Code table for AR-DRG v4.1.
DRG grouper type | DRG code | DRG description |
---|---|---|
3 | 901Z | Extensive OR procedure unrelated to principal diagnosis |
3 | 902Z | Non-extensive OR procedure unrelated to principal diagnosis |
3 | 903Z | Prostatic OR procedure unrelated to principal diagnosis |
3 | 960Z | Ungroupable |
3 | 961Z | Unacceptable principal diagnosis |
3 | 962Z | Unacceptable obstetric diagnosis combination |
3 | 963Z | Neonatal diagnosis not consistent w age/weight |
3 | A01Z | Liver transplant |
3 | A02Z | Multiple organs transplant |
3 | A03Z | Lung transplant |
3 | A04Z | Bone marrow transplant |
3 | A05Z | Heart transplant |
3 | A06Z | Tracheostomy any age, any condition |
3 | A40Z | ECMO w/o cardiac surgery |
3 | A41Z | Intubation age<16 |
3 | B01Z | Ventricular shunt revision w no other OR procedures |
3 | B02A | Craniotomy w catastrophic cc |
3 | B02B | Craniotomy w severe or moderate cc |
3 | B02C | Craniotomy w/o cc |
3 | B03A | Spinal procedures w catastrophic or severe cc |
3 | B03B | Spinal procedures w/o catastrophic or severe cc |
3 | B04A | Extracranial vascular procedures w catastrophic or severe cc |
3 | B04B | Extracranial vascular procedures w/o catastrophic or severe cc |
3 | B05Z | Carpal tunnel release |
3 | B06A | Procs for cerebral palsy,muscular dystrophy,neuropathy w cat/sev cc |
3 | B06B | Procs for cerebral palsy,muscular dystrophy,neuropathy w/o cat/sev cc |
3 | B07A | Peripheral and cranial nerve & other nervous system procedures w cc |
3 | B07B | Peripheral and cranial nerve & other nervous system procedures w/o cc |
3 | B40Z | Plasmapheresis w neurological disease |
3 | B41Z | Prolonged monitoring for complex epilepsy |
3 | B60A | Non acute paraplegia/quadriplegia w or w/o OR procs w cat cc |
3 | B60B | Non acute paraplegia/quadriplegia w or w/o OR procs w/o cat cc |
3 | B61A | Spinal cord conditions w or w/o OR Procedures w cat or sev cc |
3 | B61B | Spinal cord conditions w or w/o OR Procedures w/o cat or sev cc |
3 | B62Z | Admit for apheresis |
3 | B63Z | Dementia and other chronic disturbances of cerebral function |
3 | B64Z | Delirium |
3 | B65Z | Cerebral palsy |
3 | B66A | Nervous system neoplasm age>64 |
3 | B66B | Nervous system neoplasm age<65 |
3 | B67A | Degenerative nervous system disorders w catastrophic or severe cc |
3 | B67B | Degenerative nervous system disorders w/o catastrophic or severe cc |
3 | B68A | Multiple sclerosis and cerebellar ataxia w cc |
3 | B68B | Multiple sclerosis and cerebellar ataxia w/o cc |
3 | B69A | TIA and precerebral occlusion w catastrophic cc |
3 | B69B | TIA and precerebral occlusion w severe cc |
3 | B69C | TIA and precerebral occlusion w/o catastrophic or severe cc |
3 | B70A | Stroke w severe or complicating diagnosis/procedure |
3 | B70B | Stroke w other cc |
3 | B70C | Stroke w/o other cc |
3 | B70D | Stroke, died or transferred < 5 days |
3 | B71A | Cranial and peripheral nerve disorders w cc |
3 | B71B | Cranial and peripheral nerve disorders w/o cc |
3 | B72Z | Nervous system infection except viral meningitis |
3 | B73Z | Viral meningitis |
3 | B74Z | Nontraumatic stupor and coma |
3 | B75Z | Febrile convulsions |
3 | B76A | Seizure age<03 or w catastrophic or severe cc |
3 | B76B | Seizure age>2 w/o catastrophic or severe cc |
3 | B77Z | Headache |
3 | B78Z | Intracranial injury |
3 | B79Z | Skull fractures |
3 | B80Z | Other head injury |
3 | B81A | Other disorders of the nervous system w catastrophic or severe cc |
3 | B81B | Other disorders of the nervous system w/o catastrophic or severe cc |
3 | C01Z | Procedures for pentetrating eye injury |
3 | C02Z | Enucleations and orbital procedures |
3 | C03Z | Retinal procedures |
3 | C04Z | Major corneal, scleral and conjunctival procedures |
3 | C05Z | Dacryocrystorhinostomy |
3 | C06Z | Complex glaucoma procedures |
3 | C07Z | Other glaucoma procedures |
3 | C08Z | Major lens procedures |
3 | C09Z | Other lens procedures |
3 | C10Z | Strabismus procedures |
3 | C11Z | Eyelid procedures |
3 | C12Z | Other corneal, scleral and conjunctival procedures |
3 | C13Z | Lacrimal procedures |
3 | C14Z | Other eye procedures |
3 | C60A | Acute and major eye infections age>54 |
3 | C60B | Acute and major eye infections age<55 |
3 | C61Z | Neurological & vascular disorders of the eye |
3 | C62Z | Hyphema and medically managed trauma to the eye |
3 | C63A | Other disorders of the eye w cc |
3 | C63B | Other disorders of the eye w/o cc |
3 | D01Z | Cochlear implant |
3 | D02A | Head and neck procedures w cc |
3 | D02B | Head and neck procedures w/o cc |
3 | D03Z | Surgical repair for cleft lip or palate diagnosis |
3 | D04A | Maxillo surgery w cc |
3 | D04B | Maxillo surgery w/o cc |
3 | D05Z | Sialoadenectomy |
3 | D06Z | Sinus, mastoid and complex middle ear procedures |
3 | D07Z | Salivary gland procedures except sialoadenectomy |
3 | D08Z | Mouth procedures |
3 | D09Z | Miscellaneous ear, nose, mouth & throat procedures |
3 | D10Z | Rhinoplasty (w or w/o turbinectomy) |
3 | D11Z | Tonsillectomy or adenoidectomy |
3 | D12Z | Other ear, nose, mouth & throat procedures |
3 | D13Z | Myringotomy w tube insertion |
