| Acute Respiratory Failure: MS-DRG 189 |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Blood Transfusions |
Outpatient Hospital, Physician |
IL, IN, KY, MI, MN, OH, WI |
| Bronchoscopy Services |
Outpatient Hospital, Physician |
IL, IN, KY, MI, MN, OH, WI |
| Cardiac arrhythmia & conduction disorders w MCC or w CC DRG 138, MSDRG 308, 309 |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Cardiac Defib Implant W Cardiac Cath W/O AMI/HF/Shock W MCC |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Cardiac Valve & Oth Maj Cardiothoracic Procedures w CC or MCC |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Carotid Artery Stent & Extracranial Procedures w CC or MCC |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Chronic Obstructive Pulmonary Disease DRG 88 MSDRG 190, 191 |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Coronary Bypass W PTCA/Cardiac Cath w MCC |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Cranial/Facial Procedures w CC or MCC |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Craniotomy, Endovascular and Intracranial Vascular Procedures w CC or MCC |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| CSW during Inpatient Hospital |
CSW Providers |
IL, IN, KY, MI, MN, OH, WI |
| Diseases and Disorders of the Respiratory System DRG 076,079 MSDRG166,167,177,178,179 |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Disorders Of The Eye, Infections And Procedures (Orbital And Interocular) w CC or MCC |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Esophagitis gastroenteritis and misc digest disorder w/MCC DRG 182 MSDRG 391 |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Excisional Debridement MSDRG 463, 464, 465, 573, 574, 575, 901, 902, 903 (ICD9 86.22) |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Extensive OR procedure unrelated to Principal Diagnosis DRG 468 MSDRG 981,982,983 |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Gastroenteritis Hemorrhage w/MCC wCC DRG 174,MS DRG 377,378,379 |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Heart Failure & Shock w/MCC, w CC, w/o CC/MCC DRG 127 MS-DRG 291, 292, 293 |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Hospital to Hospital Transfer |
Inpatient Hospital |
IL, IN, KY, MI, MN, OH, WI |
| Intracaranial Hemorrhage or Cerebral Infarction DRG 014, MS-DRG 064, 065, 066 |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Intravenous Infusion Chemotherapy and Non-chemotherapy - Excessive Units Reported |
Outpatient Hospital / Professional |
IL, IN, KY, MI, MN, OH, WI |
| IV-Hydration |
Outpatient Hospital, Physician |
IL, IN, KY, MI, MN, OH, WI |
| Kidney & Urinary Tract Infections w/MCC DRG 320, MS-DRG 689 |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Major Cardiovasc Thoracic Aortic Aneurysm Repair Procedures w CC or MCC |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Major Chest Procedures w CC or MCC |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Major Head & Neck Procedures w CC or MCC |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Major joint replacement or reattachment w/MCC DRG 544 MS-DRG 469 |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Neulasta |
Outpatient Hospital, Physician |
IL, IN, KY, MI, MN, OH, WI |
| Nutritional & Metabolic Disorders w/MCC DRG 296, MS-DRG 640 |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Once in a Lifetime Procedures |
Outpatient Hospital, Physician |
IL, IN, KY, MI, MN, OH, WI |
| Other Cardiothoracic Procedures w CC or MCC |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Other Ear, Nose, Mouth & Throat O.R.Procedures w CC or MCC |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Oxaliplatin |
Outpatient Hospital |
IL, IN, KY, MI, MN, OH, WI |
| Perc Cardiovasc Proc W Drug-Eluting Or Non Drug Eluting Stent w MCC or 4+ Vessels/Stents |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Periph/Cranial Nerve & Other Nerv Syst Proc w CC or MCC |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| PreAdmission Testing |
Outpatient Hospital |
IL, IN, KY, MI, MN, OH, WI |
| Renal Failure DRG 316, MS-DRG 682, 683, 684 |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Respiratory system diagnosis w ventilator support DRG 475, 565,566 MS - DRG 207, 208 |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Separately Paid Ambulance Service during Inpatient Hospitalization |
Outpatient / Professional |
IL, IN, KY, MI, MN, OH, WI |
| Septicemia DRG 416, 576 MS-DRG 870, 871, 872 |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Simple Pneumonia DRG 089, MSDRG 193, 194, 195 |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Spinal Procedures Neurostimulators W CC or MCC |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Tracheostomy MS-DRG Validation - Overpayment |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Tracheostomy MS-DRG Validation - Underpayment |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Untimed Codes |
Outpatient Hospital, Physician |
IL, IN, KY, MI, MN, OH, WI |
| Ventricular Shunt Procedures W CC or MCC |
Inpatient |
IL, IN, KY, MI, MN, OH, WI |
| Wheelchair Bundling |
DME |
IL, IN, KY, MI, MN, OH, WI |