskeletal sys & connective tissue diagnoses w/o CC/MCC	2	0.4733	15.4	12.8
570	Skin debridement w MCC	253	1.3257	32.9	27.4
571	Skin debridement w CC	143	1.0844	29.7	24.8
572*	Skin debridement w/o CC/MCC	4	1.0844	29.7	24.8
573	Skin graft for skin ulcer or cellulitis w MCC	37	1.6790	41.8	34.8
574	Skin graft for skin ulcer or cellulitis w CC	30	1.4522	42.3	35.3
575	Skin graft for skin ulcer or cellulitis w/o CC/MCC	2	1.1225	27.2	22.7
576	Skin graft exc for skin ulcer or cellulitis w MCC	3	1.6198	34.8	29.0
577	Skin graft exc for skin ulcer or cellulitis w CC	4	1.1225	27.2	22.7
578	Skin graft exc for skin ulcer or cellulitis w/o CC/MCC	0	1.1225	27.2	22.7
579	"Other skin, subcut tiss & breast proc w MCC"	254	1.5813	36.1	30.1
580	"Other skin, subcut tiss & breast proc w CC"	90	1.1560	30.8	25.7
581*	"Other skin, subcut tiss & breast proc w/o CC/MCC"	2	1.1560	30.8	25.7
582	Mastectomy for malignancy w CC/MCC	0	1.0844	29.7	24.8
583	Mastectomy for malignancy w/o CC/MCC	0	1.0844	29.7	24.8
584	"Breast biopsy, local excision & other breast procedures w CC/MCC"	0	1.0844	29.7	24.8
585	"Breast biopsy, local excision & other breast procedures w/o CC/MCC"	0	1.0844	29.7	24.8
592	Skin ulcers w MCC	534	0.9723	25.2	21.0
593	Skin ulcers w CC	303	0.7644	24.4	20.3
594*	Skin ulcers w/o CC/MCC	13	0.7644	24.4	20.3
595	Major skin disorders w MCC	6	0.8210	22.5	18.8
596	Major skin disorders w/o MCC	5	0.6764	20.1	16.8
597	Malignant breast disorders w MCC	2	0.8210	22.5	18.8
598	Malignant breast disorders w CC	3	0.4733	15.4	12.8
599	Malignant breast disorders w/o CC/MCC	0	0.4733	15.4	12.8
600	Non-malignant breast disorders w CC/MCC	4	0.8210	22.5	18.8
601	Non-malignant breast disorders w/o CC/MCC	0	0.6764	20.1	16.8
602	Cellulitis w MCC	309	0.8372	22.5	18.8
603	Cellulitis w/o MCC	219	0.6139	19.1	15.9
604	"Trauma to the skin, subcut tiss & breast w MCC"	21	0.8210	22.5	18.8
605	"Trauma to the skin, subcut tiss & breast w/o MCC"	11	0.6764	20.1	16.8
606	Minor skin disorders w MCC	30	0.9060	23.9	19.9
607	Minor skin disorders w/o MCC	36	0.8488	20.4	17.0
614	Adrenal & pituitary procedures w CC/MCC	0	0.6764	20.1	16.8
615	Adrenal & pituitary procedures w/o CC/MCC	0	0.4733	15.4	12.8
616	"Amputat of lower limb for endocrine, nutrit, & metabol dis w MCC"	37	1.3872	34.0	28.3
617	"Amputat of lower limb for endocrine, nutrit, & metabol dis w CC"	29	1.2854	31.8	26.5
618	"Amputat of lower limb for endocrine, nutrit, & metabol dis w/o CC/MCC"	0	1.1225	27.2	22.7
619	O.R. procedures for obesity w MCC	1	1.6198	34.8	29.0
620	O.R. procedures for obesity w CC	0	1.2125	31.6	26.3
621	O.R. procedures for obesity w/o CC/MCC	0	1.2125	31.6	26.3
622	"Skin grafts & wound debrid for endoc, nutrit & metab dis w MCC"	146	1.3063	33.0	27.5
623	"Skin grafts & wound debrid for endoc, nutrit & metab dis w CC"	154	1.2270	32.4	27.0
624	"Skin grafts & wound debrid for endoc, nutrit & metab dis w/o CC/MCC"	0	0.8488	20.4	17.0
625	"Thyroid, parathyroid & thyroglossal procedures w MCC"	0	1.4369	34.5	28.8
626	"Thyroid, parathyroid & thyroglossal procedures w CC"	0	1.0990	27.0	22.5
