2026 MS-DRG ListFY 2026 · v43.0

For fiscal year 2026 (discharges October 1, 2025 – September 30, 2026), CMS defines 772 Medicare Severity Diagnosis-Related Groups under grouper version 43.0, organized into a Pre-MDC block plus 25 Major Diagnostic Categories. Medical DRGs are assigned from the ICD-10-CM principal diagnosis; Surgical DRGs from ICD-10-PCS operating-room procedures. Select any DRG for its relative weight, mean length of stay, severity family, and the complete code lists.

✓ Built from the official CMS v43.0 datasetWeights & LOS from the FY 2026 IPPS Final Rule

772

Total MS-DRGs

25 + Pre

Major Diagnostic Categories

367

Medical DRGs (by diagnosis)

403

Surgical DRGs (by procedure)

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DRG	MS-DRG Title	MDC	Type	Weight	GMLOS	AMLOS	Dx codes	Proc codes
1	Heart Transplant or Implant of Heart Assist System with MCC ×2	Pre	Surgical	28.0239	25.8	36.2	–	23
2	Heart Transplant or Implant of Heart Assist System without MCC ×2	Pre	Surgical	11.3318	8.5	14.0	–	23
3	ECMO or Tracheostomy with MV >96 Hours or Principal Diagnosis Except Face, Mouth and Neck with Major O.R. Procedures	Pre	Surgical	21.2252	22.9	33.0	–	10
4	Tracheostomy with MV >96 Hours or Principal Diagnosis Except Face, Mouth and Neck without Major O.R. Procedures	Pre	Surgical	13.8514	22.4	28.0	–	10
5	Liver Transplant with MCC or Intestinal Transplant	Pre	Surgical	10.3105	14.0	19.1	–	9
6	Liver Transplant without MCC	Pre	Surgical	4.6370	7.1	7.8	–	3
7	Lung Transplant	Pre	Surgical	12.9502	19.7	23.5	–	27
8	Simultaneous Pancreas and Kidney Transplant	Pre	Surgical	5.6046	8.5	10.0	443	6
10	Pancreas Transplant	Pre	Surgical	3.0699	5.9	6.0	427	3
11	Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC ×3	Pre	Surgical	5.4541	11.4	13.9	890	10
12	Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC ×3	Pre	Surgical	4.2160	8.6	9.8	890	10
13	Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC ×3	Pre	Surgical	2.8818	6.5	7.1	890	10
14	Allogeneic Bone Marrow Transplant	Pre	Medical	12.0179	25.7	28.7	–	26
16	Autologous Bone Marrow Transplant with CC/MCC ×2	Pre	Medical	5.9297	16.1	17.2	–	24
17	Autologous Bone Marrow Transplant without CC/MCC ×2	Pre	Medical	4.8383	8.3	11.5	–	24
18	Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies	Pre	Medical	43.1828	12.4	14.7	–	40
19	Simultaneous Pancreas and Kidney Transplant with Hemodialysis	Pre	Surgical	6.6272	10.1	11.8	443	12
20	Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with MCC ×3	01	Surgical	7.8688	8.8	12.5	99	292
21	Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with CC ×3	01	Surgical	5.2938	4.9	7.8	99	292
22	Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage without CC/MCC ×3	01	Surgical	3.0751	1.7	2.4	99	292
23	Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator	01	Surgical	5.7303	7.1	10.0	369	1,454
24	Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC	01	Surgical	3.9119	3.7	4.9	311	1,454
25	Craniotomy and Endovascular Intracranial Procedures with MCC ×3	01	Surgical	4.5467	6.4	8.6	–	1,429
26	Craniotomy and Endovascular Intracranial Procedures with CC ×3	01	Surgical	3.1092	2.8	4.1	–	1,429
27	Craniotomy and Endovascular Intracranial Procedures without CC/MCC ×3	01	Surgical	2.5229	1.5	2.0	–	1,429
28	Spinal Procedures with MCC	01	Surgical	6.0083	9.5	12.2	–	1,094
29	Spinal Procedures with CC or Spinal Neurostimulators	01	Surgical	3.4116	4.7	6.2	–	1,118
30	Spinal Procedures without CC/MCC	01	Surgical	2.1952	2.6	3.3	–	1,094
31	Ventricular Shunt Procedures with MCC ×3	01	Surgical	4.4805	7.0	10.6	–	94
32	Ventricular Shunt Procedures with CC ×3	01	Surgical	2.1310	2.5	3.7	–	94
33	Ventricular Shunt Procedures without CC/MCC ×3	01	Surgical	1.6629	1.5	1.9	–	94
34	Carotid Artery Stent Procedures with MCC ×3	01	Surgical	3.8707	4.7	6.7	–	144
35	Carotid Artery Stent Procedures with CC ×3	01	Surgical	2.3905	1.9	2.7	–	144
36	Carotid Artery Stent Procedures without CC/MCC ×3	01	Surgical	1.9428	1.2	1.4	–	144
37	Extracranial Procedures with MCC ×3	01	Surgical	3.2921	4.7	7.2	–	1,034
38	Extracranial Procedures with CC ×3	01	Surgical	1.6226	1.9	2.7	–	1,034
39	Extracranial Procedures without CC/MCC ×3	01	Surgical	1.1755	1.2	1.4	–	1,034
40	Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC	01	Surgical	3.8612	7.2	10.7	–	5,083
41	Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator	01	Surgical	2.1987	3.8	4.8	–	5,083
42	Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC	01	Surgical	1.7277	2.3	2.9	–	5,083
52	Spinal Disorders and Injuries with CC/MCC ×2	01	Medical	1.7808	4.1	5.7	223	–
53	Spinal Disorders and Injuries without CC/MCC ×2	01	Medical	0.9792	2.6	3.3	223	–
54	Nervous System Neoplasms with MCC ×2	01	Medical	1.5269	4.0	5.7	61	–
55	Nervous System Neoplasms without MCC ×2	01	Medical	1.0196	2.9	3.9	61	–
56	Degenerative Nervous System Disorders with MCC ×2	01	Medical	2.3231	5.7	9.1	369	–
57	Degenerative Nervous System Disorders without MCC ×2	01	Medical	1.2956	3.8	5.9	369	–
58	Multiple Sclerosis and Cerebellar Ataxia with MCC ×3	01	Medical	1.7095	4.6	6.3	31	–
59	Multiple Sclerosis and Cerebellar Ataxia with CC ×3	01	Medical	1.2409	3.6	4.8	31	–
60	Multiple Sclerosis and Cerebellar Ataxia without CC/MCC ×3	01	Medical	0.9198	2.9	3.6	31	–
61	Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent with MCC ×3	01	Medical	2.7571	4.7	6.2	130	10
62	Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent with CC ×3	01	Medical	1.7572	3.0	3.6	130	10
63	Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent without CC/MCC ×3	01	Medical	1.4038	2.2	2.5	130	10
64	Intracranial Hemorrhage or Cerebral Infarction with MCC	01	Medical	2.0110	4.4	6.3	124	–
65	Intracranial Hemorrhage or Cerebral Infarction with CC or tPA in 24 Hours	01	Medical	1.0103	2.8	3.6	125	–
66	Intracranial Hemorrhage or Cerebral Infarction without CC/MCC	01	Medical	0.6844	1.9	2.3	124	–
67	Precerebral Occlusion without Infarction with MCC ×2	01	Medical	1.4687	3.4	4.7	26	–
68	Precerebral Occlusion without Infarction without MCC ×2	01	Medical	0.8644	2.0	2.5	26	–
69	Transient Ischemia without Thrombolytic	01	Medical	0.7988	2.0	2.5	13	–
70	Other Cerebrovascular Disorders with MCC ×3	01	Medical	1.6648	4.5	6.3	34	–
71	Other Cerebrovascular Disorders with CC ×3	01	Medical	1.0260	3.3	4.4	34	–
72	Other Cerebrovascular Disorders without CC/MCC ×3	01	Medical	0.7562	2.3	2.9	34	–
73	Cranial and Peripheral Nerve Disorders with MCC ×2	01	Medical	1.6043	4.1	5.8	378	–
74	Cranial and Peripheral Nerve Disorders without MCC ×2	01	Medical	1.0308	2.8	3.7	378	–
75	Viral Meningitis with CC/MCC ×2	01	Medical	1.9175	5.5	7.2	10	–
76	Viral Meningitis without CC/MCC ×2	01	Medical	0.7488	2.6	3.2	10	–
80	Nontraumatic Stupor and Coma with MCC ×2	01	Medical	1.8100	4.7	6.5	44	–
81	Nontraumatic Stupor and Coma without MCC ×2	01	Medical	0.8956	2.8	3.6	44	–
82	Traumatic Stupor and Coma >1 Hour with MCC ×3	01	Medical	2.2856	4.4	6.6	266	–
83	Traumatic Stupor and Coma >1 Hour with CC ×3	01	Medical	1.3958	3.2	4.3	266	–
84	Traumatic Stupor and Coma >1 Hour without CC/MCC ×3	01	Medical	0.9558	2.1	2.5	266	–
85	Traumatic Stupor and Coma <1 Hour with MCC ×3	01	Medical	2.2719	4.6	6.3	119	–
86	Traumatic Stupor and Coma <1 Hour with CC ×3	01	Medical	1.3027	2.9	3.6	119	–
87	Traumatic Stupor and Coma <1 Hour without CC/MCC ×3	01	Medical	0.9147	1.9	2.3	119	–
88	Concussion with MCC ×3	01	Medical	1.3518	3.4	4.5	4	–
89	Concussion with CC ×3	01	Medical	1.0986	2.5	3.3	4	–
90	Concussion without CC/MCC ×3	01	Medical	0.8232	1.9	2.3	4	–
91	Other Disorders of Nervous System with MCC ×3	01	Medical	1.7562	4.4	6.3	786	–
92	Other Disorders of Nervous System with CC ×3	01	Medical	1.0230	3.0	4.0	786	–
93	Other Disorders of Nervous System without CC/MCC ×3	01	Medical	0.7963	2.2	2.7	786	–
94	Bacterial and Tuberculous Infections of Nervous System with MCC ×3	01	Medical	3.5194	7.9	10.5	23	–
95	Bacterial and Tuberculous Infections of Nervous System with CC ×3	01	Medical	2.5792	5.6	6.8	23	–
96	Bacterial and Tuberculous Infections of Nervous System without CC/MCC ×3	01	Medical	2.5792	5.6	6.8	23	–
97	Non-Bacterial Infection of Nervous System Except Viral Meningitis with MCC ×3	01	Medical	3.6118	8.7	11.7	81	–
98	Non-Bacterial Infection of Nervous System Except Viral Meningitis with CC ×3	01	Medical	2.2949	5.9	7.7	81	–
99	Non-Bacterial Infection of Nervous System Except Viral Meningitis without CC/MCC ×3	01	Medical	1.3624	3.8	4.7	81	–
100	Seizures with MCC ×2	01	Medical	1.9368	4.3	6.3	62	–
101	Seizures without MCC ×2	01	Medical	0.9026	2.6	3.4	62	–
102	Headaches with MCC ×2	01	Medical	1.1209	2.9	4.0	95	–
103	Headaches without MCC ×2	01	Medical	0.8363	2.3	2.9	95	–
113	Orbital Procedures with CC/MCC ×2	02	Surgical	2.3511	4.7	6.5	–	172
114	Orbital Procedures without CC/MCC ×2	02	Surgical	1.3530	2.3	3.3	–	172
115	Extraocular Procedures Except Orbit	02	Surgical	1.5349	3.8	5.3	–	722
