Final Cost Outlier Thresholds Effective December 1, 2009 - December 31, 2009 and January 1, 2010 - December 31, 2010

Also available as an Excel Spreadsheet

APR-DRG APR-DRG Description 2009 High Cost Outlier Thresholds Effective 12/1/09 2010 High Cost Outlier Thresholds Effective 1/1/10
001 Liver Transplant $ 632,417 $ 643,168
002 Heart &/or Lung Transplant $ 1,328,568 $ 1,351,154
003 Bone Marrow Transplant $ 531,628 $ 540,666
004 Tracheostomy W Long Term Mechanical Ventilation W Extensive Procedure $ 965,288 $ 981,698
005 Tracheostomy W Long Term Mechanical Ventilation W/O Extensive Procedure $ 649,358 $ 660,397
006 Pancreas Transplant $ 325,730 $ 331,267
020 Craniotomy for Trauma $ 164,112 $ 166,902
021 Craniotomy Except for Trauma $ 181,388 $ 184,472
022 Ventricular Shunt Procedures $ 95,683 $ 97,310
023 Spinal Procedures $ 120,713 $ 122,765
024 Extracranial Vascular Procedures $ 90,435 $ 91,972
026 Other Nervous System & Related Procedures $ 102,040 $ 103,775
040 Spinal Disorders & Injuries $ 72,211 $ 73,439
041 Nervous System Malignancy $ 76,357 $ 77,655
042 Degenerative Nervous System Disorders Exc Mult Sclerosis $ 67,799 $ 68,952
043 Multiple Sclerosis & Other Demyelinating Diseases $ 42,221 $ 42,939
044 Intracranial Hemorrhage $ 103,759 $ 105,523
045 CVA & Precerebral Occulusion w/ Infarct $ 55,435 $ 56,377
046 Nonspecific CVA & Precerebral Occlusion w/o Infarct $ 42,630 $ 43,355
047 Transient Ischemia $ 23,797 $ 24,202
048 Peripheral, Cranial & Autonomic Nerve Disorders $ 40,095 $ 40,777
049 Bacterial & Tuberculous Infections of Nervous System $ 126,954 $ 129,112
050 Non-bacterial Infections of Nervous System Exc Viral Meningitis $ 99,215 $ 100,902
051 Viral Meningitis $ 31,949 $ 32,492
052 Nontraumatic Stupor & Coma $ 48,171 $ 48,990
053 Seizure $ 31,048 $ 31,576
054 Migraine & Other Headaches $ 24,485 $ 24,901
055 Head Trauma w/ Coma > 1 Hr or Hemorrhage $ 54,351 $ 55,275
056 Brain Contusion/Laceration & Compliated Skull FX, COMA < 1 HR OR No Coma $ 46,345 $ 47,133
057 Concussion, Closed Skull FX Nos, Uncomplicated Intracranial Injury, Coma <1 Hr or No Coma $ 20,296 $ 20,641
058 Other Disorders of Nervous System $ 39,041 $ 39,705
070 Orbital Procedures $ 46,429 $ 47,218
073 Eye Procedures Except Orbit $ 36,133 $ 36,747
080 Acute Major Eye Infections $ 28,610 $ 29,096
082 Eye Disorders Except Major Infections $ 28,515 $ 29,000
089 Major Cranial/Facial Bone Procedures $ 103,812 $ 105,577
090 Major Larynx & Trachea Procedures $ 159,811 $ 162,528
091 Other Major Head & Neck Procedures $ 184,507 $ 187,644
092 Facial Bone Procedures Except Major Cranial/Facial Bone Procedures $ 51,207 $ 52,078
093 Sinus & Mastoid Procedures $ 45,034 $ 45,800
095 Cleft Lip & Palate Repair $ 34,657 $ 35,246
097 Tonsill & Adenoid Procedures $ 28,234 $ 28,714
098 Other Ear, Nose, Mouth & Throat Procedures $ 37,361 $ 37,996
110 Ear, Nose, Mouth Throat, Cranial/Facial Malignancies $ 73,550 $ 74,800
