AR-DRG v5.0 codes

Code table for AR-DRG v5.0.

AR-DRG v5.0 codes
DRG grouper type DRG code DRG code description
5 901Z Extensive O.R. Procedure Unrelated to Principal Diagnosis
5 902Z Non-Extensive O.R. Procedure Unrelated to Principal Diagnosis
5 903Z Prostatic O.R. Procedure Unrelated to Principal Diagnosis
5 960Z Ungroupable
5 961Z Unacceptable Principal Diagnosis
5 963Z Neonatal Diagnosis Not Consistent W Age/Weight
5 A01Z Liver Transplant
5 A03Z Lung or Heart/Lung Transplant
5 A05Z Heart Transplant
5 A06Z Tracheostomy or Ventilation >95 hours
5 A07Z Allogeneic Bone Marrow Transplant
5 A08A Autologous Bone Marrow Transplant W Catastrophic CC
5 A08B Autologous Bone Marrow Transplant W/O Catastrophic CC
5 A09A Renal Transplant W Pancreas Transplant or Catastrophic CC
5 A09B Renal Transplant W/O Pancreas Transplant W/O Catastrophic CC
5 A40Z ECMO W/O Cardiac Surgery
5 A41A Intubation Age<16 W CC
5 A41B Intubation Age<16 W/O CC
5 B01Z Ventricular Shunt Revision
5 B02A Craniotomy W Catastrophic CC
5 B02B Craniotomy W Severe or Moderate CC
5 B02C Craniotomy W/O CC
5 B03A Spinal Procedures W Catastrophic or Severe CC
5 B03B Spinal Procedures W/O Catastrophic or Severe CC
5 B04A Extracranial Vascular Procedures W Catastrophic or Severe CC
5 B04B Extracranial Vascular Procedures W/O Catastrophic or Severe CC
5 B05Z Carpal Tunnel Release
5 B06A Procs for Cerebral Palsy Muscular Dystrophy Neuropathy W Cat or Sev CC
5 B06B Procs for Cerebral Palsy Muscular Dystrophy Neuropathy W/O Cat or Sev CC
5 B07A Peripheral and Cranial Nerve & Other Nervous System Procedures W CC
5 B07B Peripheral and Cranial Nerve & Other Nervous System Procedures W/O CC
5 B40Z Plasmapheresis W Neurological Disease
5 B41Z Telemetric EEG Monitoring
5 B60A Established Paraplegia/Quadriplegia W or W/O O.R. Procs W Catastrophic CC
5 B60B Established Paraplegia/Quadriplegia W or W/O O.R. Procs W/O Catastrophic CC
5 B61A Spinal Cord Conditions W or W/O O.R. Procedures W Catastrophic or Severe CC
5 B61B Spinal Cord Conditions W or W/O O.R. Procedures W/O Catastrophic or Severe CC
5 B62Z Admit for Apheresis
5 B63Z Dementia and Other Chronic Disturbances of Cerebral Function
5 B64A Delirium W Catastrophic CC
5 B64B Delirium W/O Catastrophic CC
5 B65Z Cerebral Palsy
5 B66A Nervous System Neoplasm W Catastrophic or Severe CC
5 B66B Nervous System Neoplasm W/O Catastrophic or Severe CC
5 B67A Degenerative Nervous System Disorders W Cat or Sev CC
5 B67B Degenerative Nervous System Disorders Age >59 W/O Cat or Sev CC
5 B67C Degenerative Nervous System Disorders Age <60 W/O Cat or Sev CC
5 B68A Multiple Sclerosis and Cerebellar Ataxia W CC
5 B68B Multiple Sclerosis and Cerebellar Ataxia W/O CC
5 B69A TIA and Precerebral Occlusion W Catastrophic or Severe CC
5 B69B TIA and Precerebral Occlusion W/O Catastrophic or Severe CC
5 B70A Stroke W Catastrophic CC
5 B70B Stroke W Severe CC
5 B70C Stroke W/O Catastrophic or Severe CC
5 B70D Stroke Died or Transferred < 5 days
5 B71A Cranial and Peripheral Nerve Disorders W CC
5 B71B Cranial and Peripheral Nerve Disorders W/O CC
5 B72A Nervous System Infection Except Viral Meningitis W Cat or Sev CC
5 B72B Nervous System Infection Except Viral Meningitis W/O Cat or Sev CC
5 B73Z Viral Meningitis
5 B74Z Nontraumatic Stupor and Coma
5 B75Z Febrile Convulsions
5 B76A Seizure W Catastrophic or Severe CC
5 B76B Seizure W/O Catastrophic or Severe CC
5 B77Z Headache
5 B78A Intracranial Injury W Catastrophic or Severe CC
5 B78B Intracranial Injury W/O Catastrophic or Severe CC
5 B79Z Skull Fractures
5 B80Z Other Head Injury
5 B81A Other Disorders of the Nervous System W Catastrophic or Severe CC
5 B81B Other Disorders of the Nervous System W/O Catastrophic or Severe CC
5 C01Z Procedures for Penetrating Eye Injury
5 C02Z Enucleations and Orbital Procedures
5 C03Z Retinal Procedures
5 C04Z Major Corneal Scleral and Conjunctival Procedures
5 C05Z Dacryocystorhinostomy
5 C10Z Strabismus Procedures
5 C11Z Eyelid Procedures
5 C12Z Other Corneal Scleral and Conjunctival Procedures
5 C13Z Lacrimal Procedures
5 C14Z Other Eye Procedures
5 C15A Glaucoma and Complex Cataract Procedures
5 C15B Glaucoma and Complex Cataract Procedures Sameday
5 C16A Lens Procedures
5 C16B Lens Procedures Sameday
5 C60A Acute and Major Eye Infections Age >54 or W (Catastrophic or Severe CC)
5 C60B Acute and Major Eye Infections Age <55 W/O Catastrophic or Severe CC
5 C61Z Neurological and Vascular Disorders of the Eye
5 C62Z Hyphema and Medically Managed Trauma to the Eye
5 C63A Other Disorders of the Eye W CC
5 C63B Other Disorders of the Eye W/O CC
5 D01Z Cochlear Implant
5 D02A Head and Neck Procedures W Catastrophic or Severe CC