116	Intraocular Procedures with CC/MCC ×2	02	Surgical	1.8081	4.0	6.3	–	296
117	Intraocular Procedures without CC/MCC ×2	02	Surgical	1.0849	1.9	2.5	–	296
121	Acute Major Eye Infections with CC/MCC ×2	02	Medical	1.1633	4.1	5.5	77	–
122	Acute Major Eye Infections without CC/MCC ×2	02	Medical	0.7858	3.2	4.0	77	–
123	Neurological Eye Disorders	02	Medical	0.7986	2.1	2.6	210	–
124	Other Disorders of the Eye with MCC or Thrombolytic Agent	02	Medical	1.3231	3.2	4.6	2,906	10
125	Other Disorders of the Eye without MCC	02	Medical	0.7678	2.2	2.9	2,906	10
135	Sinus and Mastoid Procedures with CC/MCC ×2	03	Surgical	2.1152	3.6	5.6	–	497
136	Sinus and Mastoid Procedures without CC/MCC ×2	03	Surgical	1.0153	1.3	1.6	–	497
137	Mouth Procedures with CC/MCC ×2	03	Surgical	1.4932	3.4	4.9	–	358
138	Mouth Procedures without CC/MCC ×2	03	Surgical	0.8862	1.6	2.0	–	358
139	Salivary Gland Procedures	03	Surgical	1.2086	2.0	2.9	–	169
140	Major Head and Neck Procedures with MCC ×3	03	Surgical	4.2653	6.9	9.1	–	183
141	Major Head and Neck Procedures with CC ×3	03	Surgical	2.1811	3.0	4.1	–	183
142	Major Head and Neck Procedures without CC/MCC ×3	03	Surgical	1.5964	1.9	2.5	–	183
143	Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC ×3	03	Surgical	3.7466	6.2	9.5	–	3,940
144	Other Ear, Nose, Mouth and Throat O.R. Procedures with CC ×3	03	Surgical	1.7329	2.8	3.8	–	3,940
145	Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC ×3	03	Surgical	1.2023	1.6	1.9	–	3,940
146	Ear, Nose, Mouth and Throat Malignancy with MCC ×3	03	Medical	2.1174	5.5	8.0	102	–
147	Ear, Nose, Mouth and Throat Malignancy with CC ×3	03	Medical	1.2715	3.5	4.8	102	–
148	Ear, Nose, Mouth and Throat Malignancy without CC/MCC ×3	03	Medical	0.7971	1.9	2.4	102	–
149	Dysequilibrium	03	Medical	0.7516	1.9	2.4	51	–
150	Epistaxis with MCC ×2	03	Medical	1.3315	3.4	4.5	1	–
151	Epistaxis without MCC ×2	03	Medical	0.7340	2.1	2.6	1	–
152	Otitis Media and URI with MCC ×2	03	Medical	1.1822	3.2	4.4	220	–
153	Otitis Media and URI without MCC ×2	03	Medical	0.7382	2.2	2.8	220	–
154	Other Ear, Nose, Mouth and Throat Diagnoses with MCC ×3	03	Medical	1.5635	3.9	5.6	655	–
155	Other Ear, Nose, Mouth and Throat Diagnoses with CC ×3	03	Medical	0.9165	2.8	3.5	655	–
156	Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCC ×3	03	Medical	0.6911	2.0	2.4	655	–
157	Dental and Oral Diseases with MCC ×3	03	Medical	1.7168	4.5	6.3	415	–
158	Dental and Oral Diseases with CC ×3	03	Medical	0.9098	2.8	3.5	415	–
159	Dental and Oral Diseases without CC/MCC ×3	03	Medical	0.7085	2.1	2.5	415	–
163	Major Chest Procedures with MCC ×3	04	Surgical	4.4818	6.3	8.7	–	2,001
164	Major Chest Procedures with CC ×3	04	Surgical	2.5240	3.4	4.3	–	2,001
165	Major Chest Procedures without CC/MCC ×3	04	Surgical	1.9142	2.0	2.4	–	2,001
166	Other Respiratory System O.R. Procedures with MCC ×3	04	Surgical	3.7377	7.6	10.5	–	1,994
167	Other Respiratory System O.R. Procedures with CC ×3	04	Surgical	1.8034	3.4	4.6	–	1,994
168	Other Respiratory System O.R. Procedures without CC/MCC ×3	04	Surgical	1.3664	1.8	2.2	–	1,994
173	Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism	04	Surgical	2.9764	3.8	4.6	13	10
175	Pulmonary Embolism with MCC or Acute Cor Pulmonale	04	Medical	1.3736	3.8	4.9	16	–
176	Pulmonary Embolism without MCC	04	Medical	0.8050	2.4	3.0	16	–
177	Respiratory Infections and Inflammations with MCC ×3	04	Medical	1.5627	4.4	5.7	63	–
178	Respiratory Infections and Inflammations with CC ×3	04	Medical	0.9760	3.1	3.9	63	–
179	Respiratory Infections and Inflammations without CC/MCC ×3	04	Medical	0.7550	2.4	3.0	63	–
180	Respiratory Neoplasms with MCC ×3	04	Medical	1.7660	4.8	6.5	62	–
181	Respiratory Neoplasms with CC ×3	04	Medical	1.0710	3.1	4.1	62	–
182	Respiratory Neoplasms without CC/MCC ×3	04	Medical	0.7440	2.2	2.8	62	–
183	Major Chest Trauma with MCC ×3	04	Medical	1.5299	4.2	5.4	61	–
184	Major Chest Trauma with CC ×3	04	Medical	1.0641	3.1	3.7	61	–
185	Major Chest Trauma without CC/MCC ×3	04	Medical	0.7865	2.3	2.7	61	–
186	Pleural Effusion with MCC ×3	04	Medical	1.5585	4.2	5.6	5	–
187	Pleural Effusion with CC ×3	04	Medical	0.9891	3.0	3.8	5	–
188	Pleural Effusion without CC/MCC ×3	04	Medical	0.7172	2.1	2.6	5	–
189	Pulmonary Edema and Respiratory Failure	04	Medical	1.2354	3.5	4.7	22	–
190	Chronic Obstructive Pulmonary Disease with MCC ×3	04	Medical	1.1077	3.3	4.2	23	–
191	Chronic Obstructive Pulmonary Disease with CC ×3	04	Medical	0.8430	2.6	3.3	23	–
192	Chronic Obstructive Pulmonary Disease without CC/MCC ×3	04	Medical	0.6420	2.1	2.5	23	–
193	Simple Pneumonia and Pleurisy with MCC ×3	04	Medical	1.3144	3.9	4.9	34	–
194	Simple Pneumonia and Pleurisy with CC ×3	04	Medical	0.8059	2.8	3.4	34	–
195	Simple Pneumonia and Pleurisy without CC/MCC ×3	04	Medical	0.6285	2.2	2.7	34	–
196	Interstitial Lung Disease with MCC ×3	04	Medical	1.8872	4.8	6.5	100	–
197	Interstitial Lung Disease with CC ×3	04	Medical	0.9491	2.9	3.6	100	–
198	Interstitial Lung Disease without CC/MCC ×3	04	Medical	0.7162	2.2	2.7	100	–
199	Pneumothorax with MCC ×3	04	Medical	1.7641	4.8	6.3	14	–
200	Pneumothorax with CC ×3	04	Medical	1.0993	3.1	3.9	14	–
201	Pneumothorax without CC/MCC ×3	04	Medical	0.7151	2.3	2.8	14	–
202	Bronchitis and Asthma with CC/MCC ×2	04	Medical	0.9712	2.9	3.6	47	–
203	Bronchitis and Asthma without CC/MCC ×2	04	Medical	0.6700	2.2	2.6	47	–
204	Respiratory Signs and Symptoms	04	Medical	0.8074	2.1	2.7	30	–
205	Other Respiratory System Diagnoses with MCC ×2	04	Medical	1.8310	4.4	6.0	209	–
206	Other Respiratory System Diagnoses without MCC ×2	04	Medical	0.9411	2.4	3.1	209	–
207	Respiratory System Diagnosis with Ventilator Support >96 Hours	04	Medical	6.4347	12.5	15.1	–	1
208	Respiratory System Diagnosis with Ventilator Support <=96 Hours	04	Medical	2.7487	4.9	7.1	–	2
209	Complex Aortic Arch Procedures	05	Surgical	11.3188	6.7	10.6	–	67
212	Concomitant Aortic and Mitral Valve Procedures	05	Surgical	10.8741	12.5	15.5	–	523
213	Endovascular Abdominal Aorta with Iliac Branch Procedures	05	Surgical	5.7069	1.7	2.9	–	11
215	Other Heart Assist System Implant	05	Surgical	9.9570	4.7	8.1	–	17
216	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC ×3	05	Surgical	9.7828	10.6	13.6	–	374
217	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC ×3	05	Surgical	6.5753	4.3	6.2	–	374
218	Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC ×3	05	Surgical	6.5753	4.3	6.2	–	374
219	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC ×3	05	Surgical	7.6783	8.2	10.0	–	299
220	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC ×3	05	Surgical	5.3328	5.4	6.1	–	299
221	Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization without CC/MCC ×3	05	Surgical	5.0402	2.9	3.6	–	299
228	Other Cardiothoracic Procedures with MCC ×2	05	Surgical	4.9474	6.1	8.5	–	812
229	Other Cardiothoracic Procedures without MCC ×2	05	Surgical	3.1495	2.4	3.2	–	812
231	Coronary Bypass with PTCA with MCC ×2	05	Surgical	8.4299	10.4	12.0	–	488
232	Coronary Bypass with PTCA without MCC ×2	05	Surgical	6.0626	7.5	8.6	–	488
233	Coronary Bypass with Cardiac Catheterization or Open Ablation with MCC ×2	05	Surgical	7.6452	11.0	12.3	–	361
234	Coronary Bypass with Cardiac Catheterization or Open Ablation without MCC ×2	05	Surgical	5.4627	8.2	8.8	–	361
235	Coronary Bypass without Cardiac Catheterization with MCC ×2	05	Surgical	5.8686	8.0	9.1	–	280
236	Coronary Bypass without Cardiac Catheterization without MCC ×2	05	Surgical	4.1888	5.8	6.2	–	280
239	Amputation for Circulatory System Disorders Except Upper Limb and Toe with MCC ×3	05	Surgical	4.9217	11.1	13.8	–	41
240	Amputation for Circulatory System Disorders Except Upper Limb and Toe with CC ×3	05	Surgical	2.8505	7.3	8.8	–	41
241	Amputation for Circulatory System Disorders Except Upper Limb and Toe without CC/MCC ×3	05	Surgical	1.3844	4.0	4.8	–	41
242	Permanent Cardiac Pacemaker Implant with MCC ×3	05	Surgical	3.1928	4.8	6.2	–	21
243	Permanent Cardiac Pacemaker Implant with CC ×3	05	Surgical	2.1309	2.8	3.5	–	21
244	Permanent Cardiac Pacemaker Implant without CC/MCC ×3	05	Surgical	1.8075	2.1	2.5	–	21
245	AICD Generator Procedures	05	Surgical	4.5624	4.1	6.2	–	12
250	Percutaneous Cardiovascular Procedures without Intraluminal Device with MCC ×2	05	Surgical	2.1825	3.1	4.3	–	47
251	Percutaneous Cardiovascular Procedures without Intraluminal Device without MCC ×2	05	Surgical	1.4945	2.0	2.4	–	47
252	Other Vascular Procedures with MCC ×3	05	Surgical	3.4883	5.3	7.8	–	9,276
253	Other Vascular Procedures with CC ×3	05	Surgical	2.5956	3.7	5.1	–	9,276
254	Other Vascular Procedures without CC/MCC ×3	05	Surgical	1.7817	1.8	2.2	–	9,276
255	Upper Limb and Toe Amputation for Circulatory System Disorders with MCC ×3	05	Surgical	2.6974	6.8	8.6	–	116
256	Upper Limb and Toe Amputation for Circulatory System Disorders with CC ×3	05	Surgical	1.6979	5.0	6.1	–	116