627	"Thyroid, parathyroid & thyroglossal procedures w/o CC/MCC"	0	0.8210	22.5	18.8
628	"Other endocrine, nutrit & metab O.R. proc w MCC"	33	1.4369	34.5	28.8
629	"Other endocrine, nutrit & metab O.R. proc w CC"	25	1.0990	27.0	22.5
630	"Other endocrine, nutrit & metab O.R. proc w/o CC/MCC"	0	0.8210	22.5	18.8
637	Diabetes w MCC	386	1.0136	24.2	20.2
638	Diabetes w CC	347	0.8120	23.6	19.7
639	Diabetes w/o CC/MCC	1	0.4733	15.4	12.8
640	"Misc disorders of nutrition, metabolism, fluids/electrolytes w MCC"	168	0.9232	22.9	19.1
641	"Misc disorders of nutrition, metabolism, fluids/electrolytes w/o MCC"	91	0.6729	19.5	16.3
642	Inborn and other disorders of metabolism	2	1.6198	34.8	29.0
643	Endocrine disorders w MCC	8	0.6764	20.1	16.8
644	Endocrine disorders w CC	6	0.6764	20.1	16.8
645	Endocrine disorders w/o CC/MCC	2	0.4733	15.4	12.8
652	Kidney transplant	0	0.0000	0.0	0.0
653	Major bladder procedures w MCC	0	0.8210	22.5	18.8
654	Major bladder procedures w CC	0	0.8210	22.5	18.8
655	Major bladder procedures w/o CC/MCC	0	0.8210	22.5	18.8
656	Kidney & ureter procedures for neoplasm w MCC	0	1.1225	27.2	22.7
657	Kidney & ureter procedures for neoplasm w CC	1	1.1225	27.2	22.7
658	Kidney & ureter procedures for neoplasm w/o CC/MCC	0	1.1225	27.2	22.7
659	Kidney & ureter procedures for non-neoplasm w MCC	11	1.1225	27.2	22.7
660	Kidney & ureter procedures for non-neoplasm w CC	2	0.8210	22.5	18.8
661	Kidney & ureter procedures for non-neoplasm w/o CC/MCC	0	0.8210	22.5	18.8
662	Minor bladder procedures w MCC	2	0.6764	20.1	16.8
663	Minor bladder procedures w CC	0	0.6764	20.1	16.8
664	Minor bladder procedures w/o CC/MCC	0	0.4733	15.4	12.8
665	Prostatectomy w MCC	0	0.6764	20.1	16.8
666	Prostatectomy w CC	1	0.6764	20.1	16.8
667	Prostatectomy w/o CC/MCC	0	0.6764	20.1	16.8
668*	Transurethral procedures w MCC	2	0.8210	22.5	18.8
669*	Transurethral procedures w CC	1	0.8210	22.5	18.8
670	Transurethral procedures w/o CC/MCC	0	0.8210	22.5	18.8
671	Urethral procedures w CC/MCC	0	0.7554	21.0	17.5
672	Urethral procedures w/o CC/MCC	0	0.7554	21.0	17.5
673	Other kidney & urinary tract procedures w MCC	192	1.4453	31.0	25.8
674	Other kidney & urinary tract procedures w CC	42	1.1102	27.0	22.5
675	Other kidney & urinary tract procedures w/o CC/MCC	0	0.7554	21.0	17.5
682	Renal failure w MCC	"1,120"	0.9650	23.0	19.2
683	Renal failure w CC	350	0.7554	21.0	17.5
684*	Renal failure w/o CC/MCC	10	0.7554	21.0	17.5
686	Kidney & urinary tract neoplasms w MCC	5	1.1225	27.2	22.7
687	Kidney & urinary tract neoplasms w CC	7	0.4733	15.4	12.8
688	Kidney & urinary tract neoplasms w/o CC/MCC	0	0.4733	15.4	12.8
689	Kidney & urinary tract infections w MCC	356	0.7349	20.6	17.2
690	Kidney & urinary tract infections w/o MCC	179	0.5582	17.8	14.8
693	Urinary stones w MCC	13	0.8210	22.5	18.8
694	Urinary stones w/o MCC	5	0.4733	15.4	12.8
695	Kidney & urinary tract signs & symptoms w MCC	3	1.1225	27.2	22.7
696	Kidney & urinary tract signs & symptoms w/o MCC	0	1.1225	27.2	22.7
697	Urethral stricture	0	0.9147	22.4	18.7
698	Other kidney & urinary tract diagnoses w MCC	221	0.9147	22.4	18.7