5 D02B Head and Neck Procedures W Malignancy or Moderate CC
5 D02C Head and Neck Procedures W/O Malignancy W/O CC
5 D03Z Surgical Repair for Cleft Lip or Palate Diagnosis
5 D04A Maxillo Surgery W CC
5 D04B Maxillo Surgery W/O CC
5 D05Z Parotid Gland Procedures
5 D06Z Sinus Mastoid and Complex Middle Ear Procedures
5 D09Z Miscellaneous Ear Nose Mouth & Throat Procedures
5 D10Z Nasal Procedures
5 D11Z Tonsillectomy and/or Adenoidectomy
5 D12Z Other Ear Nose Mouth & Throat Procedures
5 D13Z Myringotomy W Tube Insertion
5 D14Z Mouth and Salivary Gland Procedures
5 D40Z Dental Extractions and Restorations
5 D60A Ear Nose Mouth and Throat Malignancy W Catastrophic or Severe CC
5 D60B Ear Nose Mouth and Throat Malignancy W/O Catastrophic or Severe CC
5 D61Z Dysequilibrium
5 D62Z Epistaxis
5 D63A Otitis Media and URI W CC
5 D63B Otitis Media and URI W/O CC
5 D64Z Laryngotracheitis and Epiglottitis
5 D65Z Nasal Trauma and Deformity
5 D66A Other Ear Nose Mouth and Throat Diagnoses W CC
5 D66B Other Ear Nose Mouth and Throat Diagnoses W/O CC
5 D67A Oral and Dental Disorders Except Extractions and Restorations
5 D67B Oral and Dental Disorders Except Extractions and Restorations Sameday
5 E01A Major Chest Procedures W Catastrophic CC
5 E01B Major Chest Procedures W/O Catastrophic CC
5 E02A Other Respiratory System O.R. Procedures W Catastrophic CC
5 E02B Other Respiratory System O.R. Procedures W Severe CC
5 E02C Other Respiratory System O.R. Procedures W/O Catastrophic or Severe CC
5 E40Z Respiratory System Diagnosis W Ventilator Support
5 E41Z Respiratory System Diagnosis W Non-invasive Ventilation
5 E60A Cystic Fibrosis W Catastrophic or Severe CC
5 E60B Cystic Fibrosis W/O Catastrophic or Severe CC
5 E61A Pulmonary Embolism W Catastrophic or Severe CC
5 E61B Pulmonary Embolism W/O Catastrophic or Severe CC
5 E62A Respiratory Infections/Inflammations W Catastrophic CC
5 E62B Respiratory Infections/Inflammations W Severe or Moderate CC
5 E62C Respiratory Infections/Inflammations W/O CC
5 E63Z Sleep Apnoea
5 E64Z Pulmonary Oedema and Respiratory Failure
5 E65A Chronic Obstructive Airways Disease W Catastrophic or Severe CC
5 E65B Chronic Obstructive Airways Disease W/O Catastrophic or Severe CC
5 E66A Major Chest Trauma Age >69 W CC
5 E66B Major Chest Trauma Age >69 or W CC
5 E66C Major Chest Trauma Age <70 W/O CC
5 E67A Respiratory Signs and Symptoms W Catastrophic or Severe CC
5 E67B Respiratory Signs and Symptoms W/O Catastrophic or Severe CC
5 E68Z Pneumothorax
5 E69A Bronchitis and Asthma Age >49 W CC
5 E69B Bronchitis and Asthma Age >49 or W CC
5 E69C Bronchitis and Asthma Age <50 W/O CC
5 E70A Whooping Cough and Acute Bronchiolitis W CC
5 E70B Whooping Cough and Acute Bronchiolitis W/O CC
5 E71A Respiratory Neoplasms W Catastrophic CC
5 E71B Respiratory Neoplasms W Severe or Moderate CC
5 E71C Respiratory Neoplasms W/O CC
5 E72Z Respiratory Problems Arising from Neonatal Period
5 E73A Pleural Effusion W Catastrophic CC
5 E73B Pleural Effusion W Severe CC
5 E73C Pleural Effusion W/O Catastrophic or Severe CC
5 E74A Interstitial Lung Disease W Catastrophic CC
5 E74B Interstitial Lung Disease W Severe CC
5 E74C Interstitial Lung Disease W/O Catastrophic or Severe CC
5 E75A Other Respiratory System Diagnosis Age >64 W CC
5 E75B Other Respiratory System Diagnosis Age >64 or W CC
5 E75C Other Respiratory System Diagnosis Age <65 W/O CC
5 F01A Implantation or Replacement of AICD Total System W Cat or Sev CC
5 F01B Implantation or Replacement of AICD Total System W/O Cat or Sev CC
5 F02Z AICD Component Implantation/Replacement
5 F03Z Cardiac Valve Proc W CPB Pump W Invasive Cardiac Investigation
5 F04A Cardiac Valve Proc W CPB Pump W/O Invasive Cardiac Inves W Cat CC
5 F04B Cardiac Valve Proc W CPB Pump W/O Invasive Cardiac Inves W/O Cat CC
5 F05A Coronary Bypass W Invasive Cardiac Inves W Catastrophic CC
5 F05B Coronary Bypass W Invasive Cardiac Inves W/O Catastrophic CC
5 F06A Coronary Bypass W/O Invasive Cardiac Inves W Catastrophic or Severe CC
5 F06B Coronary Bypass W/O Invasive Cardiac Inves W/O Catastrophic or Severe CC
5 F07A Other Cardiothoracic/Vascular Procedures W CPB Pump W Catastrophic CC
5 F07B Other Cardiothoracic/Vascular Procedures W CPB Pump W/O Catastrophic CC
5 F08A Major Reconstruct Vascular Procedures W/O CPB Pump W Catastrophic CC
5 F08B Major Reconstruct Vascular Procedures W/O CPB Pump W/O Catastrophic CC
5 F09A Other Cardiothoracic Procedures W/O CPB Pump W Catastrophic CC
5 F09B Other Cardiothoracic Procedures W/O CPB Pump W/O Catastrophic CC
5 F10Z Percutaneous Coronary Intervention W AMI
5 F11A Amputation for Circ System Except Upper Limb and Toe W Catastrophic CC
5 F11B Amputation for Circ System Except Upper Limb and Toe W/O Catastrophic CC