257	Upper Limb and Toe Amputation for Circulatory System Disorders without CC/MCC ×3	05	Surgical	1.0922	3.1	3.8	–	116
258	Cardiac Pacemaker Device Replacement with MCC ×2	05	Surgical	3.1421	5.4	7.2	–	21
259	Cardiac Pacemaker Device Replacement without MCC ×2	05	Surgical	2.0221	2.4	2.8	–	21
260	Cardiac Pacemaker Revision Except Device Replacement with MCC ×3	05	Surgical	3.2528	5.5	7.7	–	63
261	Cardiac Pacemaker Revision Except Device Replacement with CC ×3	05	Surgical	1.8905	2.8	3.6	–	63
262	Cardiac Pacemaker Revision Except Device Replacement without CC/MCC ×3	05	Surgical	1.6299	2.1	2.4	–	63
263	Vein Ligation and Stripping	05	Surgical	3.0574	4.7	6.8	–	377
264	Other Circulatory System O.R. Procedures	05	Surgical	3.3406	6.7	9.7	–	1,447
265	AICD Lead Procedures	05	Surgical	3.6182	4.4	6.3	–	33
266	Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC ×2	05	Surgical	6.1284	2.5	4.5	–	66
267	Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC ×2	05	Surgical	4.7608	1.3	1.5	–	66
268	Aortic and Heart Assist Procedures Except Pulsation Balloon with MCC ×2	05	Surgical	6.8779	6.1	9.2	–	133
269	Aortic and Heart Assist Procedures Except Pulsation Balloon without MCC ×2	05	Surgical	4.2232	1.5	2.0	–	133
270	Other Major Cardiovascular Procedures with MCC ×3	05	Surgical	5.2763	6.3	9.3	–	3,823
271	Other Major Cardiovascular Procedures with CC ×3	05	Surgical	3.5563	3.7	5.0	–	3,823
272	Other Major Cardiovascular Procedures without CC/MCC ×3	05	Surgical	2.5530	1.7	2.2	–	3,823
273	Percutaneous and Other Intracardiac Procedures with MCC ×2	05	Surgical	4.1255	3.7	5.6	–	51
274	Percutaneous and Other Intracardiac Procedures without MCC ×2	05	Surgical	3.2917	1.2	1.4	–	51
275	Cardiac Defibrillator Implant with Cardiac Catheterization and MCC	05	Surgical	7.1304	8.3	10.3	–	103
276	Cardiac Defibrillator Implant with MCC or Carotid Sinus Neurostimulator	05	Surgical	6.0066	6.2	8.1	–	122
277	Cardiac Defibrillator Implant without MCC	05	Surgical	4.6185	3.3	4.1	–	122
278	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC ×2	05	Surgical	5.5662	7.2	10.4	–	105
279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC ×2	05	Surgical	3.6064	3.5	5.0	–	105
280	Acute Myocardial Infarction, Discharged Alive with MCC ×3	05	Medical	1.6041	4.1	5.3	18	–
281	Acute Myocardial Infarction, Discharged Alive with CC ×3	05	Medical	0.9191	2.3	2.9	18	–
282	Acute Myocardial Infarction, Discharged Alive without CC/MCC ×3	05	Medical	0.7231	1.7	2.0	18	–
283	Acute Myocardial Infarction, Expired with MCC ×3	05	Medical	1.9808	3.2	5.3	18	–
284	Acute Myocardial Infarction, Expired with CC ×3	05	Medical	0.6922	1.5	2.0	18	–
285	Acute Myocardial Infarction, Expired without CC/MCC ×3	05	Medical	0.5989	1.1	1.3	18	–
286	Circulatory Disorders Except AMI, with Cardiac Catheterization with MCC ×2	05	Medical	2.2128	5.4	7.2	–	72
287	Circulatory Disorders Except AMI, with Cardiac Catheterization without MCC ×2	05	Medical	1.0701	2.1	2.7	–	72
288	Acute and Subacute Endocarditis with MCC ×3	05	Medical	2.7062	7.5	9.7	5	–
289	Acute and Subacute Endocarditis with CC ×3	05	Medical	1.7069	5.2	6.4	5	–
290	Acute and Subacute Endocarditis without CC/MCC ×3	05	Medical	0.9297	2.9	3.5	5	–
291	Heart Failure and Shock with MCC ×3	05	Medical	1.2838	3.8	5.0	29	–
292	Heart Failure and Shock with CC ×3	05	Medical	0.8490	2.9	3.7	29	–
293	Heart Failure and Shock without CC/MCC ×3	05	Medical	0.5660	2.1	2.5	29	–
296	Cardiac Arrest, Unexplained with MCC ×3	05	Medical	1.5619	2.0	3.2	3	–
297	Cardiac Arrest, Unexplained with CC ×3	05	Medical	0.6235	1.3	1.7	3	–
298	Cardiac Arrest, Unexplained without CC/MCC ×3	05	Medical	0.4551	1.1	1.2	3	–
299	Peripheral Vascular Disorders with MCC ×3	05	Medical	1.6327	3.9	5.5	1,234	–
300	Peripheral Vascular Disorders with CC ×3	05	Medical	1.0675	3.1	3.9	1,234	–
301	Peripheral Vascular Disorders without CC/MCC ×3	05	Medical	0.7197	2.0	2.5	1,234	–
302	Atherosclerosis with MCC ×2	05	Medical	1.1966	2.9	4.0	63	–
303	Atherosclerosis without MCC ×2	05	Medical	0.6732	1.8	2.3	63	–
304	Hypertension with MCC ×2	05	Medical	1.1900	3.1	4.1	11	–
305	Hypertension without MCC ×2	05	Medical	0.7551	2.1	2.6	11	–
306	Cardiac Congenital and Valvular Disorders with MCC ×2	05	Medical	1.5758	3.8	5.2	146	–
307	Cardiac Congenital and Valvular Disorders without MCC ×2	05	Medical	0.9132	2.2	2.8	146	–
308	Cardiac Arrhythmia and Conduction Disorders with MCC ×3	05	Medical	1.2040	3.4	4.5	58	–
309	Cardiac Arrhythmia and Conduction Disorders with CC ×3	05	Medical	0.7357	2.3	2.8	58	–
310	Cardiac Arrhythmia and Conduction Disorders without CC/MCC ×3	05	Medical	0.5661	1.8	2.1	58	–
311	Angina Pectoris	05	Medical	0.7019	1.9	2.4	10	–
312	Syncope and Collapse	05	Medical	0.8716	2.4	3.1	5	–
313	Chest Pain	05	Medical	0.7200	1.7	2.1	4	–
314	Other Circulatory System Diagnoses with MCC ×3	05	Medical	2.0852	4.8	6.7	257	–
315	Other Circulatory System Diagnoses with CC ×3	05	Medical	0.9633	2.6	3.4	257	–
316	Other Circulatory System Diagnoses without CC/MCC ×3	05	Medical	0.6821	1.8	2.2	257	–
317	Concomitant Left Atrial Appendage Closure and Cardiac Ablation	05	Surgical	6.6865	5.1	7.1	–	35
318	Percutaneous Coronary Atherectomy without Intraluminal Device	05	Surgical	2.4222	2.7	3.7	–	20
319	Other Endovascular Cardiac Valve Procedures with MCC ×2	05	Surgical	4.4629	7.4	10.2	–	46
320	Other Endovascular Cardiac Valve Procedures without MCC ×2	05	Surgical	2.4053	2.1	3.0	–	46
321	Percutaneous Cardiovascular Procedures with Intraluminal Device with MCC or 4+ Arteries/Intraluminal Devices	05	Surgical	2.7208	3.7	4.9	–	168
322	Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC	05	Surgical	1.7630	2.0	2.3	–	168
323	Coronary Intravascular Lithotripsy with Intraluminal Device with MCC ×2	05	Surgical	4.3274	4.5	6.1	–	156
324	Coronary Intravascular Lithotripsy with Intraluminal Device without MCC ×2	05	Surgical	3.1510	2.3	2.9	–	156
325	Coronary Intravascular Lithotripsy without Intraluminal Device	05	Surgical	3.2104	2.8	3.8	–	4
326	Stomach, Esophageal and Duodenal Procedures with MCC ×3	06	Surgical	4.9874	8.9	12.3	–	1,166
327	Stomach, Esophageal and Duodenal Procedures with CC ×3	06	Surgical	2.4442	3.9	5.4	–	1,166
328	Stomach, Esophageal and Duodenal Procedures without CC/MCC ×3	06	Surgical	1.6023	2.0	2.5	–	1,166
329	Major Small and Large Bowel Procedures with MCC ×3	06	Surgical	4.5965	9.4	12.2	–	1,595
330	Major Small and Large Bowel Procedures with CC ×3	06	Surgical	2.3972	4.8	6.1	–	1,595
331	Major Small and Large Bowel Procedures without CC/MCC ×3	06	Surgical	1.6829	2.7	3.2	–	1,595
332	Rectal Resection with MCC ×3	06	Surgical	3.6207	6.4	8.9	–	19
333	Rectal Resection with CC ×3	06	Surgical	2.3422	3.5	4.5	–	19
334	Rectal Resection without CC/MCC ×3	06	Surgical	1.6379	2.2	2.6	–	19
335	Peritoneal Adhesiolysis with MCC ×3	06	Surgical	3.5709	8.6	10.7	–	108
336	Peritoneal Adhesiolysis with CC ×3	06	Surgical	2.1087	5.1	6.4	–	108
337	Peritoneal Adhesiolysis without CC/MCC ×3	06	Surgical	1.5350	3.0	3.8	–	108
344	Minor Small and Large Bowel Procedures with MCC ×3	06	Surgical	2.5828	6.9	9.2	–	464
345	Minor Small and Large Bowel Procedures with CC ×3	06	Surgical	1.5047	4.0	5.2	–	464
346	Minor Small and Large Bowel Procedures without CC/MCC ×3	06	Surgical	1.1862	2.6	3.1	–	464
347	Anal and Stomal Procedures with MCC ×3	06	Surgical	2.2956	5.5	7.3	–	241
348	Anal and Stomal Procedures with CC ×3	06	Surgical	1.3088	3.1	4.0	–	241
349	Anal and Stomal Procedures without CC/MCC ×3	06	Surgical	0.8706	1.7	2.0	–	241
350	Inguinal and Femoral Hernia Procedures with MCC ×3	06	Surgical	2.4919	4.8	6.4	–	58
351	Inguinal and Femoral Hernia Procedures with CC ×3	06	Surgical	1.5245	2.9	3.6	–	58
352	Inguinal and Femoral Hernia Procedures without CC/MCC ×3	06	Surgical	1.1678	1.9	2.2	–	58
353	Hernia Procedures Except Inguinal and Femoral with MCC ×3	06	Surgical	2.9020	5.7	7.7	–	16
354	Hernia Procedures Except Inguinal and Femoral with CC ×3	06	Surgical	1.6824	3.1	4.0	–	16
355	Hernia Procedures Except Inguinal and Femoral without CC/MCC ×3	06	Surgical	1.3450	1.8	2.2	–	16
356	Other Digestive System O.R. Procedures with MCC ×3	06	Surgical	4.3928	7.6	10.2	–	2,033
357	Other Digestive System O.R. Procedures with CC ×3	06	Surgical	2.3255	4.4	5.7	–	2,033
358	Other Digestive System O.R. Procedures without CC/MCC ×3	06	Surgical	1.3979	2.5	3.2	–	2,033
359	Percutaneous Coronary Atherectomy with Intraluminal Device with MCC ×2	05	Surgical	3.4386	3.8	5.3	–	172
360	Percutaneous Coronary Atherectomy with Intraluminal Device without MCC ×2	05	Surgical	2.4143	2.2	2.6	–	172
368	Major Esophageal Disorders with MCC ×3	06	Medical	1.5919	4.0	5.3	24	–
369	Major Esophageal Disorders with CC ×3	06	Medical	1.0002	2.9	3.5	24	–
370	Major Esophageal Disorders without CC/MCC ×3	06	Medical	0.7008	2.1	2.6	24	–
