APR DRG Versions, Codes and Descriptions
The version of the APR DRG Grouper used on a patient depends on the patient’s discharge date.
|
Discharge Dates |
Grouper Version |
|---|---|
|
10/1/2020 - 9/30/2021 |
V38 |
| 10/1/2021 - 3/31/2022 | V39.0 |
| 4/1/2022 - 9/30/2022 | V39.1 |
|
10/1/2022 - 9/30/2023 |
V40 |
|
10/1/2023 - 9/30/2024 |
V41 |
|
10/1/2024 - forward |
V42 |
Refer to the following table for any of the codes that are available in QualityAdvisor.
|
Code |
Description |
|---|---|
|
0 |
Outpatient |
|
001 |
LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT |
|
002 |
HEART &/OR LUNG TRANSPLANT |
|
004 |
TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURES |
|
005 |
TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE |
|
006 |
PANCREAS TRANSPLANT |
|
007 |
ALLOGENIC BONE MARROW TRANSPLANT |
|
008 |
AUTOLOGOUS BONE MARROW TRANSPLANT |
|
009 |
EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) |
|
011 |
CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES |
|
020 |
OPEN CRANIOTOMY FOR TRAUMA |
|
021 |
OPEN CRANIOTOMY EXCEPT FOR TRAUMA |
|
022 |
VENTRICULAR SHUNT PROCEDURES |
|
023 |
SPINAL PROCEDURES |
|
024 |
OPEN EXTRACRANIAL VASCULAR PROCEDURES |
|
026 |
OTHER NERVOUS SYSTEM & RELATED PROCEDURES |
|
027 |
OTHER OPEN CRANIOTOMY |
|
029 |
PERCUTANEOUS INTRACRANIAL PROCEDURES |
|
030 |
PERCUTANEOUS INTRA AND EXTRACRANIAL VASCUALR PROCEDURES |
|
040 |
SPINAL DISORDERS & INJURIES |
|
041 |
NERVOUS SYSTEM MALIGNANCY |
|
042 |
DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS |
|
043 |
MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES |
|
044 |
INTRACRANIAL HEMORRHAGE |
|
045 |
CVA & PRECEREBRAL OCCLUSION W INFARCT |
|
046 |
NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT |
|
047 |
TRANSIENT ISCHEMIA |
|
048 |
PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS |
|
049 |
BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM |
|
050 |
NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS |
|
051 |
VIRAL MENINGITIS |
|
052 |
ALTERATIONS IN CONSCIOUSNESS |
|
053 |
SEIZURE |
|
054 |
MIGRAINE & OTHER HEADACHES |
|
055 |
HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE |
|
056 |
BRAIN CONTUSION/LACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA |
|
057 |
CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA |
|
058 |
OTHER DISORDERS OF NERVOUS SYSTEM |
|
059 |
ANOXIC & OTHER SEVERE BRAIN DAMAGE |
|
073 |
EYE PROCEDURES EXCEPT ORBIT |
|
082 |
EYE DISORDERS EXCEPT MAJOR INFECTIONS |
|
089 |
MAJOR CRANIAL/FACIAL BONE PROCEDURES |
|
091 |
OTHER MAJOR HEAD & NECK PROCEDURES |
|
092 |
FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES |
|
095 |
CLEFT LIP & PALATE REPAIR |
|
097 |
TONSIL & ADENOID PROCEDURES |
|
098 |
OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL AND NECK PROCEDURES |
|
110 |
EAR, NOSE, MOUTH, THROAT, CRANIAL/FACIAL MALIGNANCIES |
|
111 |
VERTIGO & OTHER LABYRINTH DISORDERS |
|
113 |
INFECTIONS OF UPPER RESPIRATORY TRACT |
|
114 |
DENTAL DISEASES AND DISORDERS |
|
115 |
OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES |
|
120 |
MAJOR RESPIRATORY & CHEST PROCEDURES |
|
121 |
OTHER RESPIRATORY & CHEST PROCEDURES |
|
130 |
RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS |
|
131 |
CYSTIC FIBROSIS - PULMONARY DISEASE |
|
132 |
BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD |
|
133 |
PULMONARY EDEMA & RESPIRATORY FAILURE |
|
134 |
PULMONARY EMBOLISM |
|
135 |
MAJOR CHEST & RESPIRATORY TRAUMA |
|
136 |
RESPIRATORY MALIGNANCY |
|
137 |
MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS |
|
138 |
BRONCHIOLITIS & RSV PNEUMONIA |
|
139 |
OTHER PNEUMONIA |
|
140 |
CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
|
141 |
ASTHMA |
|
142 |
INTERSTITIAL & ALVEOLAR LUNG DISEASES |
|
143 |
OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES |
|
144 |
RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES |
|
145 |
ACUTE BRONCHITIS AND RELATED SYMPTOMS |
|
160 |
MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY |
|
161 |
IMPLANTABLE HEART ASSIST SYSTEM |
|
162 |
CARDIAC VALVE PROCEDURES W CARDIAC CATHETERIZATION |
|
163 |
CARDIAC VALVE PROCEDURES W/O CARDIAC CATHETERIZATION |
|
165 |
CORONARY BYPASS W CARDIAC CATH OR PERCUTANEOUS CARDIAC PROCEDURE |
|
166 |
CORONARY BYPASS W/O CARDIAC CATH OR PERCUTANEOUS CARDIAC PROCEDURE |
|
167 |
OTHER CARDIOTHORACIC PROCEDURES AND THORACIC VASCULAR PROCEDURES (Revised description effective October 2024) |
|
169 |
MAJOR THORACIC & ABDOMINAL VASCULAR PROCEDURES |
|
170 |
PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK |
|
171 |
PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK |
|
173 |
OTHER VASCULAR PROCEDURES |
|
174 |
PERCUTANEOUS CARDIACINTERVENTION W AMI |
|
175 |
PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI |
|
176 |
INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES |
|
177 |
CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT |
|
178 |
EXTERNAL HEART ASSIST DEVICES (Revised description effective October 2024) |
|
179 |
DEFIBRILLATOR IMPLANTS |
|
180 |
OTHER CIRCULATORY SYSTEM PROCEDURES |
|
181 |
LOWER EXTREMITY VASCULAR PROCEDURES (Revised description effective October 2024) |
|
182 |
OTHER PERIPHERAL VASCULAR PROCEDURES |
|
183 |
PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES |
|
190 |
ACUTE MYOCARDIAL INFARCTION |
|
191 |
CARDIAC CATHETERIZATION W CIRC DISORD EXC ISCHEMIC HEART DISEASE |
|
192 |
CARDIAC CATHETERIZATION FOR ISCHEMIC HEART DISEASE |
|
193 |
ACUTE & SUBACUTE ENDOCARDITIS |
|
194 |
HEART FAILURE |
|
196 |
CARDIAC ARREST |
|
197 |
PERIPHERAL & OTHER VASCULAR DISORDERS |
|
198 |
ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS |
|
199 |
HYPERTENSION |
|
200 |
CARDIAC STRUCTURAL & VALVULAR DISORDERS |
|
201 |
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS |
|
203 |
CHEST PAIN |
|
204 |
SYNCOPE & COLLAPSE |
|
205 |
CARDIOMYOPATHY |
|
206 |
MALFUNCTION,REACTION,COMPLICATION OF CARDIAC/VASC DEVICE OR PROCEDURE |
|
207 |
OTHER CIRCULATORY SYSTEM DIAGNOSES |
|
220 |
MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
|
222 |
OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES |
|
223 |
OTHER SMALL & LARGE BOWEL PROCEDURES |
|
224 |
PERITONEAL ADHESIOLYSIS |
|
226 |
ANAL PROCEDURES |
|
227 |
HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL |
|
228 |
INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES |
|
229 |
OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES |
|
230 |
MAJOR SMALL BOWEL PROCEDURES |
|
231 |
MAJOR LARGE BOWEL PROCEDURES |
|
232 |
GASTRIC FUNDOPLICATION |
|
233 |
APPENDECTOMY WITH COMPLEX PRINCIPLE DIAGNOSIS |
|
234 |
APPENDECTOMY WITHOUT COMPLEX PRINCIPLE DIAGNOSIS |
|
240 |
DIGESTIVE MALIGNANCY |
|
241 |
PEPTIC ULCER & GASTRITIS |
|
242 |
MAJOR ESOPHAGEAL DISORDERS |
|
243 |
OTHER ESOPHAGEAL DISORDERS |
|
244 |
DIVERTICULITIS & DIVERTICULOSIS |
|
245 |
INFLAMMATORY BOWEL DISEASE |
|
246 |
GASTROINTESTINAL VASCULAR INSUFFICIENCY |
|
247 |
INTESTINAL OBSTRUCTION |
|
248 |
MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS |
|
249 |
OTHER GASTROENTERITIS, NAUSEA & VOMITING |
|
251 |
ABDOMINAL PAIN |
|
252 |
MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE |
|
253 |
OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE |
|
254 |
OTHER DIGESTIVE SYSTEM DIAGNOSES |
|
260 |
MAJOR PANCREAS, LIVER & SHUNT PROCEDURES |
|
261 |
MAJOR BILIARY TRACT PROCEDURES |
|
263 |
CHOLECYSTECTOMY |
|
264 |
OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES |
|
279 |
HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS |
|
280 |
ALCOHOLIC LIVER DISEASE |
|
281 |
MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS |
|
282 |
DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
|
283 |
OTHER DISORDERS OF THE LIVER |
|
284 |