5 F12Z Cardiac Pacemaker Implantation
5 F13Z Upper Limb and Toe Amputation for Circulatory System Disorders
5 F14A Vascular Procs Except Major Reconstruction W/O CPB Pump W Cat CC
5 F14B Vascular Procs Except Major Reconstruction W/O CPB Pump W Sev CC
5 F14C Vascular Procs Except Major Reconstruction W/O CPB Pump W/O Cat or Sev CC
5 F15Z Percutaneous Coronary Intervention W/O AMI W Stent Implantation
5 F16Z Percutaneous Coronary Intervention W/O AMI W/O Stent Implantation
5 F17Z Cardiac Pacemaker Replacement
5 F18Z Cardiac Pacemaker Revision Except Device Replacement
5 F19Z Other Trans-Vascular Percutaneous Cardiac Intervention
5 F20Z Vein Ligation and Stripping
5 F21A Other Circulatory System O.R. Procedures W Catastrophic CC
5 F21B Other Circulatory System O.R. Procedures W/O Catastrophic CC
5 F40Z Circulatory System Diagnosis W Ventilator Support
5 F41A Circulatory Disorders W AMI W Invasive Cardiac Inves Proc W Cat or Sev CC
5 F41B Circulatory Disorders W AMI W Invasive Cardiac Inves Proc W/O Cat or Sev CC
5 F42A Circulatory Disorders W/O AMI W Invasive Cardiac Inves Proc W Complex DX/Pr
5 F42B Circulatory Disorders W/O AMI W Invasive Cardiac Inves Proc W/O Complex DX/Pr
5 F60A Circulatory Disorders W AMI W/O Invasive Cardiac Inves Proc W Cat or Sev CC
5 F60B Circulatory Disorders W AMI W/O Invasive Cardiac Inves Proc W/O Cat or Sev CC
5 F60C Circulatory Disorders W AMI W/O Invasive Cardiac Inves Proc Died
5 F61Z Infective Endocarditis
5 F62A Heart Failure and Shock W Catastrophic CC
5 F62B Heart Failure and Shock W/O Catastrophic CC
5 F63A Venous Thrombosis W Catastrophic or Severe CC
5 F63B Venous Thrombosis W/O Catastrophic or Severe CC
5 F64Z Skin Ulcers for Circulatory Disorders
5 F65A Peripheral Vascular Disorders W Catastrophic or Severe CC
5 F65B Peripheral Vascular Disorders W/O Catastrophic or Severe CC
5 F66A Coronary Atherosclerosis W CC
5 F66B Coronary Atherosclerosis W/O CC
5 F67A Hypertension W CC
5 F67B Hypertension W/O CC
5 F68Z Congenital Heart Disease
5 F69A Valvular Disorders W Catastrophic or Severe CC
5 F69B Valvular Disorders W/O Catastrophic or Severe CC
5 F70A Major Arrhythmia and Cardiac Arrest W Catastrophic or Severe CC
5 F70B Major Arrhythmia and Cardiac Arrest W/O Catastrophic or Severe CC
5 F71A Non-Major Arrhythmia and Conduction Disorders W Catastrophic or Severe CC
5 F71B Non-Major Arrhythmia and Conduction Disorders W/O Catastrophic or Severe CC
5 F72A Unstable Angina W Catastrophic or Severe CC
5 F72B Unstable Angina W/O Catastrophic or Severe CC
5 F73A Syncope and Collapse W Catastrophic or Severe CC
5 F73B Syncope and Collapse W/O Catastrophic or Severe CC
5 F74Z Chest Pain
5 F75A Other Circulatory System Diagnoses W Catastrophic CC
5 F75B Other Circulatory System Diagnoses W Severe CC
5 F75C Other Circulatory System Diagnoses W/O Catastrophic or Severe CC
5 G01A Rectal Resection W Catastrophic CC
5 G01B Rectal Resection W/O Catastrophic CC
5 G02A Major Small and Large Bowel Procedures W Catastrophic CC
5 G02B Major Small and Large Bowel Procedures W/O Catastrophic CC
5 G03A Stomach Oesophageal and Duodenal Procedures W Malignancy
5 G03B Stomach Oesophageal and Duodenal Procedures W/O Malignancy W Cat or Sev CC
5 G03C Stomach Oesophageal and Duodenal Procedures W/O Malignancy W/O Cat or Sev CC
5 G04A Peritoneal Adhesiolysis Age >49 W CC
5 G04B Peritoneal Adhesiolysis Age >49 or W CC
5 G04C Peritoneal Adhesiolysis Age <50 W/O CC
5 G05A Minor Small and Large Bowel Procedures W CC
5 G05B Minor Small and Large Bowel Procedures W/O CC
5 G06Z Pyloromyotomy Procedure
5 G07A Appendicectomy W Catastrophic or Severe CC
5 G07B Appendicectomy W/O Catastrophic or Severe CC
5 G08A Abdominal and Other Hernia Procedures Age >59 or W (Cat or Sev CC)
5 G08B Abdominal and Other Hernia Procedures Age 1 to 59 W/O Cat or Sev CC
5 G09Z Inguinal and Femoral Hernia Procedures Age>0
5 G10Z Hernia Procedures Age<1
5 G11A Anal and Stomal Procedures W Catastrophic or Severe CC
5 G11B Anal and Stomal Procedures W/O Catastrophic or Severe CC
5 G12A Other Digestive System O.R. Procedures W Catastrophic or Severe CC
5 G12B Other Digestive System O.R. Procedures W/O Catastrophic or Severe CC
5 G42A Other Gastroscopy for Major Digestive Disease
5 G42B Other Gastroscopy for Major Digestive Disease Sameday
5 G43Z Complex Colonoscopy
5 G44A Other Colonoscopy W Catastrophic or Severe CC
5 G44B Other Colonoscopy W/O Catastrophic or Severe CC
5 G44C Other Colonoscopy Sameday
5 G45A Other Gastroscopy for Non-Major Digestive Disease
5 G45B Other Gastroscopy for Non-Major Digestive Disease Sameday
5 G46A Complex Gastroscopy W Catastrophic or Severe CC