699	Other kidney & urinary tract diagnoses w CC	51	0.8466	21.8	18.2
700	Other kidney & urinary tract diagnoses w/o CC/MCC	1	0.4733	15.4	12.8
707	Major male pelvic procedures w CC/MCC	0	1.1102	27.0	22.5
708	Major male pelvic procedures w/o CC/MCC	0	1.1102	27.0	22.5
709	Penis procedures w CC/MCC	5	1.6198	34.8	29.0
710	Penis procedures w/o CC/MCC	0	0.8466	21.8	18.2
711	Testes procedures w CC/MCC	2	1.6198	34.8	29.0
712	Testes procedures w/o CC/MCC	0	0.7554	21.0	17.5
713	Transurethral prostatectomy w CC/MCC	2	1.6198	34.8	29.0
714	Transurethral prostatectomy w/o CC/MCC	0	0.8210	22.5	18.8
715	Other male reproductive system O.R. proc for malignancy w CC/MCC	0	0.7554	21.0	17.5
716	Other male reproductive system O.R. proc for malignancy w/o CC/MCC	0	0.7554	21.0	17.5
717	Other male reproductive system O.R. proc exc malignancy w CC/MCC	19	1.1225	27.2	22.7
718	Other male reproductive system O.R. proc exc malignancy w/o CC/MCC	0	0.7554	21.0	17.5
722*	"Malignancy, male reproductive system w MCC"	2	0.6764	20.1	16.8
723	"Malignancy, male reproductive system w CC"	5	0.6764	20.1	16.8
724	"Malignancy, male reproductive system w/o CC/MCC"	1	0.4733	15.4	12.8
725	Benign prostatic hypertrophy w MCC	0	0.4733	15.4	12.8
726	Benign prostatic hypertrophy w/o MCC	1	0.4733	15.4	12.8
727	Inflammation of the male reproductive system w MCC	57	0.8131	22.9	19.1
728	Inflammation of the male reproductive system w/o MCC	45	0.7680	22.0	18.3
729	Other male reproductive system diagnoses w CC/MCC	7	0.8210	22.5	18.8
730	Other male reproductive system diagnoses w/o CC/MCC	0	0.8210	22.5	18.8
734	"Pelvic evisceration, rad hysterectomy & rad vulvectomy w CC/MCC"	0	0.8210	22.5	18.8
735	"Pelvic evisceration, rad hysterectomy & rad vulvectomy w/o CC/MCC"	0	0.8210	22.5	18.8
736	Uterine & adnexa proc for ovarian or adnexal malignancy w MCC	0	0.8210	22.5	18.8
737	Uterine & adnexa proc for ovarian or adnexal malignancy w CC	0	0.8210	22.5	18.8
738	Uterine & adnexa proc for ovarian or adnexal malignancy w/o CC/MCC	0	0.8210	22.5	18.8
739	"Uterine, adnexa proc for non-ovarian/adnexal malig w MCC"	0	1.4369	34.5	28.8
740	"Uterine, adnexa proc for non-ovarian/adnexal malig w CC"	0	1.0990	27.0	22.5
741	"Uterine, adnexa proc for non-ovarian/adnexal malig w/o CC/MCC"	0	0.4733	15.4	12.8
742	Uterine & adnexa proc for non-malignancy w CC/MCC	0	0.8210	22.5	18.8
743	Uterine & adnexa proc for non-malignancy w/o CC/MCC	0	0.8210	22.5	18.8
744	"D&C, conization, laparoscopy & tubal interruption w CC/MCC"	0	1.1225	27.2	22.7
745	"D&C, conization, laparoscopy & tubal interruption w/o CC/MCC"	0	1.1225	27.2	22.7
746	"Vagina, cervix & vulva procedures w CC/MCC"	0	0.8210	22.5	18.8
747	"Vagina, cervix & vulva procedures w/o CC/MCC"	0	0.8210	22.5	18.8
748	Female reproductive system reconstructive procedures	0	0.8210	22.5	18.8
749	Other female reproductive system O.R. procedures w CC/MCC	4	0.8210	22.5	18.8
750	Other female reproductive system O.R. procedures w/o CC/MCC	0	0.8210	22.5	18.8
754	"Malignancy, female reproductive system w MCC"	3	1.1225	27.2	22.7
