Diagnostic-Related Group label
Craniotomy, Age Greater than 17 without CC
Peripheral and Cranial Nerve and Other Nervous System Procedures with CC
Peripheral and Cranial Nerve and Other Nervous System Procedures without CC
Multiple Sclerosis and Cerebellar Ataxia
Intracranial Hemorrhage or Cerebral Infarction
Nonspecific Cerebrovascular and Precerebral Occlusion without Infarction
Nonspecific Cerebrovascular Disorders with CC
Nonspecific Cerebrovascular Disorders without CC
Cranial and Peripheral Nerve Disorders with CC
Cranial and Peripheral Nerve Disorders without CC
Nervous System Infection Except Viral Meningitis
Seizure and Headache, Age Greater than 17 with CC
Seizure and Headache, Age Greater than 17 without CC
Traumatic Stupor and Coma, Coma Greater than One Hour
Traumatic Stupor and Coma, Coma Less than One Hour, Age Greater than 17 with CC
Traumatic Stupor and Coma, Coma Less than One Hour, Age Greater than 17 without CC
Traumatic Stupor and Coma, Coma Less than One Hour, Age 0-17
Concussion, Age Greater than 17 without CC
Other Disorders of Nervous System with CC
Other Disorders of Nervous System without CC
Lens Procedures with or without Vitrectomy
Extraocular Procedures Except Orbit, Age Greater than 17
Intraocular Procedures Except Retina, Iris and Lens
Other Disorders of the Eye, Age Greater than 17 with CC
Other Disorders of the Eye, Age Greater than 17 without CC
Salivary Gland Procedures Except Sialoadenectomy
Sinus and Mastoid Procedures, Age Greater than 17
Miscellaneous Ear, Nose, Mouth and Throat Procedures
Tonsillectomy and Adenoidectomy Procedures Except Tonsillectomy and/or Adenoidectomy Only, Age Greater than 17
Tonsillectomy and Adenoidectomy Procedures Except Tonsillectomy and/or Adenoidectomy Only, Age 0-17
Tonsillectomy and/or Adenoidectomy Only, Age Greater than 17
Tonsillectomy and/or Adenoidectomy Only, Age 0-17
Myringotomy with Tube Insertion, Age Greater than 17
Myringotomy with Tube Insertion, Age 0-17
Other Ear, Nose, Mouth and Throat Operating Room Procedures
Otitis Media and URI, Age Greater than 17 with CC
Otitis Media and URI, Age Greater than 17 without CC
Other Ear, Nose, Mouth and Throat Diagnoses, Age Greater than 17
Other Ear, Nose, Mouth and Throat Diagnoses, Age 0-17
Other Respiratory System O.R. Procedures with CC
Other Respiratory System O. R. Procedures without CC
Respiratory Infections and Inflammations, Age Greater than 17 with CC
Respiratory Infections and Inflammations, Age Greater than 17 without CC
Respiratory Infections and Inflammations, Age 0-17
Simple Pneumonia and Pleurisy, Age Greater than 17 with CC
Simple Pneumonia and Pleurisy, Age Greater than 17 without CC
Bronchitis and Asthma, Age Greater than 17 with CC
Bronchitis and Asthma, Age Greater than 17 without CC
Respiratory Signs and Symptoms without CC
Other Respiratory System Diagnoses with CC
Other Respiratory System Diagnoses without CC
Heart Transplant or Implant of Heart Assist System
Cardiac Valve Procedures and Other Major Cardiothoracic Procedures with Cardiac Catheterization
Cardiac Valve Procedures and Other Major Cardiothoracic Procedures without Cardiac Catheterization
CORONARY BYPASS W/O PTCA OR CARDIAC CATH
Major Cardiovascular Procedures without CC
Amputation for Circulatory System Disorders Except Upper Limb and Toe
Upper Limb and Toe Amputation for Circulatory System Disorders
PRM CARD PACEM IMPL W AMI/HR/SHOCK OR AICD LEAD OR GNRTR
OTHER PERMANENT CARDIAC PACEMAKER IMPLANT
Cardiac Pacemaker Revision Except Device Replacement
Other Circulatory System O.R. Procedures
Circulatory Disorders with Acute Myocardial Infarction and Major Complications, Discharged Alive
Circulatory Disorders with Acute Myocardial Infarction without Major Complications, Discharged Alive
Circulatory Disorders with Acute Myocardial Infarction, Expired
Circulatory Disorders Except Acute Myocardial Infarction with Cardiac Catheterization and Complex Diagnosis
Circulatory Disorders Except Acute Myocardial Infarction with Cardiac Catheterization without Complex Diagnosis
Peripheral Vascular Disorders without CC
Cardiac Congenital and Valvular Disorders, Age Greater than 17 with CC
Cardiac Congenital and Valvular Disorders, Age Greater than 17 without CC
Cardiac Congenital and Valvular Disorders, Age 0-17