3 | D40Z | Dental extractions and restorations |
3 | D60A | Ear, nose, mouth and throat malignancy w catastrophic or severe cc |
3 | D60B | Ear, nose, mouth and throat malignancy w/o catastrophic or severe cc |
3 | D61Z | Dysequilibrium |
3 | D62Z | Epistaxis |
3 | D63A | Otitis media and URI w cc |
3 | D63B | Otitis media and URI w/o cc |
3 | D64Z | Laryngotracheitis and epiglottitis |
3 | D65Z | Nasal trauma and deformity |
3 | D66A | Other ear, nose, mouth and throat diagnoses w cc |
3 | D66B | Other ear, nose, mouth and throat diagnoses w/o cc |
3 | D67Z | Dental and oral disorders except extractions and restorations |
3 | E01A | Major chest procedures w catastrophic cc |
3 | E01B | Major chest procedures w/o catastrophic cc |
3 | E02A | Other respiratory system OR procedures w catastrophic cc |
3 | E02B | Other respiratory system OR procedures w severe cc |
3 | E02C | Other respiratory system OR procedures w/o catastrophic/severe cc |
3 | E40Z | Respiratory system diagnosis w ventilator support |
3 | E60A | Cystic fibrosis w catastrophic or severe cc |
3 | E60B | Cystic fibrosis w/o catastrophic or severe cc |
3 | E61A | Pulmonary embolism w catastrophic or severe cc |
3 | E61B | Pulmonary embolism w/o catastrophic or severe cc |
3 | E62A | Respiratory infections/inflammations w catastrophic cc |
3 | E62B | Respiratory infections/inflammations w severe or moderate cc |
3 | E62C | Respiratory infections/inflammations w/o cc |
3 | E63Z | Sleep apnoea |
3 | E64Z | Pulmonary oedema and respiratory failure |
3 | E65A | Chronic obstructive airways disease w catastrophic or severe cc |
3 | E65B | Chronic obstructive airways disease w/o catastrophic or severe cc |
3 | E66A | Major chest trauma age>69 w ccv |
3 | E66B | Major chest trauma (age<70 w cc) or (age>69 w/o cc) |
3 | E66C | Major chest trauma age<70 w/o cc |
3 | E67A | Respiratory signs and symptoms w catastrophic or severe cc |
3 | E67B | Respiratory signs and symptoms age<3 w/o catastrophic or severe ccv |
3 | E67C | Respiratory signs and symptoms age>2 w/o catastrophic or severe cc |
3 | E68Z | Pneumothorax |
3 | E69A | Bronchitis and asthma age>49 w cc |
3 | E69B | Bronchitis and asthma (age<50 w cc) or (age>49 w/o cc) |
3 | E69C | Bronchitis and asthma age<50 w/o cc |
3 | E70A | Whooping cough and acute bronchiolitis w catastrophic or severe cc |
3 | E70B | Whooping cough and acute bronchiolitis w/o catastrophic or severe cc |
3 | E71A | Respiratory neoplasms w cc |
3 | E71B | Respiratory neoplasms w/o cc |
3 | E72Z | Respiratory problems arising from neonatal period |
3 | E73A | Pleural effusion w catastrophic cc |
3 | E73B | Pleural effusion w severe cc |
3 | E73C | Pleural effusion w/o catastrophic or severe cc |
3 | E74A | Interstitial lung disease age>64 w catastrophic or severe cc |
3 | E74B | Interstitial lung dis (age<65 w cat/sev cc)/(age>64 w/o cat/sev cc) |
3 | E74C | Interstitial lung disease age<65 w/o catastrophic or severe cc |
3 | E75A | Other respiratory system diagnosis age>64 w cc |
3 | E75B | Other respiratory system diagnosis (age<65 w cc) or (age>64 w/o cc) |
3 | E75C | Other respiratory system diagnosis age<65 w/o cc |
3 | F01Z | Implantation or replacement of AICD, total system |
3 | F02Z | AICD component implantation/replacement |
3 | F03Z | Cardiac valve proc w pump w invasive cardiac investigative procedure |
3 | F04A | Ccardiac valve proc w pump w/o invas cardiac inves proc w cat/ sev cc |
3 | F04B | Cardiac valve proc w pump w/o invasive cardiac inves pr w/o cat/sev cc |
3 | F05A | Coronary bypass w invasive cardiac inves procedure w catastrophic cc |
3 | F05B | Coronary bypass w invasive cardiac inves procedure w/o catastrophic cc |
3 | F06A | Coronary bypass w/o invasive cardiac inves procedure w cat or sev cc |
3 | F06B | Coronary bypass w/o invasive cardiac inves procedure w/o cat or sev cc |
3 | F07Z | Other cardiothoracic/vascular procedures w pump |
3 | F08A | Major reconstruct vascular procedures w/o pump w catastrophic cc |
3 | F08B | Major reconstruct vascular procedures w/o pump w/o catastrophic ccv |
3 | F09Z | Other cardiothoracic procedures w/o pump |
3 | F10Z | Percutaneous coronary angioplasty w AMI |
3 | F11A | Amputation for circ system except upper limb, toe w catastrophic cc |
3 | F11B | Amputation for circ system except upper limb, toe w/o catastrophic cc |
3 | F12Z | Cardiac pacemaker implantation |
3 | F13Z | Upper limb and toe amputation for circulatory system disorders |
3 | F14A | Vascular procs except major reconstruction w/o pump w catastrophic cc |
3 | F14B | Vascular procs except major reconstruction w/o pump w severe cc |
3 | F14C | Vascular procs except major reconstruction w/o pump w/o cat or sev cc |
3 | F15Z | Percutaneous coronary angioplasty w/o AMI w stent implantation |
3 | F16Z | Percutaneous coronary angioplasty w/o AMI w/o stent implantation |
3 | F17Z | Cardiac pacemaker replacement |
3 | F18Z | Cardiac pacemaker revision except device replacement |
3 | F19Z | Other trans-vascular percutaneous cardiac intervention |
3 | F20Z | Vein ligation and stripping |
3 | F21A | Other circulatory system OR procs w cat cc or (age>64 w/o cat cc) |