371	Major Gastrointestinal Disorders and Peritoneal Infections with MCC ×3	06	Medical	1.7731	5.2	6.9	83	–
372	Major Gastrointestinal Disorders and Peritoneal Infections with CC ×3	06	Medical	1.0210	3.6	4.4	83	–
373	Major Gastrointestinal Disorders and Peritoneal Infections without CC/MCC ×3	06	Medical	0.7274	2.7	3.3	83	–
374	Digestive Malignancy with MCC ×3	06	Medical	2.1387	5.5	7.6	93	–
375	Digestive Malignancy with CC ×3	06	Medical	1.2096	3.5	4.5	93	–
376	Digestive Malignancy without CC/MCC ×3	06	Medical	0.9243	2.3	3.0	93	–
377	Gastrointestinal Hemorrhage with MCC ×3	06	Medical	1.8280	4.5	5.8	44	–
378	Gastrointestinal Hemorrhage with CC ×3	06	Medical	0.9807	2.9	3.5	44	–
379	Gastrointestinal Hemorrhage without CC/MCC ×3	06	Medical	0.6304	2.0	2.4	44	–
380	Complicated Peptic Ulcer with MCC ×3	06	Medical	1.9622	5.1	6.7	30	–
381	Complicated Peptic Ulcer with CC ×3	06	Medical	1.0835	3.1	3.8	30	–
382	Complicated Peptic Ulcer without CC/MCC ×3	06	Medical	0.8006	2.4	2.9	30	–
383	Uncomplicated Peptic Ulcer with MCC ×2	06	Medical	1.3807	3.9	5.1	9	–
384	Uncomplicated Peptic Ulcer without MCC ×2	06	Medical	0.8548	2.4	3.0	9	–
385	Inflammatory Bowel Disease with MCC ×3	06	Medical	1.5823	4.8	6.5	77	–
386	Inflammatory Bowel Disease with CC ×3	06	Medical	0.9763	3.3	4.2	77	–
387	Inflammatory Bowel Disease without CC/MCC ×3	06	Medical	0.6813	2.5	3.1	77	–
388	Gastrointestinal Obstruction with MCC ×3	06	Medical	1.4768	4.5	6.0	19	–
389	Gastrointestinal Obstruction with CC ×3	06	Medical	0.7898	2.9	3.6	19	–
390	Gastrointestinal Obstruction without CC/MCC ×3	06	Medical	0.5440	2.2	2.6	19	–
391	Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with MCC ×2	06	Medical	1.2683	3.8	5.1	250	–
392	Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC ×2	06	Medical	0.7796	2.5	3.2	250	–
393	Other Digestive System Diagnoses with MCC ×3	06	Medical	1.5993	4.2	5.9	575	–
394	Other Digestive System Diagnoses with CC ×3	06	Medical	0.9357	2.9	3.7	575	–
395	Other Digestive System Diagnoses without CC/MCC ×3	06	Medical	0.6490	2.0	2.5	575	–
397	Appendix Procedures with MCC ×3	06	Surgical	2.3949	4.8	6.5	–	57
398	Appendix Procedures with CC ×3	06	Surgical	1.5136	2.9	3.8	–	57
399	Appendix Procedures without CC/MCC ×3	06	Surgical	1.1447	1.8	2.2	–	57
402	Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical	08	Surgical	4.0205	2.4	2.9	–	176
405	Pancreas, Liver and Shunt Procedures with MCC ×3	07	Surgical	5.4705	8.4	11.8	–	537
406	Pancreas, Liver and Shunt Procedures with CC ×3	07	Surgical	2.9002	4.7	5.9	–	537
407	Pancreas, Liver and Shunt Procedures without CC/MCC ×3	07	Surgical	2.2196	3.2	3.9	–	537
408	Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. with MCC ×3	07	Surgical	3.5656	7.8	10.4	–	715
409	Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. with CC ×3	07	Surgical	2.1773	4.3	5.4	–	715
410	Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. without CC/MCC ×3	07	Surgical	1.5877	2.9	3.5	–	715
411	Cholecystectomy with C.D.E. with MCC ×3	07	Surgical	3.3033	5.9	8.3	–	14
412	Cholecystectomy with C.D.E. with CC ×3	07	Surgical	2.1025	3.8	4.5	–	14
413	Cholecystectomy with C.D.E. without CC/MCC ×3	07	Surgical	1.6605	2.7	3.3	–	14
414	Cholecystectomy Except by Laparoscope without C.D.E. with MCC ×3	07	Surgical	3.5626	7.3	9.4	–	7
415	Cholecystectomy Except by Laparoscope without C.D.E. with CC ×3	07	Surgical	2.0667	4.6	5.6	–	7
416	Cholecystectomy Except by Laparoscope without C.D.E. without CC/MCC ×3	07	Surgical	1.3633	2.8	3.3	–	7
417	Laparoscopic Cholecystectomy without C.D.E. with MCC ×3	07	Surgical	2.3864	4.7	6.1	–	8
418	Laparoscopic Cholecystectomy without C.D.E. with CC ×3	07	Surgical	1.6916	3.2	3.9	–	8
419	Laparoscopic Cholecystectomy without C.D.E. without CC/MCC ×3	07	Surgical	1.3658	2.2	2.6	–	8
420	Hepatobiliary Diagnostic Procedures with MCC ×3	07	Surgical	3.4071	6.9	9.5	–	112
421	Hepatobiliary Diagnostic Procedures with CC ×3	07	Surgical	1.7375	3.4	4.5	–	112
422	Hepatobiliary Diagnostic Procedures without CC/MCC ×3	07	Surgical	1.3995	2.3	2.9	–	112
423	Other Hepatobiliary or Pancreas O.R. Procedures with MCC ×3	07	Surgical	4.1530	8.1	11.3	–	1,102
424	Other Hepatobiliary or Pancreas O.R. Procedures with CC ×3	07	Surgical	2.1879	4.5	5.9	–	1,102
425	Other Hepatobiliary or Pancreas O.R. Procedures without CC/MCC ×3	07	Surgical	1.5003	2.6	3.2	–	1,102
426	Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with MCC or Custom-Made Anatomically Designed Interbody Fusion Device	08	Surgical	11.0212	7.3	9.2	–	279
427	Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with CC ×2	08	Surgical	7.2186	4.0	4.8	–	279
428	Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical without CC/MCC ×2	08	Surgical	5.6220	2.6	3.0	–	279
429	Combined Anterior and Posterior Cervical Spinal Fusion with MCC ×2	08	Surgical	9.0096	9.6	12.3	–	108
430	Combined Anterior and Posterior Cervical Spinal Fusion without MCC ×2	08	Surgical	5.7671	3.6	4.6	–	108
432	Cirrhosis and Alcoholic Hepatitis with MCC ×3	07	Medical	1.9682	4.9	6.7	16	–
433	Cirrhosis and Alcoholic Hepatitis with CC ×3	07	Medical	1.0562	3.3	4.2	16	–
434	Cirrhosis and Alcoholic Hepatitis without CC/MCC ×3	07	Medical	0.7125	2.3	3.0	16	–
435	Malignancy of Hepatobiliary System or Pancreas with MCC ×3	07	Medical	1.8367	4.8	6.3	25	–
436	Malignancy of Hepatobiliary System or Pancreas with CC ×3	07	Medical	1.1311	3.3	4.3	25	–
437	Malignancy of Hepatobiliary System or Pancreas without CC/MCC ×3	07	Medical	0.8533	2.4	2.9	25	–
438	Disorders of Pancreas Except Malignancy with MCC ×3	07	Medical	1.6302	4.6	6.3	66	–
439	Disorders of Pancreas Except Malignancy with CC ×3	07	Medical	0.8412	2.9	3.6	66	–
440	Disorders of Pancreas Except Malignancy without CC/MCC ×3	07	Medical	0.6214	2.2	2.7	66	–
441	Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC ×3	07	Medical	1.7947	4.6	6.3	119	–
442	Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with CC ×3	07	Medical	0.9653	3.2	4.0	119	–
443	Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis without CC/MCC ×3	07	Medical	0.6997	2.4	2.9	119	–
444	Disorders of the Biliary Tract with MCC ×3	07	Medical	1.6709	4.3	5.7	72	–
445	Disorders of the Biliary Tract with CC ×3	07	Medical	1.0944	3.0	3.7	72	–
446	Disorders of the Biliary Tract without CC/MCC ×3	07	Medical	0.8273	2.1	2.5	72	–
447	Multiple Level Spinal Fusion Except Cervical with MCC or Custom-Made Anatomically Designed Interbody Fusion Device	08	Surgical	6.6816	7.8	9.7	–	258
448	Multiple Level Spinal Fusion Except Cervical without MCC	08	Surgical	4.2408	3.3	4.1	–	258
450	Single Level Spinal Fusion Except Cervical with MCC or Custom-Made Anatomically Designed Interbody Fusion Device	08	Surgical	5.3296	6.3	8.1	–	188
451	Single Level Spinal Fusion Except Cervical without MCC	08	Surgical	3.2304	2.4	3.1	–	188
456	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with MCC ×3	08	Surgical	8.4034	9.4	11.5	161	291
457	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with CC ×3	08	Surgical	5.9631	4.8	5.9	161	291
458	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions without CC/MCC ×3	08	Surgical	4.1726	2.4	2.8	161	291
461	Bilateral or Multiple Major Joint Procedures of Lower Extremity with MCC ×2	08	Surgical	5.3606	5.9	7.6	–	230
462	Bilateral or Multiple Major Joint Procedures of Lower Extremity without MCC ×2	08	Surgical	2.6600	2.2	2.7	–	230
463	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders with MCC ×3	08	Surgical	5.6995	10.6	14.3	–	408
464	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders with CC ×3	08	Surgical	3.1147	5.5	7.3	–	408
465	Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders without CC/MCC ×3	08	Surgical	1.8237	2.1	3.0	–	408
466	Revision of Hip or Knee Replacement with MCC ×3	08	Surgical	5.2054	7.1	9.1	–	232
467	Revision of Hip or Knee Replacement with CC ×3	08	Surgical	3.5266	3.1	4.1	–	232
468	Revision of Hip or Knee Replacement without CC/MCC ×3	08	Surgical	2.7480	1.5	1.8	–	232
469	Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with MCC or Total Ankle Replacement	08	Surgical	3.0332	3.3	4.4	–	184
470	Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC	08	Surgical	1.9289	1.9	2.2	–	184
471	Cervical Spinal Fusion with MCC ×3	08	Surgical	4.8287	7.1	9.4	–	141
472	Cervical Spinal Fusion with CC ×3	08	Surgical	2.9461	2.5	3.5	–	141
473	Cervical Spinal Fusion without CC/MCC ×3	08	Surgical	2.4413	1.6	2.0	–	141
474	Amputation for Musculoskeletal System and Connective Tissue Disorders with MCC ×3	08	Surgical	4.2929	9.8	12.3	–	81
475	Amputation for Musculoskeletal System and Connective Tissue Disorders with CC ×3	08	Surgical	2.2757	5.9	7.3	–	81
476	Amputation for Musculoskeletal System and Connective Tissue Disorders without CC/MCC ×3	08	Surgical	1.1802	2.7	3.6	–	81
477	Biopsies of Musculoskeletal System and Connective Tissue with MCC ×3	08	Surgical	3.4546	8.6	10.6	–	431