Cardiac Arrhythmia and Conduction Disorders with CC
Cardiac Arrhythmia and Conduction Disorders without CC
Other Circulatory System Diagnoses with CC
Other Circulatory System Diagnoses without CC
Major Small and Large Bowel Procedures with CC
Major Small and Large Bowel Procedures without CC
Minor Small and Large Bowel Procedures with CC
Minor Small and Large Bowel Procedures without CC
Stomach, Esophageal and Duodenal Procedures, Age Greater than 17 with CC
Stomach, Esophageal and Duodenal Procedures, Age Greater than 17 without CC
Stomach, Esophageal and Duodenal Procedures, Age 0-17
Hernia Procedures Except Inguinal and Femoral, Age Greater than 17 with CC
Hernia Procedures Except Inguinal and Femoral, Age Greater than 17 without CC
Inguinal and Femoral Hernia Procedures, Age Greater than 17 with CC
Inguinal and Femoral Hernia Procedures, Age Greater than 17 without CC
Appendectomy with Complicated Principal Diagnosis with CC
Appendectomy with Complicated Principal Diagnosis without CC
Appendectomy without Complicated Principal Diagnosis with CC
Appendectomy without Complicated Principal Diagnosis without CC
Other Digestive System O.R. Procedures with CC
Other Digestive System Operating Room Procedures without CC
Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders, Age Greater than 17 with CC
Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders, Age Greater than 17 without CC
Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders, Age 0-17
Dental and Oral Diseases Except Extractions and Restorations, Age Greater than 17
Dental and Oral Diseases Except Extractions and Restorations, Age 0-17
Other Digestive System Diagnoses, Age Greater than 17 with CC
Other Digestive System Diagnoses, Age Greater than 17 without CC
Other Digestive System Diagnoses, Age 0-17
Pancreas, Liver and Shunt Procedures with CC
Pancreas, Liver and Shunt Procedures without CC
Biliary Tract Procedures Except Only Cholecystectomy with or without Common Duct Exploration with CC
Biliary Tract Procedures Except Only Cholecystectomy with or without Common Duct Exploration without CC
Cholecystectomy with Common Duct Exploration with CC
Cholecystectomy with Common Duct Exploration without CC
Cholecystectomy Except by Laparoscope without Common Duct Exploration with CC
Cholecystectomy Except by Laparoscope without Common Duct Exploration without CC
Hepatobiliary Diagnostic Procedure for Malignancy
HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR NON-MALIGNANCY
Other Hepatobiliary or Pancreas O.R. Procedures
Malignancy of Hepatobiliary System or Pancreas
Disorders of Liver Except Malignancy, Cirrhosis and Alcoholic Hepatitis with CC
Disorders of Liver Except Malignancy, Cirrhosis and Alcoholic Hepatitis without CC
Disorders of the Biliary Tract without CC
MAJOR JOINT & LIMB REATTACHMENT PROCEDURES OF LOWER EXTREMITY
Hip and Femur Procedures Except Major Joint Procedures, Age Greater than 17 with CC
Hip and Femur Procedures Except Major Joint Procedures, Age Greater than 17 without CC
Hip and Femur Procedures Except Major Joint Procedures, Age 0-17
Amputation for Musculoskeletal System and Connective Tissue Disorders
Biopsies of Musculoskeletal System and Connective Tissue
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur, Age Greater than 17 with CC
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur, Age Greater than 17 without CC
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur, Age 0-17
Major Shoulder/Elbow Procedures or Other Upper Extremity Procedures with CC
Shoulder, Elbow or Forearm Procedures Except Major Joint Procedures without CC
Major Thumb or Joint Procedures or Other Hand or Wrist Procedures with CC
Hand or Wrist Procedures Except Major Joint Procedures without CC
Local Excision and Removal of Internal Fixation Devices of Hip and Femur
Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC
Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC
Sprains, Strains and Dislocations of Hip, Pelvis and Thigh
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy
Bone Diseases and Specific Arthropathies with CC
Bone Diseases and Specific Arthropathies without CC
Signs and Symptoms of Musculoskeletal System and Connective Tissue
Aftercare, Musculoskeletal System and Connective Tissue
