N.Y. Comp. Codes R. & Regs. tit. 10, APPENDICES, app D-1
Current through Register Vol. 46, No. 43, October 23, 2024
(cf. § 709.2[d])
| DIAGNOSIS RELATED GROUPS | |
| DRG | DESCRIPTION |
| 1 | CRANIOTOMY AGE > 17 EXCEPT FOR TRAUMA |
| 2 | CRANIOTOMY FOR TRAUMA AGE > 17 |
| 3 | CRANIOTOMY AGE 0-17 |
| 4 | SPINAL PROCEDURES |
| 5 | EXTRACRANIAL VASCULAR PROCEDURES |
| 6 | CARPAL TUNNEL RELEASE |
| 7 | PERIPH & CRANIAL NERVE & OTHER NERV SYST PROC W CC |
| 8 | PERIPH & CRANIAL NERVE & OTHER NERV SYST PROC W/O CC |
| 9 | SPINAL DISORDERS & INJURIES |
| 10 | NERVOUS SYSTEM NEOPLASMS W CC |
| 11 | NERVOUS SYSTEM NEOPLASMS W/O CC |
| 12 | DEGENERATIVE NERVOUS SYSTEM DISORDERS |
| 13 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA |
| 14 | SPECIFIC CEREBROVASCULAR DISORDERS EXCEPT TIA |
| 15 | TRANSIENT ISCHEMIC ATTACK & PRECEREBRAL OCCLUSIONS |
| 16 | NONSPECIFIC CEREBROVASCULAR DISORDERS W CC |
| 17 | NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC |
| 18 | CRANIAL & PERIPHERAL NERVE DISORDERS W CC |
| 19 | CRANIAL & PERIPHERAL NERVE DISORDERS W/O CC |
| 20 | NERVOUS SYSTEM INFECTION EXCEPT VIRAL MENINGITIS |
| 21 | VIRAL MENINGITIS |
| 22 | HYPERTENSIVE ENCEPHALOPATHY |
| 23 | NONTRAUMATIC STUPOR & COMA |
| 24 | SEIZURE & HEADACHE AGE > 17 W CC |
| 25 | SEIZURE & HEADACHE AGE > 17 W/O CC |
| 26 | SEIZURE & HEADACHE AGE 0-17 |
| 27 | TRAUMATIC STUPOR & COMA, COMA > 1 HR |
| 28 | TRAUMATIC STUPOR & COMA, COMA < 1 HR AGE > 17 W CC |
| 29 | TRAUMATIC STUPOR & COMA, COMA < 1 HR AGE > 17 W/O CC |
| 30 | TRAUMATIC STRPOR & COMA, COMA < 1 HR AGE 0-17 |
| 31 | CONCUSSION AGE > 17 W CC |
| 32 | CONCUSSION AGE > 17 W/O CC |
| 33 | CONCUSSION AGE 0-17 |
| 34 | OTHER DISORDERS OF NERVOUS SYSTEM W CC |
| 35 | OTHER DISORDERS OF NERVOUS SYSTEM W/O CC |
| 36 | RETINAL PROCEDURES |
| 37 | ORBITAL PROCEDURES |
| 38 | PRIMARY IRIS PROCEDURES |
| 39 | LENS PROCEDURES WITH OR WITHOUT VITRECTOMY |
| 40 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE > 17 |
| 41 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE 0-17 |
| 42 | INTRAOCULAR PROCEDURES EXCEPT RETINA, IRIS & LENS |
| 43 | HYPHEMA |
| 44 | ACUTE MAJOR EYE INFECTIONS |
| 45 | NEUROLOGICAL EYE DISORDERS |
| 46 | OTHER DISORDERS OF THE EYE AGE > 17 W CC |
| 47 | OTHER DISORDERS OF THE EYE AGE > 17 W/O CC |
| 48 | OTHER DISORDERS OF THE EYE AGE 0-17 |
| 49 | MAJOR HEAD & NECK PROCEDURES |
| 50 | SIALOADENECTOMY |
| 51 | SALIVARY GLAND PROCEDURES EXCEPT SIALOADENECTOMY |
| 52 | CLEFT LIP & PALATE REPAIR |
| 53 | SINUS & MASTOID PROCEDURES AGE > 17 |
| 54 | SINUS & MASTOID PROCEDURES AGE 0-17 |
| 55 | MISCELLANEOUS EAR, NOSE, MOUTH & THROAT PROCEDURES |
| 56 | RHINOPLASTY |
| 57 | T&A PROC. EXCEPT TONSILLECTOMY & ADENOIDECTOMY ONLY, AGE > 17 |
| 58 | T&A PROC. EXCEPT TONSILLECTOMY & ADENOIDECTOMY ONLY, AGE 0-17 |
| 59 | TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE > 17 |
| 60 | TONSILLECTOMY &/OR ADENOIDECTOMY ONLY, AGE 0-17 |
| 61 | MINGOTOMY W/TUBE INSERTION AGE > 17 |
| 62 | MINGOTOMY W/TUBE INSERTION AGE 0-17 |
| 63 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES |
| 64 | EAR, NOSE, MOUTH & THROAT MALIGNANCY |