478	Biopsies of Musculoskeletal System and Connective Tissue with CC ×3	08	Surgical	2.4592	5.4	6.7	–	431
479	Biopsies of Musculoskeletal System and Connective Tissue without CC/MCC ×3	08	Surgical	1.8589	3.3	4.1	–	431
480	Hip and Femur Procedures Except Major Joint with MCC ×3	08	Surgical	2.9123	6.1	7.3	–	610
481	Hip and Femur Procedures Except Major Joint with CC ×3	08	Surgical	2.0945	4.3	4.8	–	610
482	Hip and Femur Procedures Except Major Joint without CC/MCC ×3	08	Surgical	1.6310	3.1	3.5	–	610
483	Major Joint or Limb Reattachment Procedures of Upper Extremities	08	Surgical	2.7719	2.0	2.8	–	58
485	Knee Procedures with Principal Diagnosis of Infection with MCC ×3	08	Surgical	3.2271	8.1	9.6	56	276
486	Knee Procedures with Principal Diagnosis of Infection with CC ×3	08	Surgical	2.0911	5.1	6.0	56	276
487	Knee Procedures with Principal Diagnosis of Infection without CC/MCC ×3	08	Surgical	1.5662	3.5	4.1	56	276
488	Knee Procedures without Principal Diagnosis of Infection with CC/MCC ×2	08	Surgical	1.5236	2.2	3.1	–	278
489	Knee Procedures without Principal Diagnosis of Infection without CC/MCC ×2	08	Surgical	1.1168	1.2	1.4	–	278
492	Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC ×3	08	Surgical	3.6716	6.6	8.4	–	766
493	Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC ×3	08	Surgical	2.5361	4.2	5.1	–	766
494	Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without CC/MCC ×3	08	Surgical	2.0065	2.8	3.4	–	766
495	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC ×3	08	Surgical	3.6257	7.2	9.9	–	1,851
496	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC ×3	08	Surgical	1.8039	2.8	3.9	–	1,851
497	Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC/MCC ×3	08	Surgical	1.1517	1.4	1.8	–	1,851
498	Local Excision and Removal of Internal Fixation Devices of Hip and Femur with CC/MCC ×2	08	Surgical	3.0168	4.4	5.9	–	252
499	Local Excision and Removal of Internal Fixation Devices of Hip and Femur without CC/MCC ×2	08	Surgical	2.0148	1.8	2.3	–	252
500	Soft Tissue Procedures with MCC ×3	08	Surgical	3.1648	7.6	9.9	–	4,317
501	Soft Tissue Procedures with CC ×3	08	Surgical	1.7481	4.0	5.2	–	4,317
502	Soft Tissue Procedures without CC/MCC ×3	08	Surgical	1.3459	2.4	3.0	–	4,317
503	Foot Procedures with MCC ×3	08	Surgical	2.7911	7.1	8.9	–	1,057
504	Foot Procedures with CC ×3	08	Surgical	1.8692	4.5	5.5	–	1,057
505	Foot Procedures without CC/MCC ×3	08	Surgical	1.7928	2.7	3.2	–	1,057
506	Major Thumb or Joint Procedures	08	Surgical	1.1996	3.7	4.5	–	656
507	Major Shoulder or Elbow Joint Procedures with CC/MCC ×2	08	Surgical	1.8064	5.1	6.4	–	552
508	Major Shoulder or Elbow Joint Procedures without CC/MCC ×2	08	Surgical	1.5144	3.2	3.8	–	552
510	Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with MCC ×3	08	Surgical	3.0205	5.3	6.9	–	388
511	Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with CC ×3	08	Surgical	2.0794	3.5	4.4	–	388
512	Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures without CC/MCC ×3	08	Surgical	1.6554	2.3	2.7	–	388
513	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with CC/MCC ×2	08	Surgical	1.5743	3.9	5.2	–	1,017
514	Hand or Wrist Procedures, Except Major Thumb or Joint Procedures without CC/MCC ×2	08	Surgical	1.0223	2.1	2.6	–	1,017
515	Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC ×3	08	Surgical	3.1869	6.7	8.4	–	4,620
516	Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC ×3	08	Surgical	2.0781	4.0	5.1	–	4,620
517	Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC ×3	08	Surgical	1.5367	2.3	2.9	–	4,620
518	Back and Neck Procedures Except Spinal Fusion with MCC or Disc Device or Neurostimulator	08	Surgical	3.7373	5.3	7.6	–	537
519	Back and Neck Procedures Except Spinal Fusion with CC ×2	08	Surgical	2.0002	3.2	4.2	–	381
520	Back and Neck Procedures Except Spinal Fusion without CC/MCC ×2	08	Surgical	1.4939	2.1	2.6	–	381
521	Hip Replacement with Principal Diagnosis of Hip Fracture with MCC ×2	08	Surgical	2.8702	6.0	7.0	1,232	96
522	Hip Replacement with Principal Diagnosis of Hip Fracture without MCC ×2	08	Surgical	2.1177	4.0	4.5	1,232	96
533	Fractures of Femur with MCC ×2	08	Medical	1.5677	4.3	5.7	273	–
534	Fractures of Femur without MCC ×2	08	Medical	0.8061	2.9	3.5	273	–
535	Fractures of Hip and Pelvis with MCC ×2	08	Medical	1.2820	3.9	5.0	400	–
536	Fractures of Hip and Pelvis without MCC ×2	08	Medical	0.8076	2.9	3.5	400	–
537	Sprains, Strains, and Dislocations of Hip, Pelvis and Thigh with CC/MCC ×2	08	Medical	0.9543	3.3	4.1	61	–
538	Sprains, Strains, and Dislocations of Hip, Pelvis and Thigh without CC/MCC ×2	08	Medical	0.7203	2.4	2.9	61	–
539	Osteomyelitis with MCC ×3	08	Medical	1.9697	6.2	8.1	204	–
540	Osteomyelitis with CC ×3	08	Medical	1.2963	4.3	5.6	204	–
541	Osteomyelitis without CC/MCC ×3	08	Medical	0.7715	2.9	3.6	204	–
542	Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with MCC ×3	08	Medical	1.7665	5.0	6.8	280	–
543	Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with CC ×3	08	Medical	1.0280	3.5	4.4	280	–
544	Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy without CC/MCC ×3	08	Medical	0.7546	2.7	3.1	280	–
545	Connective Tissue Disorders with MCC ×3	08	Medical	2.4817	5.5	8.3	561	–
546	Connective Tissue Disorders with CC ×3	08	Medical	1.1534	3.4	4.4	561	–
547	Connective Tissue Disorders without CC/MCC ×3	08	Medical	0.8362	2.5	3.0	561	–
548	Septic Arthritis with MCC ×3	08	Medical	1.9309	5.9	7.7	155	–
549	Septic Arthritis with CC ×3	08	Medical	1.2072	3.9	4.9	155	–
550	Septic Arthritis without CC/MCC ×3	08	Medical	0.8741	3.1	3.7	155	–
551	Medical Back Problems with MCC ×2	08	Medical	1.6761	4.5	5.9	1,170	–
552	Medical Back Problems without MCC ×2	08	Medical	0.9613	2.9	3.6	1,170	–
553	Bone Diseases and Arthropathies with MCC ×2	08	Medical	1.2963	4.0	5.2	1,617	–
554	Bone Diseases and Arthropathies without MCC ×2	08	Medical	0.8301	2.8	3.5	1,617	–
555	Signs and Symptoms of Musculoskeletal System and Connective Tissue with MCC ×2	08	Medical	1.3218	3.8	5.2	247	–
556	Signs and Symptoms of Musculoskeletal System and Connective Tissue without MCC ×2	08	Medical	0.8306	2.7	3.3	247	–
557	Tendonitis, Myositis and Bursitis with MCC ×2	08	Medical	1.4869	4.7	6.1	1,056	–
558	Tendonitis, Myositis and Bursitis without MCC ×2	08	Medical	0.8932	3.1	3.9	1,056	–
559	Aftercare, Musculoskeletal System and Connective Tissue with MCC ×3	08	Medical	1.8649	5.1	7.0	7,892	–
560	Aftercare, Musculoskeletal System and Connective Tissue with CC ×3	08	Medical	1.1261	3.8	5.2	7,892	–
561	Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC ×3	08	Medical	0.8039	2.9	4.2	7,892	–
562	Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCC ×2	08	Medical	1.4248	4.1	5.2	4,650	–
563	Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCC ×2	08	Medical	0.8955	3.0	3.5	4,650	–
564	Other Musculoskeletal System and Connective Tissue Diagnoses with MCC ×3	08	Medical	1.5436	4.8	6.2	6,775	–
565	Other Musculoskeletal System and Connective Tissue Diagnoses with CC ×3	08	Medical	0.9744	3.3	4.1	6,775	–
566	Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC ×3	08	Medical	0.7493	2.4	2.9	6,775	–
570	Skin Debridement with MCC ×3	09	Surgical	2.9411	7.8	10.3	–	20
571	Skin Debridement with CC ×3	09	Surgical	1.6895	5.0	6.3	–	20
572	Skin Debridement without CC/MCC ×3	09	Surgical	1.1463	2.8	3.6	–	20
573	Skin Graft for Skin Ulcer or Cellulitis with MCC ×3	09	Surgical	6.5514	12.0	16.7	562	466
574	Skin Graft for Skin Ulcer or Cellulitis with CC ×3	09	Surgical	3.4714	7.6	10.6	562	466
575	Skin Graft for Skin Ulcer or Cellulitis without CC/MCC ×3	09	Surgical	1.6336	4.0	4.9	562	466
576	Skin Graft Except for Skin Ulcer or Cellulitis with MCC ×3	09	Surgical	4.9012	8.8	12.5	–	466
577	Skin Graft Except for Skin Ulcer or Cellulitis with CC ×3	09	Surgical	2.6507	4.3	6.6	–	466
578	Skin Graft Except for Skin Ulcer or Cellulitis without CC/MCC ×3	09	Surgical	1.6064	2.3	3.2	–	466
579	Other Skin, Subcutaneous Tissue and Breast Procedures with MCC ×3	09	Surgical	3.2385	7.5	10.3	–	6,555
580	Other Skin, Subcutaneous Tissue and Breast Procedures with CC ×3	09	Surgical	1.7280	4.1	5.5	–	6,555
581	Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC ×3	09	Surgical	1.4431	2.1	2.6	–	6,555
582	Mastectomy for Malignancy with CC/MCC ×2	09	Surgical	1.9266	2.6	3.4	74	61
583	Mastectomy for Malignancy without CC/MCC ×2	09	Surgical	1.7244	1.7	2.1	74	61
584	Breast Biopsy, Local Excision and Other Breast Procedures with CC/MCC ×2	09	Surgical	2.1407	3.3	4.4	–	338
585	Breast Biopsy, Local Excision and Other Breast Procedures without CC/MCC ×2	09	Surgical	1.9291	2.0	2.3	–	338
592	Skin Ulcers with MCC ×3	09	Medical	1.9353	5.7	8.1	479	–
593	Skin Ulcers with CC ×3	09	Medical	1.1863	4.2	5.6	479	–
594	Skin Ulcers without CC/MCC ×3	09	Medical	0.8668	3.2	4.1	479	–
595	Major Skin Disorders with MCC ×2	09	Medical	2.1207	5.4	7.5	115	–
