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DRGDischargesRelativeCostBased onCostCenterCCRRelativeCostBased onHospitalCCRCostAdjustmentFactor28DRG Label283 13064 1.2974 1.3773 0.94195 ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC284 1094796 1.6514 1.7114 0.96491 ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC285 1094796 1.6514 1.7114 0.96491ACUTE MYOCARDIAL INFARCTION, EXPIRED W/OCC/MCC286 39666 1.5548 1.6379 0.94931CIRCULATORY DISORDERS EXCEPT AMI, W CARDCATH W MCC287 213109 0.8275 0.9326 0.88728CIRCULATORY DISORDERS EXCEPT AMI, W CARDCATH W/O MCC288 1094796 1.6514 1.7114 0.96491 ACUTE & SUBACUTE ENDOCARDITIS W MCC289 1094796 1.6514 1.7114 0.96491 ACUTE & SUBACUTE ENDOCARDITIS W CC290 1094796 1.6514 1.7114 0.96491 ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC291 230761 1.0871 1.0731 1.0131 HEART FAILURE & SHOCK W MCC292 201932 0.7319 0.7229 1.01238 HEART FAILURE & SHOCK W CC293 133409 0.549 0.5515 0.99545 HEART FAILURE & SHOCK W/O CC/MCC294 1094796 1.6514 1.7114 0.96491 DEEP VEIN THROMBOPHLEBITIS W CC/MCC295 1094796 1.6514 1.7114 0.96491 DEEP VEIN THROMBOPHLEBITIS W/O CC/MCC296 1094796 1.6514 1.7114 0.96491 CARDIAC ARREST, UNEXPLAINED W MCC297 1094796 1.6514 1.7114 0.96491 CARDIAC ARREST, UNEXPLAINED W CC298 1094796 1.6514 1.7114 0.96491 CARDIAC ARREST, UNEXPLAINED W/O CC/MCC299 34155 1.0278 1.0305 0.99743 PERIPHERAL VASCULAR DISORDERS W MCC300 56761 0.7104 0.6967 1.01962 PERIPHERAL VASCULAR DISORDERS W CC301 46435 0.5177 0.5038 1.02762 PERIPHERAL VASCULAR DISORDERS W/O CC/MCC302 10082 0.7638 0.7936 0.96243 ATHEROSCLEROSIS W MCC303 61616 0.456 0.4974 0.9169 ATHEROSCLEROSIS W/O MCC304 1094796 1.6514 1.7114 0.96491 HYPERTENSION W MCC305 64406 0.4574 0.4925 0.92877 HYPERTENSION W/O MCC306 1094796 1.6514 1.7114 0.96491CARDIAC CONGENITAL & VALVULAR DISORDERS WMCC307 8150 0.6964 0.699 0.99635CARDIAC CONGENITAL & VALVULAR DISORDERS W/OMCC308 73256 0.9329 0.9292 1.00394CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WMCC309 105376 0.6335 0.637 0.99448CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WCC310 188070 0.4438 0.4563 0.9727CARDIAC ARRHYTHMIA & CONDUCTION DISORDERSW/O CC/MCC311 24548 0.4161 0.4689 0.88728 ANGINA PECTORIS312 206636 0.5088 0.556 0.91509 SYNCOPE & COLLAPSE313 339211 0.3946 0.4571 0.86313 CHEST PAIN314 75344 1.3771 1.4064 0.97912 OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC315 39373 0.791 0.8062 0.98111 OTHER CIRCULATORY SYSTEM DIAGNOSES W CC