3 | F21B | Other circulatory system OR procedures age<65 w/o catastrophic cc |
3 | F40Z | Circulatory system diagnosis w ventilator support |
3 | F41A | Circulatory disorders w AMI w invasive cardiac inves proc w cat/sev cc |
3 | F41B | Circulatory disord w AMI w invasive cardiac inves proc w/o cat/sev cc |
3 | F42A | Circulatory disord w/o AMI w invas cardiac inves proc w complex dx/pr |
3 | F42B | Circulatory disord w/o AMI w invas cardiac inves proc w/o compl dx/pr |
3 | F60A | Circulatory disord w AMI w/o invasive cardiac inves proc w cat/sev cc |
3 | F60B | Circulatory disord w AMI w/o invas cardiac inves proc w/o cat/sev cc |
3 | F60C | Circulatory disorders w AMI w/o invasive cardiac inves procedure, died |
3 | F61Z | Infective endocarditis |
3 | F62A | Heart failure and shock w catastrophic cc |
3 | F62B | Heart failure and shock w/o catastrophic cc |
3 | F63A | Venous thrombosis w catastrophic or severe cc |
3 | F63B | Venous thrombosis w/o catastrophic or severe cc |
3 | F64Z | Skin ulcers for circulatory disorders |
3 | F65A | Peripheral vascular disorders w catastrophic or severe cc |
3 | F65B | Peripheral vascular disorders w/o catastrophic or severe cc |
3 | F66A | Coronary atherosclerosis w cc |
3 | F66B | Coronary atherosclerosis w/o cc |
3 | F67A | Hypertension w cc |
3 | F67B | Hypertension w/o cc |
3 | F68Z | Congenital heart disease |
3 | F69A | Valvular disorders w catastrophic or severe cc |
3 | F69B | Valvular disorders w/o catastrophic or severe cc |
3 | F70A | Major arrhythmia and cardiac arrest w catastrophic or severe cc |
3 | F70B | Major arrhythmia and cardiac arrest w/o catastrophic or severe cc |
3 | F71A | Non-major arrhythmia and conduction disorders w cat or severe cc |
3 | F71B | Non-major arrhythmia and conduction disorders w/o cat or severe cc |
3 | F72A | Unstable angina w catastrophic or severe cc |
3 | F72B | Unstable angina w/o catastrophic or severe cc |
3 | F73A | Syncope and collapse w catastrophic or severe cc |
3 | F73B | Syncope and collapse w/o catastrophic or severe cc |
3 | F74Z | Chest pain |
3 | F75A | Other circulatory system diagnoses w catastrophic cc |
3 | F75B | Other circulatory system diagnoses w severe cc |
3 | F75C | Other circulatory system diagnoses w/o catastrophic or severe cc |
3 | G01A | Rectal resection w catastrophic cc |
3 | G01B | Rectal resection w/o catastrophic cc |
3 | G02A | Major small and large bowel procedures w catastrophic cc |
3 | G02B | Major small and large bowel procedures w/o catastrophic cc |
3 | G03A | Stomach, oesophageal and duodenal procedures w malignancy |
3 | G03B | Stomach, oesophageal and duodenal procs w/o malignancy w cat or sev cc |
3 | G03C | Stomach, oesophageal and duodenal procs w/o malignancy w/o cat/sev cc |
3 | G04A | Peritoneal adhesiolysis age>49 w cc |
3 | G04B | Peritoneal adhesiolysis (age<50 w cc) or (age>49 w/o cc) |
3 | G04C | Peritoneal adhesiolysis age<50 w/o cc |
3 | G05A | Minor small and large bowel procedures w cc |
3 | G05B | Minor small and large bowel procedures w/o cc |
3 | G06Z | Pyloromyotomy procedure |
3 | G07A | Appendicectomy w catastrophic or severe cc |
3 | G07B | Appendicectomy w/o catastrophic or severe cc |
3 | G08Z | Abdominal, umbilical and other hernia procedures age>0 |
3 | G09Z | Inguinal and femoral hernia procedures age>0 |
3 | G10Z | Hernia procedures age<1 |
3 | G11A | Anal and stomal procedures w catastrophic or severe cc |
3 | G11B | Anal and stomal procedures w/o catastrophic or severe cc |
3 | G12A | Other digestive system OR procs w cat or severe cc or w malignancy |
3 | G12B | Other digestive system OR procs w/o cat or sev cc w/o malignancy |
3 | G40A | Cmplx therapeutic gastroscopy for mjr digest dis w cat/sev cc/comp pr |
3 | G40B | Cmplx therapeut gastroscopy for mjr digest dis w/o cat/sev cc/comp pr |
3 | G41A | Complex therapeutic gastroscopy for non-major digestive diseases |
3 | G41B | Complex therapeutic gastroscopy for non-major digestive dis, sameday |
3 | G42A | Other gastroscopy for major digestive disease |
3 | G42B | Other gastroscopy for major digestive disease, sameday |
3 | G43Z | Complex therapeutic colonoscopy |
3 | G44A | Other colonoscopy w catastrophic or severe cc or complicating proc |
3 | G44B | Other colonoscopy w/o catastrophic or severe cc or complicating proc |
3 | G44C | Other colonoscopy, sameday |
3 | G45A | Other gastroscopy for non-major digestive disease |
3 | G45B | Other gastroscopy for non-major digestive disease, sameday |
3 | G60A | Digestive malignancy w catastrophic or severe cc |
3 | G60B | Digestive malignancy w/o catastrophic or severe cc |
3 | G61A | GI haemorrhage (age<65 w catastrophic or severe cc) or age>64 |
3 | G61B | GI haemorrhage age<65 w/o catastrophic or severe cc |
3 | G62Z | Complicated peptic ulcer |
3 | G63Z | Uncomplicated peptic ulcer |
3 | G64Z | Inflammatory bowel disease |
3 | G65A | GI obstruction w cc |
3 | G65B | GI obstruction w/o cc |
3 | G66A | Abdominal pain or mesenteric adenitis w cc |
3 | G66B | Abdominal pain or mesenteric adenitis w/o cc |
3 | G67A | Oesophagitis, gastroent & misc digest syst disord age>9 w cat/sev cc |