755	"Malignancy, female reproductive system w CC"	3	0.4733	15.4	12.8
756	"Malignancy, female reproductive system w/o CC/MCC"	0	0.4733	15.4	12.8
757	"Infections, female reproductive system w MCC"	32	0.8738	24.3	20.3
758	"Infections, female reproductive system w CC"	19	0.8210	22.5	18.8
759	"Infections, female reproductive system w/o CC/MCC"	4	0.4733	15.4	12.8
760	Menstrual & other female reproductive system disorders w CC/MCC	2	1.6198	34.8	29.0
761	Menstrual & other female reproductive system disorders w/o CC/MCC	0	0.7554	21.0	17.5
768	Vaginal delivery w O.R. proc except steril &/or D&C	0	0.4733	15.4	12.8
769	Postpartum & post abortion diagnoses w O.R. procedure	0	0.4733	15.4	12.8
770	"Abortion w D&C, aspiration curettage or hysterotomy"	0	0.4733	15.4	12.8
776	Postpartum & post abortion diagnoses w/o O.R. procedure	2	1.6198	34.8	29.0
779	Abortion w/o D&C	0	0.4733	15.4	12.8
783	Cesarean section w sterilization w MCC	0	1.0990	27.0	22.5
784	Cesarean section w sterilization w CC	0	1.0990	27.0	22.5
785	Cesarean section w sterilization w/o CC/MCC	0	1.0990	27.0	22.5
786	Cesarean section w/o sterilization w MCC	0	1.0990	27.0	22.5
787	Cesarean section w/o sterilization w CC	0	1.0990	27.0	22.5
788	Cesarean section w/o sterilization w/o CC/MCC	0	1.0990	27.0	22.5
789	"Neonates, died or transferred to another acute care facility"	0	0.4733	15.4	12.8
790	"Extreme immaturity or respiratory distress syndrome, neonate"	0	0.4733	15.4	12.8
791	Prematurity w major problems	0	0.4733	15.4	12.8
792	Prematurity w/o major problems	0	0.4733	15.4	12.8
793	Full term neonate w major problems	0	0.4733	15.4	12.8
794	Neonate w other significant problems	0	0.4733	15.4	12.8
795	Normal newborn	0	0.4733	15.4	12.8
796	Vaginal delivery w sterilization/D&C w MCC	0	0.4733	15.4	12.8
797	Vaginal delivery w sterilization/D&C w CC	0	0.4733	15.4	12.8
798	Vaginal delivery w sterilization/D&C w/o CC/MCC	0	0.4733	15.4	12.8
799	Splenectomy w MCC	0	1.5427	34.5	28.8
800	Splenectomy w CC	0	1.2125	31.6	26.3
801	Splenectomy w/o CC/MCC	0	1.2125	31.6	26.3
802	Other O.R. proc of the blood & blood forming organs w MCC	0	0.6764	20.1	16.8
803	Other O.R. proc of the blood & blood forming organs w CC	1	0.6764	20.1	16.8
804	Other O.R. proc of the blood & blood forming organs w/o CC/MCC	0	0.6764	20.1	16.8
805	Vaginal delivery w/o sterilization/D&C w MCC	0	1.1225	27.2	22.7
806	Vaginal delivery w/o sterilization/D&C w CC	0	1.1225	27.2	22.7
807	Vaginal delivery w/o sterilization/D&C w/o CC/MCC	0	1.1225	27.2	22.7
808	Major hematol/immun diag exc sickle cell crisis & coagul w MCC	14	0.8210	22.5	18.8
809	Major hematol/immun diag exc sickle cell crisis & coagul w CC	4	0.8210	22.5	18.8
810	Major hematol/immun diag exc sickle cell crisis & coagul w/o CC/MCC	0	0.8210	22.5	18.8
811	Red blood cell disorders w MCC	16	1.6198	34.8	29.0
812	Red blood cell disorders w/o MCC	19	0.6764	20.1	16.8
813	Coagulation disorders	24	1.1225	27.2	22.7
814	Reticuloendothelial & immunity disorders w MCC	10	0.6764	20.1	16.8
815	Reticuloendothelial & immunity disorders w CC	5	0.6764	20.1	16.8
