DRGs are grouped by "Medical Service" to provide a meaningful way of summarizing utilization data.
DRGs are based on FY 2004 regulations.
|
| DRG |
DRG Description |
| 036 |
RETINAL PROCEDURES |
| 037 |
ORBITAL PROCEDURES |
| 038 |
PRIMARY IRIS PROCEDURES |
| 039 |
LENS PROCEDURES WITH OR WITHOUT VITRECTOMY |
| 040 |
EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE >17 |
| 041 |
EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE 0-17 |
| 042 |
INTRAOCULAR PROCEDURES EXCEPT RETINA, IRIS & LENS |
| 049 |
MAJOR HEAD & NECK PROCEDURES |
| 050 |
SIALOADENECTOMY |
| 051 |
SALIVARY GLAND PROCEDURES EXCEPT SIALOADENECTOMY |
| 052 |
CLEFT LIP & PALATE REPAIR |
| 053 |
SINUS & MASTOID PROCEDURES AGE >17 |
| 054 |
SINUS & MASTOID PROCEDURES AGE 0-17 |
| 055 |
MISCELLANEOUS EAR, NOSE, MOUTH & THROAT PROCEDURES |
| 056 |
RHINOPLASTY |
| 057 |
T&A PROC, EXCEPT TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE >17 |
| 058 |
T&A PROC, EXCEPT TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE 0-17 |
| 059 |
TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE >17 |
| 060 |
TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE 0-17 |
| 061 |
MYRINGOTOMY W TUBE INSERTION AGE >17 |
| 062 |
MYRINGOTOMY W TUBE INSERTION AGE 0-17 |
| 063 |
OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES |
| 146 |
RECTAL RESECTION W CC |
| 147 |
RECTAL RESECTION W/O CC |
| 148 |
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC |
| 149 |
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC |
| 150 |
PERITONEAL ADHESIOLYSIS W CC |
| 151 |
PERITONEAL ADHESIOLYSIS W/O CC |
| 152 |
MINOR SMALL & LARGE BOWEL PROCEDURES W CC |
| 153 |
MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC |
| 154 |
STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES AGE >17 W CC |
| 155 |
STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES AGE >17 W/O CC |
| 156 |
STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES AGE 0-17 |
| 157 |
ANAL & STOMAL PROCEDURES W CC |
| 158 |
ANAL & STOMAL PROCEDURES W/O CC |
| 159 |
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W CC |
| 160 |
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W/O CC |
| 161 |
INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W CC |
| 162 |
INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W/O CC |
| 163 |
HERNIA PROCEDURES AGE 0-17 |
| 164 |
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC |
| 165 |
APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC |
| 166 |
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC |
| 167 |
APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC |
| 168 |
MOUTH PROCEDURES W CC |
| 169 |
MOUTH PROCEDURES W/O CC |
| 170 |
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC |
| 171 |
OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC |
| 191 |
PANCREAS, LIVER & SHUNT PROCEDURES W CC |
| 192 |
PANCREAS, LIVER & SHUNT PROCEDURES W/O CC |
| 193 |
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC |
| 194 |
BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CC |
| 195 |
CHOLECYSTECTOMY W C.D.E. W CC |
| 196 |
CHOLECYSTECTOMY W C.D.E. W/O CC |
| 197 |
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC |
| 198 |
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC |
| 200 |
HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR NON-MALIGNANCY |
| 201 |
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES |
| 217 |
WND DEBRID & SKN GRFT EXCEPT HAND,FOR MUSCSKELET & CONN TISS DIS |
| 261 |
BREAST PROC FOR NON-MALIGNANCY EXCEPT BIOPSY & LOCAL EXCISION |
| 262 |
BREAST BIOPSY & LOCAL EXCISION FOR NON-MALIGNANCY |
| 263 |
SKIN GRAFT &/OR DEBRID FOR SKN ULCER OR CELLULITIS W CC |
| 264 |
SKIN GRAFT &/OR DEBRID FOR SKN ULCER OR CELLULITIS W/O CC |
| 265 |
SKIN GRAFT &/OR DEBRID EXCEPT FOR SKIN ULCER OR CELLULITIS W CC |
| 266 |
SKIN GRAFT &/OR DEBRID EXCEPT FOR SKIN ULCER OR CELLULITIS W/O CC |
| 267 |
PERIANAL & PILONIDAL PROCEDURES |
| 268 |
SKIN, SUBCUTANEOUS TISSUE & BREAST PLASTIC PROCEDURES |
| 269 |
OTHER SKIN, SUBCUT TISS & BREAST PROC W CC |
| 270 |
OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC |
| 286 |
ADRENAL & PITUITARY PROCEDURES |
| 287 |
SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DISORDERS |
| 288 |
O.R. PROCEDURES FOR OBESITY |
| 289 |
PARATHYROID PROCEDURES |
| 290 |
THYROID PROCEDURES |
| 291 |
THYROGLOSSAL PROCEDURES |
| 292 |
OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC |
| 293 |
OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC |
| 334 |
MAJOR MALE PELVIC PROCEDURES W CC |
| 335 |
MAJOR MALE PELVIC PROCEDURES W/O CC |
| 339 |
TESTES PROCEDURES, NON-MALIGNANCY AGE >17 |
| 340 |
TESTES PROCEDURES, NON-MALIGNANCY AGE 0-17 |
| 341 |
PENIS PROCEDURES |
| 342 |
CIRCUMCISION AGE >17 |
| 343 |
CIRCUMCISION AGE 0-17 |
| 345 |
OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXCEPT FOR MALIGNANCY |
| 392 |
SPLENECTOMY AGE >17 |
| 393 |
SPLENECTOMY AGE 0-17 |
| 394 |
OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS |
| 415 |
O.R. PROCEDURE FOR INFECTIOUS & PARASITIC DISEASES |
| 424 |
O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS |
| 439 |
SKIN GRAFTS FOR INJURIES |
| 440 |
WOUND DEBRIDEMENTS FOR INJURIES |
| 442 |
OTHER O.R. PROCEDURES FOR INJURIES W CC |
| 443 |
OTHER O.R. PROCEDURES FOR INJURIES W/O CC |
| 461 |
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES |
| 468 |
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
| 476 |
PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
| 477 |
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
| 480 |
LIVER TRANSPLANT |
| 482 |
TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES |
| 486 |
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA |
| 488 |
HIV W EXTENSIVE O.R. PROCEDURE |
| 493 |
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC |
| 494 |
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC |
| 512 |
SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT |
| 513 |
PANCREAS TRANSPLANT |