AR-DRG v4.2 codes

Code table for AR-DRG v4.2.

AR-DRG v4.2 codes
DRG grouper type DRG code DRG description
4 901Z Extensive OR procedure unrelated to principal diagnosis
4 902Z Non-extensive OR procedure unrelated to principal diagnosis
4 903Z Prostatic OR procedure unrelated to principal diagnosis
4 960Z Ungroupable
4 961Z Unacceptable principal diagnosis
4 962Z Unacceptable obstetric diagnosis combination
4 963Z Neonatal diagnosis not consistent w age/weight
4 A01Z Liver transplant
4 A02Z Multiple organs transplant
4 A03Z Lung transplant
4 A04Z Bone marrow transplant
4 A05Z Heart transplant
4 A06Z Tracheostomy any age, any condition
4 A40Z ECMO w/o cardiac surgery
4 A41Z Intubation age<16
4 B01Z Ventricular shunt revision w no other OR procedures
4 B02A Craniotomy w catastrophic cc
4 B02B Craniotomy w severe or moderate cc
4 B02C Craniotomy w/o cc
4 B03A Spinal procedures w catastrophic or severe cc
4 B03B Spinal procedures w/o catastrophic or severe cc
4 B04A Extracranial vascular procedures w catastrophic or severe cc
4 B04B Extracranial vascular procedures w/o catastrophic or severe cc
4 B05Z Carpal tunnel release
4 B06A Procs for cerebral palsy,muscular dystrophy,neuropathy w cat/sev cc
4 B06B Procs for cerebral palsy,muscular dystrophy,neuropathy w/o cat/sev cc
4 B07A Peripheral and cranial nerve & other nervous system procedures w cc
4 B07B Peripheral and cranial nerve & other nervous system procedures w/o cc
4 B40Z Plasmapheresis w neurological disease
4 B41Z Prolonged monitoring for complex epilepsy
4 B60A Non acute paraplegia/quadriplegia w or w/o OR procs w cat cc
4 B60B Non acute paraplegia/quadriplegia w or w/o OR procs w/o cat cc
4 B61A Spinal cord conditions w or w/o OR Procedures w cat or sev cc
4 B61B Spinal cord conditions w or w/o OR Procedures w/o cat or sev cc
4 B62Z Admit for apheresis
4 B63Z Dementia and other chronic disturbances of cerebral function
4 B64Z Delirium
4 B65Z Cerebral palsy
4 B66A Nervous system neoplasm age>64
4 B66B Nervous system neoplasm age<65
4 B67A Degenerative nervous system disorders w catastrophic or severe cc
4 B67B Degenerative nervous system disorders w/o catastrophic or severe cc
4 B68A Multiple sclerosis and cerebellar ataxia w cc
4 B68B Multiple sclerosis and cerebellar ataxia w/o cc
4 B69A TIA and precerebral occlusion w catastrophic cc
4 B69B TIA and precerebral occlusion w severe cc
4 B69C TIA and precerebral occlusion w/o catastrophic or severe cc
4 B70A Stroke w severe or complicating diagnosis/procedure
4 B70B Stroke w other cc
4 B70C Stroke w/o other cc
4 B70D Stroke, died or transferred < 5 days
4 B71A Cranial and peripheral nerve disorders w cc
4 B71B Cranial and peripheral nerve disorders w/o cc
4 B72Z Nervous system infection except viral meningitis
4 B73Z Viral meningitis
4 B74Z Nontraumatic stupor and coma
4 B75Z Febrile convulsions
4 B76A Seizure age<03 or w catastrophic or severe cc
4 B76B Seizure age>2 w/o catastrophic or severe cc
4 B77Z Headache
4 B78Z Intracranial injury
4 B79Z Skull fractures
4 B80Z Other head injury
4 B81A Other disorders of the nervous system w catastrophic or severe cc
4 B81B Other disorders of the nervous system w/o catastrophic or severe cc
4 C01Z Procedures for pentetrating eye injury
4 C02Z Enucleations and orbital procedures
4 C03Z Retinal procedures
4 C04Z Major corneal, scleral and conjunctival procedures
4 C05Z Dacryocrystorhinostomy
4 C06Z Complex glaucoma procedures
4 C07Z Other glaucoma procedures
4 C08Z Major lens procedures
4 C09Z Other lens procedures
4 C10Z Strabismus procedures
4 C11Z Eyelid procedures
4 C12Z Other corneal, scleral and conjunctival procedures
4 C13Z Lacrimal procedures
4 C14Z Other eye procedures
4 C60A Acute and major eye infections age>54
4 C60B Acute and major eye infections age<55
4 C61Z Neurological & vascular disorders of the eye
4 C62Z Hyphema and medically managed trauma to the eye
4 C63A Other disorders of the eye w cc
4 C63B Other disorders of the eye w/o cc
4 D01Z Cochlear implant
4 D02A Head and neck procedures w cc
4 D02B Head and neck procedures w/o cc
4 D03Z Surgical repair for cleft lip or palate diagnosis
4 D04A Maxillo surgery w cc
4 D04B Maxillo surgery w/o cc
4 D05Z Sialoadenectomy
4 D06Z Sinus, mastoid and complex middle ear procedures
4 D07Z Salivary gland procedures except sialoadenectomy
4 D08Z Mouth procedures
4 D09Z Miscellaneous ear, nose, mouth & throat procedures
4 D10Z Rhinoplasty (w or w/o turbinectomy)
4 D11Z Tonsillectomy or adenoidectomy
4 D12Z Other ear, nose, mouth & throat procedures
4 D13Z Myringotomy w tube insertion
4 D40Z Dental extractions and restorations