DRGDischargesRelativeCostBased onCostCenterCCRRelativeCostBased onHospitalCCRCostAdjustmentFactor316 20164 0.5113 0.5457 0.9369929DRG LabelOTHER CIRCULATORY SYSTEM DIAGNOSES W/OCC/MCC326 18206 4.2466 4.3588 0.97427 STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC327 19468 2.0866 2.0794 1.00346 STOMACH, ESOPHAGEAL & DUODENAL PROC W CCSTOMACH, ESOPHAGEAL & DUODENAL PROC W/O328 25797 1.055 1.062 0.99338 CC/MCC329 66790 3.6776 3.7961 0.96878 MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC330 98452 1.9139 1.9194 0.99715 MAJOR SMALL & LARGE BOWEL PROCEDURES W CCMAJOR SMALL & LARGE BOWEL PROCEDURES W/O331 56285 1.3077 1.3062 1.00116 CC/MCC332 1094796 1.6514 1.7114 0.96491 RECTAL RESECTION W MCC333 8720 1.8634 1.831 1.01766 RECTAL RESECTION W CC334 6365 1.3487 1.325 1.01791 RECTAL RESECTION W/O CC/MCC335 10569 3.0158 3.0941 0.97469 PERITONEAL ADHESIOLYSIS W MCC336 22452 1.673 1.6932 0.98804 PERITONEAL ADHESIOLYSIS W CC337 21083 1.1234 1.1442 0.98179 PERITONEAL ADHESIOLYSIS W/O CC/MCC338 1094796 1.6514 1.7114 0.96491APPENDECTOMY W COMPLICATED PRINCIPAL DIAG WMCC339 10982 1.367 1.4518 0.94158APPENDECTOMY W COMPLICATED PRINCIPAL DIAG WCC340 28084 0.9535 1.028 0.92752APPENDECTOMY W COMPLICATED PRINCIPAL DIAGW/O CC/MCC341 1094796 1.6514 1.7114 0.96491APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAGW MCC342 13018 0.8913 0.9965 0.89444APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAGW CC343 112000 0.6512 0.7451 0.87407APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAGW/O CC/MCC344 1094796 1.6514 1.7114 0.96491 MINOR SMALL & LARGE BOWEL PROCEDURES W MCC345 7029 1.2644 1.2115 1.0436 MINOR SMALL & LARGE BOWEL PROCEDURES W CCMINOR SMALL & LARGE BOWEL PROCEDURES W/O346 7696 0.9612 0.928 1.03579 CC/MCC347 1094796 1.6514 1.7114 0.96491 ANAL & STOMAL PROCEDURES W MCC348 8607 0.9789 0.9857 0.99309 ANAL & STOMAL PROCEDURES W CC349 14183 0.5988 0.6044 0.99077 ANAL & STOMAL PROCEDURES W/O CC/MCC350 1094796 1.6514 1.7114 0.96491 INGUINAL & FEMORAL HERNIA PROCEDURES W MCC351 1094796 1.6514 1.7114 0.96491 INGUINAL & FEMORAL HERNIA PROCEDURES W CC352 11719 0.6532 0.673 0.97057INGUINAL & FEMORAL HERNIA PROCEDURES W/OCC/MCC353 1094796 1.6514 1.7114 0.96491HERNIA PROCEDURES EXCEPT INGUINAL & FEMORALW MCC354 16217 1.2247 1.2292 0.99633HERNIA PROCEDURES EXCEPT INGUINAL & FEMORALW CC355 29498 0.8482 0.8674 0.97792HERNIA PROCEDURES EXCEPT INGUINAL & FEMORALW/O CC/MCC
Page 1 and 2: HCUP Methods Series
Page 3 and 4: TABLE OF CONTENTSEXECUTIVE SUMMARY
Page 5 and 6: EXECUTIVE SUMMARYBackgroundThe Agen
Page 7 and 8: possible to form a more accurate es
Page 9 and 10: Cluster #ClusterAbbreviationCMSCost
Page 11 and 12: • A case was considered invalid i
Page 13 and 14: • Appendicitis and other appendic
Page 15 and 16: UB-04 Revenue CodeCluster041x: Resp
Page 17 and 18: CHGnDescription13UB-04RevenueCodesC
Page 20 and 21: CHGn Revenue Codes DescriptionClust
Page 22 and 23: CHGn Description UB-92 Revenue Code
Page 24 and 25: CHGn Description UB-92 Revenue Code
Page 26 and 27: DRGDischargesRelativeCostBased onCo
Page 50 and 51: Appendix C: Cost Adjustment Factors
Page 52 and 53: DXCCS1DischargesRelative CostBased
Page 58: Appendix D: ErrataThis report, The

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