Fractures, Sprains, Strains and Dislocations of Forearm, Hand and Foot, Age Greater than 17 with CC
Fractures, Sprains, Strains and Dislocations of Forearm, Hand and Foot, Age Greater than 17 without CC
Fractures, Sprains, Strains and Dislocations of Forearm, Hand and Foot, Age 0-17
Fractures, Sprains, Strains and Dislocations of Upper Arm and Lower Leg Except Foot, Age Greater than 17 with CC
Fractures, Sprains, Strains and Dislocations of Upper Arm and Lower Leg Except Foot, Age Greater than 17 without CC
Fractures, Sprains, Strains and Dislocations of Upper Arm and Lower Leg Except Foot, Age 0-17
Other Musculoskeletal System and Connective Tissue Diagnoses
Total Mastectomy for Malignancy without CC
Subtotal Mastectomy for Malignancy with CC
Subtotal Mastectomy for Malignancy without CC
Breast Procedure for Nonmalignancy Except Biopsy and Local Excision
Breast Biopsy and Local Excision for Nonmalignancy
Skin Graft and/or Debridement for Skin Ulcer or Cellulitis with CC
Skin Graft and/or Debridement for Skin Ulcer or Cellulitis without CC
Skin Graft and/or Debridement Except for Skin Ulcer or Cellulitis with CC
Skin Graft and/or Debridement Except for Skin Ulcer or Cellulitis without CC
Skin, Subcutaneous Tissue and Breast Plastic Procedures
Other Skin, Subcutaneous Tissue and Breast Procedures with CC
Other Skin, Subcutaneous Tissue and Breast Procedures without CC
Cellulitis, Age Greater than 17 without CC
Trauma to Skin, Subcutaneous Tissue and Breast, Age Greater than 17 with CC
Trauma to Skin, Subcutaneous Tissue and Breast, Age Greater than 17 without CC
Trauma to Skin, Subcutaneous Tissue and Breast, Age 0-17
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders
Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC
Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC
Nutritional and Miscellaneous Metabolic Disorders, Age Greater than 17 with CC
Nutritional and Miscellaneous Metabolic Disorders, Age Greater than 17 without CC
Nutritional and Miscellaneous Metabolic Disorders, Age 0-17
Kidney, Ureter and Major Bladder Procedures for Neoplasm
Kidney, Ureter and Major Bladder Procedures for Non-neoplasms with CC
Kidney, Ureter and Major Bladder Procedures for Non-neoplasms without CC
Urethral Procedures, Age Greater than 17 with CC
Urethral Procedures, Age Greater than 17 without CC
Other Kidney and Urinary Tract Operating Room Procedures
Kidney and Urinary Tract Neoplasms with CC
Kidney and Urinary Tract Neoplasms without CC
Kidney and Urinary Tract Infections, Age Greater than 17 with CC
Kidney and Urinary Tract Infections, Age Greater than 17 without CC
Kidney and Urinary Tract Infections, Age 0-17
Urinary Stones with CC and/or ESW Lithotripsy
Kidney and Urinary Tract Signs and Symptoms, Age Greater than 17 with CC
Kidney and Urinary Tract Signs and Symptoms, Age Greater than 17 without CC
Kidney and Urinary Tract Signs and Symptoms, Age 0-17
Urethral Stricture, Age Greater than 17 with CC
Urethral Stricture, Age Greater than 17 without CC
Other Kidney and Urinary Tract Diagnoses, Age Greater than 17 with CC
Other Kidney and Urinary Tract Diagnoses, Age Greater than 17 without CC
Other Kidney and Urinary Tract Diagnoses, Age 0-17
Testes Procedures for Nonmalignancy, Age Greater than 17
Testes Procedures for Nonmalignancy, Age 0-17
Other Male Reproductive System O.R. Procedures for Malignancy
Other Male Reproductive System O.R. Procedures Except for Malignancy
Malignancy of Male Reproductive System with CC
Malignancy of Male Reproductive System without CC
Inflammation of the Male Reproductive System
Other Male Reproductive System Diagnoses
Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy
Uterine and Adnexa Procedures for Nonovarian/Adnexal Malignancy with CC
Uterine and Adnexa Procedures for Nonovarian/Adnexal Malignancy without CC
Female Reproductive System Reconstructive Procedures
Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy
Uterine and Adnexa Procedures for Nonmalignancy with CC
Uterine and Adnexa Procedures for Nonmalignancy without CC
Laparoscopy and Incisional Tubal Interruption
D and C, Conization and Radio-Implant for Malignancy
D and C, Conization Except for Malignancy
Other Female Reproductive System O.R. Procedures
Malignancy of Female Reproductive System with CC
Malignancy of Female Reproductive System without CC