4 D60A Ear, nose, mouth and throat malignancy w catastrophic or severe cc
4 D60B Ear, nose, mouth and throat malignancy w/o catastrophic or severe cc
4 D61Z Dysequilibrium
4 D62Z Epistaxis
4 D63A Otitis media and URI w cc
4 D63B Otitis media and URI w/o cc
4 D64Z Laryngotracheitis and epiglottitis
4 D65Z Nasal trauma and deformity
4 D66A Other ear, nose, mouth and throat diagnoses w cc
4 D66B Other ear, nose, mouth and throat diagnoses w/o cc
4 D67Z Dental and oral disorders except extractions and restorations
4 E01A Major chest procedures w catastrophic cc
4 E01B Major chest procedures w/o catastrophic cc
4 E02A Other respiratory system OR procedures w catastrophic cc
4 E02B Other respiratory system OR procedures w severe cc
4 E02C Other respiratory system OR procedures w/o catastrophic/severe cc
4 E40Z Respiratory system diagnosis w ventilator support
4 E60A Cystic fibrosis w catastrophic or severe cc
4 E60B Cystic fibrosis w/o catastrophic or severe cc
4 E61A Pulmonary embolism w catastrophic or severe cc
4 E61B Pulmonary embolism w/o catastrophic or severe cc
4 E62A Respiratory infections/inflammations w catastrophic cc
4 E62B Respiratory infections/inflammations w severe or moderate cc
4 E62C Respiratory infections/inflammations w/o cc
4 E63Z Sleep apnoea
4 E64Z Pulmonary oedema and respiratory failure
4 E65A Chronic obstructive airways disease w catastrophic or severe cc
4 E65B Chronic obstructive airways disease w/o catastrophic or severe cc
4 E66A Major chest trauma age>69 w ccv
4 E66B Major chest trauma (age<70 w cc) or (age>69 w/o cc)
4 E66C Major chest trauma age<70 w/o cc
4 E67A Respiratory signs and symptoms w catastrophic or severe cc
4 E67B Respiratory signs and symptoms age<3 w/o catastrophic or severe ccv
4 E67C Respiratory signs and symptoms age>2 w/o catastrophic or severe cc
4 E68Z Pneumothorax
4 E69A Bronchitis and asthma age>49 w cc
4 E69B Bronchitis and asthma (age<50 w cc) or (age>49 w/o cc)
4 E69C Bronchitis and asthma age<50 w/o cc
4 E70A Whooping cough and acute bronchiolitis w catastrophic or severe cc
4 E70B Whooping cough and acute bronchiolitis w/o catastrophic or severe cc
4 E71A Respiratory neoplasms w cc
4 E71B Respiratory neoplasms w/o cc
4 E72Z Respiratory problems arising from neonatal period
4 E73A Pleural effusion w catastrophic cc
4 E73B Pleural effusion w severe cc
4 E73C Pleural effusion w/o catastrophic or severe cc
4 E74A Interstitial lung disease age>64 w catastrophic or severe cc
4 E74B Interstitial lung dis (age<65 w cat/sev cc)/(age>64 w/o cat/sev cc)
4 E74C Interstitial lung disease age<65 w/o catastrophic or severe cc
4 E75A Other respiratory system diagnosis age>64 w cc
4 E75B Other respiratory system diagnosis (age<65 w cc) or (age>64 w/o cc)
4 E75C Other respiratory system diagnosis age<65 w/o cc
4 F01Z Implantation or replacement of AICD, total system
4 F02Z AICD component implantation/replacement
4 F03Z Cardiac valve proc w pump w invasive cardiac investigative procedure
4 F04A Ccardiac valve proc w pump w/o invas cardiac inves proc w cat/ sev cc
4 F04B Cardiac valve proc w pump w/o invasive cardiac inves pr w/o cat/sev cc
4 F05A Coronary bypass w invasive cardiac inves procedure w catastrophic cc
4 F05B Coronary bypass w invasive cardiac inves procedure w/o catastrophic cc
4 F06A Coronary bypass w/o invasive cardiac inves procedure w cat or sev cc
4 F06B Coronary bypass w/o invasive cardiac inves procedure w/o cat or sev cc
4 F07Z Other cardiothoracic/vascular procedures w pump
4 F08A Major reconstruct vascular procedures w/o pump w catastrophic cc
4 F08B Major reconstruct vascular procedures w/o pump w/o catastrophic ccv
4 F09Z Other cardiothoracic procedures w/o pump
4 F10Z Percutaneous coronary angioplasty w AMI
4 F11A Amputation for circ system except upper limb, toe w catastrophic cc
4 F11B Amputation for circ system except upper limb, toe w/o catastrophic cc
4 F12Z Cardiac pacemaker implantation
4 F13Z Upper limb and toe amputation for circulatory system disorders
4 F14A Vascular procs except major reconstruction w/o pump w catastrophic cc
4 F14B Vascular procs except major reconstruction w/o pump w severe cc
4 F14C Vascular procs except major reconstruction w/o pump w/o cat or sev cc
4 F15Z Percutaneous coronary angioplasty w/o AMI w stent implantation
4 F16Z Percutaneous coronary angioplasty w/o AMI w/o stent implantation
4 F17Z Cardiac pacemaker replacement
4 F18Z Cardiac pacemaker revision except device replacement
4 F19Z Other trans-vascular percutaneous cardiac intervention
4 F20Z Vein ligation and stripping
4 F21A Other circulatory system OR procs w cat cc or (age>64 w/o cat cc)