111 Vertigo & Other Labyrinth Disorders $ 21,525 $ 21,891
113 Infections Of The Upper Respiratory Tract $ 19,824 $ 20,161
114 Dental & Oral Diseases & Injuries $ 30,574 $ 31,094
115 Other Ear, Nose, Mouth,Throat & Cranial/Facial Diagnoses $ 26,755 $ 27,210
120 Major Respiratory & Chest Procedures $ 111,067 $ 112,955
121 Other Respiratory & Chest Procedures $ 95,174 $ 96,792
130 Respiratory System Diagnosis w/ Ventilator Support 96+ Hours $ 243,053 $ 247,185
131 Cystic Fibrosis - Pulmonary Disease $ 92,839 $ 94,417
132 BPD & Oth Chronic Respiratory Dis Arising In Perinatal Period $ 89,709 $ 91,234
133 Pulmonary Edema & Respiratory Failure $ 78,887 $ 80,228
134 Pulmonary Embolism $ 51,842 $ 52,723
135 Major Chest & Respiratory Trauma $ 37,685 $ 38,326
136 Respiratory Malignancy $ 84,922 $ 86,366
137 Major Respiratory Infections & Inflammations $ 79,872 $ 81,230
138 Bronchiolitis & RSV Pneumonia $ 25,704 $ 26,141
139 Other Pneumonia $ 32,873 $ 33,432
140 Chronic Obstructive Pulmonary Disease $ 34,154 $ 34,735
141 Asthma $ 23,474 $ 23,873
142 Interstitial Lung Disease $ 56,614 $ 57,576
143 Other Respiratory Diagnosis Except Signs, Symptoms & Minor Diagnoses $ 45,725 $ 46,502
144 Respiratory System Signs, Symptoms & Other Diagnoses $ 25,740 $ 26,178
160 Major Cardiothoracic Repair of Heart Anomaly $ 270,150 $ 274,743
161 Cardiac Defibrillator & Heart Assist Anomaly $ 238,407 $ 242,460
162 Cardiac Valve Procedures w/ Cardiac Catheterization $ 266,063 $ 270,586
163 Cardiac Valve Procedures w/o Cardiac Catheterization $ 176,411 $ 179,410
165 Coronary Bypass w/ Cardiac Cath Or Percutaneous Cardiac Procedure $ 180,517 $ 183,586
166 Coronary Bypass w/o Cardiac Cath Or Percutaneous Cardiac Procedure $ 133,055 $ 135,317
167 Other Cardiothoracic Procedures $ 163,863 $ 166,649
169 Major Thoracic & Abdominal Vascular Procedures $ 180,372 $ 183,438
170 Permanent Cardiac Pacemaker Implant w/ AMI, Heart Failure or Shock $ 174,349 $ 177,313
171 Perm Cardiac Pacemaker Implant w/o AMI, Heart Failure or Shock $ 91,012 $ 92,559
173 Other Vascular Procedures $ 117,406 $ 119,402
174 Percutaneous Cardiovascular Procedures w/ AMI $ 85,886 $ 87,346
175 Percutaneous Cardiovascular Procedures w/o AMI $ 62,795 $ 63,863
176 Cardiac Pacemaker & Defibrillator Device Replacement $ 145,243 $ 147,712
177 Cardiac Pacemaker & Defibrillator Revision Except Device Replacement $ 109,839 $ 111,706
180 Other Circulatory System Procedures $ 143,747 $ 146,191
190 Acute Myocardial Infarction $ 62,189 $ 63,246
191 Cardiac Catheterization w/ Circ Disord Exc Ischemic Heart Disease $ 63,184 $ 64,258
192 Cardiac Catheterization for Ischemic Heart Disease $ 33,064 $ 33,626
193 Acute & Subacute Endocarditis $ 131,145 $ 133,374
194 Heart Failure $ 45,833 $ 46,612
196 Cardiac Arrest $ 69,077 $ 70,251
197 Peripheral & Other Vascular Disorders $ 45,486 $ 46,259