816	Reticuloendothelial & immunity disorders w/o CC/MCC	0	0.6764	20.1	16.8
817	Other antepartum diagnoses w O.R. procedure w MCC	0	0.4733	15.4	12.8
818	Other antepartum diagnoses w O.R. procedure w CC	0	0.4733	15.4	12.8
819	Other antepartum diagnoses w O.R. procedure w/o CC/MCC	0	0.4733	15.4	12.8
820	Lymphoma & leukemia w major O.R. procedure w MCC	0	0.6764	20.1	16.8
821	Lymphoma & leukemia w major O.R. procedure w CC	0	0.6764	20.1	16.8
822	Lymphoma & leukemia w major O.R. procedure w/o CC/MCC	0	0.6764	20.1	16.8
823	Lymphoma & non-acute leukemia w other proc w MCC	0	0.8210	22.5	18.8
824	Lymphoma & non-acute leukemia w other proc w CC	1	0.8210	22.5	18.8
825	Lymphoma & non-acute leukemia w other proc w/o CC/MCC	0	0.8210	22.5	18.8
826	Myeloprolif disord or poorly diff neopl w maj O.R. proc w MCC	0	0.6764	20.1	16.8
827	Myeloprolif disord or poorly diff neopl w maj O.R. proc w CC	0	0.6764	20.1	16.8
828	Myeloprolif disord or poorly diff neopl w maj O.R. proc w/o CC/MCC	0	0.6764	20.1	16.8
829	Myeloproliferative disorders or poorly differentiated neoplasms w other procedure w CC/MCC	0	0.6764	20.1	16.8
830	Myeloproliferative disorders or poorly differentiated neoplasms w other procedure w/o CC/MCC	0	0.6764	20.1	16.8
831	Other antepartum diagnoses w/o O.R. procedure w MCC	0	0.4733	15.4	12.8
832	Other antepartum diagnoses w/o O.R. procedure w CC	0	0.4733	15.4	12.8
833	Other antepartum diagnoses w/o O.R. procedure w/o CC/MCC	0	0.4733	15.4	12.8
834	Acute leukemia w/o major O.R. procedure w MCC	2	0.6764	20.1	16.8
835	Acute leukemia w/o major O.R. procedure w CC	4	0.6764	20.1	16.8
836	Acute leukemia w/o major O.R. procedure w/o CC/MCC	0	0.6764	20.1	16.8
837	Chemo w acute leukemia as sdx or w high dose chemo agent w MCC	0	0.8210	22.5	18.8
838	Chemo w acute leukemia as sdx w CC or high dose chemo agent	0	0.8210	22.5	18.8
839	Chemo w acute leukemia as sdx w/o CC/MCC	0	0.8210	22.5	18.8
840	Lymphoma & non-acute leukemia w MCC	23	0.8210	22.5	18.8
841	Lymphoma & non-acute leukemia w CC	7	0.4733	15.4	12.8
842	Lymphoma & non-acute leukemia w/o CC/MCC	0	0.4733	15.4	12.8
843	Other myeloprolif dis or poorly diff neopl diag w MCC	2	1.1225	27.2	22.7
844	Other myeloprolif dis or poorly diff neopl diag w CC	2	0.4733	15.4	12.8
845	Other myeloprolif dis or poorly diff neopl diag w/o CC/MCC	0	0.4733	15.4	12.8
846*	Chemotherapy w/o acute leukemia as secondary diagnosis w MCC	2	0.8210	22.5	18.8
847	Chemotherapy w/o acute leukemia as secondary diagnosis w CC	1	0.8210	22.5	18.8
848	Chemotherapy w/o acute leukemia as secondary diagnosis w/o CC/MCC	0	0.6764	20.1	16.8
849	Radiotherapy	4	1.6198	34.8	29.0
853	Infectious & parasitic diseases w O.R. procedure w MCC	735	1.9268	38.3	31.9
854	Infectious & parasitic diseases w O.R. procedure w CC	141	1.2717	31.1	25.9
855	Infectious & parasitic diseases w O.R. procedure w/o CC/MCC	1	0.4733	15.4	12.8
856	Postoperative or post-traumatic infections w O.R. proc w MCC	159	1.7353	35.8	29.8
857	Postoperative or post-traumatic infections w O.R. proc w CC	67	1.0683	31.3	26.1
858	Postoperative or post-traumatic infections w O.R. proc w/o CC/MCC	0	1.0683	31.3	26.1