5 G46B Complex Gastroscopy W/O Catastrophic or Severe CC
5 G46C Complex Gastroscopy Sameday
5 G60A Digestive Malignancy W Catastrophic or Severe CC
5 G60B Digestive Malignancy W/O Catastrophic or Severe CC
5 G61A GI Haemorrhage Age >64 or W (Catastrophic or Severe CC)
5 G61B GI Haemorrhage Age <65 W/O Catastrophic or Severe CC
5 G62Z Complicated Peptic Ulcer
5 G63Z Uncomplicated Peptic Ulcer
5 G64Z Inflammatory Bowel Disease
5 G65A GI Obstruction W CC
5 G65B GI Obstruction W/O CC
5 G66A Abdominal Pain or Mesenteric Adenitis W CC
5 G66B Abdominal Pain or Mesenteric Adenitis W/O CC
5 G67A Oesophagitis Gastroent & Misc Digestive System Disorders Age>9 W Cat/Sev CC
5 G67B Oesophagitis Gastroent & Misc Digestive Systm Disorders Age>9 W/O Cat/Sev CC
5 G68A Gastroenteritis Age <10 W CC
5 G68B Gastroenteritis Age <10 W/O CC
5 G69Z Oesophagitis and Misc Digestive System Disorders Age<10
5 G70A Other Digestive System Diagnoses W CC
5 G70B Other Digestive System Diagnoses W/O CC
5 H01A Pancreas Liver and Shunt Procedures W Catastrophic CC
5 H01B Pancreas Liver and Shunt Procedures W/O Catastrophic CC
5 H02A Major Biliary Tract Procedures W Malignancy or Catastrophic CC
5 H02B Major Biliary Tract Procedures W/O Malignancy W (Severe or Moderate CC)
5 H02C Major Biliary Tract Procedures W/O Malignancy W/O CC
5 H05A Hepatobiliary Diagnostic Procedures W Catastrophic or Severe CC
5 H05B Hepatobiliary Diagnostic Procedures W/O Catastrophic or Severe CC
5 H06Z Other Hepatobiliary and Pancreas O.R. Procedures
5 H07A Open Cholecystectomy W Closed CDE or W Catastrophic CC
5 H07B Open Cholecystectomy W/O Closed CDE W/O Catastrophic CC
5 H08A Laparoscopic Cholecystectomy W Closed CDE or W (Cat or Sev CC)
5 H08B Laparoscopic Cholecystectomy W/O Closed CDE W/O Cat or Sev CC
5 H40Z Endoscopic Procedures for Bleeding Oesophageal Varices
5 H41A ERCP Complex Therapeutic Procedure W Catastrophic or Severe CC
5 H41B ERCP Complex Therapeutic Procedure W/O Catastrophic or Severe CC
5 H42A ERCP Other Therapeutic Procedure W Catastrophic or Severe CC
5 H42B ERCP Other Therapeutic Procedure W Moderate CC
5 H42C ERCP Other Therapeutic Procedure W/O CC
5 H60A Cirrhosis and Alcoholic Hepatitis W Catastrophic CC
5 H60B Cirrhosis and Alcoholic Hepatitis W Severe CC
5 H60C Cirrhosis and Alcoholic Hepatitis W/O Catastrophic or Severe CC
5 H61A Malignancy of Hepatobiliary Sys Panc (Age>69 W Cat or Sev CC) or W Cat CC
5 H61B Malignancy of Hepatobiliary Sys Panc (Age>69 W/O Cat or Sev CC) or W/O Cat CC
5 H62A Disorders of Pancreas Except for Malignancy W Catastrophic or Severe CC
5 H62B Disorders of Pancreas Except for Malignancy W/O Catastrophic or Severe CC
5 H63A Disorders of Liver Except Malig Cirrhosis Alcoholic Hepatitis W Cat/Sev CC
5 H63B Disorders of Liver Excep Malig Cirrhosis Alcoholic Hepatitis W/O Cat/Sev CC
5 H64A Disorders of the Biliary Tract W CC
5 H64B Disorders of the Biliary Tract W/O CC
5 I01Z Bilateral or Multiple Major Joint Procedures of Lower Extremity
5 I02A Microvascular Tissue Transfer or (Skin Graft W Cat or Sev CC) Excluding Hand
5 I02B Skin Graft W/O Catastrophic or Severe CC Excluding Hand
5 I03A Hip Revision W Catastrophic or Severe CC
5 I03B Hip Replacement W Cat or Sev CC or Hip Revision W/O Cat or Sev CC
5 I03C Hip Replacement W/O Catastrophic or Severe CC
5 I04Z Knee Replacement and Reattachment
5 I05Z Other Major Joint Replacement and Limb Reattachment Procedures
5 I06Z Spinal Fusion W Deformity
5 I07Z Amputation
5 I08A Other Hip and Femur Procedures W Catastrophic or Severe CC
5 I08B Other Hip and Femur Procedures W/O Catastrophic or Severe CC
5 I09A Spinal Fusion W Catastrophic or Severe CC
5 I09B Spinal Fusion W/O Catastrophic or Severe CC
5 I10A Other Back and Neck Procedures W Catastrophic or Severe CC
5 I10B Other Back and Neck Procedures W/O Catastrophic or Severe CC
5 I11Z Limb Lengthening Procedures
5 I12A Infect/Inflam of Bone & Joint W Misc Musc Sys & Conn Tiss Procs W Cat CC
5 I12B Infect/Inflam of Bone & Joint W Misc Musc Sys & Conn Tiss Procs W Sev CC
5 I12C Infect/Inflam Bone & Joint W Misc Musc Sys & Conn Tiss Proc W/O Cat or Sev CC
5 I13A Humerus Tibia Fibula and Ankle Procedures W Catastrophic or Severe CC
5 I13B Humerus Tibia Fibula and Ankle Procedures Age >59 W/O Cat or Sev CC
5 I13C Humerus Tibia Fibula and Ankle Procedures Age <60 W/O Cat or Sev CC
5 I14Z Stump Revision
5 I15Z Cranio-Facial Surgery
5 I16Z Other Shoulder Procedures
5 I17Z Maxillo-Facial Surgery
5 I18Z Other Knee Procedures
5 I19Z Other Elbow or Forearm Procedures
5 I20Z Other Foot Procedures
5 I21Z Local Excision & Removal of Internal Fixation Devices of Hip and Femur
5 I23Z Local Excision & Removal of Internal Fixation Device Excl Hip and Femur