4 F21B Other circulatory system OR procedures age<65 w/o catastrophic cc
4 F40Z Circulatory system diagnosis w ventilator support
4 F41A Circulatory disorders w AMI w invasive cardiac inves proc w cat/sev cc
4 F41B Circulatory disord w AMI w invasive cardiac inves proc w/o cat/sev cc
4 F42A Circulatory disord w/o AMI w invas cardiac inves proc w complex dx/pr
4 F42B Circulatory disord w/o AMI w invas cardiac inves proc w/o compl dx/pr
4 F60A Circulatory disord w AMI w/o invasive cardiac inves proc w cat/sev cc
4 F60B Circulatory disord w AMI w/o invas cardiac inves proc w/o cat/sev cc
4 F60C Circulatory disorders w AMI w/o invasive cardiac inves procedure, died
4 F61Z Infective endocarditis
4 F62A Heart failure and shock w catastrophic cc
4 F62B Heart failure and shock w/o catastrophic cc
4 F63A Venous thrombosis w catastrophic or severe cc
4 F63B Venous thrombosis w/o catastrophic or severe cc
4 F64Z Skin ulcers for circulatory disorders
4 F65A Peripheral vascular disorders w catastrophic or severe cc
4 F65B Peripheral vascular disorders w/o catastrophic or severe cc
4 F66A Coronary atherosclerosis w cc
4 F66B Coronary atherosclerosis w/o cc
4 F67A Hypertension w cc
4 F67B Hypertension w/o cc
4 F68Z Congenital heart disease
4 F69A Valvular disorders w catastrophic or severe cc
4 F69B Valvular disorders w/o catastrophic or severe cc
4 F70A Major arrhythmia and cardiac arrest w catastrophic or severe cc
4 F70B Major arrhythmia and cardiac arrest w/o catastrophic or severe cc
4 F71A Non-major arrhythmia and conduction disorders w cat or severe cc
4 F71B Non-major arrhythmia and conduction disorders w/o cat or severe cc
4 F72A Unstable angina w catastrophic or severe cc
4 F72B Unstable angina w/o catastrophic or severe cc
4 F73A Syncope and collapse w catastrophic or severe cc
4 F73B Syncope and collapse w/o catastrophic or severe cc
4 F74Z Chest pain
4 F75A Other circulatory system diagnoses w catastrophic cc
4 F75B Other circulatory system diagnoses w severe cc
4 F75C Other circulatory system diagnoses w/o catastrophic or severe cc
4 G01A Rectal resection w catastrophic cc
4 G01B Rectal resection w/o catastrophic cc
4 G02A Major small and large bowel procedures w catastrophic cc
4 G02B Major small and large bowel procedures w/o catastrophic cc
4 G03A Stomach, oesophageal and duodenal procedures w malignancy
4 G03B Stomach, oesophageal and duodenal procs w/o malignancy w cat or sev cc
4 G03C Stomach, oesophageal and duodenal procs w/o malignancy w/o cat/sev cc
4 G04A Peritoneal adhesiolysis age>49 w cc
4 G04B Peritoneal adhesiolysis (age<50 w cc) or (age>49 w/o cc)
4 G04C Peritoneal adhesiolysis age<50 w/o cc
4 G05A Minor small and large bowel procedures w cc
4 G05B Minor small and large bowel procedures w/o cc
4 G06Z Pyloromyotomy procedure
4 G07A Appendicectomy w catastrophic or severe cc
4 G07B Appendicectomy w/o catastrophic or severe cc
4 G08Z Abdominal, umbilical and other hernia procedures age>0
4 G09Z Inguinal and femoral hernia procedures age>0
4 G10Z Hernia procedures age<1
4 G11A Anal and stomal procedures w catastrophic or severe cc
4 G11B Anal and stomal procedures w/o catastrophic or severe cc
4 G12A Other digestive system OR procs w cat or severe cc or w malignancy
4 G12B Other digestive system OR procs w/o cat or sev cc w/o malignancy
4 G40A Cmplx therapeutic gastroscopy for mjr digest dis w cat/sev cc/comp pr
4 G40B Cmplx therapeut gastroscopy for mjr digest dis w/o cat/sev cc/comp pr
4 G41A Complex therapeutic gastroscopy for non-major digestive diseases
4 G41B Complex therapeutic gastroscopy for non-major digestive dis, sameday
4 G42A Other gastroscopy for major digestive disease
4 G42B Other gastroscopy for major digestive disease, sameday
4 G43Z Complex therapeutic colonoscopy
4 G44A Other colonoscopy w catastrophic or severe cc or complicating proc
4 G44B Other colonoscopy w/o catastrophic or severe cc or complicating proc
4 G44C Other colonoscopy, sameday
4 G45A Other gastroscopy for non-major digestive disease
4 G45B Other gastroscopy for non-major digestive disease, sameday
4 G60A Digestive malignancy w catastrophic or severe cc
4 G60B Digestive malignancy w/o catastrophic or severe cc
4 G61A GI haemorrhage (age<65 w catastrophic or severe cc) or age>64
4 G61B GI haemorrhage age<65 w/o catastrophic or severe cc
4 G62Z Complicated peptic ulcer
4 G63Z Uncomplicated peptic ulcer
4 G64Z Inflammatory bowel disease
4 G65A GI obstruction w cc
4 G65B GI obstruction w/o cc
4 G66A Abdominal pain or mesenteric adenitis w cc
4 G66B Abdominal pain or mesenteric adenitis w/o cc
4 G67A Oesophagitis, gastroent & misc digest syst disord age>9 w cat/sev cc