Infections of Female Reproductive System
Menstrual and Other Female Reproductive System Disorders
Vaginal Delivery with Complicating Diagnoses
Vaginal Delivery without Complicating Diagnoses
Vaginal Delivery with Sterilization and/or D and C
Vaginal Delivery with Operating Room Procedure Except Sterilization and/or D & C
Postpartum and Postabortion Diagnoses without O.R. Procedure
Postpartum and Postabortion Diagnoses with O.R. Procedure
Abortion with D and C, Aspiration Curettage or Hysterotomy
Other Antepartum Diagnoses with Medical Complications
Other Antepartum Diagnoses without Medical Complications
Neonates, Died or Transferred to another Acute Care Facility
Extreme Immaturity or Respiratory Distress Syndrome of Neonate
Other Operating Room Procedures of the Blood and Blood-Forming Organs
Red Blood Cell Disorders, Age Greater than 17
Reticuloendothelial and Immunity Disorders with CC
Reticuloendothelial and Immunity Disorders without CC
Lymphoma and Nonacute Leukemia with Other O.R. Procedure with CC
Lymphoma and Nonacute Leukemia with Other O.R. Procedure without CC
Lymphoma and Nonacute Leukemia without CC
Acute Leukemia without Major O.R. Procedure, Age 0-17
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CC
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other O.R. Procedures
Chemotherapy without Acute Leukemia as Secondary Diagnosis
Other Myeloproliferative Disorders or Poorly Differentiated Neoplasm Diagnoses with CC
Other Myeloproliferative Disorders or Poorly Differentiated Neoplasm Diagnoses without CC
O.R. Procedure for Infectious and Parasitic Diseases
Fever of Unknown Origin, Age Greater than 17 with CC
Fever of Unknown Origin, Age Greater than 17 without CC
Viral Illness and Fever of Unknown Origin, Age 0-17
Other Infectious and Parasitic Diseases Diagnoses
O.R. Procedure with Principal Diagnosis of Mental Illness
Acute Adjustment Reactions and Psychosocial Dysfunction
Disorders of Personality and Impulse Control
Organic Disturbances and Mental Retardation
Alcohol/Drug Abuse or Dependence, Left Against Medical Advice
Other O.R. Procedures for Injuries with CC
Other O.R. Procedures for Injuries without CC
Traumatic Injury, Age Greater than 17 with CC
Traumatic Injury, Age Greater than 17 without CC
Poisoning and Toxic Effects of Drugs, Age Greater than 17 with CC
Poisoning and Toxic Effects of Drugs, Age Greater than 17 without CC
Poisoning and Toxic Effects of Drugs, Age 0-17
Other Injury, Poisoning and Toxic Effect Diagnoses with CC
Other Injury, Poisoning and Toxic Effect Diagnoses without CC
O.R. Procedure with Diagnosis of Other Contact with Health Services
Aftercare with History of Malignancy as Secondary Diagnosis
Aftercare without History of Malignancy as Secondary Diagnosis
Extensive O.R. Procedure Unrelated to Principal Diagnosis
Principal Diagnosis Invalid as Discharge Diagnosis
Bilateral or Multiple Major Joint Procedures of Lower Extremity
Acute Leukemia without Major O.R. Procedure, Age Greater than 17
Respiratory System Diagnosis with Ventilator Support
Prostatic O.R. Procedure Unrelated to Principal Diagnosis
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
Liver Transplant and/or Intestinal Transplant
Tracheostomy for Face, Mouth and Neck Diagnoses
TRAC W MECH VENT 96+HRS OR PDX EXC FACE/MOUTH/NECK DX
Craniotomy for Multiple Significant Trauma
Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma
Other O.R. Procedures for Multiple Significant Trauma
HIV with or without Other Related Condition
Major Joint and Limb Reattachment Procedures of Upper Extremity
Chemotherapy with Acute Leukemia as Secondary Diagnosis or with Use of High-Dose Chemotherapy Agent
Laparoscopic Cholecystectomy without Common Duct Exploration with CC
Laparoscopic Cholecystectomy without Common Duct Exploration without CC
Spinal Fusion Except Cervical without CC
Back and Neck Procedures Except Spinal Fusion with CC
Back and Neck Procedures Except Spinal Fusion without CC
Knee Procedures with Principal Diagnosis of Infection with CC
Knee Procedures with Principal Diagnosis of Infection without CC
Knee Procedures without Principal Diagnosis of Infection
Extensive Burns or Full Thickness Burns with Mechanical Ventilation 96+ Hours with Skin Graft
Extensive Burns or Full Thickness Burns with Mechanical Ventilation 96+ Hours without Skin Graft