DISORDERS OF GALLBLADDER & BILIARY TRACT |
| 299 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL |
|
300 |
SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL |
|
301 |
HIP JOINT REPLACEMENT |
|
302 |
KNEE JOINT REPLACEMENT |
|
303 |
DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK |
|
304 |
DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK |
|
305 |
AMPUTATION OF LOWER LIMB EXCEPT TOES |
|
308 |
HIP & FEMUR PROCEDURES FOR TRAUMA EXCEPT JOINT REPLACEMENT |
|
309 |
HIP & FEMUR PROCEDURES FOR NON-TRAUMA EXCEPT JOINT REPLACEMENT |
|
310 |
INTERVERTEBRAL DISC EXCISION & DECOMPRESSION |
|
312 |
SKIN GRAFT FOR MUSCULOSKELETAL & CONNECTIVE TISSUE DIAGNOSES (Revised description effective October 2024) |
|
313 |
KNEE & LOWER LEG PROCEDURES EXCEPT FOOT |
|
314 |
FOOT & TOE PROCEDURES |
|
315 |
SHOULDER, UPPER ARM & FOREARM PROCEDURES |
|
316 |
HAND & WRIST PROCEDURES |
|
317 |
TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES |
|
320 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES |
|
321 |
CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP |
|
322 |
SHOULDER AND ELBOW JOINT REPLACEMENT |
|
323 |
NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT |
|
324 |
ELECTIVE HIP JOINT REPLACEMENT |
|
325 |
NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT |
|
326 |
ELECTIVE KNEE JOINT REPLACEMENT |
|
340 |
FRACTURE OF FEMUR |
|
341 |
FRACTURE OF PELVIS OR DISLOCATION OF HIP |
|
342 |
FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK |
|
343 |
MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG |
|
344 |
OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS |
|
346 |
CONNECTIVE TISSUE DISORDERS |
|
347 |
OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES |
|
349 |
MALFUNCTION, REACTION, COMPLIC OF ORTHOPEDIC DEVICE OR PROCEDURE |
|
351 |
OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES |
|
361 |
SKIN GRAFT FOR SKIN & SUBCUTANEOUS TISSUE DIAGNOSES |
|
362 |
MASTECTOMY PROCEDURES |
|
363 |
BREAST PROCEDURES EXCEPT MASTECTOMY |
|
364 |
OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES |
|
380 |
SKIN ULCERS |
|
381 |
MAJOR SKIN DISORDERS |
|
382 |
MALIGNANT BREAST DISORDERS |
|
383 |
CELLULITIS & OTHER BACTERIAL SKIN INFECTIONS |
|
384 |
CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE |
|
385 |
OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST DISORDERS |
|
401 |
ADRENAL PROCEDURES |
|
403 |
PROCEDURES FOR OBESITY |
|
404 |
THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES |
|
405 |
OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL & METABOLIC DISORDERS |
|
420 |
DIABETES |
|
421 |
MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS |
|
422 |
HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS |
|
423 |
INBORN ERRORS OF METABOLISM |
|
424 |
OTHER ENDOCRINE DISORDERS |
|
425 |
OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS |
|
426 |
NON-HYPOVOLEMIC SODIUM DISORDERS |
|
427 |
THYROID DISORDERS |
| 428 | GENETIC DISORDERS |
|
440 |
KIDNEY TRANSPLANT |
|
441 |
MAJOR BLADDER PROCEDURES |
|
442 |
KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY |
|
443 |
KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY |
|
444 |
RENAL DIALYSIS ACCESS DEVICE PROCEDURES AND VESSEL REPAIR |
|
445 |
OTHER BLADDER PROCEDURES |
|
446 |
URETHRAL & TRANSURETHRAL PROCEDURES |
|
447 |
OTHER KIDNEY, URINARY TRACT & RELATED NON-PERCUTANEOUS PROCEDURES (Revised description effective October 2024) |
|
448 |
OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES |
|
460 |
RENAL FAILURE |
|
461 |
KIDNEY & URINARY TRACT MALIGNANCY |
|
462 |
NEPHRITIS & NEPHROSIS |
|
463 |
KIDNEY & URINARY TRACT INFECTIONS |
|
465 |
URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION |
|
466 |
MALFUNCTION, REACTION, COMPLIC OF GENITOURINARY DEVICE OR PROC |
|
468 |
OTHER KIDNEY & URINARY TRACT DIAGNOSES, SIGNS & SYMPTOMS |
|
469 |
ACUTE KIDNEY INJURY |