198 Angina Pectoris & Coronary Atherosclerosis $ 20,584 $ 20,934
199 Hypertension $ 23,750 $ 24,154
200 Cardiac Congenital & Valvular Disorders $ 43,152 $ 43,886
201 Cardiac Arrhythmia & Conduction Disorders $ 26,444 $ 26,894
203 Chest Pain $ 16,243 $ 16,519
204 Syncope & Collapse $ 23,198 $ 23,592
205 Cardiomyopathy $ 33,763 $ 34,337
206 Malfunction, Reaction & Comp of Cardiac or Vasc Device or Proc $ 83,814 $ 85,239
207 Other Circulatory System Diagnoses $ 36,459 $ 37,079
220 Major Stomach, Esophageal & Duodenal Procedures $ 139,311 $ 141,679
221 Major Small & Large Bowel Procedures $ 87,113 $ 88,594
222 Minor Stomach, Esophageal & Duodenal Procedures $ 37,985 $ 38,631
223 Minor Small & Large Bowel Procedures $ 61,759 $ 62,809
224 Peritoneal Adhesiolysis $ 67,875 $ 69,029
225 Appendectomy $ 28,500 $ 28,985
226 Anal Procedures $ 28,415 $ 28,898
227 Hernia Procedures Except Inguinal, Femoral & Umbilical $ 44,118 $ 44,868
228 Inguinal, Femoral & Umbilical Hernia Procedures $ 29,930 $ 30,439
229 Other Digestive System & Abdominal Procedures $ 93,949 $ 95,546
240 Digestive Malignancy $ 78,562 $ 79,898
241 Peptic Ulcer & Gastritis $ 32,054 $ 32,599
242 Major Esophageal Disorders $ 47,974 $ 48,790
243 Other Esophageal Disorders $ 25,735 $ 26,172
244 Diverticulitis & Diverticulosis $ 24,716 $ 25,136
245 Inflammatory Bowel Disease $ 41,673 $ 42,381
246 Gastrointestinal Vascular Insufficiency $ 35,537 $ 36,141
247 Intestinal Obstruction $ 27,451 $ 27,918
248 Major Gastrointestinal & Peritoneal Infections $ 47,875 $ 48,689
249 Non-Bacterial Gastroenteritis, Nausea & Vomiting $ 19,937 $ 20,276
251 Abdominal Pain $ 20,970 $ 21,326
252 Malfunction, Reaction & Complication Of G.I. Device Or Procedure $ 46,786 $ 47,581
253 Other & Unspecified Gastrointestinal Hemorrhage $ 43,178 $ 43,912
254 Other Digestive System Diagnoses $ 30,427 $ 30,944
260 Major Pancreas, Liver & Shunt Procedures $ 155,997 $ 158,649
261 Major Biliary Tract Procedures $ 123,946 $ 126,053
262 Cholecystectomy Except Laparoscopic $ 67,556 $ 68,704
263 Laparoscopic Cholecystectomy $ 40,184 $ 40,867
264 Other Hepatobiliary, Pancreas & Abdominal Procedures $ 138,160 $ 140,509
279 Hepatic Coma & Other Major Acute Liver Disorders $ 72,230 $ 73,458
280 Alcoholic Liver Disease $ 68,779 $ 69,948
281 Malignancy of Hepatobiliary System & Pancreas $ 71,024 $ 72,231
282 Disorders of Pancreas Except Malignancy $ 35,933 $ 36,544
283 Other Disorders Of The Liver $ 51,508 $ 52,384
284 Disorders of the Gallbladder & Biliary Tract $ 39,286 $ 39,954
301 Hip Joint Replacement $ 65,799 $ 66,918
302 Knee Joint Replacement $ 61,532 $ 62,578
303 Dorsal & Lumbar Fusion Proc for Curvature of Back $ 210,600 $ 214,180
304 Dorsal & Lumbar Fusion Proc Except for Curvature of Back $ 148,526 $ 151,051
305 Amputation of Lower Limb Except Toes $ 159,903 $ 162,621
308 Hip & Femur Procedures for Trauma Except Joint Replacement $ 72,819 $ 74,057