5 I24Z Arthroscopy
5 I25Z Bone and Joint Diagnostic Procedures including Biopsy
5 I27A Soft Tissue Procedures W Catastrophic or Severe CC
5 I27B Soft Tissue Procedures W/O Catastrophic or Severe CC
5 I28A Other Connective Tissue Procedures W CC
5 I28B Other Connective Tissue Procedures W/O CC
5 I29Z Knee Reconstruction Or Revision
5 I30Z Hand Procedures
5 I60Z Femoral Shaft Fractures
5 I61Z Distal Femoral Fractures
5 I63Z Sprains Strains and Dislocations of Hip Pelvis and Thigh
5 I64A Osteomyelitis W CC
5 I64B Osteomyelitis W/O CC
5 I65A Connective Tissue Malignancy including Pathological Fx W Cat or Sev CC
5 I65B Connective Tissue Malignancy including Pathological Fx W/O Cat or Sev CC
5 I66A Inflammatory Musculoskeletal Disorders W Cat or Sev CC
5 I66B Inflammatory Musculoskeletal Disorders W/O Cat or Sev CC
5 I67A Septic Arthritis W Catastrophic or Severe CC
5 I67B Septic Arthritis W/O Catastrophic or Severe CC
5 I68A Non-surgical Spinal Disorders W CC
5 I68B Non-surgical Spinal Disorders W/O CC
5 I68C Non-surgical Spinal Disorders Sameday
5 I69A Bone Diseases & Spec Arthropathies Age >74 W Catastrophic or Severe CC
5 I69B Bone Diseases & Spec Arthropathies Age >74 or W (Catastrophic or Severe CC)
5 I69C Bone Diseases & Spec Arthropathies Age <75 W/O Catastrophic or Severe CC
5 I70Z Non-specific Arthropathies
5 I71A Other Musculotendinous Disorders Age >69 W CC
5 I71B Other Musculotendinous Disorders Age >69 or W CC
5 I71C Other Musculotendinous Disorders Age <70 W/O CC
5 I72A Specific Musculotendinous Disorders Age >79 or W (Cat or Sev CC)
5 I72B Specific Musculotendinous Disorders Age <80 W/O Cat or Sev CC
5 I73A Aftercare of Musculoskeletal Implants/Prostheses Age >59 W Cat or Sev CC
5 I73B Aftercare of Musculoskeletal Implants/Prostheses Age >59 or W (Cat or Sev CC)
5 I73C Aftercare of Musculoskeletal Implants/Prostheses Age <60 W/O Cat or Sev CC
5 I74A Injury to Forearm Wrist Hand or Foot Age >74 W CC
5 I74B Injury to Forearm Wrist Hand or Foot Age >74 or W CC
5 I74C Injury to Forearm Wrist Hand or Foot Age <75 W/O CC
5 I75A Injury to Shoulder Arm Elbow Knee Leg or Ankle Age >64 W CC
5 I75B Injury to Shoulder Arm Elbow Knee Leg or Ankle Age >64 or W CC
5 I75C Injury to Shoulder Arm Elbow Knee Leg or Ankle Age <65 W/O CC
5 I76A Other Musculoskeletal Disorders Age >69 W CC
5 I76B Other Musculoskeletal Disorders Age >69 or W CC
5 I76C Other Musculoskeletal Disorders Age <70 W/O CC
5 I77A Fractures of Pelvis W Catastrophic or Severe CC
5 I77B Fractures of Pelvis W/O Catastrophic or Severe CC
5 I78A Fractures of Neck of Femur W Catastrophic or Severe CC
5 I78B Fractures of Neck of Femur W/O Catastrophic or Severe CC
5 J01Z Microvascular Tissue Transfer for Skin Subcutaneous Tissue & Breast Disorder
5 J06A Major Procedures for Malignant Breast Conditions
5 J06B Major Procedures for Non-Malignant Breast Conditions
5 J07A Minor Procedures for Malignant Breast Conditions
5 J07B Minor Procedures for Non-Malignant Breast Conditions
5 J08A Other Skin Graft and/or Debridement Procedures W Catastrophic or Severe CC
5 J08B Other Skin Graft and/or Debridement Procedures W/O Catastrophic or Severe CC
5 J09Z Perianal and Pilonidal Procedures
5 J10Z Skin Subcutaneous Tissue and Breast Plastic O.R. Procedures
5 J11Z Other Skin Subcutaneous Tissue and Breast Procedures
5 J12A Lower Limb Procs W Ulcer/Cellulitis W Cat CC
5 J12B Lower Limb Procs W Ulcer/Cellulitis W/O Cat CC W Skin Graft/Flap Repair
5 J12C Lower Limb Procs W Ulcer/Cellulitis W/O Cat CC W/O Skin Graft/Flap Repair
5 J13A Lower Limb Procs W/O Ulcer/Cellulitis W Skin Graft W (Cat or Sev CC)
5 J13B Lower Limb Procs W/O Ulcer/Cellulitis W/O (Skin Graft and (Cat or Sev CC))
5 J14Z Major Breast Reconstructions
5 J60A Skin Ulcers
5 J60B Skin Ulcers Sameday
5 J62A Malignant Breast Disorders (Age >69 W CC) or W (Cat or Sev CC)
5 J62B Malignant Breast Disorders (Age>69 W/O CC) or W/O (Cat or Sev CC)
5 J63Z Non-Malignant Breast Disorders
5 J64A Cellulitis Age >59 W Catastrophic or Severe CC
5 J64B Cellulitis (Age >59 W/O Catastrophic or Severe CC) or Age <60
5 J65A Trauma to the Skin Subcutaneous Tissue and Breast Age >69
5 J65B Trauma to the Skin Subcutaneous Tissue and Breast Age <70
5 J67A Minor Skin Disorders
5 J67B Minor Skin Disorders Sameday
5 J68A Major Skin Disorders
5 J68B Major Skin Disorders Sameday
5 K01Z Diabetic Foot Procedures
5 K02Z Pituitary Procedures
5 K03Z Adrenal Procedures
5 K04Z Major Procedures for Obesity
5 K05Z Parathyroid Procedures
5 K06Z Thyroid Procedures
5 K07Z Obesity Procedures
5 K08Z Thyroglossal Procedures
5 K09Z Other Endocrine Nutritional and Metabolic O.R. Procedures
5 K40Z Endoscopic or Investigative Procedure for Metabolic Disorders W/O CC