Full Thickness Burn with Skin Graft or Inhalation Injury with CC or Significant Trauma
Full Thickness Burn with Skin Graft or Inhalation Injury without CC or Significant Trauma
Full Thickness Burn without Skin Graft or Inhalation Injury with CC or Significant Trauma
Full Thickness Burn without Skin Graft or Inhalation Injury without CC or Significant Trauma
Nonextensive Burns with CC or Significant Trauma
Nonextensive Burns without CC or Significant Trauma
Cardiac Defibrillator Implant without Cardiac Catheterization
PERC CARDIO PROC W NON-DRUG ELUTING STENT W/O AMI
Percutaneous Cardiovascular Procedures without Acute Myocardial Infarction without Coronary Artery Stent Implant
Alcohol/Drug Abuse or Dependence with CC
Alcohol/Drug Abuse or Dependence with Rehabilitation Therapy without CC
Alcohol/Drug Abuse or Dependence without Rehabilitation Therapy without CC
PERCUTNEOUS CARDIOVASULAR PROC W DRUG ELUTING STENT W AMI
PERCUTNEOUS CARDIOVASULAR PROC W DRUG ELUTING STENT W/O AMI
Intracranial Vascular Procedure with Principal Diagnosis of Hemorrhage
Extracranial Vascular Procedures with CC
Extracranial Vascular Procedures without CC
Cardiac Defibrillator Implant with Cardiac Catheterization with Acute Myocardial Infarction, Heart Failure, or Shock
Cardiac Defibrillator Implant with Cardiac Catheterization without Acute Myocardial Infarction, Heart Failure, or Shock
Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC
Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC
Lymphoma and Leukemia with Major O.R. Procedure with CC
Lymphoma and Leukemia with Major O.R. Procedure without CC
Tracheostomy with Mechanical Ventilation 96+ Hours or Principal Diagnosis Except Face, Mouth, and Neck with Major O.R. Procedure
Tracheostomy with Mechanical Ventilation 96+ Hours or Principal Diagnosis Except Face, Mouth, and Neck without Major O.R. Procedure
Craniotomy with Implantation of Chemotherapeutic Agent or Acute Complex Central Nervous System Principal Diagnosis
Major Joint Replacement or Reattachment of Lower Extremity
Spinal Fusions Except Cervical With Curvature of the Spine or Malignancy
Coronary Bypass with Cardiac Catheterization with Major Cardiovascular Diagnosis
Coronary Bypass with Cardiac Catheterization without Major Cardiovascular Diagnosis
Coronary Bypass without Cardiac Catheterization with Major Cardiovascular Diagnosis
Coronary Bypass without Cardiac Catheterization without Major Cardiovascular Diagnosis
Permanent Cardiac Pacemaker Implant with Major Cardiovascular Diagnosis or AICD Lead or Generator
Other Permanent Cardiac Pacemaker Implant without Major Cardiovascular Diagnosis
Other Vascular Procedures with CC with Major Cardiovascular Diagnosis
Other Vascular Procedures with CC without Major Cardiovascular Diagnosis
Percutaneous Cardiovascular Procedure with Major Cardiovascular Diagnosis
Percutaneous Cardiovascular Procedure with Non Drug-Eluting Stent without Major Cardiovascular Diagnosis
Percutaneous Cardiovascular Procedure with Drug-Eluting Stent with Major Cardiovascular Diagnosis
Percutaneous Cardiovascular Procedure with Drug-Eluting Stent without Major Cardiovascular Diagnosis
Acute Ischemic Stroke with Use of Thrombolytic Agent
Bacterial and Tuberculosis Infections of Nervous System
Non-Bacterial Infections of Nervous System Except Viral
Respiratory System Diagnosis with Ventilator Support 96+ Hours
Respiratory System Diagnosis with Ventilator Support <96 Hours
Stomach, Esophageal and Duodenal Procedures, Age Greater than 17 with CC with Major Gastrointestinal Diagnosis
Stomach, Esophageal and Duodenal Procedures, Age Greater than 17 with CC without Major Gastrointestinal Diagnosis
Major Small and Large Bowel Procedures with CC with Major Gastrointestinal Diagnosis
Major Small and Large Bowel Procedures with CC without Major Gastrointestinal Diagnosis
Major Gastrointestinal Disorders and Peritoneal Infections
Major Hematologic/Immunologic Diagnoses Except Sickle Cell Crisis and Coagulation Disorders
Septicemia with Mechanical Ventilation 96+ Hours, Age Greater than 17
Septicemia without Mechanical Ventilation 96+ Hours, Age Greater than 17
Infectious and Parasitic Diseases with O.R. Procedure
Postoperative or Post-traumatic Infections with O.R. Procedure