|
470 |
CHRONIC KIDNEY DISEASE |
|
480 |
MAJOR MALE PELVIC PROCEDURES |
|
482 |
TRANSURETHRAL PROSTATECTOMY |
|
483 |
TESTES & SCROTAL PROCEDURES |
|
484 |
OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES |
|
485 |
PROSTATECTOMY PROCEDURES |
|
500 |
MALIGNANCY, MALE REPRODUCTIVE SYSTEM |
|
501 |
MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY |
|
510 |
PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS (Removed effective October 2024) |
|
511 |
UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY |
|
512 |
UTERINE & ADNEXA PROCEDURES FOR NON-OVARIAN & NON-ADNEXAL MALIG |
|
513 |
UTERINE & ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA |
|
514 |
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES |
|
517 |
DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES |
|
518 |
OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES |
|
519 |
UTERINE & ADNEXA PROCEDURES FOR LEIOMYOMA |
| 520 | OTHER GYN PROCEDURES FOR MALIGNANCY |
|
530 |
FEMALE REPRODUCTIVE SYSTEM MALIGNANCY |
|
531 |
FEMALE REPRODUCTIVE SYSTEM INFECTIONS |
|
532 |
MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
|
539 |
CESAREAN SECTION WITH STERILIZATION |
|
540 |
CESAREAN DELIVERY SECTION WITHOUT STERILIZATION |
|
541 |
VAGINAL DELIVERY W STERILIZATION &/OR D&C |
|
542 |
VAGINAL DELIVERY W O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C |
|
543 |
ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTERECTOMY |
|
547 |
ANTEPARTUM WITH O.R. PROCEDURE |
|
548 |
POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE |
|
560 |
VAGINAL DELIVERY |
|
561 |
POSTPARTUM & POST ABORTION DIAGNOSES W/O PROCEDURE |
|
564 |
ABORTION W/O D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY |
|
566 |
ANTEPARTUM WITHOUT O.R. PROCEDURE |
|
580 |
NEONATE, TRANSFERRED <5 DAYS OLD, NOT BORN HERE |
|
581 |
NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE |
|
583 |
NEONATE W ECMO |
|
588 |
NEONATE BWT <1500G W MAJOR PROCEDURE |
|
589 |
NEONATE BWT <500G OR GA <24 WEEKS |
|
591 |
NEONATE BIRTHWT 500-749G W/O MAJOR PROCEDURE |
|
593 |
NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE |
|
602 |
NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM |
|
603 |
NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION |
|
607 |
NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM |
|
608 |
NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION |
|
609 |
NEONATE BWT 1500-2499G W MAJOR PROCEDURE |
|
611 |
NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY |
|
612 |
NEONATE BWT 1500-1999G W RESP DIST SYND/OTH MAJ RESP COND |
|
613 |
NEONATE BIRTHWT 1500-1999G W CONGENITAL/PERINATAL INFECTION |
|
614 |
NEONATE BWT 1500-1999G W OR W/O OTHER SIGNIFICANT CONDITION |
|
621 |
NEONATE BWT 2000-2499G W MAJOR ANOMALY |
|
622 |
NEONATE BWT 2000-2499G W RESP DIST SYND/OTH MAJ RESP COND |
|
623 |
NEONATE BWT 2000-2499G W CONGENITAL/PERINATAL INFECTION |
|
625 |
NEONATE BWT 2000-2499G W OTHER SIGNIFICANT CONDITION |
|
626 |
NEONATE BWT 2000-2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
|
630 |
NEONATE BIRTHWT >2499G W MAJOR CARDIOVASCULAR PROCEDURE |
|
631 |
NEONATE BIRTHWT >2499G W OTHER MAJOR PROCEDURE |
|
633 |
NEONATE BIRTHWT >2499G W MAJOR ANOMALY |
|
634 |
NEONATE, BIRTHWT >2499G W RESP DIST SYND/OTH MAJ RESP COND |
|
636 |
NEONATE BIRTHWT >2499G W CONGENITAL/PERINATAL INFECTION |
|
639 |
NEONATE BIRTHWT >2499G W OTHER SIGNIFICANT CONDITION |
|
640 |
NEONATE BIRTHWT >2499G, NORMAL NEWBORN OR NEONATE W OTHER PROBLEM |
|
650 |
SPLENIC PROCEDURES |
|
651 |
OTHER PROCEDURES OF BLOOD & BLOOD-FORMING ORGANS |
|
660 |
MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL |
|
661 |
COAGULATION & PLATELET DISORDERS |
|
662 |
SICKLE CELL ANEMIA CRISIS |
|
663 |
OTHER ANEMIA & DISORDERS OF BLOOD & BLOOD-FORMING ORGANS |
|
680 |
MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS |
|
681 |
OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS |
|
690 |
ACUTE LEUKEMIA |
|
691 |
LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA |
|
692 |
RADIOTHERAPY |
|
693 |
CHEMOTHERAPY |
|
694 |
LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR |
|
695 |
CHEMOTHERAPY FOR ACUTE LEUKEMIA |
|
696 |
OTHER CHEMOTHERAPY |
|
710 |
INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE |
|
711 |
POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE |
|
720 |
SEPTICEMIA & DISSEMINATED INFECTIONS |
|
721 |
POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS |
|
722 |
FEVER AND INFLAMATORY CONDITIONS |
|
723 |
VIRAL ILLNESS |
|
724 |
OTHER INFECTIOUS & PARASITIC DISEASES |
|
740 |
MENTAL ILLNESS DIAGNOSIS W O.R. PROCEDURE |
|
750 |
SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS (Revised description effective October 2024) |
|
751 |
DEPRESSIVE DISORDERS (Revised description effective October 2024) |
|
752 |
PERSONALITY DISORDERS (Revised description effective October 2024) |
|
753 |
BIPOLAR DISORDERS |
|
754 |
DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER (Removed effective October 2024) |
|
755 |
ADJUSTMENT DISORDERS (Revised description effective October 2024) |
|
756 |
ACUTE ANXIETY & STRESS SYNDROMES (Revised description effective October 2024) |
|
757 |
ORGANIC MENTAL HEALTH CONDITIONS & DISTURBANCES (Revised description effective October 2024) |
|
758 |
DISORDERS OF IMPULSE CONTROL & DEVELOPMENT (Revised description effective October 2024) |
|
759 |
EATING DISORDERS |
|
760 |
OTHER MENTAL HEALTH CONDITIONS & DISORDERS (Revised description effective October 2024) |
|
761 |
SCHIZOAFFECTIVE DISORDERS |
| 762 | OBSESSIVE COMPULSIVE DISORDERS |
|
770 |
DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE |
|
772 |
ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY |
|
773 |
OPIOID ABUSE & DEPENDENCE |
|
774 |
COCAINE ABUSE & DEPENDENCE |
|
775 |
ALCOHOL ABUSE & DEPENDENCE |
|
776 |
OTHER DRUG ABUSE & DEPENDENCE |
|
792 |
EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
|
793 |
MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
|
794 |
NON-EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT |
|
810 |
HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION |
|
811 |
ALLERGIC REACTIONS |
|
812 |
POISONING OF MEDICINAL AGENTS |
|
813 |
OTHER COMPLICATIONS OF TREATMENT |
|
815 |
OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES |
|
816 |
TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES |
|
817 |
INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE |
|
841 |
EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT |
|
842 |
FULL THICKNESS BURNS W SKIN GRAFT |
|
843 |
EXTENSIVE 3RD DEGREE BURNS W/O SKIN GRAFT |
|
844 |
PARTIAL THICKNESS BURNS W OR W/O SKIN GRAFT |
|
850 |
PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE |
| 851 | GENDER RELATED PROCEDURES |
|
860 |
REHABILITATION |
|
861 |
SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS |
|
862 |
OTHER AFTERCARE & CONVALESCENCE |
|
863 |
NEONATAL AFTERCARE |
|
890 |
HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS |
|
892 |
HIV W MAJOR HIV RELATED CONDITION |
|
893 |
HIV W MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS |
|
894 |
HIV W ONE SIGNIF HIV COND OR W/O SIGNIF RELATED COND |
|
910 |
CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA |
|
911 |
EXTENSIVE ABDOMINAL/THORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA |
|
912 |
MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA |
|
930 |
MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE |
|
950 |
EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
|
951 |
MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
|
952 |
NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
|
955 |
PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS |
|
956 |
UNGROUPABLE |
|
9999 |
NOT APPLICABLE |