596	Major Skin Disorders without MCC ×2	09	Medical	1.0825	3.4	4.5	115	–
597	Malignant Breast Disorders with MCC ×3	09	Medical	1.6671	4.7	6.5	74	–
598	Malignant Breast Disorders with CC ×3	09	Medical	1.1313	3.4	4.7	74	–
599	Malignant Breast Disorders without CC/MCC ×3	09	Medical	0.7332	2.4	2.8	74	–
600	Non-Malignant Breast Disorders with CC/MCC ×2	09	Medical	1.0416	3.2	4.0	91	–
601	Non-Malignant Breast Disorders without CC/MCC ×2	09	Medical	0.6050	2.3	2.6	91	–
602	Cellulitis with MCC ×2	09	Medical	1.4213	4.5	5.8	158	–
603	Cellulitis without MCC ×2	09	Medical	0.8709	3.1	3.8	158	–
604	Trauma to the Skin, Subcutaneous Tissue and Breast with MCC ×2	09	Medical	1.4721	3.9	5.1	3,779	–
605	Trauma to the Skin, Subcutaneous Tissue and Breast without MCC ×2	09	Medical	0.9160	2.7	3.3	3,779	–
606	Minor Skin Disorders with MCC ×2	09	Medical	1.5132	4.5	6.3	745	–
607	Minor Skin Disorders without MCC ×2	09	Medical	0.9064	2.9	3.8	745	–
614	Adrenal and Pituitary Procedures with CC/MCC ×2	10	Surgical	2.1918	2.4	3.6	–	182
615	Adrenal and Pituitary Procedures without CC/MCC ×2	10	Surgical	1.3993	1.4	1.6	–	182
616	Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with MCC ×3	10	Surgical	3.4874	8.8	11.0	–	74
617	Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with CC ×3	10	Surgical	1.8703	5.6	6.7	–	74
618	Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders without CC/MCC ×3	10	Surgical	1.4183	4.1	5.1	–	74
619	O.R. Procedures for Obesity with MCC ×3	10	Surgical	2.8874	2.8	4.9	–	298
620	O.R. Procedures for Obesity with CC ×3	10	Surgical	1.6003	1.5	1.8	–	298
621	O.R. Procedures for Obesity without CC/MCC ×3	10	Surgical	1.5084	1.2	1.3	–	298
622	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders with MCC ×3	10	Surgical	3.5592	8.6	11.5	–	302
623	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders with CC ×3	10	Surgical	1.7939	5.2	6.3	–	302
624	Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders without CC/MCC ×3	10	Surgical	1.2519	3.1	3.8	–	302
625	Thyroid, Parathyroid and Thyroglossal Procedures with MCC ×3	10	Surgical	3.0201	5.1	8.1	–	334
626	Thyroid, Parathyroid and Thyroglossal Procedures with CC ×3	10	Surgical	1.4994	1.9	2.6	–	334
627	Thyroid, Parathyroid and Thyroglossal Procedures without CC/MCC ×3	10	Surgical	1.3283	1.3	1.5	–	334
628	Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC ×3	10	Surgical	3.7268	8.3	10.9	–	3,838
629	Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC ×3	10	Surgical	2.1788	5.9	7.1	–	3,838
630	Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC ×3	10	Surgical	1.4595	1.9	2.6	–	3,838
637	Diabetes with MCC ×3	10	Medical	1.4367	3.9	5.3	88	–
638	Diabetes with CC ×3	10	Medical	0.8962	2.9	3.7	88	–
639	Diabetes without CC/MCC ×3	10	Medical	0.6212	2.1	2.4	88	–
640	Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC ×2	10	Medical	1.3356	3.6	5.0	130	–
641	Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC ×2	10	Medical	0.7782	2.6	3.3	130	–
642	Inborn and Other Disorders of Metabolism	10	Medical	1.4221	3.4	4.6	216	–
643	Endocrine Disorders with MCC ×3	10	Medical	1.6461	4.9	6.3	199	–
644	Endocrine Disorders with CC ×3	10	Medical	1.0250	3.4	4.2	199	–
645	Endocrine Disorders without CC/MCC ×3	10	Medical	0.7683	2.7	3.2	199	–
650	Kidney Transplant with Hemodialysis with MCC ×2	11	Surgical	4.7014	6.3	7.6	–	9
651	Kidney Transplant with Hemodialysis without MCC ×2	11	Surgical	3.7058	5.5	6.3	–	9
652	Kidney Transplant	11	Surgical	3.2295	4.3	4.8	–	6
653	Major Bladder Procedures with MCC ×3	11	Surgical	5.1964	9.5	12.4	–	133
654	Major Bladder Procedures with CC ×3	11	Surgical	2.7993	5.1	6.2	–	133
655	Major Bladder Procedures without CC/MCC ×3	11	Surgical	2.1166	3.2	3.9	–	133
656	Kidney and Ureter Procedures for Neoplasm with MCC ×3	11	Surgical	3.1838	5.0	7.2	67	1,173
657	Kidney and Ureter Procedures for Neoplasm with CC ×3	11	Surgical	1.8300	2.5	3.2	67	1,173
658	Kidney and Ureter Procedures for Neoplasm without CC/MCC ×3	11	Surgical	1.5518	1.6	1.8	67	1,173
659	Kidney and Ureter Procedures for Non-Neoplasm with MCC ×3	11	Surgical	2.5409	5.7	7.7	–	1,173
660	Kidney and Ureter Procedures for Non-Neoplasm with CC ×3	11	Surgical	1.3217	2.8	3.7	–	1,173
661	Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC ×3	11	Surgical	1.0354	1.8	2.1	–	1,173
662	Minor Bladder Procedures with MCC ×3	11	Surgical	3.0615	7.1	9.7	–	221
663	Minor Bladder Procedures with CC ×3	11	Surgical	1.5202	3.6	4.7	–	221
664	Minor Bladder Procedures without CC/MCC ×3	11	Surgical	1.0469	2.1	2.6	–	221
665	Prostatectomy with MCC ×3	11	Surgical	3.1212	7.1	9.8	–	14
666	Prostatectomy with CC ×3	11	Surgical	1.7493	3.6	5.0	–	14
667	Prostatectomy without CC/MCC ×3	11	Surgical	1.1062	2.1	2.7	–	14
668	Transurethral Procedures with MCC ×3	11	Surgical	2.9200	7.2	9.4	–	34
669	Transurethral Procedures with CC ×3	11	Surgical	1.5520	3.7	4.9	–	34
670	Transurethral Procedures without CC/MCC ×3	11	Surgical	0.9773	2.0	2.5	–	34
671	Urethral Procedures with CC/MCC ×2	11	Surgical	1.7950	3.9	5.5	–	188
672	Urethral Procedures without CC/MCC ×2	11	Surgical	1.0795	1.6	2.1	–	188
673	Other Kidney and Urinary Tract Procedures with MCC ×3	11	Surgical	4.2016	10.2	13.1	27	1,805
674	Other Kidney and Urinary Tract Procedures with CC ×3	11	Surgical	2.3386	5.5	7.1	27	1,805
675	Other Kidney and Urinary Tract Procedures without CC/MCC ×3	11	Surgical	1.6414	2.8	3.6	27	1,805
682	Renal Failure with MCC ×3	11	Medical	1.4810	4.3	5.7	22	–
683	Renal Failure with CC ×3	11	Medical	0.8758	3.0	3.7	22	–
684	Renal Failure without CC/MCC ×3	11	Medical	0.6003	2.2	2.6	22	–
686	Kidney and Urinary Tract Neoplasms with MCC ×3	11	Medical	1.8037	5.1	6.9	67	–
687	Kidney and Urinary Tract Neoplasms with CC ×3	11	Medical	1.0478	3.3	4.2	67	–
688	Kidney and Urinary Tract Neoplasms without CC/MCC ×3	11	Medical	0.7903	2.0	2.3	67	–
689	Kidney and Urinary Tract Infections with MCC ×2	11	Medical	1.1603	3.8	4.9	39	–
690	Kidney and Urinary Tract Infections without MCC ×2	11	Medical	0.8095	2.8	3.5	39	–
693	Urinary Stones with MCC ×2	11	Medical	1.3445	3.7	4.9	18	–
694	Urinary Stones without MCC ×2	11	Medical	0.7817	2.1	2.7	18	–
695	Kidney and Urinary Tract Signs and Symptoms with MCC ×2	11	Medical	1.1438	3.6	4.6	81	–
696	Kidney and Urinary Tract Signs and Symptoms without MCC ×2	11	Medical	0.6890	2.3	2.9	81	–
697	Urethral Stricture	11	Medical	1.0778	2.6	3.6	38	–
698	Other Kidney and Urinary Tract Diagnoses with MCC ×3	11	Medical	1.6544	4.8	6.1	456	–
699	Other Kidney and Urinary Tract Diagnoses with CC ×3	11	Medical	1.0150	3.2	4.0	456	–
700	Other Kidney and Urinary Tract Diagnoses without CC/MCC ×3	11	Medical	0.6899	2.3	2.8	456	–
707	Major Male Pelvic Procedures with CC/MCC ×2	12	Surgical	2.0003	2.2	3.1	–	55
708	Major Male Pelvic Procedures without CC/MCC ×2	12	Surgical	1.5342	1.4	1.5	–	55
709	Penis Procedures with CC/MCC ×2	12	Surgical	2.3271	4.0	6.5	–	218
710	Penis Procedures without CC/MCC ×2	12	Surgical	1.4012	1.6	1.9	–	218
711	Testes Procedures with CC/MCC ×2	12	Surgical	2.0838	4.8	6.8	–	647
712	Testes Procedures without CC/MCC ×2	12	Surgical	1.0997	2.3	3.0	–	647
713	Transurethral Prostatectomy with CC/MCC ×2	12	Surgical	1.5034	2.4	3.5	–	6
714	Transurethral Prostatectomy without CC/MCC ×2	12	Surgical	1.0574	1.5	1.7	–	6
715	Other Male Reproductive System O.R. Procedures for Malignancy with CC/MCC ×2	12	Surgical	2.2373	5.0	7.2	38	1,042
716	Other Male Reproductive System O.R. Procedures for Malignancy without CC/MCC ×2	12	Surgical	1.4710	1.6	1.8	38	1,042
717	Other Male Reproductive System O.R. Procedures Except Malignancy with CC/MCC ×2	12	Surgical	1.8905	3.6	5.2	–	1,042
718	Other Male Reproductive System O.R. Procedures Except Malignancy without CC/MCC ×2	12	Surgical	1.3431	1.9	2.3	–	1,042
722	Malignancy, Male Reproductive System with MCC ×3	12	Medical	1.8097	5.0	7.1	38	–
723	Malignancy, Male Reproductive System with CC ×3	12	Medical	1.1427	3.4	4.7	38	–
724	Malignancy, Male Reproductive System without CC/MCC ×3	12	Medical	0.6117	1.8	2.1	38	–
725	Benign Prostatic Hypertrophy with MCC ×2	12	Medical	1.1702	3.8	4.9	5	–
726	Benign Prostatic Hypertrophy without MCC ×2	12	Medical	0.7220	2.5	3.1	5	–
727	Inflammation of the Male Reproductive System with MCC ×2	12	Medical	1.4829	4.5	6.0	67	–
728	Inflammation of the Male Reproductive System without MCC ×2	12	Medical	0.8112	2.9	3.6	67	–
729	Other Male Reproductive System Diagnoses with CC/MCC ×2	12	Medical	1.0587	3.1	4.1	250	–
730	Other Male Reproductive System Diagnoses without CC/MCC ×2	12	Medical	0.6720	1.8	2.1	250	–
734	Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with CC/MCC ×2	13	Surgical	2.1300	3.1	4.7	–	35
735	Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy without CC/MCC ×2	13	Surgical	1.3455	1.7	1.9	–	35
736	Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with MCC ×3	13	Surgical	3.5745	6.1	8.2	58	689