5 K60A Diabetes W Catastrophic or Severe CC
5 K60B Diabetes W/O Catastrophic or Severe CC
5 K61Z Severe Nutritional Disturbance
5 K62A Miscellaneous Metabolic Disorders W Catastrophic CC
5 K62B Miscellaneous Metabolic Disorders Age >74 or W Severe CC
5 K62C Miscellaneous Metabolic Disorders Age <75 W/O Catastrophic or Severe CC
5 K63Z Inborn Errors of Metabolism
5 K64A Endocrine Disorders W Catastrophic or Severe CC
5 K64B Endocrine Disorders W/O Catastrophic or Severe CC
5 L02A Operative Insertion of Peritoneal Catheter for Dialysis W Cat or Sev CC
5 L02B Operative Insertion of Peritoneal Catheter for Dialysis W/O Cat or Sev CC
5 L03A Kidney Ureter and Major Bladder Procedures for Neoplasm W Cat or Sev CC
5 L03B Kidney Ureter and Major Bladder Procedures for Neoplasm W/O Cat or Sev CC
5 L04A Kidney Ureter and Major Bladder Procedures for Non-Neoplasm W Cat CC
5 L04B Kidney Ureter and Major Bladder Procedures for Non-Neoplasm W Sev or Mod CC
5 L04C Kidney Ureter and Major Bladder Procedures for Non-Neoplasm W/O CC
5 L05A Transurethral Prostatectomy W Catastrophic or Severe CC
5 L05B Transurethral Prostatectomy W/O Catastrophic or Severe CC
5 L06A Minor Bladder Procedures W Catastrophic or Severe CC
5 L06B Minor Bladder Procedures W/O Catastrophic or Severe CC
5 L07A Transurethral Procedures Except Prostatectomy W Catastrophic or Severe CC
5 L07B Transurethral Procedures Except Prostatectomy W/O Catastrophic or Severe CC
5 L08A Urethral Procedures W CC
5 L08B Urethral Procedures W/O CC
5 L09A Other Procedures for Kidney and Urinary Tract Disorders W Cat CC
5 L09B Other Procedures for Kidney and Urinary Tract Disorders W Sev CC
5 L09C Other Procedures for Kidney and Urinary Tract Disorders W/O Cat or Sev CC
5 L40Z Ureteroscopy
5 L41Z Cystourethroscopy Sameday
5 L42Z ESW Lithotripsy for Urinary Stones
5 L60A Renal Failure W Catastrophic CC
5 L60B Renal Failure W Severe CC
5 L60C Renal Failure W/O Catastrophic or Severe CC
5 L61Z Admit for Renal Dialysis
5 L62A Kidney and Urinary Tract Neoplasms W Catastrophic or Severe CC
5 L62B Kidney and Urinary Tract Neoplasms W/O Catastrophic or Severe CC
5 L63A Kidney and Urinary Tract Infections W Catastrophic CC
5 L63B Kidney and Urinary Tract Infections Age >69 or W Severe CC
5 L63C Kidney and Urinary Tract Infections Age <70 W/O Catastrophic or Severe CC
5 L64Z Urinary Stones and Obstruction
5 L65A Kidney and Urinary Tract Signs and Symptoms W Catastrophic or Severe CC
5 L65B Kidney and Urinary Tract Signs and Symptoms W/O Catastrophic or Severe CC
5 L66Z Urethral Stricture
5 L67A Other Kidney and Urinary Tract Diagnoses W Catastrophic CC
5 L67B Other Kidney and Urinary Tract Diagnoses W Severe CC
5 L67C Other Kidney and Urinary Tract Diagnoses W/O Catastrophic or Severe CC
5 M01Z Major Male Pelvic Procedures
5 M02A Transurethral Prostatectomy W Catastrophic or Severe CC
5 M02B Transurethral Prostatectomy W/O Catastrophic or Severe CC
5 M03A Penis Procedures W CC
5 M03B Penis Procedures W/O CC
5 M04A Testes Procedures W CC
5 M04B Testes Procedures W/O CC
5 M05Z Circumcision
5 M06A Other Male Reproductive System O.R. Procedures for Malignancy
5 M06B Other Male Reproductive System O.R. Procedures Except for Malignancy
5 M40Z Cystourethroscopy W/O CC
5 M60A Malignancy Male Reproductive System W Catastrophic or Severe CC
5 M60B Malignancy Male Reproductive System W/O Catastrophic or Severe CC
5 M61A Benign Prostatic Hypertrophy W Catastrophic or Severe CC
5 M61B Benign Prostatic Hypertrophy W/O Catastrophic or Severe CC
5 M62A Inflammation of the Male Reproductive System W CC
5 M62B Inflammation of the Male Reproductive System W/O CC
5 M63Z Sterilisation Male
5 M64Z Other Male Reproductive System Diagnoses
5 N01Z Pelvic Evisceration and Radical Vulvectomy
5 N02A Uterine Adnexa Procedure for Ovarian or Adnexal Malignancy W CC
5 N02B Uterine Adnexa Procedure for Ovarian or Adnexal Malignancy W/O CC
5 N03A Uterine Adnexa Procedure for Non-Ovarian or Adnexal Malignancy W CC
5 N03B Uterine Adnexa Procedure for Non-Ovarian or Adnexal Malignancy W/O CC
5 N04Z Hysterectomy for Non-Malignancy
5 N05A Oophorectomies & Complex Fallopian Tube Procs for Non-Malig W Cat or Sev CC
5 N05B Oophorectomies & Complex Fallopian Tube Procs for Non-Malig W/O Cat or Sev CC
5 N06Z Female Reproductive System Reconstructive Procedures
5 N07Z Other Uterine & Adnexa Procedures for Non-Malignancy
5 N08Z Endoscopic Procedures for Female Reproductive System
5 N09Z Conisation Vagina Cervix and Vulva Procedures
5 N10Z Diagnostic Curettage or Diagnostic Hysteroscopy
5 N11A Other Female Reproductive Sys O.R. Procs Age >64 or W Malignancy or W CC
5 N11B Other Female Reproductive System O.R. Procs Age <65 W/O Malignancy W/O CC