4 G67B Oesophagitis, gastroent & misc digest syst disord age>9 w/o cat/sev cc
4 G68A Gastroenteritis age<10 w cc
4 G68B Gastroenteritis age<10 w/o cc
4 G69Z Oesophagitis and misc digestive system disorders age<10
4 G70A Other digestive system diagnoses w cc
4 G70B Other digestive system diagnoses w/o cc
4 H01A Pancreas, liver and shunt procedures w catastrophic cc
4 H01B Pancreas, liver and shunt procedures w severe or moderate cc
4 H01C Pancreas, liver and shunt procedures w/o cc
4 H02A Major biliary tract procedures w malignancy
4 H02B Major biliary tract procs w/o malignancy w catastrophic or severe cc
4 H02C Major biliary tract procs w/o malignancy w/o catastrophic or severe cc
4 H03A Cholecystectomy w closed CDE w catastrophic or severe cc
4 H03B Cholecystectomy w closed CDE w/o catastrophic or severe cc
4 H04A Cholecystectomy w/o closed CDE w catastrophic or severe cc
4 H04B Cholecystectomy w/o closed CDE w/o catastrophic or severe cc
4 H05A Hepatobiliary diagnostic procedures w catastrophic or severe cc
4 H05B Hepatobiliary diagnostic procedures w/o catastrophic or severe cc
4 H06Z Other hepatobiliary and pancreas OR procedures
4 H40Z Endoscopic procedures for bleeding oesophageal varices
4 H41A ERCP complex therapeutic procedure w catastrophic or severe cc
4 H41B ERCP complex therapeutic procedure w/o catastrophic or severe cc
4 H42A ERCP other therapeutic procedure w catastrophic or severe cc
4 H42B ERCP other therapeutic procedure w/o catastrophic or severe cc
4 H60A Cirrhosis and alcoholic hepatitis w catastrophic cc
4 H60B Cirrhosis and alcoholic hepatitis w catastrophic or severe cc
4 H60C Cirrhosis and alcoholic hepatitis w/o catastrophic or severe cc
4 H61A Malignancy of hepatobiliary system, pancreas age>69 w cat or severe cc
4 H61B Malig hepatobil sys,pancreas (a<70 w cat/sev cc)/(a>69 w/o cat/sev cc)
4 H61C Malignancy of hepatobiliary system, pancreas age<70 w/o cat or sev cc
4 H62A Disorders of pancreas except for malignancy w catastrophic/severe cc
4 H62B Disorders of pancreas except for malignancy w/o catastrophic/severe cc
4 H63A Disord liver exc malig, cirrhosis, alcoholic hepatitis w/o cat/sev cc
4 H63B Disorders of the Liver Excep Malig, Cirrhosis, Alcoholic Hepatitis W/O Cat/Ser CC
4 H64A Disorders of the biliary tract w cc
4 H64B Disorders of the biliary tract w/o cc
4 I01Z Bilateral or multiple major joint procedures of lower extremity
4 I02A Microvascular tissue transfer or (skin graft w cat/sev cc), excl hand
4 I02B Skin graft w/o catastrophic or severe cc, excluding hand
4 I03A Hip revision w catastrophic or severe cc
4 I03B Hip replacement w cat or severe cc or hip revision w/o cat/severe cc
4 I03C Hip replacement w/o catastrophic or severe cc
4 I04A Knee replacement and reattachment w catastrophic cc
4 I04B Knee replacement and reattachment w/o catastrophic cc
4 I05Z Other major joint replacement and limb reattachment procedures
4 I06Z Spinal fusion w deformity
4 I07Z Amputation
4 I08A Other hip and femur procedures w catastrophic or severe cc
4 I08B Other hip and femur procedures age>54 w/o catastrophic or severe cc
4 I08C Other hip and femur procedures age<55 w/o catastrophic or severe cc
4 I09A Spinal fusion w catastrophic or severe cc
4 I09B Spinal fusion w/o catastrophic or severe cc
4 I10A Other back and neck procedures w catastrophic or severe cc
4 I10B Other back and neck procedures w/o catastrophic or severe cc
4 I11Z Limb lengthening procedures
4 I12A Infect/inflam of bone,joint w misc musc sys & conn tiss procs w cat cc
4 I12B Infect/inflam of bone,joint w misc musc sys & conn tiss procs w sev cc
4 I12C Infect/inflam bone,joint w misc musc sys,conn tiss proc w/o cat/sev cc
4 I13A Humerus, tibia, fibula and ankle procedures w catastrophic/severe cc
4 I13B Humerus, tibia, fibula and ankle procedures age>59 w/o cat/severe cc
4 I13C Humerus, tibia, fibula and ankle procedures age<60 w/o cat/severe cc
4 I14Z Stump revision
4 I15Z Cranio-facial surgery
4 I16Z Other shoulder procedures
4 I17Z Maxillo-facial surgery
4 I18Z Knee procedures
4 I19Z Other elbow or forearm procedures
4 I20Z Foot procedures
4 I21Z Local excision and removal internal fixation devices of hip and femur
4 I22Z Major wrist, hand and thumb procedures
4 I23Z Local excision and removal of internal fixation device excl hip, femur
4 I24Z Arthroscopy
4 I25Z Bone and joint diagnostic procedures including biopsy
4 I26Z Other wrist and hand procedures
4 I27Z Soft tissue procedures
4 I28A Other connective tissue procedures w cc
4 I28B Other connective tissue procedures w/o cc
4 I60Z Femoral shaft fractures
4 I61Z Other femoral fractures