3 | G67B | Oesophagitis, gastroent & misc digest syst disord age>9 w/o cat/sev cc |
3 | G68A | Gastroenteritis age<10 w cc |
3 | G68B | Gastroenteritis age<10 w/o cc |
3 | G69Z | Oesophagitis and misc digestive system disorders age<10 |
3 | G70A | Other digestive system diagnoses w cc |
3 | G70B | Other digestive system diagnoses w/o cc |
3 | H01A | Pancreas, liver and shunt procedures w catastrophic cc |
3 | H01B | Pancreas, liver and shunt procedures w severe or moderate cc |
3 | H01C | Pancreas, liver and shunt procedures w/o cc |
3 | H02A | Major biliary tract procedures w malignancy |
3 | H02B | Major biliary tract procs w/o malignancy w catastrophic or severe cc |
3 | H02C | Major biliary tract procs w/o malignancy w/o catastrophic or severe cc |
3 | H03A | Cholecystectomy w closed CDE w catastrophic or severe cc |
3 | H03B | Cholecystectomy w closed CDE w/o catastrophic or severe cc |
3 | H04A | Cholecystectomy w/o closed CDE w catastrophic or severe cc |
3 | H04B | Cholecystectomy w/o closed CDE w/o catastrophic or severe cc |
3 | H05A | Hepatobiliary diagnostic procedures w catastrophic or severe cc |
3 | H05B | Hepatobiliary diagnostic procedures w/o catastrophic or severe cc |
3 | H06Z | Other hepatobiliary and pancreas OR procedures |
3 | H40Z | Endoscopic procedures for bleeding oesophageal varices |
3 | H41A | ERCP complex therapeutic procedure w catastrophic or severe cc |
3 | H41B | ERCP complex therapeutic procedure w/o catastrophic or severe cc |
3 | H42A | ERCP other therapeutic procedure w catastrophic or severe cc |
3 | H42B | ERCP other therapeutic procedure w/o catastrophic or severe cc |
3 | H60A | Cirrhosis and alcoholic hepatitis w catastrophic cc |
3 | H60B | Cirrhosis and alcoholic hepatitis w catastrophic or severe cc |
3 | H60C | Cirrhosis and alcoholic hepatitis w/o catastrophic or severe cc |
3 | H61A | Malignancy of hepatobiliary system, pancreas age>69 w cat or severe cc |
3 | H61B | Malig hepatobil sys,pancreas (a<70 w cat/sev cc)/(a>69 w/o cat/sev cc) |
3 | H61C | Malignancy of hepatobiliary system, pancreas age<70 w/o cat or sev cc |
3 | H62A | Disorders of pancreas except for malignancy w catastrophic/severe cc |
3 | H62B | Disorders of pancreas except for malignancy w/o catastrophic/severe cc |
3 | H63A | Disord liver exc malig, cirrhosis, alcoholic hepatitis w/o cat/sev cc |
3 | H63B | Disorders of the Liver Excep Malig, Cirrhosis, Alcoholic Hepatitis W/O Cat/Ser CC |
3 | H64A | Disorders of the biliary tract w cc |
3 | H64B | Disorders of the biliary tract w/o cc |
3 | I01Z | Bilateral or multiple major joint procedures of lower extremity |
3 | I02A | Microvascular tissue transfer or (skin graft w cat/sev cc), excl hand |
3 | I02B | Skin graft w/o catastrophic or severe cc, excluding hand |
3 | I03A | Hip revision w catastrophic or severe cc |
3 | I03B | Hip replacement w cat or severe cc or hip revision w/o cat/severe cc |
3 | I03C | Hip replacement w/o catastrophic or severe cc |
3 | I04A | Knee replacement and reattachment w catastrophic cc |
3 | I04B | Knee replacement and reattachment w/o catastrophic cc |
3 | I05Z | Other major joint replacement and limb reattachment procedures |
3 | I06Z | Spinal fusion w deformity |
3 | I07Z | Amputation |
3 | I08A | Other hip and femur procedures w catastrophic or severe cc |
3 | I08B | Other hip and femur procedures age>54 w/o catastrophic or severe cc |
3 | I08C | Other hip and femur procedures age<55 w/o catastrophic or severe cc |
3 | I09A | Spinal fusion w catastrophic or severe cc |
3 | I09B | Spinal fusion w/o catastrophic or severe cc |
3 | I10A | Other back and neck procedures w catastrophic or severe cc |
3 | I10B | Other back and neck procedures w/o catastrophic or severe cc |
3 | I11Z | Limb lengthening procedures |
3 | I12A | Infect/inflam of bone,joint w misc musc sys & conn tiss procs w cat cc |
3 | I12B | Infect/inflam of bone,joint w misc musc sys & conn tiss procs w sev cc |
3 | I12C | Infect/inflam bone,joint w misc musc sys,conn tiss proc w/o cat/sev cc |
3 | I13A | Humerus, tibia, fibula and ankle procedures w catastrophic/severe cc |
3 | I13B | Humerus, tibia, fibula and ankle procedures age>59 w/o cat/severe cc |
3 | I13C | Humerus, tibia, fibula and ankle procedures age<60 w/o cat/severe cc |
3 | I14Z | Stump revision |
3 | I15Z | Cranio-facial surgery |
3 | I16Z | Other shoulder procedures |
3 | I17Z | Maxillo-facial surgery |
3 | I18Z | Knee procedures |
3 | I19Z | Other elbow or forearm procedures |
3 | I20Z | Foot procedures |
3 | I21Z | Local excision and removal internal fixation devices of hip and femur |
3 | I22Z | Major wrist, hand and thumb procedures |
3 | I23Z | Local excision and removal of internal fixation device excl hip, femur |
3 | I24Z | Arthroscopy |
3 | I25Z | Bone and joint diagnostic procedures including biopsy |
3 | I26Z | Other wrist and hand procedures |
3 | I27Z | Soft tissue procedures |
3 | I28A | Other connective tissue procedures w cc |
3 | I28B | Other connective tissue procedures w/o cc |
3 | I60Z | Femoral shaft and open femoral condyle fractures |
3 | I61Z | Other femoral fractures |
3 | I62A | Fractures of pelvis and femoral neck w catastrophic cc |