309 Hip & Femur Procedures for Non-Trauma Except Joint Replacement $ 77,944 $ 79,269
310 Intervertebral Disc Excision & Decompression $ 35,260 $ 35,859
312 Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses $ 190,600 $ 193,840
313 Knee & Lower Leg Procedures Except Foot $ 54,541 $ 55,468
314 Foot & Toe Procedures $ 68,279 $ 69,440
315 Shoulder, Upper Arm & Forearm Procedures $ 47,153 $ 47,955
316 Hand & Wrist Procedures $ 31,669 $ 32,207
317 Tendon, Muscle & Other Soft Tissue Procedures $ 47,614 $ 48,423
320 Other Musculoskeletel System & Connective Tissue Procedures $ 76,348 $ 77,646
321 Cervical Spinal Fusion & Other Back/Neck Proc Exc Disc Excis/Decomp $ 66,129 $ 67,253
340 Fractures of Femur $ 44,693 $ 45,453
341 Fracture of Pelvis or Dislocation of Hip $ 36,852 $ 37,478
342 Fracture or Dislocation Except Femur, Pelvis & Back $ 24,417 $ 24,832
343 Musculoskeletal Malignancy & Pathol Fractures D/T Muscskel Malig $ 104,066 $ 105,835
344 Osteomyelitis, Septic Arthritis & Other Musculoskeletal Infections $ 79,002 $ 80,345
346 Connective Tissue Disorders $ 57,593 $ 58,572
347 Other Back & Neck Disorders, Fractures & Injuries $ 30,329 $ 30,845
349 Malfunction, Reaction & Comp of Orthopedic Device or Procedure $ 53,457 $ 54,366
351 Other Musculoskeletal System & Connective Tissue Diagnoses $ 30,848 $ 31,372
361 Skin Graft for Skin & Subcutaneous Tissue Diagnoses $ 81,686 $ 83,075
362 Mastectomy Procedures $ 62,823 $ 63,891
363 Breast Procedures Except Mastectomy $ 42,171 $ 42,888
364 Other Skin, Subcutaneous Tissue & Related Procedures $ 49,079 $ 49,913
380 Skin Ulcers $ 49,330 $ 50,169
381 Major Skin Disorders $ 45,976 $ 46,758
382 Malignant Breast Disorders $ 61,360 $ 62,403
383 Cellulitis & Other Bacterial Skin Infections $ 29,279 $ 29,777
384 Contusion, Open Wound & Other Trauma To Skin & Subcutaneous Tissue $ 21,878 $ 22,250
385 Other Skin, Subcutaneous Tissue & Breast Disorders $ 28,214 $ 28,694
401 Pituitary & Adrenal Procedures $ 73,925 $ 75,182
403 Procedures for Obesity $ 39,053 $ 39,717
404 Thyroid, Parathyroid & Thyroglossal Procedures $ 25,521 $ 25,955
405 Other Procedures for Endocrine, Nutrititional & Metabolic Disorders $ 163,409 $ 166,187
420 Diabetes $ 29,772 $ 30,278
421 Malnutrition, Failure To Thrive & Other Nutritional Disorders $ 56,254 $ 57,210
422 Hypovolemia & Related Electrolyte Disorders $ 28,052 $ 28,529
423 Inborn Errors of Metabolism $ 51,648 $ 52,526
424 Other Endocrine Disorders $ 37,211 $ 37,844
425 Electrolyte Disorders Except Hypovolemia Related $ 34,544 $ 35,131
440 Kidney Transplant $ 313,242 $ 318,567
441 Major Bladder Procedures $ 124,443 $ 126,559
442 Kidney & Urinary Tract Procedures for Malignancy $ 59,855 $ 60,873
443 Kidney & Urinary Tract Procedures for Nonmalignancy $ 61,205 $ 62,245
444 Renal Dialysis Access Device Procedure Only $ 119,850 $ 121,887
445 Other Bladder Procedures $ 51,919 $ 52,802