4 I62A Fractures of pelvis and femoral neck w catastrophic cc
4 I62B Fractures of pelvis and femoral neck w severe cc
4 I62C Fractures of pelvis and femoral neck w/o catastrophic or severe cc
4 I63Z Sprains, strains and dislocations of hip, pelvis and thigh
4 I64A Osteomyelitis (age< 65 w catastrophic or severe cc) or age>64
4 I64B Osteomyelitis age<65 w/o catastrophic or severe cc
4 I65A Connective tissue malignancy, including pathological fracture age>64
4 I65B Connective tissue malignancy, including pathological fracture age<65
4 I66A Inflam musculoskeletal disord (age<65 w catastr or severe cc)/age>64
4 I66B Inflam musculoskeletal disord age<65 w/o catastrophic or severe cc
4 I67A Septic arthritis w catastrophic or severe cc
4 I67B Septic arthritis w/o catastrophic or severe cc
4 I68A Non-surg neck, back cond w/o pain mgmt proc/myelo (age<75 w cc)/age>74
4 I68B Non-surgical neck,back cond w/o pain mgmt proc/myelogram age<75 w/o cc
4 I68C Non-surgical neck & back conditions w pain management proc/myelogram
4 I69A Bone diseases & specific arthropathies age>74 w catastrophic/severe cc
4 I69B Bone diseases,specific arthropathies age>74 w/o catastrophic/severe cc
4 I69C Bone diseases and specific arthropathies age<75
4 I70Z Bon-specific arthropathies
4 I71A Musculotendinous disorders age>69 w cc
4 I71B Musculotendinous disorders (age<70 w cc) or (age>69 w/o cc)
4 I71C Musculotendinous disorders age <70 w/o cc
4 I72A Tendonitis, myositis and bursitis (age<80 w cat/severe cc) or age>79
4 I72B Tendonitis, myositis and bursitis age<80 w/o catastrophic or severe cc
4 I73A Aftercare connective tissue disorders age>59 w catastrophic/severe cc
4 I73B Aftercare conn tiss dis (age<60 w cat/sev cc)/(age>59 w/o cat/sev cc)
4 I73C Aftercare connective tissue disord age<60 w/o catastrophic/severe cc
4 I74A Injury to forearm, wrist, hand or foot age>74 w cc
4 I74B Injury to forearm, wrist, hand or foot (age<75 w cc)/(age>74 w/o cc)
4 I74C Injury to forearm, wrist, hand or foot age<75 w/o cc
4 I75A Injury to shoulder, arm, elbow, knee, leg or ankle age>64 w cc
4 I75B Inj to shoulder,arm,elbow,knee,leg,ankle (age<65 w cc)/(age>64 w/o cc)
4 I75C Injury to shoulder, arm, elbow, knee, leg or ankle age<65 w/o cc
4 I76A Other musculoskeletal disorders age>69 w cc
4 I76B Other musculoskeletal disorders (age<70 w cc) or (age>69 w/o cc)
4 I76C Other musculoskeletal disorders age<70 w/o cc
4 J01Z Microvascular tissue transfer for skin, subcutan tissue,breast disord
4 J02A Lower limb w skin graft/flap repair w ulcer/cellulitis w cat cc
4 J02B Lower limb w skin graft/flap repair w ulcer/cellulitis w/o cat cc
4 J03A Lower limb w skin graft/flap repair w/o ulcer/cellulitis w cat/sev cc
4 J03B Lower limb w skin graft/flap repair w/o ulcer/cellulit w/o cat/sev cc
4 J04A Lower limb w/o skin graft/flap repair w ulcer/cellulitis w cat/sev cc
4 J04B Lower limb w/o skin graft/flap repair w ulcer/cellulit w/o cat/sev cc
4 J05Z Leg w oth OR proc w/o skin graft/flap repair w/o ulcer/cellulitis
4 J06A Major procedures for malignant breast conditions
4 J06B Major procedures for non-malignant breast conditions
4 J07A Minor procedures for malignant breast conditions
4 J07B Minor procedures for non-malignant breast conditions
4 J08A Oth skin graft and/or debridement procedures w catastrophic/severe cc
4 J08B Other skin graft and/or debridement procedures w/o catastrophic/sev cc
4 J09Z Perianal and pilonidal procedures
4 J10Z Skin, subcutaneous tissue and breast plastic OR procedures
4 J11Z Other skin, subcutaneous tissue and breast procedures
4 J60A Skin ulcers age>64
4 J60B Skin ulcers age<65
4 J61Z Severe skin disorders
4 J62A Malignant breast disorders age>69 w cc
4 J62B Malignant breast disorders (age<70 w cc) or (age>69 w/o cc)
4 J62C Malignant breast disorders age<70 w/o cc
4 J63Z Non-malignant breast disorders
4 J64A Cellulitis age>59 w catastrophic or severe cc
4 J64B Cellulitis (age>59 w/o catastrophic or severe cc) or age<60
4 J65A Trauma to the skin, subcutaneous tissue and breast age>69
4 J65B Trauma to the skin, subcutaneous tissue and breast age<70
4 J66A Moderate skin disorders w catastrophic or severe cc
4 J66B Moderate skin disorders w/o catastrophic or severe cc
4 J67A Minor skin disorders w cc
4 J67B Minor skin disorders w/o cc
4 K01Z Diabetic foot
4 K02Z Pituitary procedures
4 K03Z Adrenal procedures
4 K04Z Major procedures for obesity
4 K05Z Parathyroid procedures
4 K06Z Thyroid procedures
4 K07Z Obesity procedures
4 K08Z Thyroglossal procedures
4 K09Z Other endocrine, nutritional and metabolic OR procedures
4 K40Z Endoscopic or investigative procedure for metabolic disorders w/o cc