3 | I62B | Fractures of pelvis and femoral neck w severe cc |
3 | I62C | Fractures of pelvis and femoral neck w/o catastrophic or severe cc |
3 | I63Z | Sprains, strains and dislocations of hip, pelvis and thigh |
3 | I64A | Osteomyelitis (age< 65 w catastrophic or severe cc) or age>64 |
3 | I64B | Osteomyelitis age<65 w/o catastrophic or severe cc |
3 | I65A | Connective tissue malignancy, including pathological fracture age>64 |
3 | I65B | Connective tissue malignancy, including pathological fracture age<65 |
3 | I66A | Other connective tissue disord (age<65 w catastr or severe cc)/age>64 |
3 | I66B | Connective tissue disorders age<65 w/o catastrophic or severe cc |
3 | I67A | Septic arthritis w catastrophic or severe cc |
3 | I67B | Septic arthritis w/o catastrophic or severe cc |
3 | I68A | Non-surg neck, back cond w/o pain mgmt proc/myelo (age<75 w cc)/age>74 |
3 | I68B | Non-surgical neck,back cond w/o pain mgmt proc/myelogram age<75 w/o cc |
3 | I68C | Non-surgical neck & back conditions w pain management proc/myelogram |
3 | I69A | Bone diseases & specific arthropathies age>74 w catastrophic/severe cc |
3 | I69B | Bone diseases,specific arthropathies age>74 w/o catastrophic/severe cc |
3 | I69C | Bone diseases and specific arthropathies age<75 |
3 | I70Z | Non-specific arthropathies |
3 | I71A | Musculotendinous disorders age>69 w cc |
3 | I71B | Musculotendinous disorders (age<70 w cc) or (age>69 w/o cc) |
3 | I71C | Musculotendinous disorders age <70 w/o cc |
3 | I72A | Tendonitis, myositis and bursitis (age<80 w cat/severe cc) or age>79 |
3 | I72B | Tendonitis, myositis and bursitis age<80 w/o catastrophic or severe cc |
3 | I73A | Aftercare connective tissue disorders age>59 w catastrophic/severe cc |
3 | I73B | Aftercare conn tiss dis (age<60 w cat/sev cc)/(age>59 w/o cat/sev cc) |
3 | I73C | Aftercare connective tissue disord age<60 w/o catastrophic/severe cc |
3 | I74A | Injury to forearm, wrist, hand or foot age>74 w cc |
3 | I74B | Injury to forearm, wrist, hand or foot (age<75 w cc)/(age>74 w/o cc) |
3 | I74C | Injury to forearm, wrist, hand or foot age<75 w/o cc |
3 | I75A | Injury to shoulder, arm, elbow, knee, leg or ankle age>64 w cc |
3 | I75B | Inj to shoulder,arm,elbow,knee,leg,ankle (age<65 w cc)/(age>64 w/o cc) |
3 | I75C | Injury to shoulder, arm, elbow, knee, leg or ankle age<65 w/o cc |
3 | I76A | Other connective tissue disorders age>69 w cc |
3 | I76B | Other connective tissue disorders (age<70 w cc) or (age>69 w/o cc) |
3 | I76C | Other connective tissue disorders age<70 w/o cc |
3 | J01Z | Microvascular tissue transfer for skin, subcutan tissue,breast disord |
3 | J02A | Lower limb w skin graft/flap repair w ulcer/cellulitis w cat cc |
3 | J02B | Lower limb w skin graft/flap repair w ulcer/cellulitis w/o cat cc |
3 | J03A | Lower limb w skin graft/flap repair w/o ulcer/cellulitis w cat/sev cc |
3 | J03B | Lower limb w skin graft/flap repair w/o ulcer/cellulit w/o cat/sev cc |
3 | J04A | Lower limb w/o skin graft/flap repair w ulcer/cellulitis w cat/sev cc |
3 | J04B | Lower limb w/o skin graft/flap repair w ulcer/cellulit w/o cat/sev cc |
3 | J05Z | Leg w oth OR proc w/o skin graft/flap repair w/o ulcer/cellulitis |
3 | J06A | Major procedures for malignant breast conditions |
3 | J06B | Major procedures for non-malignant breast conditions |
3 | J07A | Minor procedures for malignant breast conditions |
3 | J07B | Minor procedures for non-malignant breast conditions |
3 | J08A | Oth skin graft and/or debridement procedures w catastrophic/severe cc |
3 | J08B | Other skin graft and/or debridement procedures w/o catastrophic/sev cc |
3 | J09Z | Perianal and pilonidal procedures |
3 | J10Z | Skin, subcutaneous tissue and breast plastic OR procedures |
3 | J11Z | Other skin, subcutaneous tissue and breast procedures |
3 | J60A | Skin ulcers age>64 |
3 | J60B | Skin ulcers age<65 |
3 | J61Z | Severe skin disorders |
3 | J62A | Malignant breast disorders age>69 w cc |
3 | J62B | Malignant breast disorders (age<70 w cc) or (age>69 w/o cc) |
3 | J62C | Malignant breast disorders age<70 w/o cc |
3 | J63Z | Non-malignant breast disorders |
3 | J64A | Cellulitis age>59 w catastrophic or severe cc |
3 | J64B | Cellulitis (age>59 w/o catastrophic or severe cc) or age<60 |
3 | J65A | Trauma to the skin, subcutaneous tissue and breast age>69 |
3 | J65B | Trauma to the skin, subcutaneous tissue and breast age<70 |
3 | J66A | Moderate skin disorders w catastrophic or severe cc |
3 | J66B | Moderate skin disorders w/o catastrophic or severe cc |
3 | J67A | Minor skin disorders w cc |
3 | J67B | Minor skin disorders w/o cc |
3 | K01Z | Diabetic foot |
3 | K02Z | Pituitary procedures |
3 | K03Z | Adrenal procedures |
3 | K04Z | Major procedures for obesity |
3 | K05Z | Parathyroid procedures |
3 | K06Z | Thyroid procedures |
3 | K07Z | Obesity procedures |
3 | K08Z | Thyroglossal procedures |
3 | K09Z | Other endocrine, nutritional and metabolic OR procedures |
3 | K40Z | Endoscopic or investigative procedure for metabolic disorders w/o cc |
3 | K60A | Diabetes w catastrophic or severe cc |
3 | K60B | Diabetes w/o catastrophic or severe cc |