| 65 | DYSEQUILIBRIUM |
| 66 | EPISTAXIS |
| 67 | EPIGLOTTITIS |
| 68 | OTITIS MEDIA & URI AGE > 17 W CC |
| 69 | OTITIS MEDIA & URI AGE > 17 W/O CC |
| 70 | OTITIS MEDIA & URI AGE 0-17 |
| 71 | LARYNGOTRACHEITIS |
| 72 | NASAL TRAUMA & DEFORMITY |
| 73 | OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES AGE > 17 |
| 74 | OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES AGE 0-17 |
| 75 | MAJOR CHEST PROCEDURES |
| 76 | OTHER RESP SYSTEM O.R. PROCEDURES W CC |
| 77 | OTHER RESP SYSTEM O.R. PROCEDURES W/O CC |
| 78 | PULMONARY EMBOLISM |
| 79 | RESPIRATORY INFECTIONS & INFLAMMATIONS AGE > 17 W CC |
| 80 | RESPIRATORY INFECTIONS & INFLAMMATIONS AGE > 17 W/O CC |
| 81 | RESPIRATORY INFECTIONS & INFLAMMATIONS AGE 0-17 |
| 82 | RESPIRATORY NEOPLASMS |
| 83 | MAJOR CHEST TRAUMA W CC |
| 84 | MAJOR CHEST TRAUMA W/O CC |
| 85 | PLEURAL EFFUSION W CC |
| 86 | PLEURAL EFFUSION W/O CC |
| 87 | PULMONARY EDEMA & RESPIRATORY FAILURE |
| 88 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE |
| 89 | SIMPLE PNEUMONIA & PLEURISY AGE > 17 W CC |
| 90 | SIMPLE PNEUMONIA & PLEURISY AGE > 17 W/O CC |
| 91 | SIMPLE PNEUMONIA & PLEURISY AGE 0-17 |
| 92 | INTERSTITIAL LUNG DISEASE W CC |
| 93 | INTERSTITIAL LUNG DISEASE W/O CC |
| 94 | PNEUMOTHORAX W CC |
| 95 | PNEUMOTHORAX W/O CC |
| 96 | BRONCHITIS & ASTHMA AGE > 17 W CC |
| 97 | BRONCHITIS & ASTHMA AGE > 17 W/O CC |
| 98 | BRONCHITIS & ASTHMA AGE 0-17 |
| 99 | RESPIRATORY SIGNS & SYMPTOMS W CC |
| 100 | RESPIRATORY SIGNS & SYMPTOMS W/O CC |
| 101 | OTHER RESPIRATORY SYSTEM DISGNOSES W CC |
| 102 | OTHER RESPIRATORY SYSTEM DIAGNOSES W/O CC |
| 103 | HEART TRANSPLANT |
| 104 | CARDIAC VALVE PROCEDURES W/CARDIAC CATH |
| 105 | CARDIAC VALVE PROCEDURES W/O CARDIAC CATH |
| 106 | CORONARY BYPASS W/CARDIAC CATH |
| 107 | CORONARY BYPASS W/O CARDIAC CATH |
| 108 | OTHER CARDIOTHORACIC PROCEDURES |
| 109 | NO LONGER VALID |
| 110 | MAJOR CARDIOVASCULAR PROCEDURES W CC |
| 111 | MAJOR CARDIOVASCULAR PROCEDURES W/O CC |
| 112 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES |
| 113 | AMPUTATION FOR CIRC SYSTEM DISORDERS EXCEPT UPPER LIMB & TOE |
| 114 | UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS |
| 115 | PERM CARDIAC PACEMAKER IMPLANT W/AMI, HEART FAILURE OR SHOCK |
| 116 | PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK |
| 117 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT |
| 118 | CARDIAC PACEMAKER DEVICE REPLACEMENT |
| 119 | VEIN LIGATION & STRIPPING |
| 120 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES |
| 121 | CIRCULATORY DISORDERS W/AMI & C.V. COMP DISCH ALIVE |
| 122 | CIRCULATORY DISORDERS W/AMI W/O C.V. COMP DISCH ALIVE |
| 123 | CIRCULATORY DISORDERS W/AMI, EXPIRED |
| 124 | CIRCULATORY DISORDERS EXCEPT AMI, W/CARD CATH & COMPLEX DIAG |
| 125 | CIRCULATORY DISORDERS EXCEPT AMI, W/CARD CATH W/O COMPLEX DIAG |
| 126 | ACUTE & SUBACUTE ENDOCARDITIS |
| 127 | HEART FAILURE & SHOCK |
| 128 | DEEP VEIN THROMBOPHLEBITIS |
| 129 | CARDIAC ARREST. UNEXPLAINED |
| 130 | PERIPHERAL VASCULAR DISORDERS W CC |
| 131 | PERIPHERAL VASCULAR DISORDERS W/O CC |
| 132 | ATHEROSCLEROSIS W CC |
| 133 | ATHEROSCLEROSIS W/O CC |