4 K60A Diabetes w catastrophic or severe cc
4 K60B Diabetes w/o catastrophic or severe cc
4 K61Z Severe nutritional disturbance
4 K62A Miscellaneous metabolic disorders w catastrophic cc
4 K62B Miscellaneous metabolic disord w severe cc or (age>74 w/o severe cc)
4 K62C Miscellaneous metabolic disorders w/o catastrophic/severe cc age <75
4 K63Z Inborn errors of metabolism
4 K64A Endocrine disorders w catastrophic or severe cc
4 K64B Endocrine disorders w/o catastrophic or severe cc
4 L01A Kidney transplant w catastrophic or severe cc
4 L01B Kidney transplant w/o catastrophic or severe cc
4 L02Z Operative insertion of peritoneal catheter for dialysis
4 L03A Kidney, ureter and major bladder procedures for neoplasm w cat/sev cc
4 L03B Kidney, ureter and major bladder procs for neoplasm w/o cat/severe cc
4 L04A Kidney, ureter and major bladder procs for non-neoplasm w cat/sev cc
4 L04B Kidney, ureter & major bladder procs for non-neoplasm w/o cat/sev cc
4 L05A Transurethral prostatectomy w catastrophic or severe cc
4 L05B Transurethral prostatectomy w/o catastrophic or severe cc
4 L06A Minor bladder procedures w catastrophic or severe cc
4 L06B Minor bladder procedures w/o catastrophic or severe cc
4 L07A Transurethral procedures except prostatectomy w catastrophic/severe cc
4 L07B Transurethral procs except prostatectomy w/o catastrophic/severe cc
4 L08A Urethral procedures w cc
4 L08B Urethral procedures w/o cc
4 L09A Other procs for kidney and urinary tract disorders w catastrophic cc
4 L09B Other procedures for kidney and urinary tract disorders w severe cc
4 L09C Other procs for kidney & urinary tract disorders w/o cat or severe cc
4 L40Z Ureteroscopy
4 L41Z Cystourethroscopy w/o cc
4 L42Z ESW lithotripsy for urinary stones
4 L60A Renal failure w catastrophic cc
4 L60B Renal failure w severe cc or (age > 69 w/o severe cc)
4 L60C Renal failure age<70 w/o catastrophic or severe cc
4 L61Z Admit for renal dialysis
4 L62A Kidney and urinary tract neoplasms w catastrophic or severe cc
4 L62B Kidney and urinary tract neoplasms w/o catastrophic or severe cc
4 L63A Kidney and urinary tract infections age>69 w catastrophic cc
4 L63B Kidney and urinary tract infections age>69 w/o catastrophic cc
4 L63C Kidney and urinary tract infections age < 70
4 L64Z Urinary stones and obstruction
4 L65A Kidney and urinary tract signs & symptoms w catastrophic or severe cc
4 L65B Kidney & urinary tract signs & symptoms w/o catastrophic or severe cc
4 L66Z Urethral stricture
4 L67A Other kidney and urinary tract diagnoses w catastrophic cc
4 L67B Other kidney and urinary tract diagnoses w severe cc
4 L67C Other kidney and urinary tract diagnoses w/o catastrophic or severe cc
4 M01Z Major male pelvic procedures
4 M02A Transurethral prostatectomy w catastrophic or severe cc
4 M02B Transurethral prostatectomy w/o catastrophic or severe cc
4 M03A Penis procedures w cc
4 M03B Penis procedures w/o cc
4 M04A Testes procedures w cc
4 M04B Testes procedures w/o cc
4 M05Z Circumcision
4 M06A Other male reproductive system OR procedures for malignancy
4 M06B Other male reproductive system OR procedures except for malignancy
4 M40Z Cystourethroscopy w/o cc
4 M60A Malignancy, male reproductive system w catastrophic or severe cc
4 M60B Malignancy, male reproductive system w/o catastrophic or severe cc
4 M61A Benign prostatic hypertrophy w catastrophic or severe cc
4 M61B Benign prostatic hypertrophy w/o catastrophic or severe cc
4 M62A Inflammation of the male reproductive system w cc
4 M62B Inflammation of the male reproductive system w/o cc
4 M63Z Sterilisation, male
4 M64Z Other male reproductive system diagnoses
4 N01Z Pelvic evisceration and radical vulvectomy
4 N02A Uterine, adnexa proc for ovarian or adnexal malignancy w cc
4 N02B Uterine, adnexa proc for ovarian or adnexal malignancy w/o cc
4 N03A Uterine, adnexa procedure for non-ovarian or adnexal malignancy w cc
4 N03B Uterine, adnexa procedure for non-ovarian or adnexal malignancy w/o cc
4 N04Z Hysterectomy for non-malignancy
4 N05A Oophorectomies & compl fallopian tube procs for non-malig w cat/sev cc
4 N05B Oophorectomies & compl fallop tube procs for non-malig w/o cat/sev cc
4 N06Z Female reproductive system reconstructive procedures
4 N07Z Other uterine and adnexa procedures for non-malignancy
4 N08Z Endoscopic procedures for female reproductive system
4 N09Z Conistation, vagina, cervix and vulva procedures
4 N10Z Diagnostic curettage or diagnostic hysteroscopy
4 N11A Oth female reproductive sys OR procs age>64 or w malignancy or w cc
4 N11B Oth female reproductive system OR procs age<65 w/o malignancy w/o cc