3 | K61Z | Severe nutritional disturbance |
3 | K62A | Miscellaneous metabolic disorders w catastrophic cc |
3 | K62B | Miscellaneous metabolic disord w severe cc or (age>74 w/o severe cc) |
3 | K62C | Miscellaneous metabolic disorders w/o catastrophic/severe cc age <75 |
3 | K63Z | Inborn errors of metabolism |
3 | K64A | Endocrine disorders w catastrophic or severe cc |
3 | K64B | Endocrine disorders w/o catastrophic or severe cc |
3 | L01A | Kidney transplant w catastrophic or severe cc |
3 | L01B | Kidney transplant w/o catastrophic or severe cc |
3 | L02Z | Operative insertion of peritoneal catheter for dialysis |
3 | L03A | Kidney, ureter and major bladder procedures for neoplasm w cat/sev cc |
3 | L03B | Kidney, ureter and major bladder procs for neoplasm w/o cat/severe cc |
3 | L04A | Kidney, ureter and major bladder procs for non-neoplasm w cat/sev cc |
3 | L04B | Kidney, ureter & major bladder procs for non-neoplasm w/o cat/sev cc |
3 | L05A | Transurethral prostatectomy w catastrophic or severe cc |
3 | L05B | Transurethral prostatectomy w/o catastrophic or severe cc |
3 | L06A | Minor bladder procedures w catastrophic or severe cc |
3 | L06B | Minor bladder procedures w/o catastrophic or severe cc |
3 | L07A | Transurethral procedures except prostatectomy w catastrophic/severe cc |
3 | L07B | Transurethral procs except prostatectomy w/o catastrophic/severe cc |
3 | L08A | Urethral procedures w cc |
3 | L08B | Urethral procedures w/o cc |
3 | L09A | Other procs for kidney and urinary tract disorders w catastrophic cc |
3 | L09B | Other procedures for kidney and urinary tract disorders w severe cc |
3 | L09C | Other procs for kidney & urinary tract disorders w/o cat or severe cc |
3 | L40Z | Ureteroscopy |
3 | L41Z | Cystourethroscopy w/o cc |
3 | L42Z | ESW lithotripsy for urinary stones |
3 | L60A | Renal failure w catastrophic cc |
3 | L60B | Renal failure w severe cc or (age > 69 w/o severe cc) |
3 | L60C | Renal failure age<70 w/o catastrophic or severe cc |
3 | L61Z | Admit for renal dialysis |
3 | L62A | Kidney and urinary tract neoplasms w catastrophic or severe cc |
3 | L62B | Kidney and urinary tract neoplasms w/o catastrophic or severe cc |
3 | L63A | Kidney and urinary tract infections age>69 w catastrophic cc |
3 | L63B | Kidney and urinary tract infections age>69 w/o catastrophic cc |
3 | L63C | Kidney and urinary tract infections age < 70 |
3 | L64Z | Urinary stones and obstruction |
3 | L65A | Kidney and urinary tract signs & symptoms w catastrophic or severe cc |
3 | L65B | Kidney & urinary tract signs & symptoms w/o catastrophic or severe cc |
3 | L66Z | Urethral stricture |
3 | L67A | Other kidney and urinary tract diagnoses w catastrophic cc |
3 | L67B | Other kidney and urinary tract diagnoses w severe cc |
3 | L67C | Other kidney and urinary tract diagnoses w/o catastrophic or severe cc |
3 | M01Z | Major male pelvic procedures |
3 | M02A | Transurethral prostatectomy w catastrophic or severe cc |
3 | M02B | Transurethral prostatectomy w/o catastrophic or severe cc |
3 | M03A | Penis procedures w cc |
3 | M03B | Penis procedures w/o cc |
3 | M04A | Testes procedures w cc |
3 | M04B | Testes procedures w/o cc |
3 | M05Z | Circumcision |
3 | M06A | Other male reproductive system OR procedures for malignancy |
3 | M06B | Other male reproductive system OR procedures except for malignancy |
3 | M40Z | Cystourethroscopy w/o cc |
3 | M60A | Malignancy, male reproductive system w catastrophic or severe cc |
3 | M60B | Malignancy, male reproductive system w/o catastrophic or severe cc |
3 | M61A | Benign prostatic hypertrophy w catastrophic or severe cc |
3 | M61B | Benign prostatic hypertrophy w/o catastrophic or severe cc |
3 | M62A | Inflammation of the male reproductive system w cc |
3 | M62B | Inflammation of the male reproductive system w/o cc |
3 | M63Z | Sterilisation, male |
3 | M64Z | Other male reproductive system diagnoses |
3 | N01Z | Pelvic evisceration and radical vulvectomy |
3 | N02A | Uterine, adnexa proc for ovarian or adnexal malignancy w cc |
3 | N02B | Uterine, adnexa proc for ovarian or adnexal malignancy w/o cc |
3 | N03A | Uterine, adnexa procedure for non-ovarian or adnexal malignancy w cc |
3 | N03B | Uterine, adnexa procedure for non-ovarian or adnexal malignancy w/o cc |
3 | N04Z | Hysterectomy for non-malignancy |
3 | N05A | Oophorectomies & compl fallopian tube procs for non-malig w cat/sev cc |
3 | N05B | Oophorectomies & compl fallop tube procs for non-malig w/o cat/sev cc |
3 | N06Z | Female reproductive system reconstructive procedures |
3 | N07Z | Other uterine and adnexa procedures for non-malignancy |
3 | N08Z | Endoscopic procedures for female reproductive system |
3 | N09Z | Conistation, vagina, cervix and vulva procedures |
3 | N10Z | Diagnostic curettage or diagnostic hysteroscopy |
3 | N11A | Oth female reproductive sys OR procs age>64 or w malignancy or w cc |
3 | N11B | Oth female reproductive system OR procs age<65 w/o malignancy w/o cc |
3 | N60A | Malignancy, female reproductive system w catastrophic or severe cc |
3 | N60B | Malignancy, female reproductive system w/o catastrophic or severe cc |