737	Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with CC ×3	13	Surgical	2.0606	3.7	4.5	58	689
738	Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy without CC/MCC ×3	13	Surgical	1.4685	2.3	2.6	58	689
739	Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with MCC ×3	13	Surgical	3.5263	5.1	8.3	58	689
740	Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with CC ×3	13	Surgical	1.8096	2.6	3.6	58	689
741	Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy without CC/MCC ×3	13	Surgical	1.4261	1.5	1.8	58	689
742	Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC ×2	13	Surgical	1.8348	2.7	3.6	586	689
743	Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC ×2	13	Surgical	1.2407	1.5	1.7	586	689
744	D&C, Conization, Laparoscopy and Tubal Interruption with CC/MCC ×2	13	Surgical	2.0491	4.6	6.6	–	90
745	D&C, Conization, Laparoscopy and Tubal Interruption without CC/MCC ×2	13	Surgical	1.1375	2.0	2.6	–	90
746	Vagina, Cervix and Vulva Procedures with CC/MCC ×2	13	Surgical	1.7371	3.1	5.1	–	446
747	Vagina, Cervix and Vulva Procedures without CC/MCC ×2	13	Surgical	0.8395	1.3	1.6	–	446
748	Female Reproductive System Reconstructive Procedures	13	Surgical	1.3873	1.4	1.8	–	121
749	Other Female Reproductive System O.R. Procedures with CC/MCC ×2	13	Surgical	2.5676	5.1	7.1	–	860
750	Other Female Reproductive System O.R. Procedures without CC/MCC ×2	13	Surgical	1.4758	1.9	2.6	–	860
754	Malignancy, Female Reproductive System with MCC ×3	13	Medical	1.8417	5.1	7.1	58	–
755	Malignancy, Female Reproductive System with CC ×3	13	Medical	1.0878	3.2	4.3	58	–
756	Malignancy, Female Reproductive System without CC/MCC ×3	13	Medical	0.9605	2.0	2.3	58	–
757	Infections, Female Reproductive System with MCC ×3	13	Medical	1.4319	4.6	6.0	75	–
758	Infections, Female Reproductive System with CC ×3	13	Medical	0.9790	3.6	4.4	75	–
759	Infections, Female Reproductive System without CC/MCC ×3	13	Medical	0.6636	2.4	2.9	75	–
760	Menstrual and Other Female Reproductive System Disorders with CC/MCC ×2	13	Medical	1.0075	2.8	3.8	514	–
761	Menstrual and Other Female Reproductive System Disorders without CC/MCC ×2	13	Medical	0.5696	1.7	2.1	514	–
768	Vaginal Delivery with O.R. Procedures Except Sterilization and/or D&C	14	Surgical	1.0716	2.7	3.4	19	9
769	Postpartum and Post Abortion Diagnoses with O.R. Procedures	14	Surgical	1.6898	3.0	4.7	184	–
770	Abortion with D&C, Aspiration Curettage or Hysterotomy	14	Surgical	1.0027	1.9	2.3	58	8
776	Postpartum and Post Abortion Diagnoses without O.R. Procedures	14	Medical	0.6547	2.4	3.1	184	–
779	Abortion without D&C	14	Medical	0.7131	1.5	2.0	58	–
783	Cesarean Section with Sterilization with MCC ×3	14	Surgical	2.4551	4.9	8.6	–	77
784	Cesarean Section with Sterilization with CC ×3	14	Surgical	1.0601	3.1	3.6	–	77
785	Cesarean Section with Sterilization without CC/MCC ×3	14	Surgical	0.9578	2.6	3.0	–	77
786	Cesarean Section without Sterilization with MCC ×3	14	Surgical	1.6495	4.4	6.2	–	3
787	Cesarean Section without Sterilization with CC ×3	14	Surgical	1.1168	3.4	4.2	–	3
788	Cesarean Section without Sterilization without CC/MCC ×3	14	Surgical	0.9588	2.9	3.2	–	3
789	Neonates, Died or Transferred to Another Acute Care Facility	15	Medical	1.8022	1.8	1.8	–	–
790	Extreme Immaturity or Respiratory Distress Syndrome, Neonate	15	Medical	5.9435	17.9	17.9	12	–
791	Prematurity with Major Problems	15	Medical	4.0590	13.3	13.3	2,239	–
792	Prematurity without Major Problems	15	Medical	2.4492	8.6	8.6	16	–
793	Full Term Neonate with Major Problems	15	Medical	4.1696	4.7	4.7	2,223	–
794	Neonate with Other Significant Problems	15	Medical	1.4759	3.4	3.4	201	–
795	Normal Newborn	15	Medical	0.1998	3.1	3.1	219	–
796	Vaginal Delivery with Sterilization and/or D&C with MCC ×3	14	Surgical	1.1670	3.5	4.4	19	86
797	Vaginal Delivery with Sterilization and/or D&C with CC ×3	14	Surgical	1.0004	2.5	3.1	19	86
798	Vaginal Delivery with Sterilization and/or D&C without CC/MCC ×3	14	Surgical	0.9571	2.3	2.5	19	86
799	Splenic Procedures with MCC ×3	16	Surgical	4.5289	6.8	9.1	–	50
800	Splenic Procedures with CC ×3	16	Surgical	2.8094	3.9	5.2	–	50
801	Splenic Procedures without CC/MCC ×3	16	Surgical	1.9089	2.4	3.3	–	50
802	Other O.R. Procedures of the Blood and Blood Forming Organs with MCC ×3	16	Surgical	3.9841	7.8	11.6	–	1,564
803	Other O.R. Procedures of the Blood and Blood Forming Organs with CC ×3	16	Surgical	1.8589	3.7	5.2	–	1,564
804	Other O.R. Procedures of the Blood and Blood Forming Organs without CC/MCC ×3	16	Surgical	1.3560	1.7	2.2	–	1,564
805	Vaginal Delivery without Sterilization or D&C with MCC ×3	14	Medical	1.0792	3.0	4.5	19	9
806	Vaginal Delivery without Sterilization or D&C with CC ×3	14	Medical	0.7540	2.4	2.7	19	9
807	Vaginal Delivery without Sterilization or D&C without CC/MCC ×3	14	Medical	0.6742	2.0	2.2	19	9
808	Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders with MCC ×3	16	Medical	2.2079	5.2	7.1	63	–
809	Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders with CC ×3	16	Medical	1.2659	3.3	4.3	63	–
810	Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders without CC/MCC ×3	16	Medical	1.0466	2.6	3.3	63	–
811	Red Blood Cell Disorders with MCC ×2	16	Medical	1.4043	3.7	4.9	134	–
812	Red Blood Cell Disorders without MCC ×2	16	Medical	0.9182	2.7	3.6	134	–
813	Coagulation Disorders	16	Medical	1.5253	3.6	4.7	39	–
814	Reticuloendothelial and Immunity Disorders with MCC ×3	16	Medical	2.1267	4.7	6.9	137	–
815	Reticuloendothelial and Immunity Disorders with CC ×3	16	Medical	1.0140	2.9	3.8	137	–
816	Reticuloendothelial and Immunity Disorders without CC/MCC ×3	16	Medical	0.6320	2.0	2.3	137	–
817	Other Antepartum Diagnoses with O.R. Procedures with MCC ×3	14	Surgical	1.6880	3.6	5.5	1,920	–
818	Other Antepartum Diagnoses with O.R. Procedures with CC ×3	14	Surgical	1.0542	2.7	3.4	1,920	–
819	Other Antepartum Diagnoses with O.R. Procedures without CC/MCC ×3	14	Surgical	0.8599	1.6	1.7	1,920	–
820	Lymphoma and Leukemia with Major O.R. Procedures with MCC ×3	17	Surgical	5.8648	10.7	15.4	552	4,531
821	Lymphoma and Leukemia with Major O.R. Procedures with CC ×3	17	Surgical	2.2386	3.3	5.2	552	4,531
822	Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC ×3	17	Surgical	1.2040	1.5	1.8	552	4,531
823	Lymphoma and Non-Acute Leukemia with Other Procedures with MCC ×3	17	Surgical	4.5848	10.1	13.6	519	189
824	Lymphoma and Non-Acute Leukemia with Other Procedures with CC ×3	17	Surgical	2.2656	4.9	6.7	519	189
825	Lymphoma and Non-Acute Leukemia with Other Procedures without CC/MCC ×3	17	Surgical	1.3494	2.2	3.0	519	189
826	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC ×3	17	Surgical	4.6778	8.4	11.2	113	4,531
827	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CC ×3	17	Surgical	2.3112	4.0	5.2	113	4,531
828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCC ×3	17	Surgical	1.7038	2.4	2.9	113	4,531
829	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures with CC/MCC ×2	17	Surgical	3.1600	5.9	9.0	113	189
830	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures without CC/MCC ×2	17	Surgical	1.5050	2.1	2.6	113	189
831	Other Antepartum Diagnoses without O.R. Procedures with MCC ×3	14	Medical	1.2025	3.3	5.0	1,920	–
832	Other Antepartum Diagnoses without O.R. Procedures with CC ×3	14	Medical	0.7216	2.6	3.7	1,920	–
833	Other Antepartum Diagnoses without O.R. Procedures without CC/MCC ×3	14	Medical	0.5229	1.7	2.2	1,920	–
834	Acute Leukemia with MCC ×3	17	Medical	5.4899	9.6	15.4	33	–
835	Acute Leukemia with CC ×3	17	Medical	2.0858	4.4	6.8	33	–
836	Acute Leukemia without CC/MCC ×3	17	Medical	1.2195	2.9	4.0	33	–
837	Chemotherapy with Acute Leukemia as Secondary Diagnosis or with High Dose Chemotherapy Agent with MCC	17	Medical	4.8043	10.2	14.9	36	10
838	Chemotherapy with Acute Leukemia as Secondary Diagnosis with CC or High Dose Chemotherapy Agent	17	Medical	2.0874	5.1	6.7	36	10
839	Chemotherapy with Acute Leukemia as Secondary Diagnosis without CC/MCC	17	Medical	1.4439	4.0	4.5	36	–
840	Lymphoma and Non-Acute Leukemia with MCC ×3	17	Medical	3.2349	6.8	9.7	519	–
841	Lymphoma and Non-Acute Leukemia with CC ×3	17	Medical	1.6314	4.0	5.4	519	–
842	Lymphoma and Non-Acute Leukemia without CC/MCC ×3	17	Medical	1.0104	2.6	3.3	519	–
843	Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with MCC ×3	17	Medical	1.9948	5.4	7.5	109	–
844	Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with CC ×3	17	Medical	1.2174	3.7	5.0	109	–
845	Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses without CC/MCC ×3	17	Medical	0.8516	2.4	3.2	109	–
846	Chemotherapy without Acute Leukemia as Secondary Diagnosis with MCC ×3	17	Medical	2.5925	5.8	7.7	3	–
847	Chemotherapy without Acute Leukemia as Secondary Diagnosis with CC ×3	17	Medical	1.3082	3.8	4.3	3	–
848	Chemotherapy without Acute Leukemia as Secondary Diagnosis without CC/MCC ×3	17	Medical	0.8494	2.6	3.3	3	–