446 Urethral & Transurethral Procedures $ 29,257 $ 29,754
447 Other Kidney, Urinary Tract & Related Procedures $ 103,333 $ 105,090
460 Renal Failure $ 62,686 $ 63,752
461 Kidney & Urinary Tract Malignancy $ 70,653 $ 71,854
462 Nephritis & Nephrosis $ 41,825 $ 42,536
463 Kidney & Urinary Tract Infections $ 28,608 $ 29,094
465 Urinary Stones & Acquired Upper Urinary Tract Obstruction $ 23,172 $ 23,566
466 Malfunction, Reaction & Complic of Genitourinary Device Or Proc $ 62,665 $ 63,730
468 Other Kidney & Urinary Tract Diagnoses, Signs & Symptoms $ 37,806 $ 38,449
480 Major Male Pelvic Procedures $ 40,983 $ 41,680
481 Penis Procedures $ 58,138 $ 59,126
482 Transurethral Prostatectomy $ 26,302 $ 26,749
483 Testes & Scrotal Procedures $ 29,318 $ 29,816
484 Other Male Reproductive System & Related Procedures $ 69,585 $ 70,768
500 Malignancy, Male Reproductive System $ 67,508 $ 68,656
501 Male Reproductive System Diagnoses Except Malignancy $ 28,213 $ 28,693
510 Pelvic Evisceration, Radical Hysterectectomy & Radical GYN Procs $ 57,674 $ 58,654
511 Uterine & Adnexa Procedures for Ovarian & Adnexal Malignancy $ 76,630 $ 77,933
512 Uterine & Adnexa Procedures for Non-ovarian & Non-adnexal Malig $ 41,521 $ 42,227
513 Uterine & Adnexa Procedures for Non-Malignancy Except Leiomyoma $ 27,241 $ 27,704
514 Female Reproductive System Reconstructive Procedures $ 25,454 $ 25,887
517 Dilation & Curettage For Non-Obstetric Procedures $ 25,931 $ 26,372
518 Other Female Reproductive System & Related Procedures $ 35,512 $ 36,116
519 Uterine & Adnexa Procedures For Leiomyoma $ 30,112 $ 30,624
530 Female Reproductive System Malignancy $ 71,738 $ 72,958
531 Female Reproductive System Infections $ 25,936 $ 26,377
532 Menstrual & Other Female Reproductive System Disorders $ 23,556 $ 23,956
540 Cesarean Delivery $ 26,613 $ 27,065
541 Vaginal Delivery w/ Sterilization &/or D&C $ 23,722 $ 24,125
542 Vaginal Delivery w/ Complicating Procedures Exc Sterilization &/or D&C $ 18,206 $ 18,516
544 D&C, Aspiration Curettage or Hysterotomy For Obstetric Diagnoses $ 20,065 $ 20,406
545 Ectopic Pregnancy Procedure $ 26,481 $ 26,931
546 Other O.R. Proc For Obstetric Diagnoses Except Delivery Diagnoses $ 30,101 $ 30,613
560 Vaginal Delivery $ 16,387 $ 16,666
561 Postpartum & Post Abortion Diagnoses w/o Procedure $ 23,430 $ 23,828
563 Threatened Abortion $ 18,955 $ 19,277
564 Abortion w/o D&C, Aspiration Curettage or Hysterotomy $ 15,869 $ 16,139
565 False Labor $ 8,099 $ 8,237
566 Other Antepartum Diagnoses $ 21,557 $ 21,923
580 Neonate, Transferred <5 Days Old, Not Born Here $ 37,407 $ 38,043
581 Neonate, Transferred <5 Days Old, Born Here $ 7,269 $ 7,393
583 Neonate, w/ ECMO $ 1,812,166 $ 1,842,973
588 Neonate BWT <1500G W Major Procedure $ 1,365,643 $ 1,388,859
589 Neonate BWT < 500G $ 17,645 $ 17,945
591 Neonate, Birthwt 500-749G w/o Major Procedure $ 1,202,483 $ 1,222,925
593 Neonate, Birthwt 750-999G w/o Major Procedure $ 643,591 $ 654,532