5 N60A Malignancy Female Reproductive System W Catastrophic or Severe CC
5 N60B Malignancy Female Reproductive System W/O Catastrophic or Severe CC
5 N61Z Infections Female Reproductive System
5 N62A Menstrual and Other Female Reproductive System Disorders W CC
5 N62B Menstrual and Other Female Reproductive System Disorders W/O CC
5 O01A Caesarean Delivery W Catastrophic CC
5 O01B Caesarean Delivery W Severe CC
5 O01C Caesarean Delivery W/O Catastrophic or Severe CC
5 O02A Vaginal Delivery W O.R. Procedure W Catastrophic or Severe CC
5 O02B Vaginal Delivery W O.R. Procedure W/O Catastrophic or Severe CC
5 O03Z Ectopic Pregnancy
5 O04Z Postpartum and Post Abortion W O.R. Procedure
5 O05Z Abortion W O.R. Procedure
5 O60A Vaginal Delivery W Catastrophic or Severe CC
5 O60B Vaginal Delivery W/O Catastrophic or Severe CC
5 O60C Vaginal Delivery Single Uncomplicated W/O Other Condition
5 O61Z Postpartum and Post Abortion W/O O.R. Procedure
5 O63Z Abortion W/O O.R. Procedure
5 O64A False Labour Before 37 Weeks or W Catastrophic CC
5 O64B False Labour After 37 Weeks W/O Catastrophic CC
5 O66A Antenatal & Other Obstetric Admission
5 O66B Antenatal & Other Obstetric Admission Sameday
5 P01Z Neonate Died or Transf <5 Days of Admission W Significant O.R. Procedure
5 P02Z Cardiothoracic/Vascular Procedures for Neonates
5 P03Z Neonate AdmWt 1000-1499 g W Significant O.R. Procedure
5 P04Z Neonate AdmWt 1500-1999 g W Significant O.R. Procedure
5 P05Z Neonate AdmWt 2000-2499 g W Significant O.R. Procedure
5 P06A Neonate AdmWt > 2499 g W Significant O.R. Procedure W Multi Major Problems
5 P06B Neonate Adm Wt > 2499 g W Significant O.R. Proc W/O Multi Major Problems
5 P60A Neonate Died or Transf <5 Days of Adm W/O Significant O.R. Proc Newborn
5 P60B Neonate Died/Transf <5 Days of Adm W/O Significant O.R. Proc Not Newborn
5 P61Z Neonate AdmWt < 750 g
5 P62Z Neonate AdmWt 750-999 g
5 P63Z Neonate AdmWt 1000-1249 g W/O Significant O.R. Procedure
5 P64Z Neonate AdmWt 1250-1499 g W/O Significant O.R. Procedure
5 P65A Neonate AdmWt 1500-1999 g W/O Significant O.R. Proc W Multi Major Problems
5 P65B Neonate AdmWt 1500-1999 g W/O Significant O.R. Procedure W Major Problem
5 P65C Neonate AdmWt 1500-1999 g W/O Significant O.R. Procedure W Other Problem
5 P65D Neonate AdmWt 1500-1999 g W/O Significant O.R. Procedure W/O Problem
5 P66A Neonate AdmWt 2000-2499 g W/O Significant O.R. Proc W Multi Major Problems
5 P66B Neonate AdmWt 2000-2499 g W/O Significant O.R. Procedure W Major Problem
5 P66C Neonate AdmWt 2000-2499 g W/O Significant O.R. Procedure W Other Problem
5 P66D Neonate AdmWt 2000-2499 g W/O Significant O.R. Procedure W/O Problem
5 P67A Neonate AdmWt > 2499 g W/O Significant O.R. Procedure W Multi Major Problems
5 P67B Neonate AdmWt > 2499 g W/O Significant O.R. Procedure W Major Problem
5 P67C Neonate AdmWt > 2499 g W/O Significant O.R. Procedure W Other Problem
5 P67D Neonate AdmWt > 2499 g W/O Significant O.R. Procedure W/O Problem
5 Q01Z Splenectomy
5 Q02A Other O.R. Procedure of Blood & Blood Forming Organs W Cat or Sev CC
5 Q02B Other O.R. Procedure of Blood & Blood Forming Organs W/O Cat or Sev CC
5 Q60A Reticuloendothelial and Immunity Disorders W Catastrophic or Severe CC
5 Q60B Reticuloendothelial and Immunity Disorders W/O Cat or Sev CC W Malignancy
5 Q60C Reticuloendothelial and Immunity Disorders W/O Cat or Sev CC W/O Malignancy
5 Q61A Red Blood Cell Disorders W Catastrophic CC
5 Q61B Red Blood Cell Disorders W Severe CC
5 Q61C Red Blood Cell Disorders W/O Catastrophic or Severe CC
5 Q62Z Coagulation Disorders
5 R01A Lymphoma and Leukaemia W Major O.R. Procedures W Catastrophic or Severe CC
5 R01B Lymphoma and Leukaemia W Major O.R. Procedures W/O Catastrophic or Severe CC
5 R02A Other Neoplastic Disorders W Major O.R. Procedures W Cat or Sev CC
5 R02B Other Neoplastic Disorders W Major O.R. Procedures W/O Cat or Sev CC
5 R03A Lymphoma and Leukaemia W Other O.R. Procedures W Catastrophic or Severe CC
5 R03B Lymphoma and Leukaemia W Other O.R. Procedures W/O Catastrophic or Severe CC
5 R04A Other Neoplastic Disorders W Other O.R. Procedures W Cat or Sev CC
5 R04B Other Neoplastic Disorders W Other O.R. Procedures W/O Cat or Sev CC
5 R60A Acute Leukaemia W Catastrophic CC
5 R60B Acute Leukaemia W Severe CC
5 R60C Acute Leukaemia W/O Catastrophic or Severe CC
5 R61A Lymphoma and Non-Acute Leukaemia W Catastrophic CC
5 R61B Lymphoma and Non-Acute Leukaemia W/O Catastrophic CC
5 R61C Lymphoma and Non-Acute Leukaemia Sameday
5 R62A Other Neoplastic Disorders W CC
5 R62B Other Neoplastic Disorders W/O CC
5 R63Z Chemotherapy
5 R64Z Radiotherapy
5 S60Z HIV Sameday