849	Radiotherapy	17	Medical	2.7095	7.1	9.8	1	–
850	Acute Leukemia with Other Procedures	17	Surgical	8.6595	15.3	23.0	33	189
853	Infectious and Parasitic Diseases with O.R. Procedures with MCC ×3	18	Surgical	4.9386	9.3	12.4	–	–
854	Infectious and Parasitic Diseases with O.R. Procedures with CC ×3	18	Surgical	1.9981	4.9	6.2	–	–
855	Infectious and Parasitic Diseases with O.R. Procedures without CC/MCC ×3	18	Surgical	1.4972	2.9	3.7	–	–
856	Postoperative or Post-Traumatic Infections with O.R. Procedures with MCC ×3	18	Surgical	4.5487	9.1	12.1	11	–
857	Postoperative or Post-Traumatic Infections with O.R. Procedures with CC ×3	18	Surgical	2.1415	5.4	6.7	11	–
858	Postoperative or Post-Traumatic Infections with O.R. Procedures without CC/MCC ×3	18	Surgical	1.3929	3.4	4.2	11	–
862	Postoperative and Post-Traumatic Infections with MCC ×2	18	Medical	1.8237	5.0	6.6	7	–
863	Postoperative and Post-Traumatic Infections without MCC ×2	18	Medical	0.9979	3.3	4.1	7	–
864	Fever and Inflammatory Conditions	18	Medical	0.8877	2.6	3.2	8	–
865	Viral Illness with MCC ×2	18	Medical	1.4983	4.0	5.7	141	–
866	Viral Illness without MCC ×2	18	Medical	0.8696	2.7	3.5	141	–
867	Other Infectious and Parasitic Diseases Diagnoses with MCC ×3	18	Medical	2.0932	5.4	7.3	400	–
868	Other Infectious and Parasitic Diseases Diagnoses with CC ×3	18	Medical	1.0311	3.4	4.3	400	–
869	Other Infectious and Parasitic Diseases Diagnoses without CC/MCC ×3	18	Medical	0.7297	2.4	3.0	400	–
870	Septicemia or Severe Sepsis with MV >96 Hours	18	Medical	6.9118	12.7	15.2	40	1
871	Septicemia or Severe Sepsis without MV >96 Hours with MCC ×2	18	Medical	1.9425	4.8	6.4	40	–
872	Septicemia or Severe Sepsis without MV >96 Hours without MCC ×2	18	Medical	1.0233	3.4	4.2	40	–
876	O.R. Procedures with Principal Diagnosis of Mental Illness	19	Surgical	3.8649	7.3	19.3	–	–
880	Acute Adjustment Reaction and Psychosocial Dysfunction	19	Medical	0.9602	2.8	4.2	34	–
881	Depressive Neuroses	19	Medical	0.9409	4.1	6.2	5	–
882	Neuroses Except Depressive	19	Medical	1.0738	3.4	5.9	55	–
883	Disorders of Personality and Impulse Control	19	Medical	1.9663	5.8	11.3	37	–
884	Organic Disturbances and Intellectual Disability	19	Medical	1.6089	4.6	7.8	134	–
885	Psychoses	19	Medical	1.3968	6.5	9.8	79	–
886	Behavioral and Developmental Disorders	19	Medical	2.0753	5.9	14.9	46	–
887	Other Mental Disorder Diagnoses	19	Medical	1.0709	3.1	4.9	77	–
894	Alcohol, Drug Abuse or Dependence, Left AMA	20	Medical	0.6169	2.0	2.9	457	–
895	Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy	20	Medical	1.4156	7.2	10.3	457	35
896	Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with MCC ×2	20	Medical	1.7451	4.8	7.0	457	–
897	Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC ×2	20	Medical	0.8828	3.3	4.3	457	–
901	Wound Debridements for Injuries with MCC ×3	21	Surgical	4.1966	8.4	12.5	–	20
902	Wound Debridements for Injuries with CC ×3	21	Surgical	1.9145	4.7	6.5	–	20
903	Wound Debridements for Injuries without CC/MCC ×3	21	Surgical	1.1696	2.6	3.3	–	20
904	Skin Grafts for Injuries with CC/MCC ×2	21	Surgical	3.6731	6.6	10.2	–	300
905	Skin Grafts for Injuries without CC/MCC ×2	21	Surgical	1.4318	3.0	4.0	–	300
906	Hand Procedures for Injuries	21	Surgical	1.7624	2.8	4.4	–	1,663
907	Other O.R. Procedures for Injuries with MCC ×3	21	Surgical	3.8393	6.8	9.4	–	30,046
908	Other O.R. Procedures for Injuries with CC ×3	21	Surgical	1.9952	3.6	4.8	–	30,046
909	Other O.R. Procedures for Injuries without CC/MCC ×3	21	Surgical	1.3127	2.2	2.7	–	30,046
913	Traumatic Injury with MCC ×2	21	Medical	1.6346	3.9	5.5	2,120	–
914	Traumatic Injury without MCC ×2	21	Medical	0.8855	2.5	3.1	2,120	–
915	Allergic Reactions with MCC ×2	21	Medical	1.6816	3.5	4.8	25	–
916	Allergic Reactions without MCC ×2	21	Medical	0.6663	1.8	2.2	25	–
917	Poisoning and Toxic Effects of Drugs with MCC ×2	21	Medical	1.5684	3.7	5.4	1,483	–
918	Poisoning and Toxic Effects of Drugs without MCC ×2	21	Medical	0.8571	2.4	3.4	1,483	–
919	Complications of Treatment with MCC ×3	21	Medical	1.8308	4.3	6.0	336	–
920	Complications of Treatment with CC ×3	21	Medical	1.0023	2.8	3.7	336	–
921	Complications of Treatment without CC/MCC ×3	21	Medical	0.6884	2.1	2.5	336	–
922	Other Injury, Poisoning and Toxic Effect Diagnoses with MCC ×2	21	Medical	1.7494	4.2	7.4	2,430	–
923	Other Injury, Poisoning and Toxic Effect Diagnoses without MCC ×2	21	Medical	1.0177	2.8	4.4	2,430	–
927	Extensive Burns or Full Thickness Burns with MV >96 Hours with Skin Graft	22	Surgical	18.4302	24.0	32.1	282	377
928	Full Thickness Burn with Skin Graft or Inhalation Injury with CC/MCC ×2	22	Surgical	7.1727	12.4	17.4	229	376
929	Full Thickness Burn with Skin Graft or Inhalation Injury without CC/MCC ×2	22	Surgical	3.2208	6.1	8.0	229	376
933	Extensive Burns or Full Thickness Burns with MV >96 Hours without Skin Graft	22	Medical	3.8167	3.0	6.7	282	–
934	Full Thickness Burn without Skin Graft or Inhalation Injury	22	Medical	2.2106	4.9	7.4	229	–
935	Non-Extensive Burns	22	Medical	2.0600	3.9	5.9	610	–
939	O.R. Procedures with Diagnoses of Other Contact with Health Services with MCC ×3	23	Surgical	3.6285	6.3	10.5	–	–
940	O.R. Procedures with Diagnoses of Other Contact with Health Services with CC ×3	23	Surgical	2.3369	3.1	4.5	–	–
941	O.R. Procedures with Diagnoses of Other Contact with Health Services without CC/MCC ×3	23	Surgical	2.0277	1.9	2.4	–	–
945	Rehabilitation with CC/MCC ×2	23	Medical	1.5486	5.6	7.6	2	1,235
946	Rehabilitation without CC/MCC ×2	23	Medical	1.1468	4.4	5.9	2	1,235
947	Signs and Symptoms with MCC ×2	23	Medical	1.2694	3.7	5.2	130	–
948	Signs and Symptoms without MCC ×2	23	Medical	0.8005	2.6	3.4	130	–
949	Aftercare with CC/MCC ×2	23	Medical	1.1897	4.3	6.7	8,589	–
950	Aftercare without CC/MCC ×2	23	Medical	0.6277	3.2	4.3	8,589	–
951	Other Factors Influencing Health Status	23	Medical	0.5560	1.8	2.6	1,421	–
955	Craniotomy for Multiple Significant Trauma	24	Surgical	6.7311	8.7	12.8	–	705
956	Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma	24	Surgical	3.7630	5.9	7.3	–	672
957	Other O.R. Procedures for Multiple Significant Trauma with MCC ×3	24	Surgical	7.6199	10.1	13.9	–	21,580
958	Other O.R. Procedures for Multiple Significant Trauma with CC ×3	24	Surgical	4.2139	6.5	8.1	–	21,580
959	Other O.R. Procedures for Multiple Significant Trauma without CC/MCC ×3	24	Surgical	2.9441	3.8	4.6	–	21,580
963	Other Multiple Significant Trauma with MCC ×3	24	Medical	2.7338	5.5	8.0	8,728	–
964	Other Multiple Significant Trauma with CC ×3	24	Medical	1.5326	3.9	4.9	8,728	–
965	Other Multiple Significant Trauma without CC/MCC ×3	24	Medical	0.9405	2.5	3.0	8,728	–
969	HIV with Extensive O.R. Procedures with MCC ×2	25	Surgical	6.1213	11.7	15.9	1	–
970	HIV with Extensive O.R. Procedures without MCC ×2	25	Surgical	2.6374	7.5	9.4	1	–
974	HIV with Major Related Condition with MCC ×3	25	Medical	2.8860	6.6	9.4	476	–
975	HIV with Major Related Condition with CC ×3	25	Medical	1.2950	3.9	5.1	476	–
976	HIV with Major Related Condition without CC/MCC ×3	25	Medical	0.8945	3.0	3.8	476	–
977	HIV with or without Other Related Condition	25	Medical	1.2676	3.6	5.1	1	–
981	Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC ×3	–	Surgical	4.6918	8.4	11.8	–	–
982	Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC ×3	–	Surgical	2.4585	4.0	5.6	–	–
983	Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC ×3	–	Surgical	1.7140	2.0	2.6	–	–
987	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC ×3	–	Surgical	3.4284	7.8	11.1	–	–
988	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC ×3	–	Surgical	1.6436	4.0	5.5	–	–
989	Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC ×3	–	Surgical	1.1992	2.3	3.0	–	–
998	Principal Diagnosis Invalid as Discharge Diagnosis	–	n/a	–	–	–	279	–
999	Ungroupable	–	n/a	–	–	–	–	–

Browse by Major Diagnostic Category

Frequently Asked Questions

How many MS-DRGs are there in 2026?

There are 772 MS-DRGs in fiscal year 2026 (grouper version 43.0): 367 Medical and 403 Surgical, organized into a Pre-MDC block plus 25 Major Diagnostic Categories.

What is the difference between a Medical and a Surgical MS-DRG?

A Medical DRG is assigned from the ICD-10-CM principal diagnosis. A Surgical DRG is assigned when a qualifying ICD-10-PCS operating-room procedure is reported. Each DRG page on this list shows the code set that drives its assignment.

What is the current MS-DRG version?

The current grouper is version 43.0 for fiscal year 2026, covering discharges from October 1, 2025 through September 30, 2026.

Source: CMS ICD-10 MS-DRG v43.0 Definitions Manual and the FY 2026 IPPS Final Rule (Table 5), effective October 1, 2025 through September 30, 2026. We publish the DRG assignments as CMS defines them and add the navigation, search, and code links.