862	Postoperative & post-traumatic infections w MCC	755	1.0874	26.0	21.7
863	Postoperative & post-traumatic infections w/o MCC	207	0.8068	22.2	18.5
864	Fever and inflammatory conditions	1	1.6198	34.8	29.0
865	Viral illness w MCC	21	0.8210	22.5	18.8
866	Viral illness w/o MCC	7	0.6764	20.1	16.8
867	Other infectious & parasitic diseases diagnoses w MCC	97	1.0006	22.7	18.9
868	Other infectious & parasitic diseases diagnoses w CC	27	0.9769	23.0	19.2
869*	Other infectious & parasitic diseases diagnoses w/o CC/MCC	1	0.9769	23.0	19.2
870	Septicemia or severe sepsis w MV >96 hours	"1,171"	1.9644	29.9	24.9
871	Septicemia or severe sepsis w/o MV >96 hours w MCC	"3,767"	0.9286	22.7	18.9
872	Septicemia or severe sepsis w/o MV >96 hours w/o MCC	709	0.7431	20.7	17.3
876	O.R. procedure w principal diagnoses of mental illness	0	0.7881	22.9	19.1
880	Acute adjustment reaction & psychosocial dysfunction	0	0.4959	17.7	14.8
881	Depressive neuroses	0	0.6214	20.3	16.9
882	Neuroses except depressive	0	0.6214	20.3	16.9
883	Disorders of personality & impulse control	0	0.6214	20.3	16.9
884	Organic disturbances & intellectual disability	0	0.5152	24.5	20.4
885	Psychoses	0	0.4901	23.1	19.3
886	Behavioral & developmental disorders	0	0.4959	17.7	14.8
887	Other mental disorder diagnoses	0	0.4959	17.7	14.8
894	"Alcohol/drug abuse or dependence, left AMA"	0	0.4959	17.7	14.8
895	Alcohol/drug abuse or dependence w rehabilitation therapy	0	0.4670	25.4	21.2
896	Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC	0	0.7881	22.9	19.1
897	Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC	0	0.6214	20.3	16.9
901	Wound debridements for injuries w MCC	112	1.4814	34.0	28.3
902	Wound debridements for injuries w CC	55	1.1821	32.3	26.9
903	Wound debridements for injuries w/o CC/MCC	0	1.1821	32.3	26.9
904	Skin grafts for injuries w CC/MCC	20	1.1225	27.2	22.7
905	Skin grafts for injuries w/o CC/MCC	0	1.1225	27.2	22.7
906	Hand procedures for injuries	0	1.7717	38.1	31.8
907	Other O.R. procedures for injuries w MCC	61	1.7717	38.1	31.8
908	Other O.R. procedures for injuries w CC	27	1.1927	30.8	25.7
909	Other O.R. procedures for injuries w/o CC/MCC	0	1.1927	30.8	25.7
913	Traumatic injury w MCC	0	0.4733	15.4	12.8
914	Traumatic injury w/o MCC	1	0.4733	15.4	12.8
915	Allergic reactions w MCC	1	0.4733	15.4	12.8
916	Allergic reactions w/o MCC	1	0.4733	15.4	12.8
917	Poisoning & toxic effects of drugs w MCC	14	1.1225	27.2	22.7
918	Poisoning & toxic effects of drugs w/o MCC	3	0.8210	22.5	18.8
919	Complications of treatment w MCC	678	1.1768	27.3	22.8
920	Complications of treatment w CC	298	0.9370	24.8	20.7
921	Complications of treatment w/o CC/MCC	11	0.6764	20.1	16.8
922	"Other injury, poisoning & toxic effect diag w MCC"	7	1.1225	27.2	22.7
923	"Other injury, poisoning & toxic effect diag w/o MCC"	7	0.8210	22.5	18.8
927	Extensive burns or full thickness burns w MV >96 hrs w skin graft	0	0.8210	22.5	18.8
928	Full thickness burn w skin graft or inhal inj w CC/MCC	3	0.8210	22.5	18.8
929	Full thickness burn w skin graft or inhal inj w/o CC/MCC	0	0.8210	22.5	18.8