| 134 | HYPERTENSION |
| 135 | CARDIAC COGENITAL & VALVULAR DISORDERS AGE > 17 W CC |
| 136 | CARDIAC COGENITAL & VALVULAR DISORDERS AGE > 17 W/O CC |
| 137 | CARDIAC COGENITAL & VALVULAR DISORDERS AGE 0-17 |
| 138 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC |
| 139 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC |
| 140 | ANGINA PECTORIS |
| 141 | SYNCOPE & COLLAPSE W CC |
| 142 | SYNCOPE & COLLAPSE W/O CC |
| 143 | CHEST PAIN |
| 144 | OTHER CIRCULATORY SYSTEM DIAGNOSES W CC |
| 145 | OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC |
| 146 | RECTAL RESECTION W CC |
| 147 | RECTAL RESECTION W/O CC |
| 148 | MAJOR SMALL & LARGE BOWEL PROCEDURES W CC |
| 149 | MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC |
| 150 | PERITONEAL ADHESIOLYSIS W CC |
| 151 | PERITONEAL ADHESIOLYSIS W/O CC |
| 152 | MINOR SMALL & LARGE BOWEL PROCEDURES W CC |
| 153 | MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC |
| 154 | STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES AGE > 17 W CC |
| 155 | STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES AGE > 17 W/O CC |
| 156 | STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES AGE 0-17 |
| 157 | ANAL & STOMAL PROCEDURES W CC |
| 158 | ANAL & STOMAL PROCEDURES W/O CC |
| 159 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE |
| 160 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE |
| 161 | INGUINAL & FEMORAL HERNIA PROCEDURES AGE > 17 W CC |
| 162 | INGUINAL & FEMORAL HERNIA PROCEDURES AGE > 17 W/O CC |
| 163 | HERNIA PROCEDURES AGE 0-17 |
| 164 | APPENDECTOMY W/ COMPLICATED PRINCIPAL DIAG W CC |
| 165 | APPENDECTOMY W/COMPLICATED PRINCIPAL DIAG W/O CC |
| 166 | APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC |
| 167 | APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC |
| 168 | MOUTH PROCEDURES W CC |
| 169 | MOUTH PROCEDURES W/O CC |
| 170 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC |
| 171 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC |
| 172 | DIGESTIVE MALIGNANCY W CC |
| 173 | DIGESTIVE MALIGNANCY W/O CC |
| 174 | G.I. HEMORRHAGE W CC |
| 175 | G.I. HEMORRHAGE W/O CC |
| 176 | COMPLICATED PEPTIC ULCER |
| 177 | UNCOMPLICATED PEPTIC ULCER W CC |
| 178 | UNCOMPLICATED PEPTIC ULCER W/O CC |
| 179 | INFLAMMATORY BOWEL DISEASE |
| 180 | G.I. OBSTRUCTION W CC |
| 181 | G.I. OBSTRUCTION W/O CC |
| 182 | ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE > 17 W CC |
| 183 | ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE > 17 W/O CC |
| 184 | ESOPHAGITIS, GASTROENT & MISC DIGEST DIORDERS AGE 0-17 |
| 185 | DENTAL & ORAL DIS EXCEPT EXTRACTIONS & RESTORATIONS, AGE > 17 |
| 186 | DENTAL & ORAL DIS EXCEPT EXTRACTIONS & RESTORATIONS, AE > 17 |
| 187 | DENTAL EXTRACTIONS & RESTORATIONS |
| 188 | OTHER DIGESTIVE SYSTEM DIAGNOSIS AGE > 17 W CC |
| 189 | OTHER DIGESTIVE SYSTEM DIAGNOSIS AGE > 17 W/O CC |
| 190 | OTHER DIGESTIVE SYSTEM DIAGNOSIS AGE 0-17 |
| 191 | PANCREAS, LIVER & SHUNT PROCEDURES W CC |
| 192 | PANCREAS, LIVER & SHUNT PROCEDURES W/O CC |
| 193 | BILIARY TRACT PROC EXCEPT ONLY TOT CHOLECYST W/OR W/O C.D.E. W CC |