4 N60A Malignancy, female reproductive system w catastrophic or severe cc
4 N60B Malignancy, female reproductive system w/o catastrophic or severe cc
4 N61Z Infections, female reproductive system
4 N62A Menstrual and other female reproductive system disorders w cc
4 N62B Menstrual and other female reproductive system disorders w/o cc
4 O01A Caesarean delivery w mult complicating diagnoses, at least one severe
4 O01B Caesarean delivery w severe complicating diagnosis
4 O01C Caesarean delivery w moderate complicating diagnosis
4 O01D Caesarean delivery w/o complicating diagnosis
4 O02Z Vaginal delivery w complicating OR procedure
4 O03Z Ectopic pregnancy
4 O04Z Postpartum and post abortion w OR procedure
4 O40Z Abortion w D&C, aspiration curettage or hysterotomy
4 O60A Vaginal delivery w multiple complicating diagnosis,at least one severe
4 O60B Vaginal delivery w severe complicating diagnosis
4 O60C Vaginal delivery w moderate complicating diagnosis
4 O60D Vaginal delivery w/o complicating diagnosis
4 O61Z Postpartum and post abortion w/o OR procedure
4 O62Z Threatened abortion
4 O63Z Abortion w/o D&C, aspiration curettage or hysterotomy
4 O64Z False labour
4 O65A Other antenatal admission w severe complicating diagnosis
4 O65B Other antenatal admission w moderate or no complicating diagnosis
4 P01Z Neonate, died or transf <5 days of admission w significant OR proc
4 P02Z Cardiothoracic/vascular procedures for neonates
4 P03Z Neonate, admwt < 1000-1499 g w significant OR procedure
4 P04Z Neonate, admwt < 1500-1999 g w significant OR procedure
4 P05Z Neonate, admwt < 2000-2499 g w significant OR procedure
4 P06A Neonate, admwt > 2499 g w significant OR procedure w mult major prob
4 P06B Neonate, adm wt > 2499 g w significant OR proc w/o mult major prob
4 P60A Neonate died or transf <5 days of adm, w/o signif OR proc, born here
4 P60B Neonate died/transf <5 days of adm, w/o signif O.R proc, not born here
4 P61Z Neonate, admwt < 750 g
4 P62Z Neonate, admwt 750-999 g
4 P63Z Neonate, admwt < 1000-1249 g w/o significant OR procedure
4 P64Z Neonate, admwt < 1250-1499 g w/o significant OR procedure
4 P65A Neonate, admwt < 1500-1999 g w/o significant OR proc w mult major prob
4 P65B Neonate, admwt < 1500-1999 g w/o significant OR proc w major problem
4 P65C Neonate, admwt < 1500-1999 g w/o significant OR procedure w oth prob
4 P65D Neonate, admwt < 1500-1999 g w/o significant OR procedure w/o prob
4 P66A Neonate, admwt < 2000-2499 g w/o significant OR proc w mult major prob
4 P66B Neonate, admwt < 2000-2499 g w/o significant OR proc w major problem
4 P66C Neonate, admwt < 2000-2499 g w/o significant OR proc w other prob
4 P66D Neonate, admwt < 2000-2499 g w/o significant OR procedure w/o prob
4 P67A Neonate, admwt > 2499 g w/o significant OR proc w mult major problems
4 P67B Neonate, admwt > 2499 g w/o significant OR proc w major problem
4 P67C Neonate, admwt > 2499 g w/o significant OR proc w other problem
4 P67D Neonate, admwt > 2499 g w/o significant OR proc w/o problem
4 Q01Z Splenectomy
4 Q02A Other OR proc of blood & blood forming organs w cat or severe cc
4 Q02B Other OR proc of blood & blood forming organs w/o cat or severe cc
4 Q60A Reticuloendothelial and immunity disorders w catastrophic or severe cc
4 Q60B Reticuloendothelial & immunity disorders w/o catastrophic or severe cc
4 Q61A Red blood cell disorders w catastrophic cc
4 Q61B Red blood cell disorders w severe cc
4 Q61C Red blood cell disorders w/o catastrophic or severe cc
4 Q62A Coagulation disorders age>69
4 Q62B Coagulation disorders age<70
4 R01A Lymphoma and leukaemia w major OR procs w catastrophic or severe cc
4 R01B Lymphoma and leukaemia w major OR procs w/o catastrophic or severe cc
4 R02A Other neoplastic disorders w major OR procs w catastrophic/severe cc
4 R02B Other neoplastic disorders w major OR procs w/o cat or severe cc
4 R03A Lymphoma and leukaemia w other OR procs w catastrophic or severe cc
4 R03B Lymphoma and leukaemia w other OR procs w/o catastrophic or severe cc
4 R04A Other neoplastic disorders w oth OR procs w catastrophic or severe cc
4 R04B Other neoplastic disorders w other OR procs w/o cat or severe cc
4 R60A Acute leukaemia w catastrophic cc
4 R60B Acute leukaemia w severe cc
4 R60C Acute leukaemia w/o catastrophic or severe cc
4 R61A Lymphoma and non-acute leukaemia w catastrophic cc
4 R61B Lymphoma and non-acute leukaemia w/o catastrophic cc
4 R61C Lymphoma and non-acute leukaemia, sameday
4 R62A Other neoplastic disorders w cc
4 R62B Other neoplastic disorders w/o cc
4 R63Z Chemotherapy
4 R64Z Radiotherapy
4 S60Z HIV, sameday
4 S61Z HIV-related CNS disease
4 S62Z HIV-related malignancy