933	Extensive burns or full thickness burns w MV >96 hrs w/o skin graft	3	1.1225	27.2	22.7
934	Full thickness burn w/o skin graft or inhal inj	8	0.4733	15.4	12.8
935	Non-extensive burns	7	0.8210	22.5	18.8
939	O.R. proc w diagnoses of other contact w health services w MCC	70	1.3037	30.4	25.3
940	O.R. proc w diagnoses of other contact w health services w CC	54	1.0936	29.8	24.8
941*	O.R. proc w diagnoses of other contact w health services w/o CC/MCC	3	1.0936	29.8	24.8
945	Rehabilitation w CC/MCC	0	0.6621	20.5	17.1
946	Rehabilitation w/o CC/MCC	0	0.4063	16.3	13.6
947	Signs & symptoms w MCC	29	0.8673	21.6	18.0
948	Signs & symptoms w/o MCC	16	0.6764	20.1	16.8
949	Aftercare w CC/MCC	"1,469"	0.7208	21.0	17.5
950	Aftercare w/o CC/MCC	49	0.4306	15.7	13.1
951	Other factors influencing health status	1	1.6198	34.8	29.0
955	Craniotomy for multiple significant trauma	0	0.8210	22.5	18.8
956	"Limb reattachment, hip & femur proc for multiple significant trauma"	0	0.4733	15.4	12.8
957	Other O.R. procedures for multiple significant trauma w MCC	3	1.6198	34.8	29.0
958	Other O.R. procedures for multiple significant trauma w CC	0	0.8210	22.5	18.8
959	Other O.R. procedures for multiple significant trauma w/o CC/MCC	0	0.8210	22.5	18.8
963	Other multiple significant trauma w MCC	6	0.8210	22.5	18.8
964	Other multiple significant trauma w CC	3	0.8210	22.5	18.8
965	Other multiple significant trauma w/o CC/MCC	0	0.6764	20.1	16.8
969	HIV w extensive O.R. procedure w MCC	10	1.6198	34.8	29.0
970	HIV w extensive O.R. procedure w/o MCC	0	1.6198	34.8	29.0
974	HIV w major related condition w MCC	85	1.0649	22.3	18.6
975	HIV w major related condition w CC	34	0.8284	22.9	19.1
976	HIV w major related condition w/o CC/MCC	1	0.6764	20.1	16.8
977	HIV w or w/o other related condition	12	1.6198	34.8	29.0
981	Extensive O.R. procedure unrelated to principal diagnosis w MCC	"1,105"	2.3576	41.1	34.3
982	Extensive O.R. procedure unrelated to principal diagnosis w CC	247	1.5484	33.7	28.1
983	Extensive O.R. procedure unrelated to principal diagnosis w/o CC/MCC	2	0.8210	22.5	18.8
987	Non-extensive O.R. proc unrelated to principal diagnosis w MCC	166	2.1171	36.4	30.3
988	Non-extensive O.R. proc unrelated to principal diagnosis w CC	32	1.5518	30.4	25.3
989	Non-extensive O.R. proc unrelated to principal diagnosis w/o CC/MCC	0	0.4733	15.4	12.8
998	Principal diagnosis invalid as discharge diagnosis	0	0.0000	0.0	0.0
999	Ungroupable	0	0.0000	0.0	0.0
"* In determining the  proposed MS-LTC-DRG relative weights for FY 2020, these proposed MS-LTC-DRGs were adjusted for nonmonotonicity as discussed in section VIII.B.3.g. (step 6) of the preamble of this FY 2020 IPPS/LTCH PPS proposed rule."					
"1 The count of LTCH ""standard payment rate"" cases in the database of LTCH claims from the December 2018 update of the FY 2018 MedPAR files used in the MS-LTC-DRG calculations."					
2 The proposed SSO threshold is calculated as 5/6th of the geometric average length of stay of the proposed MS-LTC-DRG (as specified in 412.529(a)).					
					
