- DRGs are grouped by "Medical Service" to provide a meaningful way of summarizing utilization data.
- DRGs are based on FY 2006 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 |
| 075 | MAJOR CHEST PROCEDURES |
| 076 | OTHER RESP SYSTEM O.R. PROCEDURES W CC |
| 077 | OTHER RESP SYSTEM O.R. PROCEDURES W/O CC |
| 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 |
| 302 | KIDNEY TRANSPLANT |
| 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 |
| 495 | LUNG TRANSPLANT |
| 512 | SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT |
| 513 | PANCREAS TRANSPLANT |
| 541 | ECMO OR TRACH W MV 96+HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R. |
| 542 | TRACH W MV 96+HRS OR PDX EXC FACE, MOUTH, & NECK DX W/O MJ OR |