4 S63A HIV-related infection w catastrophic cc
4 S63B HIV-related infection w/o catastrophic cc
4 S64A Other hiv w catastrophic cc
4 S64B Other hiv w/o catastrophic cc
4 T01A OR procedures for infectious and parasitic diseases w catastrophic cc
4 T01B OR procs for infectious & parasitic diseases w severe or moderate cc
4 T01C OR procedures for infectious and parasitic diseases w/o cc
4 T60A Septicaemia w catastrophic or severe cc
4 T60B Septicaemia w/o catastrophic or severe cc
4 T61A Postop & post-traumatic infect w cat/sev cc or (age>54 w/o cat/sev cc)
4 T61B Postop & post-traumatic infections age<55 w/o cat or severe cc
4 T62A Fever of unknown origin w cc
4 T62B Fever of unknown origin w/o cc
4 T63A Viral illness age>59
4 T63B Viral illness age<60
4 T64A Other infectious and parasitic diseases w catastrophic or severe cc
4 T64B Other infectious and parasitic diseases w/o catastrophic or severe cc
4 U40Z Mental health treatment, sameday, w ECT
4 U60Z Mental health treatment, sameday, w/o ECT
4 U61A Schizophrenia disorders w mental health legal status
4 U61B Schizophrenia disorders w/o mental health legal status
4 U62A Paranoia, acute psych disord w cat/sev cc/w mental health legal status
4 U62B Paranoia,ac psych disord w/o cat/sev cc w/o mental health legal status
4 U63A Major affective disord w cat or sev cc or (age>69 w/o cat or sev cc)
4 U63B Major affective disorders age<70 w/o catastrophic or severe cc
4 U64Z Other affective and somatoform disorders
4 U65Z Anxiety disorders
4 U66Z Eating and obsessive-compulsive disorders
4 U68Z Personality disorders and acute reactions
4 U67Z Childhood mental disorders
4 V60Z Alcohol intoxication and withdrawal
4 V61A Drug intoxication and withdrawal w cc
4 V61B Drug intoxication and withdrawal wo cc
4 V62A Alcohol use disorder and dependance
4 V62B Alcohol use disorder and dependance, sameday
4 V63Z Opioid use disorder and dependence
4 V64Z Other drug use disorder and dependance
4 W01Z Ventilation or craniotomy procs for multiple significant trauma
4 W02Z Hip, femur & limb procs for mult significant trauma, incl implantation
4 W03Z Abdominal procedures for multiple significant trauma
4 W04Z Other OR procedures for multiple significant trauma
4 W60Z Mult trauma, died or transf to another acute care facility, los<5 days
4 W61Z Multiple trauma without significant procedures
4 X01Z Microvascular tissue transfer, skin grafts for injuries to lower limb
4 X02Z Microvascular tissue transfer or skin grafts for injuries to hand
4 X03Z Microvascular tissue transfer or skin grafts for other injuries
4 X04A Other procedures for injuries to lower limb age>59 or w cc
4 X04B Other procedures for injuries to lower limb age<60 w/o cc
4 X05Z Other procedures for injuries to hand
4 X06A Other procedures for other injuries w catastrophic or severe cc
4 X06B Other procedures for other injuries w/o catastrophic or severe cc
4 X60A Injuries age>64 w cc
4 X60B Injuries age>64 w/o cc
4 X60C Injuries age < 65
4 X61Z Allergic reactions
4 X62A Poisoning/toxic effects of drugs & other substances age>59 or w cc
4 X62B Poisoning/toxic effects of drugs & other substances age<60 w/o cc
4 X63A Sequelae of treatment w catastrophic or severe cc
4 X63B Sequelae of treatment w/o catastrophic or severe cc
4 X64A Other injury, poisoning and toxic effect diagnosis age>59 or w cc
4 X64B Other injury, poisoning and toxic effect diagnosis age<60 w/o cc
4 Y01Z Severe full thickness burns
4 Y02A Other burns w skin graft age>64 or w cat/sev cc or w compl diag/proc
4 Y02B Other burns w skin graft age<65 w/o cat or sev cc w/o compl diag/proc
4 Y03Z Other OR Procedures for other burns
4 Y60Z Burns, transferred to another acute care facility < 5 days
4 Y61Z Severe burns
4 Y62A Other burns age>64 or w catastrophic or severe cc or w compl diag/proc
4 Y62B Other burns age<65 w/o catastrophic or severe cc w/o compl diag/proc
4 Z01A OR procs w diagnoses of other contacts w health services w cat/sev cc
4 Z01B OR procs w diagnoses other contacts w health services w/o cat/sev cc
4 Z40Z Follow up after completed treatment w endoscopy
4 Z60A Rehabilitation w catastrophic or severe cc
4 Z60B Rehabilitation w/o catastrophic or severe cc
4 Z60C Rehabilitation, sameday
4 Z61Z Signs and symptoms
4 Z62Z Follow up after completed treatment w/o endoscopy
4 Z63A Other aftercare w catastrophic or severe cc
4 Z63B Other aftercare w/o catastrophic or severe cc
4 Z64A Other factors influencing health status age>79
4 Z64B Other factors influencing health status age<80
4 Z65Z Multiple, other and unspecified congenital anomalies
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