3 | N61Z | Infections, female reproductive system |
3 | N62A | Menstrual and other female reproductive system disorders w cc |
3 | N62B | Menstrual and other female reproductive system disorders w/o cc |
3 | O01A | Caesarean delivery w mult complicating diagnoses, at least one severe |
3 | O01B | Caesarean delivery w severe complicating diagnosis |
3 | O01C | Caesarean delivery w moderate complicating diagnosis |
3 | O01D | Caesarean delivery w/o complicating diagnosis |
3 | O02Z | Vaginal delivery w complicating OR procedure |
3 | O03Z | Ectopic pregnancy |
3 | O04Z | Postpartum and post abortion w OR procedure |
3 | O40Z | Abortion w D&C, aspiration curettage or hysterotomy |
3 | O60A | Vaginal delivery w multiple complicating diagnosis,at least one severe |
3 | O60B | Vaginal delivery w severe complicating diagnosis |
3 | O60C | Vaginal delivery w moderate complicating diagnosis |
3 | O60D | Vaginal delivery w/o complicating diagnosis |
3 | O61Z | Postpartum and post abortion w/o OR procedure |
3 | O62Z | Threatened abortion |
3 | O63Z | Abortion w/o D&C, aspiration curettage or hysterotomy |
3 | O64Z | False labour |
3 | O65A | Other antenatal admission w severe complicating diagnosis |
3 | O65B | Other antenatal admission w moderate or no complicating diagnosis |
3 | P01Z | Neonate, died or transf <5 days of admission w significant OR proc |
3 | P02Z | Cardiothoracic/vascular procedures for neonates |
3 | P03Z | Neonate, admwt < 1000-1499 g w significant OR procedure |
3 | P04Z | Neonate, admwt < 1500-1999 g w significant OR procedure |
3 | P05Z | Neonate, admwt < 2000-2499 g w significant OR procedure |
3 | P06A | Neonate, admwt > 2499 g w significant OR procedure w mult major prob |
3 | P06B | Neonate, adm wt > 2499 g w significant OR proc w/o mult major prob |
3 | P60A | Neonate died or transf <5 days of adm, w/o signif OR proc, born here |
3 | P60B | Neonate died/transf <5 days of adm, w/o signif O.R proc, not born here |
3 | P61Z | Neonate, admwt < 750 g |
3 | P62Z | Neonate, admwt 750-999 g |
3 | P63Z | Neonate, admwt < 1000-1249 g w/o significant OR procedure |
3 | P64Z | Neonate, admwt < 1250-1499 g w/o significant OR procedure |
3 | P65A | Neonate, admwt < 1500-1999 g w/o significant OR proc w mult major prob |
3 | P65B | Neonate, admwt < 1500-1999 g w/o significant OR proc w major problem |
3 | P65C | Neonate, admwt < 1500-1999 g w/o significant OR procedure w oth prob |
3 | P65D | Neonate, admwt < 1500-1999 g w/o significant OR procedure w/o prob |
3 | P66A | Neonate, admwt < 2000-2499 g w/o significant OR proc w mult major prob |
3 | P66B | Neonate, admwt < 2000-2499 g w/o significant OR proc w major problem |
3 | P66C | Neonate, admwt < 2000-2499 g w/o significant OR proc w other prob |
3 | P66D | Neonate, admwt < 2000-2499 g w/o significant OR procedure w/o prob |
3 | P67A | Neonate, admwt > 2499 g w/o significant OR proc w mult major problems |
3 | P67B | Neonate, admwt > 2499 g w/o significant OR proc w major problem |
3 | P67C | Neonate, admwt > 2499 g w/o significant OR proc w other problem |
3 | P67D | Neonate, admwt > 2499 g w/o significant OR proc w/o problem |
3 | Q01Z | Splenectomy |
3 | Q02A | Other OR proc of blood & blood forming organs w cat or severe cc |
3 | Q02B | Other OR proc of blood & blood forming organs w/o cat or severe cc |
3 | Q60A | Reticuloendothelial and immunity disorders w catastrophic or severe cc |
3 | Q60B | Reticuloendothelial & immunity disorders w/o catastrophic or severe cc |
3 | Q61A | Red blood cell disorders w catastrophic cc |
3 | Q61B | Red blood cell disorders w severe cc |
3 | Q61C | Red blood cell disorders w/o catastrophic or severe cc |
3 | Q62A | Coagulation disorders age>69 |
3 | Q62B | Coagulation disorders age<70 |
3 | R01A | Lymphoma and leukaemia w major OR procs w catastrophic or severe cc |
3 | R01B | Lymphoma and leukaemia w major OR procs w/o catastrophic or severe cc |
3 | R02A | Other neoplastic disorders w major OR procs w catastrophic/severe cc |
3 | R02B | Other neoplastic disorders w major OR procs w/o cat or severe cc |
3 | R03A | Lymphoma and leukaemia w other OR procs w catastrophic or severe cc |
3 | R03B | Lymphoma and leukaemia w other OR procs w/o catastrophic or severe cc |
3 | R04A | Other neoplastic disorders w oth OR procs w catastrophic or severe cc |
3 | R04B | Other neoplastic disorders w other OR procs w/o cat or severe cc |
3 | R60A | Acute leukaemia w catastrophic cc |
3 | R60B | Acute leukaemia w severe cc |
3 | R60C | Acute leukaemia w/o catastrophic or severe cc |
3 | R61A | Lymphoma and non-acute leukaemia w catastrophic cc |
3 | R61B | Lymphoma and non-acute leukaemia w/o catastrophic cc |
3 | R61C | Lymphoma and non-acute leukaemia, sameday |
3 | R62A | Other neoplastic disorders w cc |
3 | R62B | Other neoplastic disorders w/o cc |
3 | R63Z | Chemotherapy |
3 | R64Z | Radiotherapy |
3 | S60Z | HIV, sameday |
3 | S61Z | HIV-related CNS disease |
3 | S62Z | HIV-related malignancy |
3 | S63A | HIV-related infection w catastrophic cc |
3 | S63B | HIV-related infection w/o catastrophic cc |
3 | S64A | Other hiv w catastrophic cc |
3 | S64B | Other hiv w/o catastrophic cc |