| 194 | BILIARY TRACT PROC EXCEPT ONLY TOT CHOLECYST W/OR W/O C.D.E. W/O CC |
| 195 | TOTAL CHOLECYSTECTOMY W/ C.D.E. W CC |
| 196 | TOTAL CHOLECYSTECTOMY W/ C.D.E W/O CC |
| 197 | TOTAL CHOLECYSTECTOMY W/O C.D.E. W CC |
| 198 | TOTAL CHOLECYSTECTOMY W/O C.D.E. W/O CC |
| 199 | HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR MALIGNANCY |
| 200 | HEPATOBILIARY DIAGNOSTIC PROCEDURE FOR NON-MALIGNANCY |
| 201 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES |
| 202 | CIRRHOSIS & ALCOHOLIC HEPATITIS |
| 203 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS |
| 204 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY |
| 205 | DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC |
| 206 | DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC |
| 207 | DISORDERS OF THE BILIARY TRACT W CC |
| 208 | DISORDERS OF THE BILIARY TRACT W/O CC |
| 209 | MAJOR JOINT & LIMB REATTACHMENT PROCEDURES |
| 210 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE > 17 W CC |
| 211 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE > 17 W/O CC |
| 212 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17 |
| 213 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM & CONN TISSUE DISORDERS |
| 214 | BACK & NECK PROCEDURES W CC |
| 215 | BACK & NECK PROCEDURES W/O CC |
| 216 | BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE |
| 217 | WND DEBRID & SKIN GRFT EXCEPT HAND, FOR MUCSKELET & CONN TISS DIS |
| 218 | LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR AGE > 17 W CC |
| 219 | LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR AGE > 17 W/O CC |
| 220 | LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR AGE 0-17 |
| 221 | KNEE PROCEDURES W CC |
| 222 | KNEE PROCEDURES W/O CC |
| 223 | MAJOR SHOULDER/ELBOW PROC. OR OTHER UPPER EXTREMITY PROC W CC |
| 224 | SHOULDER, ELBOW OR FOREARM PROC. EXC MAJOR JOINT PROC. W/O CC |
| 225 | FOOT PROCEDURES |
| 226 | SOFT TISSUE PROCEDURES W CC |
| 227 | SOFT TISSUE PROCEDURES W/O CC |
| 228 | MAJOR THUMB OR JOINT PROC. OR OTH HAND OR WRIST PROC W CC |
| 229 | HAND OR WRIST PROC. EXCEPT MAJOR JOINT PROC. W/O CC |
| 230 | LOCAL EXCISION & REMOVAL OF INT FIX DEVICES OF HIP & FEMUR |
| 231 | LOCAL EXCISION & REMOVAL OF INT FIX DEVICES EXCEPT HIP & FEMUR |
| 232 | ARTHROSCOPY |
| 233 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC |
| 234 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC |
| 235 | FRACTURES OF FEMUR |
| 236 | FRACTURES OF HIP & PELVIS |
| 237 | SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH |
| 238 | OSTEOMYELITIS |
| 239 | PATHOLOGICAL FRACTURES & MUSCULOSKELETAL & CONN TISS MALIGNANCY |
| 240 | CONNECTIVE TISSUE DISORDERS W CC |
| 241 | CONNECTIVE TISSUE DISORDERS W/O CC |
| 242 | SEPTIC ARTHRITIS |
| 243 | MEDICAL BACK PROBLEMS |
| 244 | BONE DISEASES & SPECIFIC ARTHROPATHIES W CC |
| 245 | BONE DISEASES & SPECIFIC ARTHROPATHIES W/O CC |
| 246 | NON-SPECIFIC ARTHROPATHIES |
| 247 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE |
| 248 | TENDONITIS, MYOSITIS & BURSITIS |
| 249 | AFTER CARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE |
| 250 | FX, SPRN, STRN & DISL OF FOREARM, HAND, FOOT AGE > 17 W CC |
