Form CMS-10935 Weighted Median MAO Payer-Specific Negotiated Charge Dat

Supplemental to Form CMS-2552-10: Weighted Median Medicare Advantage Organization Payer- Specific Negotiated Charge Data (CMS-10935)

Weighted Median MAO Payer-Specific Negotiated Charge Data Form.xlsx

Median Payer-Specific Negotiated Charge Data Worksheet

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THIS REPORT IS REQUIRED BY LAW (42 USC 1395g; 42 CFR 413.20(b)). FAILURE TO REPORT CAN RESULT IN ALL INTERIM FORM APPROVED
PAYMENTS MADE SINCE THE BEGINNING OF THE COST REPORTING PERIOD BEING DEEMED OVERPAYMENTS (42 USC 1395g). OMB NO. XXXX-XXXX EXPIRES MM-DD-YYYY
WEIGHTED MEDIAN MEDICARE ADVANTAGE ORGANIZATION PAYER - SPECIFIC NEGOTIATED CHARGE DATA PROVIDER CCN: PERIOD:
FROM:                          
TO:


MS-DRG MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) TITLE CHARGE
1 001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC
1
2 002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC
2
3 003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES
3
4 004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES
4
5 005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT
5
6 006 LIVER TRANSPLANT WITHOUT MCC
6
7 007 LUNG TRANSPLANT
7
8 008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT
8
9 009 RESERVED FOR FUTURE USE
9
10 010 PANCREAS TRANSPLANT
10
11 011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC
11
12 012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC
12
13 013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC
13
14 014 ALLOGENEIC BONE MARROW TRANSPLANT
14
15 015 RESERVED FOR FUTURE USE
15
16 016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC
16
17 017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC
17
18 018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
18
19 019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS
19
20 020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC
20
21 021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC
21
22 022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC
22
23 023 CRANIOTOMY W/ MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS W/ MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY W/ NEUROSTIMULATOR
23
24 024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC
24
25 025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC
25
26 026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC
26
27 027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC
27
28 028 SPINAL PROCEDURES WITH MCC
28
29 029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS
29
30 030 SPINAL PROCEDURES WITHOUT CC/MCC
30
31 031 VENTRICULAR SHUNT PROCEDURES WITH MCC
31
32 032 VENTRICULAR SHUNT PROCEDURES WITH CC
32
33 033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC
33
34 034 CAROTID ARTERY STENT PROCEDURES WITH MCC
34
35 035 CAROTID ARTERY STENT PROCEDURES WITH CC
35
36 036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC
36
37 037 EXTRACRANIAL PROCEDURES WITH MCC
37
38 038 EXTRACRANIAL PROCEDURES WITH CC
38
39 039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC
39
40 040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC
40
41 041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR
41
42 042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC
42
43 043 RESERVED FOR FUTURE USE
43
44 044 RESERVED FOR FUTURE USE
44
45 045 RESERVED FOR FUTURE USE
45
WEIGHTED MEDIAN MEDICARE ADVANTAGE ORGANIZATION PAYER - SPECIFIC NEGOTIATED CHARGE DATA PROVIDER CCN: PERIOD:
FROM:                          
TO:


MS-DRG MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) TITLE CHARGE
46 046 RESERVED FOR FUTURE USE
46
47 047 RESERVED FOR FUTURE USE
47
48 048 RESERVED FOR FUTURE USE
48
49 049 RESERVED FOR FUTURE USE
49
50 050 RESERVED FOR FUTURE USE
50
51 051 RESERVED FOR FUTURE USE
51
52 052 SPINAL DISORDERS AND INJURIES WITH CC/MCC
52
53 053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC
53
54 054 NERVOUS SYSTEM NEOPLASMS WITH MCC
54
55 055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC
55
56 056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC
56
57 057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC
57
58 058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC
58
59 059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC
59
60 060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC
60
61 061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC
61
62 062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC
62
63 063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC
63
64 064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC
64
65 065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS
65
66 066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC
66
67 067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC
67
68 068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC
68
69 069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC
69
70 070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC
70
71 071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC
71
72 072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC
72
73 073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC
73
74 074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC
74
75 075 VIRAL MENINGITIS WITH CC/MCC
75
76 076 VIRAL MENINGITIS WITHOUT CC/MCC
76
77 077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC
77
78 078 HYPERTENSIVE ENCEPHALOPATHY WITH CC
78
79 079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC
79
80 080 NONTRAUMATIC STUPOR AND COMA WITH MCC
80
81 081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC
81
82 082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC
82
83 083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC
83
84 084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC
84
85 085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC
85
86 086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC
86
87 087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC
87
88 088 CONCUSSION WITH MCC
88
89 089 CONCUSSION WITH CC
89
90 090 CONCUSSION WITHOUT CC/MCC
90
WEIGHTED MEDIAN MEDICARE ADVANTAGE ORGANIZATION PAYER - SPECIFIC NEGOTIATED CHARGE DATA PROVIDER CCN: PERIOD:
FROM:                          
TO:


MS-DRG MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) TITLE CHARGE
91 091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC
91
92 092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC
92
93 093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC
93
94 094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC
94
95 095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC
95
96 096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC
96
97 097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC
97
98 098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC
98
99 099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC
99
100 100 SEIZURES WITH MCC
100
101 101 SEIZURES WITHOUT MCC
101
102 102 HEADACHES WITH MCC
102
103 103 HEADACHES WITHOUT MCC
103
104 104 RESERVED FOR FUTURE USE
104
105 105 RESERVED FOR FUTURE USE
105
106 106 RESERVED FOR FUTURE USE
106
107 107 RESERVED FOR FUTURE USE
107
108 108 RESERVED FOR FUTURE USE
108
109 109 RESERVED FOR FUTURE USE
109
110 110 RESERVED FOR FUTURE USE
110
111 111 RESERVED FOR FUTURE USE
111
112 112 RESERVED FOR FUTURE USE
112
113 113 ORBITAL PROCEDURES WITH CC/MCC
113
114 114 ORBITAL PROCEDURES WITHOUT CC/MCC
114
115 115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT
115
116 116 INTRAOCULAR PROCEDURES WITH CC/MCC
116
117 117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC
117
118 118 RESERVED FOR FUTURE USE
118
119 119 RESERVED FOR FUTURE USE
119
120 120 RESERVED FOR FUTURE USE
120
121 121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC
121
122 122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC
122
123 123 NEUROLOGICAL EYE DISORDERS
123
124 124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT
124
125 125 OTHER DISORDERS OF THE EYE WITHOUT MCC
125
126 126 RESERVED FOR FUTURE USE
126
127 127 RESERVED FOR FUTURE USE
127
128 128 RESERVED FOR FUTURE USE
128
129 129 RESERVED FOR FUTURE USE
129
130 130 RESERVED FOR FUTURE USE
130
131 131 RESERVED FOR FUTURE USE
131
132 132 RESERVED FOR FUTURE USE
132
133 133 RESERVED FOR FUTURE USE
133
134 134 RESERVED FOR FUTURE USE
134
135 135 SINUS AND MASTOID PROCEDURES WITH CC/MCC
135
WEIGHTED MEDIAN MEDICARE ADVANTAGE ORGANIZATION PAYER - SPECIFIC NEGOTIATED CHARGE DATA PROVIDER CCN: PERIOD:
FROM:                          
TO:


MS-DRG MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) TITLE CHARGE
136 136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC
136
137 137 MOUTH PROCEDURES WITH CC/MCC
137
138 138 MOUTH PROCEDURES WITHOUT CC/MCC
138
139 139 SALIVARY GLAND PROCEDURES
139
140 140 MAJOR HEAD AND NECK PROCEDURES WITH MCC
140
141 141 MAJOR HEAD AND NECK PROCEDURES WITH CC
141
142 142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC
142
143 143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC
143
144 144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC
144
145 145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC
145
146 146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC
146
147 147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC
147
148 148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC
148
149 149 DYSEQUILIBRIUM
149
150 150 EPISTAXIS WITH MCC
150
151 151 EPISTAXIS WITHOUT MCC
151
152 152 OTITIS MEDIA AND URI WITH MCC
152
153 153 OTITIS MEDIA AND URI WITHOUT MCC
153
154 154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
154
155 155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
155
156 156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC
156
157 157 DENTAL AND ORAL DISEASES WITH MCC
157
158 158 DENTAL AND ORAL DISEASES WITH CC
158
159 159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC
159
160 160 RESERVED FOR FUTURE USE
160
161 161 RESERVED FOR FUTURE USE
161
162 162 RESERVED FOR FUTURE USE
162
163 163 MAJOR CHEST PROCEDURES WITH MCC
163
164 164 MAJOR CHEST PROCEDURES WITH CC
164
165 165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC
165
166 166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC
166
167 167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC
167
168 168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
168
169 169 RESERVED FOR FUTURE USE
169
170 170 RESERVED FOR FUTURE USE
170
171 171 RESERVED FOR FUTURE USE
171
172 172 RESERVED FOR FUTURE USE
172
173 173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM
173
174 174 RESERVED FOR FUTURE USE
174
175 175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE
175
176 176 PULMONARY EMBOLISM WITHOUT MCC
176
177 177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC
177
178 178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC
178
179 179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC
179
180 180 RESPIRATORY NEOPLASMS WITH MCC
180
WEIGHTED MEDIAN MEDICARE ADVANTAGE ORGANIZATION PAYER - SPECIFIC NEGOTIATED CHARGE DATA PROVIDER CCN: PERIOD:
FROM:                          
TO:


MS-DRG MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) TITLE CHARGE
181 181 RESPIRATORY NEOPLASMS WITH CC
181
182 182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC
182
183 183 MAJOR CHEST TRAUMA WITH MCC
183
184 184 MAJOR CHEST TRAUMA WITH CC
184
185 185 MAJOR CHEST TRAUMA WITHOUT CC/MCC
185
186 186 PLEURAL EFFUSION WITH MCC
186
187 187 PLEURAL EFFUSION WITH CC
187
188 188 PLEURAL EFFUSION WITHOUT CC/MCC
188
189 189 PULMONARY EDEMA AND RESPIRATORY FAILURE
189
190 190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC
190
191 191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC
191
192 192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC
192
193 193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC
193
194 194 SIMPLE PNEUMONIA AND PLEURISY WITH CC
194
195 195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC
195
196 196 INTERSTITIAL LUNG DISEASE WITH MCC
196
197 197 INTERSTITIAL LUNG DISEASE WITH CC
197
198 198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC
198
199 199 PNEUMOTHORAX WITH MCC
199
200 200 PNEUMOTHORAX WITH CC
200
201 201 PNEUMOTHORAX WITHOUT CC/MCC
201
202 202 BRONCHITIS AND ASTHMA WITH CC/MCC
202
203 203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC
203
204 204 RESPIRATORY SIGNS AND SYMPTOMS
204
205 205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC
205
206 206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC
206
207 207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS
207
208 208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS
208
209 209 RESERVED FOR FUTURE USE
209
210 210 RESERVED FOR FUTURE USE
210
211 211 RESERVED FOR FUTURE USE
211
212 212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES
212
213 213 RESERVED FOR FUTURE USE
213
214 214 RESERVED FOR FUTURE USE
214
215 215 OTHER HEART ASSIST SYSTEM IMPLANT
215
216 216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC
216
217 217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC
217
218 218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC
218
219 219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC
219
220 220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC
220
221 221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC
221
222 222 RESERVED FOR FUTURE USE
222
223 223 RESERVED FOR FUTURE USE
223
224 224 RESERVED FOR FUTURE USE
224
225 225 RESERVED FOR FUTURE USE
225
WEIGHTED MEDIAN MEDICARE ADVANTAGE ORGANIZATION PAYER - SPECIFIC NEGOTIATED CHARGE DATA PROVIDER CCN: PERIOD:
FROM:                          
TO:


MS-DRG MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) TITLE CHARGE
226 226 RESERVED FOR FUTURE USE
226
227 227 RESERVED FOR FUTURE USE
227
228 228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC
228
229 229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC
229
230 230 RESERVED FOR FUTURE USE
230
231 231 CORONARY BYPASS WITH PTCA WITH MCC
231
232 232 CORONARY BYPASS WITH PTCA WITHOUT MCC
232
233 233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC
233
234 234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC
234
235 235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC
235
236 236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC
236
237 237 RESERVED FOR FUTURE USE
237
238 238 RESERVED FOR FUTURE USE
238
239 239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC
239
240 240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC
240
241 241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC
241
242 242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC
242
243 243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC
243
244 244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC
244
245 245 AICD GENERATOR PROCEDURES
245
246 246 RESERVED FOR FUTURE USE
246
247 247 RESERVED FOR FUTURE USE
247
248 248 RESERVED FOR FUTURE USE
248
249 249 RESERVED FOR FUTURE USE
249
250 250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC
250
251 251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC
251
252 252 OTHER VASCULAR PROCEDURES WITH MCC
252
253 253 OTHER VASCULAR PROCEDURES WITH CC
253
254 254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC
254
255 255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC
255
256 256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC
256
257 257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC
257
258 258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC
258
259 259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC
259
260 260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC
260
261 261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC
261
262 262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC
262
263 263 VEIN LIGATION AND STRIPPING
263
264 264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES
264
265 265 AICD LEAD PROCEDURES
265
266 266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC
266
267 267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC
267
268 268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC
268
269 269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC
269
270 270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC
270
WEIGHTED MEDIAN MEDICARE ADVANTAGE ORGANIZATION PAYER - SPECIFIC NEGOTIATED CHARGE DATA PROVIDER CCN: PERIOD:
FROM:                          
TO:


MS-DRG MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) TITLE CHARGE
271 271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC
271
272 272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC
272
273 273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC
273
274 274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC
274
275 275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC
275
276 276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR
276
277 277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC
277
278 278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC
278
279 279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC
279
280 280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC
280
281 281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC
281
282 282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC
282
283 283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC
283
284 284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC
284
285 285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC
285
286 286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC
286
287 287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC
287
288 288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC
288
289 289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC
289
290 290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC
290
291 291 HEART FAILURE AND SHOCK WITH MCC
291
292 292 HEART FAILURE AND SHOCK WITH CC
292
293 293 HEART FAILURE AND SHOCK WITHOUT CC/MCC
293
294 294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC
294
295 295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC
295
296 296 CARDIAC ARREST, UNEXPLAINED WITH MCC
296
297 297 CARDIAC ARREST, UNEXPLAINED WITH CC
297
298 298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC
298
299 299 PERIPHERAL VASCULAR DISORDERS WITH MCC
299
300 300 PERIPHERAL VASCULAR DISORDERS WITH CC
300
301 301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC
301
302 302 ATHEROSCLEROSIS WITH MCC
302
303 303 ATHEROSCLEROSIS WITHOUT MCC
303
304 304 HYPERTENSION WITH MCC
304
305 305 HYPERTENSION WITHOUT MCC
305
306 306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC
306
307 307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC
307
308 308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC
308
309 309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC
309
310 310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC
310
311 311 ANGINA PECTORIS
311
312 312 SYNCOPE AND COLLAPSE
312
313 313 CHEST PAIN
313
314 314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC
314
315 315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC
315
WEIGHTED MEDIAN MEDICARE ADVANTAGE ORGANIZATION PAYER - SPECIFIC NEGOTIATED CHARGE DATA PROVIDER CCN: PERIOD:
FROM:                          
TO:


MS-DRG MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) TITLE CHARGE
316 316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC
316
317 317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION
317
318 318 RESERVED FOR FUTURE USE
318
319 319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC
319
320 320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC
320
321 321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES
321
322 322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC
322
323 323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC
323
324 324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC
324
325 325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE
325
326 326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC
326
327 327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC
327
328 328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC
328
329 329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
329
330 330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
330
331 331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
331
332 332 RECTAL RESECTION WITH MCC
332
333 333 RECTAL RESECTION WITH CC
333
334 334 RECTAL RESECTION WITHOUT CC/MCC
334
335 335 PERITONEAL ADHESIOLYSIS WITH MCC
335
336 336 PERITONEAL ADHESIOLYSIS WITH CC
336
337 337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC
337
338 338 RESERVED FOR FUTURE USE
338
339 339 RESERVED FOR FUTURE USE
339
340 340 RESERVED FOR FUTURE USE
340
341 341 RESERVED FOR FUTURE USE
341
342 342 RESERVED FOR FUTURE USE
342
343 343 RESERVED FOR FUTURE USE
343
344 344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC
344
345 345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC
345
346 346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC
346
347 347 ANAL AND STOMAL PROCEDURES WITH MCC
347
348 348 ANAL AND STOMAL PROCEDURES WITH CC
348
349 349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC
349
350 350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC
350
351 351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC
351
352 352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC
352
353 353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC
353
354 354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC
354
355 355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC
355
356 356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC
356
357 357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC
357
358 358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
358
359 359 RESERVED FOR FUTURE USE
359
360 360 RESERVED FOR FUTURE USE
360
WEIGHTED MEDIAN MEDICARE ADVANTAGE ORGANIZATION PAYER - SPECIFIC NEGOTIATED CHARGE DATA PROVIDER CCN: PERIOD:
FROM:                          
TO:


MS-DRG MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) TITLE CHARGE
361 361 RESERVED FOR FUTURE USE
361
362 362 RESERVED FOR FUTURE USE
362
363 363 RESERVED FOR FUTURE USE
363
364 364 RESERVED FOR FUTURE USE
364
365 365 RESERVED FOR FUTURE USE
365
366 366 RESERVED FOR FUTURE USE
366
367 367 RESERVED FOR FUTURE USE
367
368 368 MAJOR ESOPHAGEAL DISORDERS WITH MCC
368
369 369 MAJOR ESOPHAGEAL DISORDERS WITH CC
369
370 370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC
370
371 371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC
371
372 372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC
372
373 373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC
373
374 374 DIGESTIVE MALIGNANCY WITH MCC
374
375 375 DIGESTIVE MALIGNANCY WITH CC
375
376 376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC
376
377 377 GASTROINTESTINAL HEMORRHAGE WITH MCC
377
378 378 GASTROINTESTINAL HEMORRHAGE WITH CC
378
379 379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC
379
380 380 COMPLICATED PEPTIC ULCER WITH MCC
380
381 381 COMPLICATED PEPTIC ULCER WITH CC
381
382 382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC
382
383 383 UNCOMPLICATED PEPTIC ULCER WITH MCC
383
384 384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC
384
385 385 INFLAMMATORY BOWEL DISEASE WITH MCC
385
386 386 INFLAMMATORY BOWEL DISEASE WITH CC
386
387 387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC
387
388 388 GASTROINTESTINAL OBSTRUCTION WITH MCC
388
389 389 GASTROINTESTINAL OBSTRUCTION WITH CC
389
390 390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC
390
391 391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC
391
392 392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC
392
393 393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC
393
394 394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
394
395 395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
395
396 396 RESERVED FOR FUTURE USE
396
397 397 APPENDIX PROCEDURES WITH MCC
397
398 398 APPENDIX PROCEDURES WITH CC
398
399 399 APPENDIX PROCEDURES WITHOUT CC/MCC
399
400 400 RESERVED FOR FUTURE USE
400
401 401 RESERVED FOR FUTURE USE
401
402 402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
402
403 403 RESERVED FOR FUTURE USE
403
404 404 RESERVED FOR FUTURE USE
404
405 405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC
405
WEIGHTED MEDIAN MEDICARE ADVANTAGE ORGANIZATION PAYER - SPECIFIC NEGOTIATED CHARGE DATA PROVIDER CCN: PERIOD:
FROM:                          
TO:


MS-DRG MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) TITLE CHARGE
406 406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC
406
407 407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC
407
408 408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC
408
409 409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC
409
410 410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC
410
411 411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC
411
412 412 CHOLECYSTECTOMY WITH C.D.E. WITH CC
412
413 413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC
413
414 414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC
414
415 415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC
415
416 416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC
416
417 417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC
417
418 418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC
418
419 419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC
419
420 420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC
420
421 421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC
421
422 422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC
422
423 423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
423
424 424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
424
425 425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
425
426 426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL W/ MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEV
426
427 427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC
427
428 428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC
428
429 429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC
429
430 430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC
430
431 431 RESERVED FOR FUTURE USE
431
432 432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC
432
433 433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC
433
434 434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC
434
435 435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC
435
436 436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC
436
437 437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC
437
438 438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC
438
439 439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC
439
440 440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC
440
441 441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC
441
442 442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC
442
443 443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC
443
444 444 DISORDERS OF THE BILIARY TRACT WITH MCC
444
445 445 DISORDERS OF THE BILIARY TRACT WITH CC
445
446 446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC
446
447 447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE
447
448 448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC
448
449 449 RESERVED FOR FUTURE USE
449
450 450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE
450
WEIGHTED MEDIAN MEDICARE ADVANTAGE ORGANIZATION PAYER - SPECIFIC NEGOTIATED CHARGE DATA PROVIDER CCN: PERIOD:
FROM:                          
TO:


MS-DRG MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) TITLE CHARGE
451 451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC
451
452 452 RESERVED FOR FUTURE USE
452
453 453 RESERVED FOR FUTURE USE
453
454 454 RESERVED FOR FUTURE USE
454
455 455 RESERVED FOR FUTURE USE
455
456 456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC
456
457 457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC
457
458 458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC
458
459 459 RESERVED FOR FUTURE USE
459
460 460 RESERVED FOR FUTURE USE
460
461 461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC
461
462 462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC
462
463 463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC
463
464 464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC
464
465 465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC
465
466 466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC
466
467 467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC
467
468 468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC
468
469 469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT
469
470 470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC
470
471 471 CERVICAL SPINAL FUSION WITH MCC
471
472 472 CERVICAL SPINAL FUSION WITH CC
472
473 473 CERVICAL SPINAL FUSION WITHOUT CC/MCC
473
474 474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC
474
475 475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC
475
476 476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC
476
477 477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
477
478 478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
478
479 479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC
479
480 480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC
480
481 481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC
481
482 482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC
482
483 483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES
483
484 484 RESERVED FOR FUTURE USE
484
485 485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC
485
486 486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC
486
487 487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC
487
488 488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC
488
489 489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC
489
490 490 RESERVED FOR FUTURE USE
490
491 491 RESERVED FOR FUTURE USE
491
492 492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC
492
493 493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC
493
494 494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC
494
495 495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC
495
WEIGHTED MEDIAN MEDICARE ADVANTAGE ORGANIZATION PAYER - SPECIFIC NEGOTIATED CHARGE DATA PROVIDER CCN: PERIOD:
FROM:                          
TO:


MS-DRG MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) TITLE CHARGE
496 496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC
496
497 497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC
497
498 498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC
498
499 499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC
499
500 500 SOFT TISSUE PROCEDURES WITH MCC
500
501 501 SOFT TISSUE PROCEDURES WITH CC
501
502 502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC
502
503 503 FOOT PROCEDURES WITH MCC
503
504 504 FOOT PROCEDURES WITH CC
504
505 505 FOOT PROCEDURES WITHOUT CC/MCC
505
506 506 MAJOR THUMB OR JOINT PROCEDURES
506
507 507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC
507
508 508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC
508
509 509 ARTHROSCOPY
509
510 510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC
510
511 511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC
511
512 512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC
512
513 513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC
513
514 514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC
514
515 515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC
515
516 516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC
516
517 517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC
517
518 518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR
518
519 519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC
519
520 520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC
520
521 521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC
521
522 522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC
522
523 523 RESERVED FOR FUTURE USE
523
524 524 RESERVED FOR FUTURE USE
524
525 525 RESERVED FOR FUTURE USE
525
526 526 RESERVED FOR FUTURE USE
526
527 527 RESERVED FOR FUTURE USE
527
528 528 RESERVED FOR FUTURE USE
528
529 529 RESERVED FOR FUTURE USE
529
530 530 RESERVED FOR FUTURE USE
530
531 531 RESERVED FOR FUTURE USE
531
532 532 RESERVED FOR FUTURE USE
532
533 533 FRACTURES OF FEMUR WITH MCC
533
534 534 FRACTURES OF FEMUR WITHOUT MCC
534
535 535 FRACTURES OF HIP AND PELVIS WITH MCC
535
536 536 FRACTURES OF HIP AND PELVIS WITHOUT MCC
536
537 537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC
537
538 538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC
538
539 539 OSTEOMYELITIS WITH MCC
539
540 540 OSTEOMYELITIS WITH CC
540
WEIGHTED MEDIAN MEDICARE ADVANTAGE ORGANIZATION PAYER - SPECIFIC NEGOTIATED CHARGE DATA PROVIDER CCN: PERIOD:
FROM:                          
TO:


MS-DRG MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) TITLE CHARGE
541 541 OSTEOMYELITIS WITHOUT CC/MCC
541
542 542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC
542
543 543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC
543
544 544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC
544
545 545 CONNECTIVE TISSUE DISORDERS WITH MCC
545
546 546 CONNECTIVE TISSUE DISORDERS WITH CC
546
547 547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC
547
548 548 SEPTIC ARTHRITIS WITH MCC
548
549 549 SEPTIC ARTHRITIS WITH CC
549
550 550 SEPTIC ARTHRITIS WITHOUT CC/MCC
550
551 551 MEDICAL BACK PROBLEMS WITH MCC
551
552 552 MEDICAL BACK PROBLEMS WITHOUT MCC
552
553 553 BONE DISEASES AND ARTHROPATHIES WITH MCC
553
554 554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC
554
555 555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
555
556 556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC
556
557 557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC
557
558 558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC
558
559 559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
559
560 560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
560
561 561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC
561
562 562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC
562
563 563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC
563
564 564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC
564
565 565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
565
566 566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC
566
567 567 RESERVED FOR FUTURE USE
567
568 568 RESERVED FOR FUTURE USE
568
569 569 RESERVED FOR FUTURE USE
569
570 570 SKIN DEBRIDEMENT WITH MCC
570
571 571 SKIN DEBRIDEMENT WITH CC
571
572 572 SKIN DEBRIDEMENT WITHOUT CC/MCC
572
573 573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC
573
574 574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC
574
575 575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC
575
576 576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC
576
577 577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC
577
578 578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC
578
579 579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC
579
580 580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC
580
581 581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC
581
582 582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC
582
583 583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC
583
584 584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC
584
585 585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC
585
WEIGHTED MEDIAN MEDICARE ADVANTAGE ORGANIZATION PAYER - SPECIFIC NEGOTIATED CHARGE DATA PROVIDER CCN: PERIOD:
FROM:                          
TO:


MS-DRG MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) TITLE CHARGE
586 586 RESERVED FOR FUTURE USE
586
587 587 RESERVED FOR FUTURE USE
587
588 588 RESERVED FOR FUTURE USE
588
589 589 RESERVED FOR FUTURE USE
589
590 590 RESERVED FOR FUTURE USE
590
591 591 RESERVED FOR FUTURE USE
591
592 592 SKIN ULCERS WITH MCC
592
593 593 SKIN ULCERS WITH CC
593
594 594 SKIN ULCERS WITHOUT CC/MCC
594
595 595 MAJOR SKIN DISORDERS WITH MCC
595
596 596 MAJOR SKIN DISORDERS WITHOUT MCC
596
597 597 MALIGNANT BREAST DISORDERS WITH MCC
597
598 598 MALIGNANT BREAST DISORDERS WITH CC
598
599 599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC
599
600 600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC
600
601 601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC
601
602 602 CELLULITIS WITH MCC
602
603 603 CELLULITIS WITHOUT MCC
603
604 604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC
604
605 605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC
605
606 606 MINOR SKIN DISORDERS WITH MCC
606
607 607 MINOR SKIN DISORDERS WITHOUT MCC
607
608 608 RESERVED FOR FUTURE USE
608
609 609 RESERVED FOR FUTURE USE
609
610 610 RESERVED FOR FUTURE USE
610
611 611 RESERVED FOR FUTURE USE
611
612 612 RESERVED FOR FUTURE USE
612
613 613 RESERVED FOR FUTURE USE
613
614 614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC
614
615 615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC
615
616 616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC
616
617 617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC
617
618 618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC
618
619 619 O.R. PROCEDURES FOR OBESITY WITH MCC
619
620 620 O.R. PROCEDURES FOR OBESITY WITH CC
620
621 621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC
621
622 622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC
622
623 623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC
623
624 624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC
624
625 625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC
625
626 626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC
626
627 627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC
627
628 628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
628
629 629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
629
630 630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC
630
WEIGHTED MEDIAN MEDICARE ADVANTAGE ORGANIZATION PAYER - SPECIFIC NEGOTIATED CHARGE DATA PROVIDER CCN: PERIOD:
FROM:                          
TO:


MS-DRG MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) TITLE CHARGE
631 631 RESERVED FOR FUTURE USE
631
632 632 RESERVED FOR FUTURE USE
632
633 633 RESERVED FOR FUTURE USE
633
634 634 RESERVED FOR FUTURE USE
634
635 635 RESERVED FOR FUTURE USE
635
636 636 RESERVED FOR FUTURE USE
636
637 637 DIABETES WITH MCC
637
638 638 DIABETES WITH CC
638
639 639 DIABETES WITHOUT CC/MCC
639
640 640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC
640
641 641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC
641
642 642 INBORN AND OTHER DISORDERS OF METABOLISM
642
643 643 ENDOCRINE DISORDERS WITH MCC
643
644 644 ENDOCRINE DISORDERS WITH CC
644
645 645 ENDOCRINE DISORDERS WITHOUT CC/MCC
645
646 646 RESERVED FOR FUTURE USE
646
647 647 RESERVED FOR FUTURE USE
647
648 648 RESERVED FOR FUTURE USE
648
649 649 RESERVED FOR FUTURE USE
649
650 650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC
650
651 651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC
651
652 652 KIDNEY TRANSPLANT
652
653 653 MAJOR BLADDER PROCEDURES WITH MCC
653
654 654 MAJOR BLADDER PROCEDURES WITH CC
654
655 655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC
655
656 656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC
656
657 657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC
657
658 658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC
658
659 659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC
659
660 660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC
660
661 661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC
661
662 662 MINOR BLADDER PROCEDURES WITH MCC
662
663 663 MINOR BLADDER PROCEDURES WITH CC
663
664 664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC
664
665 665 PROSTATECTOMY WITH MCC
665
666 666 PROSTATECTOMY WITH CC
666
667 667 PROSTATECTOMY WITHOUT CC/MCC
667
668 668 TRANSURETHRAL PROCEDURES WITH MCC
668
669 669 TRANSURETHRAL PROCEDURES WITH CC
669
670 670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC
670
671 671 URETHRAL PROCEDURES WITH CC/MCC
671
672 672 URETHRAL PROCEDURES WITHOUT CC/MCC
672
673 673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC
673
674 674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
674
675 675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC
675
WEIGHTED MEDIAN MEDICARE ADVANTAGE ORGANIZATION PAYER - SPECIFIC NEGOTIATED CHARGE DATA PROVIDER CCN: PERIOD:
FROM:                          
TO:


MS-DRG MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) TITLE CHARGE
676 676 RESERVED FOR FUTURE USE
676
677 677 RESERVED FOR FUTURE USE
677
678 678 RESERVED FOR FUTURE USE
678
679 679 RESERVED FOR FUTURE USE
679
680 680 RESERVED FOR FUTURE USE
680
681 681 RESERVED FOR FUTURE USE
681
682 682 RENAL FAILURE WITH MCC
682
683 683 RENAL FAILURE WITH CC
683
684 684 RENAL FAILURE WITHOUT CC/MCC
684
685 685 RESERVED FOR FUTURE USE
685
686 686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC
686
687 687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC
687
688 688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC
688
689 689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC
689
690 690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC
690
691 691 RESERVED FOR FUTURE USE
691
692 692 RESERVED FOR FUTURE USE
692
693 693 URINARY STONES WITH MCC
693
694 694 URINARY STONES WITHOUT MCC
694
695 695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC
695
696 696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC
696
697 697 URETHRAL STRICTURE
697
698 698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
698
699 699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
699
700 700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC
700
701 701 RESERVED FOR FUTURE USE
701
702 702 RESERVED FOR FUTURE USE
702
703 703 RESERVED FOR FUTURE USE
703
704 704 RESERVED FOR FUTURE USE
704
705 705 RESERVED FOR FUTURE USE
705
706 706 RESERVED FOR FUTURE USE
706
707 707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC
707
708 708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC
708
709 709 PENIS PROCEDURES WITH CC/MCC
709
710 710 PENIS PROCEDURES WITHOUT CC/MCC
710
711 711 TESTES PROCEDURES WITH CC/MCC
711
712 712 TESTES PROCEDURES WITHOUT CC/MCC
712
713 713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC
713
714 714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC
714
715 715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC
715
716 716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC
716
717 717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC
717
718 718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC
718
719 719 RESERVED FOR FUTURE USE
719
720 720 RESERVED FOR FUTURE USE
720
WEIGHTED MEDIAN MEDICARE ADVANTAGE ORGANIZATION PAYER - SPECIFIC NEGOTIATED CHARGE DATA PROVIDER CCN: PERIOD:
FROM:                          
TO:


MS-DRG MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) TITLE CHARGE
721 721 RESERVED FOR FUTURE USE
721
722 722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC
722
723 723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC
723
724 724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
724
725 725 BENIGN PROSTATIC HYPERTROPHY WITH MCC
725
726 726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC
726
727 727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC
727
728 728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC
728
729 729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC
729
730 730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
730
731 731 RESERVED FOR FUTURE USE
731
732 732 RESERVED FOR FUTURE USE
732
733 733 RESERVED FOR FUTURE USE
733
734 734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC
734
735 735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC
735
736 736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC
736
737 737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC
737
738 738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC
738
739 739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC
739
740 740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC
740
741 741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC
741
742 742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC
742
743 743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC
743
744 744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC
744
745 745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC
745
746 746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC
746
747 747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC
747
748 748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
748
749 749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
749
750 750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
750
751 751 RESERVED FOR FUTURE USE
751
752 752 RESERVED FOR FUTURE USE
752
753 753 RESERVED FOR FUTURE USE
753
754 754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC
754
755 755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC
755
756 756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
756
757 757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC
757
758 758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC
758
759 759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
759
760 760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC
760
761 761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC
761
762 762 RESERVED FOR FUTURE USE
762
763 763 RESERVED FOR FUTURE USE
763
764 764 RESERVED FOR FUTURE USE
764
765 765 RESERVED FOR FUTURE USE
765
WEIGHTED MEDIAN MEDICARE ADVANTAGE ORGANIZATION PAYER - SPECIFIC NEGOTIATED CHARGE DATA PROVIDER CCN: PERIOD:
FROM:                          
TO:


MS-DRG MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) TITLE CHARGE
766 766 RESERVED FOR FUTURE USE
766
767 767 RESERVED FOR FUTURE USE
767
768 768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C
768
769 769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES
769
770 770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
770
771 771 RESERVED FOR FUTURE USE
771
772 772 RESERVED FOR FUTURE USE
772
773 773 RESERVED FOR FUTURE USE
773
774 774 RESERVED FOR FUTURE USE
774
775 775 RESERVED FOR FUTURE USE
775
776 776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES
776
777 777 RESERVED FOR FUTURE USE
777
778 778 RESERVED FOR FUTURE USE
778
779 779 ABORTION WITHOUT D&C
779
780 780 RESERVED FOR FUTURE USE
780
781 781 RESERVED FOR FUTURE USE
781
782 782 RESERVED FOR FUTURE USE
782
783 783 CESAREAN SECTION WITH STERILIZATION WITH MCC
783
784 784 CESAREAN SECTION WITH STERILIZATION WITH CC
784
785 785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC
785
786 786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC
786
787 787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC
787
788 788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC
788
789 789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY
789
790 790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE
790
791 791 PREMATURITY WITH MAJOR PROBLEMS
791
792 792 PREMATURITY WITHOUT MAJOR PROBLEMS
792
793 793 FULL TERM NEONATE WITH MAJOR PROBLEMS
793
794 794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS
794
795 795 NORMAL NEWBORN
795
796 796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC
796
797 797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC
797
798 798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC
798
799 799 SPLENIC PROCEDURES WITH MCC
799
800 800 SPLENIC PROCEDURES WITH CC
800
801 801 SPLENIC PROCEDURES WITHOUT CC/MCC
801
802 802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC
802
803 803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC
803
804 804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC
804
805 805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC
805
806 806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC
806
807 807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC
807
808 808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC
808
809 809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC
809
810 810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC
810
WEIGHTED MEDIAN MEDICARE ADVANTAGE ORGANIZATION PAYER - SPECIFIC NEGOTIATED CHARGE DATA PROVIDER CCN: PERIOD:
FROM:                          
TO:


MS-DRG MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) TITLE CHARGE
811 811 RED BLOOD CELL DISORDERS WITH MCC
811
812 812 RED BLOOD CELL DISORDERS WITHOUT MCC
812
813 813 COAGULATION DISORDERS
813
814 814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC
814
815 815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC
815
816 816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC
816
817 817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC
817
818 818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC
818
819 819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC
819
820 820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC
820
821 821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC
821
822 822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC
822
823 823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC
823
824 824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC
824
825 825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC
825
826 826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC
826
827 827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC
827
828 828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC
828
829 829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC
829
830 830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC
830
831 831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC
831
832 832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC
832
833 833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC
833
834 834 ACUTE LEUKEMIA WITH MCC
834
835 835 ACUTE LEUKEMIA WITH CC
835
836 836 ACUTE LEUKEMIA WITHOUT CC/MCC
836
837 837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC
837
838 838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT
838
839 839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC
839
840 840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC
840
841 841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC
841
842 842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC
842
843 843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC
843
844 844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC
844
845 845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC
845
846 846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC
846
847 847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC
847
848 848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC
848
849 849 RADIOTHERAPY
849
850 850 ACUTE LEUKEMIA WITH OTHER PROCEDURES
850
851 851 RESERVED FOR FUTURE USE
851
852 852 RESERVED FOR FUTURE USE
852
853 853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC
853
854 854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC
854
855 855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC
855
WEIGHTED MEDIAN MEDICARE ADVANTAGE ORGANIZATION PAYER - SPECIFIC NEGOTIATED CHARGE DATA PROVIDER CCN: PERIOD:
FROM:                          
TO:


MS-DRG MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) TITLE CHARGE
856 856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC
856
857 857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC
857
858 858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC
858
859 859 RESERVED FOR FUTURE USE
859
860 860 RESERVED FOR FUTURE USE
860
861 861 RESERVED FOR FUTURE USE
861
862 862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC
862
863 863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC
863
864 864 FEVER AND INFLAMMATORY CONDITIONS
864
865 865 VIRAL ILLNESS WITH MCC
865
866 866 VIRAL ILLNESS WITHOUT MCC
866
867 867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
867
868 868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
868
869 869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC
869
870 870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS
870
871 871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC
871
872 872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC
872
873 873 RESERVED FOR FUTURE USE
873
874 874 RESERVED FOR FUTURE USE
874
875 875 RESERVED FOR FUTURE USE
875
876 876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS
876
877 877 RESERVED FOR FUTURE USE
877
878 878 RESERVED FOR FUTURE USE
878
879 879 RESERVED FOR FUTURE USE
879
880 880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION
880
881 881 DEPRESSIVE NEUROSES
881
882 882 NEUROSES EXCEPT DEPRESSIVE
882
883 883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL
883
884 884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY
884
885 885 PSYCHOSES
885
886 886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS
886
887 887 OTHER MENTAL DISORDER DIAGNOSES
887
888 888 RESERVED FOR FUTURE USE
888
889 889 RESERVED FOR FUTURE USE
889
890 890 RESERVED FOR FUTURE USE
890
891 891 RESERVED FOR FUTURE USE
891
892 892 RESERVED FOR FUTURE USE
892
893 893 RESERVED FOR FUTURE USE
893
894 894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA
894
895 895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY
895
896 896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC
896
897 897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC
897
898 898 RESERVED FOR FUTURE USE
898
899 899 RESERVED FOR FUTURE USE
899
900 900 RESERVED FOR FUTURE USE
900
WEIGHTED MEDIAN MEDICARE ADVANTAGE ORGANIZATION PAYER - SPECIFIC NEGOTIATED CHARGE DATA PROVIDER CCN: PERIOD:
FROM:                          
TO:


MS-DRG MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) TITLE CHARGE
901 901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC
901
902 902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC
902
903 903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC
903
904 904 SKIN GRAFTS FOR INJURIES WITH CC/MCC
904
905 905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC
905
906 906 HAND PROCEDURES FOR INJURIES
906
907 907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC
907
908 908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC
908
909 909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC
909
910 910 RESERVED FOR FUTURE USE
910
911 911 RESERVED FOR FUTURE USE
911
912 912 RESERVED FOR FUTURE USE
912
913 913 TRAUMATIC INJURY WITH MCC
913
914 914 TRAUMATIC INJURY WITHOUT MCC
914
915 915 ALLERGIC REACTIONS WITH MCC
915
916 916 ALLERGIC REACTIONS WITHOUT MCC
916
917 917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC
917
918 918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC
918
919 919 COMPLICATIONS OF TREATMENT WITH MCC
919
920 920 COMPLICATIONS OF TREATMENT WITH CC
920
921 921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC
921
922 922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
922
923 923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
923
924 924 RESERVED FOR FUTURE USE
924
925 925 RESERVED FOR FUTURE USE
925
926 926 RESERVED FOR FUTURE USE
926
927 927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT
927
928 928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC
928
929 929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC
929
930 930 RESERVED FOR FUTURE USE
930
931 931 RESERVED FOR FUTURE USE
931
932 932 RESERVED FOR FUTURE USE
932
933 933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT
933
934 934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY
934
935 935 NON-EXTENSIVE BURNS
935
936 936 RESERVED FOR FUTURE USE
936
937 937 RESERVED FOR FUTURE USE
937
938 938 RESERVED FOR FUTURE USE
938
939 939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC
939
940 940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC
940
941 941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC
941
942 942 RESERVED FOR FUTURE USE
942
943 943 RESERVED FOR FUTURE USE
943
944 944 RESERVED FOR FUTURE USE
944
945 945 REHABILITATION WITH CC/MCC
945
WEIGHTED MEDIAN MEDICARE ADVANTAGE ORGANIZATION PAYER - SPECIFIC NEGOTIATED CHARGE DATA PROVIDER CCN: PERIOD:
FROM:                          
TO:


MS-DRG MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) TITLE CHARGE
946 946 REHABILITATION WITHOUT CC/MCC
946
947 947 SIGNS AND SYMPTOMS WITH MCC
947
948 948 SIGNS AND SYMPTOMS WITHOUT MCC
948
949 949 AFTERCARE WITH CC/MCC
949
950 950 AFTERCARE WITHOUT CC/MCC
950
951 951 OTHER FACTORS INFLUENCING HEALTH STATUS
951
952 952 RESERVED FOR FUTURE USE
952
953 953 RESERVED FOR FUTURE USE
953
954 954 RESERVED FOR FUTURE USE
954
955 955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA
955
956 956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA
956
957 957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC
957
958 958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC
958
959 959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
959
960 960 RESERVED FOR FUTURE USE
960
961 961 RESERVED FOR FUTURE USE
961
962 962 RESERVED FOR FUTURE USE
962
963 963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC
963
964 964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC
964
965 965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
965
966 966 RESERVED FOR FUTURE USE
966
967 967 RESERVED FOR FUTURE USE
967
968 968 RESERVED FOR FUTURE USE
968
969 969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC
969
970 970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC
970
971 971 RESERVED FOR FUTURE USE
971
972 972 RESERVED FOR FUTURE USE
972
973 973 RESERVED FOR FUTURE USE
973
974 974 HIV WITH MAJOR RELATED CONDITION WITH MCC
974
975 975 HIV WITH MAJOR RELATED CONDITION WITH CC
975
976 976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC
976
977 977 HIV WITH OR WITHOUT OTHER RELATED CONDITION
977
978 978 RESERVED FOR FUTURE USE
978
979 979 RESERVED FOR FUTURE USE
979
980 980 RESERVED FOR FUTURE USE
980
981 981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC
981
982 982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC
982
983 983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC
983
984 984 RESERVED FOR FUTURE USE
984
985 985 RESERVED FOR FUTURE USE
985
986 986 RESERVED FOR FUTURE USE
986
987 987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC
987
988 988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC
988
989 989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC
989
990 990 RESERVED FOR FUTURE USE
990
WEIGHTED MEDIAN MEDICARE ADVANTAGE ORGANIZATION PAYER - SPECIFIC NEGOTIATED CHARGE DATA PROVIDER CCN: PERIOD:
FROM:                          
TO:


MS-DRG MEDICARE SEVERITY DIAGNOSIS-RELATED GROUP (MS-DRG) TITLE CHARGE
991 991 RESERVED FOR FUTURE USE
991
992 992 RESERVED FOR FUTURE USE
992
993 993 RESERVED FOR FUTURE USE
993
994 994 RESERVED FOR FUTURE USE
994
995 995 RESERVED FOR FUTURE USE
995
996 996 RESERVED FOR FUTURE USE
996
997 997 RESERVED FOR FUTURE USE
997
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