5 S65A HIV-Related Diseases W Catastrophic CC
5 S65B HIV-Related Diseases W Severe CC
5 S65C HIV-Related Diseases W/O Catastrophic or Severe CC
5 T01A O.R. Procedures for Infectious and Parasitic Diseases W Catastrophic CC
5 T01B O.R. Procedures for Infectious and Parasitic Diseases W Severe or Moderate CC
5 T01C O.R. Procedures for Infectious and Parasitic Diseases W/O CC
5 T60A Septicaemia W Catastrophic or Severe CC
5 T60B Septicaemia W/O Catastrophic or Severe CC
5 T61A Postoperative & Post-traumatic Infections Age >54 or W (Cat or Sev CC)
5 T61B Postoperative & Post-traumatic Infections Age <55 W/O Cat or Sev CC
5 T62A Fever of Unknown Origin W CC
5 T62B Fever of Unknown Origin W/O CC
5 T63A Viral Illness Age >59 or W CC
5 T63B Viral Illness Age <60 W/O CC
5 T64A Other Infectious and Parasitic Diseases W Catastrophic or Severe CC
5 T64B Other Infectious and Parasitic Diseases W/O Catastrophic or Severe CC
5 U40Z Mental Health Treatment Sameday W ECT
5 U60Z Mental Health Treatment Sameday W/O ECT
5 U61A Schizophrenia Disorders W Mental Health Legal Status
5 U61B Schizophrenia Disorders W/O Mental Health Legal Status
5 U62A Paranoia & Acute Psych Disorder W Cat/Sev CC or W Mental Health Legal Status
5 U62B Paranoia & Acute Psych Disorder W/O Cat/Sev CC W/O Mental Health Legal Status
5 U63A Major Affective Disorders Age >69 or W (Catastrophic or Severe CC)
5 U63B Major Affective Disorders Age <70 W/O Catastrophic or Severe CC
5 U64Z Other Affective and Somatoform Disorders
5 U65Z Anxiety Disorders
5 U66Z Eating and Obsessive-Compulsive Disorders
5 U67Z Personality Disorders and Acute Reactions
5 U68Z Childhood Mental Disorders
5 V60A Alcohol Intoxication and Withdrawal W CC
5 V60B Alcohol Intoxication and Withdrawal W/O CC
5 V61Z Drug Intoxication and Withdrawal
5 V62A Alcohol Use Disorder and Dependence
5 V62B Alcohol Use Disorder and Dependence Sameday
5 V63A Opioid Use Disorder and Dependence
5 V63B Opioid Use Disorder and Dependence Left Against Medical Advice
5 V64Z Other Drug Use Disorder and Dependence
5 W01Z Ventilation or Craniotomy Procs for Multiple Significant Trauma
5 W02Z Hip Femur and Limb Procs for Multiple Significant Trauma incl Implantation
5 W03Z Abdominal Procedures for Multiple Significant Trauma
5 W04Z Other O.R. Procedures for Multiple Significant Trauma
5 W60Z Multiple Trauma Died or Transf to Another Acute Care Facility LOS<5 Days
5 W61Z Multiple Trauma Without Significant Procedures
5 X02Z Microvascular Tissue Transfer or Skin Grafts for Injuries to Hand
5 X04A Other Procedures for Injuries to Lower Limb Age >59 or W CC
5 X04B Other Procedures for Injuries to Lower Limb Age <60 W/O CC
5 X05Z Other Procedures for Injuries to Hand
5 X06A Other Procedures for Other Injuries W Catastrophic or Severe CC
5 X06B Other Procedures for Other Injuries W/O Catastrophic or Severe CC
5 X07A Skin Graft for Injuries Ex Hand W Microvascular Tiss Tfr or W (Cat or Sev CC)
5 X07B Skin Graft for Injuries Ex Hand W/O Microvascular Tiss Tfr W/O Cat or Sev CC
5 X60A Injuries Age >64 W CC
5 X60B Injuries Age >64 W/O CC
5 X60C Injuries Age <65
5 X61Z Allergic Reactions
5 X62A Poisoning/Toxic Effects of Drugs & Other Substances Age >59 or W CC
5 X62B Poisoning/Toxic Effects of Drugs & Other Substances Age <60 W/O CC
5 X63A Sequelae of Treatment W Catastrophic or Severe CC
5 X63B Sequelae of Treatment W/O Catastrophic or Severe CC
5 X64A Other Injury Poisoning and Toxic Effect Diagnosis Age >59 or W CC
5 X64B Other Injury Poisoning and Toxic Effect Diagnosis Age <60 W/O CC
5 Y01Z Severe Full Thickness Burns
5 Y02A Other Burns W Skin Graft Age >64 or W (Cat or Sev CC) or W Complicating Proc
5 Y02B Other Burns W Skin Graft Age <65 W/O (Cat or Sev CC) W/O Complicating Proc
5 Y03Z Other O.R. Procedures for Other Burns
5 Y60Z Burns Transferred to Another Acute Care Facility < 5 Days
5 Y61Z Severe Burns
5 Y62A Other Burns Age >64 or W (Cat or Sev CC) or W Complicating Proc
5 Y62B Other Burns Age <65 W/O (Cat or Sev CC) W/O Complicating Proc
5 Z01A O.R. Procedures W Diagnoses of Other Contacts W Health Services W Cat/Sev CC
5 Z01B O.R. Procedures W Diagnoses Other Contacts W Health Services W/O Cat/Sev CC
5 Z40Z Follow Up W Endoscopy
5 Z60A Rehabilitation W Catastrophic or Severe CC
5 Z60B Rehabilitation W/O Catastrophic or Severe CC
5 Z60C Rehabilitation Sameday
5 Z61Z Signs and Symptoms
5 Z62Z Follow Up W/O Endoscopy
5 Z63A Other Aftercare W Catastrophic or Severe CC
5 Z63B Other Aftercare W/O Catastrophic or Severe CC
5 Z64A Other Factors Influencing Health Status
5 Z64B Other Factors Influencing Health Status Sameday
5 Z65Z Multiple Other and Unspecified Congenital Anomalies
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