| 251 | FX, SPRN, STRN & DISL OF FOREARM, HAND, FOOT AGE > 17 W/O CC |
| 252 | FX, SPRN, STRN & DISL OF FOREARM, HAND, FOOT AGE 0-17 |
| 253 | FX, SPRN, STRN & DISL OF UPARM. LOWLEG EX FOOT AGE > 17 W CC |
| 254 | FX, SPRN, STRN & DISL OF UPARM. LOWLEG EX FOOT AGE > 17 W/O CC |
| 255 | FX, SPRN, STRN & DISL OF UPARM. LOWLEG EX FOOT AGE 0-17 |
| 256 | OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES |
| 257 | TOTAL MASTECTOMY FOR MALIGNANCY W CC |
| 258 | TOTAL MASTECTOMY FOR MALIGNANCY W/O CC |
| 259 | SUBTOTAL MASTECTOMY FOR MALIGNANCY W CC |
| 260 | SUBTOTAL MASTECTOMY FOR MALIGNANCY W/O CC |
| 261 | BREAST PROC FOR NON-MALIGNANCY EXCEPT BIOPSY & LOCAL EXCISION |
| 262 | BREAST BIOPSY & LOCAL EXCISION FOR NON-MALIGNANCY |
| 263 | SKIN GRAFT &/OR DEBRID FOR SKN ULCER OR CELLULITIS W CC |
| 264 | SKIN GRAFT &/OR DEBRID FOR SKN ULCER OR CELLULITIS W/O CC |
| 265 | SKIN GRAFT &/OR DEBRID EXCEPT FOR SKIN ULCER OR CELLULITIS W CC |
| 266 | SKIN GRAFT &/OR DEBRID EXCEPT FOR SKIN ULCER OR CELLULITIS W/O CC |
| 267 | PERIANAL & PILONIDAL PROCEDURES |
| 268 | SKIN, SUBCUTANEOUS TISSUE & BREAST PLASTIC PROCEDURES |
| 269 | OTHER SKIN, SUBCUT TISS & BREAST PROC W CC |
| 270 | OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC |
| 271 | SKIN ULCERS |
| 272 | MAJOR SKIN DISORDERS W CC |
| 273 | MAJOR SKIN DISORDERS W/O CC |
| 274 | MALIGNANT BREAST DISORDERS W CC |
| 275 | MALIGNANT BREAST DISORDERS W/O CC |
| 276 | NON-MALIGNANT BREAST DISORDERS |
| 277 | CELLULITIS AGE > 17 W CC |
| 278 | CELLULITIS AGE > 17 W/O CC |
| 279 | CELLULITIS AGE 0-17 |
| 280 | TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE > 17 W CC |
| 281 | TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE > 17 W/O CC |
| 282 | TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE 0-17 |
| 283 | MINOR SKIN DISORDERS W CC |
| 284 | MINOR SKIN DISORDERS W/O CC |
| 285 | AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT & METABOL DISORDERS |
| 286 | ADRENAL & PITUITARY PROCEDURES |
| 287 | SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DISORDERS |
| 288 | O.R. PROCEDURES FOR OBESITY |
| 289 | PARATHYROID PROCEDURES |
| 290 | THYROID PROCEDURES |
| 291 | THYROGLOSSAL PROCEDURES |
| 292 | OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC |
| 293 | OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC |
| 294 | DIABETES AGE > 35 |
| 295 | DIABETES AGE 0-35 |
| 296 | NUTRITIONAL & MISC METABOLIC DISORDERS AGE > 17 W CC |
| 297 | NUTRITIONAL & MISC METABOLIC DISORDERS AGE > 17 W/O CC |
| 298 | NUTRITIONAL & MISC METABOLIC DISORDERS AGE 0-17 |
| 299 | INBORN ERRORS OF METABOLISM |
| 300 | ENDOCRINE DISORDERS W CC |
| 301 | ENDOCRINE DISORDERS W/O CC |
| 302 | KIDNEY TRANSPLANT |
| 303 | KIDNEY, URETER & MAJOR BLADDER PROCEDURES FOR NEOPLASM |
| 304 | KIDNEY, URETER & MAJOR BLADDER PROC FOR NON-NEOPL W CC |
| 305 | KIDNEY, URETER & MAJOR BLADDER PROC FOR NON-NEOPL W/O CC |
| 306 | PROSTATECTOMY W CC |
| 307 | PROSTATECTOMY W/O CC |
| 308 | MINOR BLADDER PROCEDURES W CC |
| 309 | MINOR BLADDER PROCEDURES W/O CC |
| 310 | TRANSURETHRAL PROCEDURES W CC |
| 311 | TRANSURETHRAL PROCEDURES W/O CC |