3 | T01A | OR procedures for infectious and parasitic diseases w catastrophic cc |
3 | T01B | OR procs for infectious & parasitic diseases w severe or moderate cc |
3 | T01C | OR procedures for infectious and parasitic diseases w/o cc |
3 | T60A | Septicaemia w catastrophic or severe cc |
3 | T60B | Septicaemia w/o catastrophic or severe cc |
3 | T61A | Postop & post-traumatic infect w cat/sev cc or (age>54 w/o cat/sev cc) |
3 | T61B | Postop & post-traumatic infections age<55 w/o cat or severe cc |
3 | T62A | Fever of unknown origin w cc |
3 | T62B | Fever of unknown origin w/o cc |
3 | T63A | Viral illness age>59 |
3 | T63B | Viral illness age<60 |
3 | T64A | Other infectious and parasitic diseases w catastrophic or severe cc |
3 | T64B | Other infectious and parasitic diseases w/o catastrophic or severe cc |
3 | U40Z | Mental health treatment, sameday, w ECT |
3 | U60Z | Mental health treatment, sameday, w/o ECT |
3 | U61A | Schizophrenia disorders w mental health legal status |
3 | U61B | Schizophrenia disorders w/o mental health legal status |
3 | U62A | Paranoia, acute psych disord w cat/sev cc/w mental health legal status |
3 | U62B | Paranoia,ac psych disord w/o cat/sev cc w/o mental health legal status |
3 | U63A | Major affective disord w cat or sev cc or (age>69 w/o cat or sev cc) |
3 | U63B | Major affective disorders age<70 w/o catastrophic or severe cc |
3 | U64Z | Other affective and somatoform disorders |
3 | U65Z | Anxiety disorders |
3 | U66Z | Eating and obsessive-compulsive disorders |
3 | U67Z | Personality disorders and acute reactions |
3 | U68Z | Childhood mental disorders |
3 | V60Z | Alcohol intoxication and withdrawal |
3 | V61A | Drug intoxication and withdrawal w cc |
3 | V61B | Drug intoxication and withdrawal wo cc |
3 | V62A | Alcohol use disorder and dependance |
3 | V62B | Alcohol use disorder and dependance, sameday |
3 | V63Z | Opioid use disorder and dependence |
3 | V64Z | Other drug use disorder and dependance |
3 | W01Z | Ventilation or craniotomy procs for multiple significant trauma |
3 | W02Z | Hip, femur & limb procs for mult significant trauma, incl implantation |
3 | W03Z | Abdominal procedures for multiple significant trauma |
3 | W04Z | Other OR procedures for multiple significant trauma |
3 | W60Z | Mult trauma, died or transf to another acute care facility, los<5 days |
3 | W61Z | Multiple trauma without significant procedures |
3 | X01Z | Microvascular tissue transfer, skin grafts for injuries to lower limb |
3 | X02Z | Microvascular tissue transfer or skin grafts for injuries to hand |
3 | X03Z | Microvascular tissue transfer or skin grafts for other injuries |
3 | X04A | Other procedures for injuries to lower limb age>59 or w cc |
3 | X04B | Other procedures for injuries to lower limb age<60 w/o cc |
3 | X05Z | Other procedures for injuries to hand |
3 | X06A | Other procedures for other injuries w catastrophic or severe cc |
3 | X06B | Other procedures for other injuries w/o catastrophic or severe cc |
3 | X60A | Injuries age>64 w cc |
3 | X60B | Injuries age>64 w/o cc |
3 | X60C | Injuries age < 65 |
3 | X61Z | Allergic reactions |
3 | X62A | Poisoning/toxic effects of drugs & other substances age>59 or w cc |
3 | X62B | Poisoning/toxic effects of drugs & other substances age<60 w/o cc |
3 | X63A | Sequelae of treatment w catastrophic or severe cc |
3 | X63B | Sequelae of treatment w/o catastrophic or severe cc |
3 | X64A | Other injury, poisoning and toxic effect diagnosis age>59 or w cc |
3 | X64B | Other injury, poisoning and toxic effect diagnosis age<60 w/o cc |
3 | Y01Z | Severe full thickness burns |
3 | Y02A | Other burns w skin graft age>64 or w cat/sev cc or w compl diag/proc |
3 | Y02B | Other burns w skin graft age<65 w/o cat or sev cc w/o compl diag/proc |
3 | Y03Z | Other OR Procedures for other burns |
3 | Y60Z | Burns, transferred to another acute care facility < 5 days |
3 | Y61Z | Severe burns |
3 | Y62A | Other burns age>64 or w catastrophic or severe cc or w compl diag/proc |
3 | Y62B | Other burns age<65 w/o catastrophic or severe cc w/o compl diag/proc |
3 | Z01A | OR procs w diagnoses of other contacts w health services w cat/sev cc |
3 | Z01B | OR procs w diagnoses other contacts w health services w/o cat/sev cc |
3 | Z40Z | Follow up after completed treatment w endoscopy |
3 | Z60A | Rehabilitation w catastrophic or severe cc |
3 | Z60B | Rehabilitation w/o catastrophic or severe cc |
3 | Z60C | Rehabilitation, sameday |
3 | Z61Z | Signs and symptoms |
3 | Z62Z | Follow up after completed treatment w/o endoscopy |
3 | Z63A | Other aftercare w catastrophic or severe cc |
3 | Z63B | Other aftercare w/o catastrophic or severe cc |
3 | Z64A | Other factors influencing health status age>79 |
3 | Z64B | Other factors influencing health status age<80 |
3 | Z65Z | Multiple, other and unspecified congenital anomalies |
2 | 952 | Ungroupable |
2 | 953 | Prostatic OR procedure unrelated to principal diagnosis |
2 | 954 | Non-extensive OR procedure unrelated to principal diagnosis |
2 | 955 | Neonatal diagnosis not consistent with age or weight |
2 | 956 | Unacceptable principal diagnosis |