602 Neonate, Birthwt 1000-1249G w/ Resp Dist Synd/Oth Maj Resp Or Maj Anom $ 467,269 $ 475,213
603 Neonate, Birthwt 1000-1249G W OR W/O Other Significant Condition $ 380,905 $ 387,380
607 Neonate, BWT 1250-1499G W Resp Dist Synd/Oth Maj Resp Or Maj Anom $ 350,137 $ 356,089
608 Neonate, Birthwt 1250-1499G W OR W/O Other Significant Condition $ 204,074 $ 207,543
609 Neonate, BWT 1500-2499G W Major Procedure $ 549,565 $ 558,908
611 Neonate, Birthwt 1500-1999G W Major Anomaly $ 261,139 $ 265,578
612 Neonate, BWT 1500-1999G W Resp Dist Synd/Oth Maj Resp Cond $ 228,389 $ 232,272
613 Neonate, Birthwt 1500-1999G W Congenital/Perinatal Infection $ 176,654 $ 179,657
614 Neonate, Birthwt 1500-1999G W OR W/O Other Significant Condition $ 123,799 $ 125,904
621 Neonate, BWT 2000-2499G W Major Anomaly $ 154,340 $ 156,964
622 Neonate, BWT 2000-2499G W Resp Dist Synd/Oth Maj Resp Cond $ 108,530 $ 110,375
623 Neonate, Birthwt 2000-2499G W Congenital/Perinatal Infection $ 91,827 $ 93,388
625 Neonate, Birthwt 2000-2499G W Other Significant Condition $ 102,563 $ 104,307
626 Neonate, BWT 2000-2499G, Normal Newborn Or Neonate W Other Problem $ 37,043 $ 37,673
630 Neonate, Birthwt > 2499g w/ Major Cardiovasc Procedure $ 417,996 $ 425,102
631 Neonate, Birthwt > 2499g w/ Other Major Procedure $ 520,799 $ 529,653
633 Neonate, Birthwt > 2499g w/ Major Anomaly $ 52,864 $ 53,763
634 Neonate, Birthwt > 2499g W Resp Dist Synd/Oth Maj Resp Cond $ 76,755 $ 78,060
636 Neonate, Birthwt > 2499g W Congenital/Perinatal Infection $ 51,248 $ 52,119
639 Neonate, Birthwt > 2499g W Other Significant Condition $ 38,908 $ 39,569
640 Neonate, Bwt > 2499g, Normal Newborn Or Neonate W Other Problem $ 6,835 $ 6,951
650 Splenectomy $ 76,562 $ 77,864
651 Other Procedures of Blood & Blood Forming Organs $ 64,011 $ 65,099
660 Major Hematologic/Immunologic Diag Exc Sickle Cell Crisis & Coagul $ 65,791 $ 66,909
661 Coagulation & Platelet Disorders $ 67,194 $ 68,336
662 Sickle Cell Anemia Crisis $ 48,262 $ 49,082
663 Other Anemia & Disorders Of Blood & Blood Forming Organs $ 33,178 $ 33,742
680 Major O.R. Procedures For Lymphatic/Hematopietic/Other Neoplasms $ 180,596 $ 183,666
681 Other O.R. Procedures For Lymphatic/Hematopietic/Other Neoplasms $ 96,573 $ 98,215
690 Acute Leukemia $ 449,551 $ 457,193
691 Lymphoma & Non-acute Leukemia $ 130,970 $ 133,196
692 Radiotherapy $ 55,851 $ 56,800
693 Chemotherapy $ 52,347 $ 53,237
694 Lymphatic & Other Malignancies & Neoplasms Of Uncertain Behavior $ 78,355 $ 79,687
710 Infectious & Parasitic Diseases Including HIV W O.R. Procedure $ 293,318 $ 298,304
711 Post-Op,Post-Trauma, Other Device Infections W O.R. Procedure $ 115,396 $ 117,358
720 Septicemia & Disseminated Infections $ 105,463 $ 107,256
721 Post-Operative, Post-Traumatic, Other Device Infections $ 47,266 $ 48,070
722 Fever $ 26,738 $ 27,193
723 Viral Illness $ 23,249 $ 23,644