| 312 | URETHRAL PROCEDURES AGE > 17 W CC |
| 313 | URETHRAL PROCEDURES AGE > 17 W/O CC |
| 314 | URETHRAL PROCEDURES AGE 0-17 |
| 315 | OTHER KIDNEY & URINARY TRACT O.R. PROCEDURES |
| 316 | RENAL FAILURE |
| 317 | ADMIT FOR RENAL DIALYSIS |
| 318 | KIDNEY & URINARY TRACT NEOPLASMS W CC |
| 319 | KIDNEY & URINARY TRACT NEOPLASMS W/O CC |
| 320 | KIDNEY & URINARY TRACT INFECTIONS AGE > 17 W CC |
| 321 | KIDNEY & URINARY TRACT INFECTIONS AGE > 17 W/O CC |
| 322 | KIDNEY & URINARY TRACT INFECTIONS AGE 0-17 |
| 323 | URINARY STONES W CC, &/OR ESW LITHOTRIPSY |
| 324 | URINARY STONES W/O CC |
| 325 | KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE > 17 W CC |
| 326 | KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE > 17 W/O CC |
| 327 | KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE 0-17 |
| 328 | URETHRAL STRICTURE AGE > 17 W CC |
| 329 | URETHRAL STRICTURE AGE > 17 W/O CC |
| 330 | URETHRAL STRICTURE AGE 0-17 |
| 331 | OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE > 17 W CC |
| 332 | OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE > 17 W/O CC |
| 333 | OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE 0-17 |
| 334 | MAJOR MALE PELVIC PROCEDURES W CC |
| 335 | MAJOR MALE PELVIC PROCEDURES W/O CC |
| 336 | TRANSURETHRAL PROSTATECTOMY W CC |
| 337 | TRANSURETHRAL PROSTATECTOMY W/O CC |
| 338 | TESTES PROCEDURES, FOR MALIGNANCY |
| 339 | TESTES PROCEDURES, NON-MALIGNANCY AGE > 17 |
| 340 | TESTES PROCEDURES, NON-MALIGNANCY AGE 0-17 |
| 341 | PENIS PROCEDURES |
| 342 | CIRCUMCISION AGE > 17 |
| 343 | CIRCUMCISION AGE 0-17 |
| 344 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY |
| 345 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXCEPT FOR MALIGNANCY |
| 346 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM, W CC |
| 347 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM, W/O CC |
| 348 | BENIGN PROSTATIC HYPERTROPHY W CC |
| 349 | BENIGN PROSTATIC HYPERTROPHY W/O CC |
| 350 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM |
| 351 | STERILIZATION, MALE |
| 352 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES |
| 353 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY & RADICAL VULVECTOMY |
| 354 | UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC |
| 355 | UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC |
| 356 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES |
| 357 | UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY |
| 358 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC |
| 359 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC |
| 360 | VAGINA, CERVIX & VULVA PROCEDURES |
| 361 | LAPAROSCOPY & INCISIONAL TUBAL INTERRUPTION |
| 362 | ENDOSCOPIC TUBAL INTERRUPTION |
| 363 | D&C, CONIZATION & RADIO-IMPLANT, FOR MALIGNANCY |
| 364 | D&C, CONIZATION EXCEPT FOR MALIGNANCY |
| 365 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES |
| 366 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC |
| 367 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC |
| 368 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM |
| 369 | MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS |
| 370 | CESAREAN SECTION W CC |
| 371 | CESAREAN SECTION W/O CC |
| 372 | VAGINAL DELIVERY W/COMPLICATING DIAGNOSES |
| 373 | VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES |
| 374 | VAGINAL DELIVERY W/STERILIZATION &/OR D&C |
| 375 | VAGINAL DELIVERY W/O.R. PROC EXCEPT STERIL &/OR D&C |
| 376 | POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE |
| 377 | POSTPARTUM & POST ABORTION DIAGNOSES W/ O.R. PROCEDURE |
| 378 | ECTOPIC PREGNANCY |
| 379 | THREATENED ABORTION |
| 380 | ABORTION W/O D&C |
| 381 | ABORTION W/D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY |
| 382 | FALSE LABOR |
| 383 | OTHER ANTEPARTUM DIAGNOSES W/MEDICAL COMPLICATIONS |
| 384 | OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS |
| 385 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY (TABLE EXCLUDED) |
| 386 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE |
| 387 | PREMATURITY W/MAJOR PROBLEMS |
| 388 | PREMATURITY W/O MAJOR PROBLEMS |
| 389 | FULL TERM NEONATE W/MAJOR PROBLEMS |
| 390 | NEONATE W/ OTHER SIGNIFICANT PROBLEMS |
| 391 | NORMAL NEWBORN |
| 392 | SPLENECTOMY AGE > 17 |
| 393 | SPLENECTOMY AGE 0-17 |
| 394 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS |
| 395 | RED BLOOD CELL DISORDERS AGE > 17 |
| 396 | RED BLOOD CELL DISORDERS AGE 0-17 |
| 397 | COAGULATION DISORDERS |
| 398 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC |
| 399 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC |
| 400 | LYMPHOMA & LEUKEMIA W/MAJOR O.R. PROCEDURE |
| 401 | LYMPHOMA & NON-ACUTE LEUKEMIA W/OTHER O.R. PROC W CC |
| 402 | LYMPHOMA & NON-ACUTE LEUKEMIA W/OTHER O.R. PROC W/O CC |
| 403 | LYMPHOMA & NON-ACUTE LEUKEMIA W CC |
| 404 | LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC |
| 405 | ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE 0-17 |
| 406 | MYELOPROLIF DISORD OR POORLY DIFF NEOPL W/MAJ. O.R. PROC W CC |
| 407 | MYELOPROLIF DISORD OR POORLY DIFF NEOPL W/MAJ. O.R. PROC W/O CC |
| 408 | MYELOPROLIF DISORD OR POORLY DIFF NEOPL W/OTHER O.R. PROC |
| 409 | RADIOTHERAPY |
| 410 | CHEMOTHERAPY |
| 411 | HISTORY OF MALIGNANCY W/O ENDOSCOPY |
| 412 | HISTORY OF MALIGNANCY W/ENDOSCOPY |
| 413 | OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC |
| 414 | OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC |
| 415 | O.R. PROCEDURE FOR INFECTIOUS & PARASITIC DISEASES |
| 416 | SEPTICEMIA AGE > 17 |
| 417 | SEPTICEMIA AGE 0-17 |
| 418 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS |
| 419 | FEVER OF UNKNOWN ORIGIN AGE > 17 W CC |
| 420 | FEVER OF UNKNOWN ORIGIN AGE > 17 W/O CC |
| 421 | VIRAL ILLNESS AGE > 17 |
| 422 | VIRAL ILLNESS & FEVER OF UNKNOWN ORIGIN AGE 0-17 |
| 423 | OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES |
| 424 | O.R. PROCEDURE W/PRINCIPAL DIAGNOSES OF MENTAL ILLNESS |
| 425 | ACUTE ADJUST REACT & DISTURBANCES OF PSYCHOSOCIAL DYSFUNCTION |
| 426 | DEPRESSIVE NEUROSES |
| 427 | NEUROSES EXCEPT DEPRESSIVE |
| 428 | DISORDERS OF PERSONALITY & IMPLUSE CONTROL |
| 429 | ORGANIC DISTRIBANCES & MENTAL RETARDATION |
| 430 | PSYCHOSES |
| 431 | CHILDHOOD MENTAL DISORDERS |
| 432 | OTHER MENTAL DISORDER DIAGNOSES |
