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DRGDischargesRelativeCostBased onCostCenterCCRRelativeCostBased onHospitalCCRCostAdjustmentFactor34DRG Label505 8420 0.9058 0.9404 0.96319 FOOT PROCEDURES W/O CC/MCC506 1094796 1.6514 1.7114 0.96491 MAJOR THUMB OR JOINT PROCEDURES507 1094796 1.6514 1.7114 0.96491MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WCC/MCC508 1094796 1.6514 1.7114 0.96491MAJOR SHOULDER OR ELBOW JOINT PROCEDURESW/O CC/MCC509 1094796 1.6514 1.7114 0.96491 ARTHROSCOPY510 1094796 1.6514 1.7114 0.96491SHOULDER,ELBOW OR FOREARM PROC,EXC MAJORJOINT PROC W MCC511 1094796 1.6514 1.7114 0.96491SHOULDER,ELBOW OR FOREARM PROC,EXC MAJORJOINT PROC W CC512 20116 0.7987 0.8509 0.93856SHOULDER,ELBOW OR FOREARM PROC,EXC MAJORJOINT PROC W/O CC/MCC513 1094796 1.6514 1.7114 0.96491HAND OR WRIST PROC, EXCEPT MAJOR THUMB ORJOINT PROC W CC/MCC514 5167 0.6388 0.6477 0.98635HAND OR WRIST PROC, EXCEPT MAJOR THUMB ORJOINT PROC W/O CC/MCC515 1094796 1.6514 1.7114 0.96491OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROCW MCC516 13078 1.5687 1.6339 0.96013OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROCW CC517 17352 1.2013 1.2636 0.95065OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROCW/O CC/MCC533 1094796 1.6514 1.7114 0.96491 FRACTURES OF FEMUR W MCC534 1094796 1.6514 1.7114 0.96491 FRACTURES OF FEMUR W/O MCC535 1094796 1.6514 1.7114 0.96491 FRACTURES OF HIP & PELVIS W MCC536 32428 0.596 0.5866 1.01601 FRACTURES OF HIP & PELVIS W/O MCC537 1094796 1.6514 1.7114 0.96491SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS &THIGH W CC/MCC538 1094796 1.6514 1.7114 0.96491SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS &THIGH W/O CC/MCC539 1094796 1.6514 1.7114 0.96491 OSTEOMYELITIS W MCC540 1094796 1.6514 1.7114 0.96491 OSTEOMYELITIS W CC541 1094796 1.6514 1.7114 0.96491 OSTEOMYELITIS W/O CC/MCC542 8238 1.4581 1.5321 0.95169PATHOLOGICAL FRACTURES & MUSCULOSKELET &CONN TISS MALIG W MCC543 19058 0.9145 0.9791 0.934PATHOLOGICAL FRACTURES & MUSCULOSKELET &CONN TISS MALIG W CC544 1094796 1.6514 1.7114 0.96491PATHOLOGICAL FRACTURES & MUSCULOSKELET &CONN TISS MALIG W/O CC/MCC545 8096 1.9512 2.0752 0.94025 CONNECTIVE TISSUE DISORDERS W MCC546 10095 0.9003 0.9447 0.95299 CONNECTIVE TISSUE DISORDERS W CC547 10241 0.6579 0.7016 0.93779 CONNECTIVE TISSUE DISORDERS W/O CC/MCC548 1094796 1.6514 1.7114 0.96491 SEPTIC ARTHRITIS W MCC549 1094796 1.6514 1.7114 0.96491 SEPTIC ARTHRITIS W CC
DRGDischargesRelativeCostBased onCostCenterCCRRelativeCostBased onHospitalCCRCostAdjustmentFactor35DRG Label550 1094796 1.6514 1.7114 0.96491 SEPTIC ARTHRITIS W/O CC/MCC551 14932 1.0903 1.1289 0.96581 MEDICAL BACK PROBLEMS W MCC552 112258 0.5825 0.6192 0.94073 MEDICAL BACK PROBLEMS W/O MCC553 1094796 1.6514 1.7114 0.96491 BONE DISEASES & ARTHROPATHIES W MCC554 25126 0.6099 0.611 0.99822 BONE DISEASES & ARTHROPATHIES W/O MCC555 1094796 1.6514 1.7114 0.96491SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM& CONN TISSUE W MCC556 28674 0.5114 0.5465 0.93579SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM& CONN TISSUE W/O MCC557 1094796 1.6514 1.7114 0.96491 TENDONITIS, MYOSITIS & BURSITIS W MCC558 26067 0.5752 0.5904 0.97415 TENDONITIS, MYOSITIS & BURSITIS W/O MCC559 1094796 1.6514 1.7114 0.96491AFTERCARE, MUSCULOSKELETAL SYSTEM &CONNECTIVE TISSUE W MCC560 1094796 1.6514 1.7114 0.96491AFTERCARE, MUSCULOSKELETAL SYSTEM &CONNECTIVE TISSUE W CC561 7996 0.5876 0.5577 1.05365AFTERCARE, MUSCULOSKELETAL SYSTEM &CONNECTIVE TISSUE W/O CC/MCC562 1094796 1.6514 1.7114 0.96491FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS &THIGH W MCC563 46688 0.5061 0.5234 0.9668FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS &THIGH W/O MCC564 1094796 1.6514 1.7114 0.96491OTHER MUSCULOSKELETAL SYS & CONNECTIVETISSUE DIAGNOSES W MCC565 1094796 1.6514 1.7114 0.96491OTHER MUSCULOSKELETAL SYS & CONNECTIVETISSUE DIAGNOSES W CC566 1094796 1.6514 1.7114 0.96491OTHER MUSCULOSKELETAL SYS & CONNECTIVETISSUE DIAGNOSES W/O CC/MCC573 1094796 1.6514 1.7114 0.96491SKIN GRAFT &/OR DEBRID FOR SKN ULCER ORCELLULITIS W MCC574 12294 1.3626 1.3185 1.03346SKIN GRAFT &/OR DEBRID FOR SKN ULCER ORCELLULITIS W CC575 9556 0.8059 0.7937 1.01548SKIN GRAFT &/OR DEBRID FOR SKN ULCER ORCELLULITIS W/O CC/MCC576 1094796 1.6514 1.7114 0.96491SKIN GRAFT &/OR DEBRID EXC FOR SKIN ULCER ORCELLULITIS W MCC577 4109 1.5669 1.5622 1.00304SKIN GRAFT &/OR DEBRID EXC FOR SKIN ULCER ORCELLULITIS W CC578 6784 1.0242 1.0219 1.0022SKIN GRAFT &/OR DEBRID EXC FOR SKIN ULCER ORCELLULITIS W/O CC/MCC579 1094796 1.6514 1.7114 0.96491 OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC580 23180 1.1247 1.1555 0.97333 OTHER SKIN, SUBCUT TISS & BREAST PROC W CCOTHER SKIN, SUBCUT TISS & BREAST PROC W/O581 35561 0.8881 0.9316 0.95325 CC/MCC582 9224 1.0104 1.0699 0.94442 MASTECTOMY FOR MALIGNANCY W CC/MCC583 15895 0.9301 0.9832 0.94599 MASTECTOMY FOR MALIGNANCY W/O CC/MCCBREAST BIOPSY, LOCAL EXCISION & OTHER BREAST584 1094796 1.6514 1.7114 0.96491 PROCEDURES W 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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