724 Other Infectious & Parasitic Diseases $ 50,565 $ 51,425
740 Mental Illness Diagnosis W O.R. Procedure $ 127,079 $ 129,239
750 Schizophrenia $ 38,518 $ 39,173
751 Major Depressive Disorders & Other/Unspecified Psychoses $ 52,044 $ 52,929
752 Disorders of Personality & Impulse Control $ 7,567 $ 7,696
753 Bipolar Disorders $ 21,720 $ 22,089
754 Depression Except Major Depressive Disorder $ 12,561 $ 12,775
755 Adjustment Disorders & Neuroses Except Depressive Diagnoses $ 14,262 $ 14,504
756 Acute Anxiety & Delirium States $ 19,250 $ 19,577
757 Organic Mental Health Disturbances $ 55,407 $ 56,349
758 Childhood Behavioral Disorders $ 21,778 $ 22,148
759 Eating Disorders $ 80,589 $ 81,959
760 Other Mental Health Disorders $ 30,769 $ 31,292
770 Drug & Alcohol Abuse or Dependence, Left Against Medical Advice $ 17,247 $ 17,540
772 Alcohol & Drug Dependence w/ Rehab/Detox Therapy $ 33,014 $ 33,575
773 Opioid Abuse & Dependence $ 30,541 $ 31,060
774 Cocaine Abuse & Dependence $ 31,363 $ 31,896
775 Alcohol Abuse & Dependence $ 28,419 $ 28,902
776 Other Drug Abuse & Dependence $ 35,151 $ 35,749
791 O.R. Procedure For Other Complications Of Treatment $ 71,659 $ 72,877
811 Allergic Reactions $ 16,328 $ 16,606
812 Poisoning Of Medicinal Agents $ 26,303 $ 26,750
813 Other Complications of Treatment $ 34,142 $ 34,722
815 Other Injury, Poisoning & Toxic Effect Diagnoses $ 28,341 $ 28,823
816 Toxic Effects Of Non-Medicinal Substances $ 30,189 $ 30,702
841 Extensive 3rd Degree Burns W Skin Graft $ 1,216,922 $ 1,237,610
842 Full Thickness Burns W Skin Graft $ 232,033 $ 235,978
843 Extensive 3rd Degree Or Full Thickness Burns W/O Skin Graft $ 96,967 $ 98,615
844 Partial Thickness Burns W Or W/O Skin Graft $ 97,005 $ 98,654
850 Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service $ 76,084 $ 77,377
860 Rehabilitation $ 65,810 $ 66,929
861 Signs, Symptoms & Other Factors Influencing Health Status $ 29,809 $ 30,316
862 Other Aftercare & Convalescence $ 67,325 $ 68,470
863 Neonatal Aftercare $ 123,793 $ 125,897
890 HIV W Multiple Major HIV Related Conditions $ 213,372 $ 216,999
892 HIV W Major HIV Related Condition $ 85,989 $ 87,451
893 HIV W Multiple Significant HIV Related Conditions $ 73,871 $ 75,127
894 HIV W One Signif HIV Cond Or W/O Signif Related Cond $ 43,109 $ 43,842
910 Craniotomy For Multiple Significant Trauma $ 231,236 $ 235,167
911 Extensive Abdominal/Thoraic Procedures For Mult Significant Trauma $ 290,996 $ 295,943
912 Musculoskeletal & Other Procedures For Multiple Significant Trauma $ 285,639 $ 290,495
930 Multiple Significant Trauma W/O O.R. Procedure $ 72,064 $ 73,289
950 Extensive Procedure Unrelated To Principal Diagnosis $ 209,195 $ 212,751
951 Moderately Extensive Procedure Unrelated To Principal Diagnosis $ 112,237 $ 114,145
952 Nonextensive Procedure Unrelated To Principal Diagnosis $ 67,746 $ 68,898

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