| 433 | ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA |
| 434 | ALC/DRUG ABUSE OR DEPEND, DETOX OR OTH SYMPT TREAT W CC |
| 435 | ALC/DRUG ABUSE OR DEPEND, DETOX OR OTH SYMPT TREAT W/O CC |
| 436 | ALC/DRUG DEPENDENCE, W/REHABILITATION THERAPY |
| 437 | ALC/DRUG DEPENDENCE, COMBINED REHAB & DETOX THERAPY |
| 438 | NO LONGER VALID |
| 439 | SKIN GRAFTS FOR INJURIES |
| 440 | WOUND DEBRIDEMENTS FOR INJURIES |
| 441 | HAND PROCEDURES FOR INJURIES |
| 442 | OTHER O.R. PROCEDURES FOR INJURIES W CC |
| 443 | OTHER O.R. PROCEDURES FOR INJURIES W/O CC |
| 444 | TRAUMATIC INJURY AGE > 17 W CC |
| 445 | TRAUMATIC INJURY AGE > 17 W/O CC |
| 446 | TRAUMATIC INJURY AGE 0-17 |
| 447 | ALLERGIC REACTIONS AGE > 17 |
| 448 | ALLERGIC REACTIONS AGE 0-17 |
| 449 | POISONING & TOXIC EFFECTS OF DRUGS AGE > 17 W CC |
| 450 | POISONING & TOXIC EFFECTS OF DRUS AGE > 17 W/O CC |
| 451 | POISONING & TOXIC EFFECTS OF DRUGS AGE 0-17 |
| 452 | COMPLICATIONS OF TREATMENT W CC |
| 453 | COMPLICATIONS OF TREATMENT W/O CC |
| 454 | OTHER INJURY, POISONING & TOXIC EFFECT DIAG W CC |
| 455 | OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O CC |
| 456 | BURNS, TRANSFERRED TO ANOTHER ACUTE CARE FACILITY TABLE EXCLUDED |
| 457 | EXTENSIVE BURNS W/O O.R. PROCEDURE |
| 458 | NON-EXTENSIVE BURNS W/SKIN GRAFT |
| 459 | NON-EXTENSIVE BURNS W/WOUND DEBRIDEMENT OR OTHER |
| 460 | NON-EXTENSIVE BURNS W/O O.R. PROCEDURE |
| 461 | O.R. PROC W/DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES |
| 462 | REHABILITATION |
| 463 | SIGNS & SYMPTOMS W CC |
| 464 | SIGNS & SYMPTOMS W/O CC |
| 465 | AFTERCARE W/HISTORY OF MALIGNANCY AS SECONDARY DIAGNOSIS |
| 466 | AFTERCARE W/O HISTORY OF MALIGNANCY AS SECONDARY DIAGNOSIS |
| 467 | OTHER FACTORS INFLUENCING HEALTH STATUS |
| 468 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
| 469 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS |
| 470 | UNGROUPABLE |
| 471 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY |
| 472 | EXTENSIVE BURNS W/O.R. PROCEDURE |
| 473 | ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE > 17 |
| 474 | NO LONGER VALID |
| 475 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT |
| 476 | PROSTATIC O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
| 477 | NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS |
| 478 | OTHER VASCULAR PROCEDURES W CC |
| 479 | OTHER VASCULAR PROCEDURES W/O CC |
| 480 | LIVER TRANSPLANT |
| 481 | BONE MARROW TRANSPLANT |
| 482 | TRACHEOSTOMY W/MOUTH, LARNXY OR PHARYNX DISORDER |
| 483 | TRACHEOSTOMY EXCEPT FOR MOUTH, LARNXY OR PHARYNX DISORDER |
| 484 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA |
| 485 | LIMB REATTACH., HIP AND FEMUR PROCS FOR MULTI SIGN TRAUMA |
| 486 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA |
| 487 | OTHER MULTIPLE SIGNIFICANT TRAUMA |
| 488 | HIV W EXTENSIVE O.R. PROCEDURE |
| 489 | HIV W MAJOR RELATED CONDITION |
| 490 | HIV W OR W/O OTHER RELATED CONDITION |
| 491 | MAJOR JOINT AND LIMB REATTACHMENT PROCEDURES, UPPER EXTREMITY |
| 492 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS |
N.Y. Comp. Codes R. & Regs. tit. 10, APPENDICES, app D-1