10

Endocrine, Nutritional and Metabolic Diseases and Disorders

Surgical hierarchy

In the order the grouper applies them, highest first. A patient with several procedures is assigned to the highest surgical class one of them belongs to, so this ordering decides the DRG, not the order procedures appear on the claim.

1. 1 Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders
   • 622 Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders with MCC 3.7881
   • 623 Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders with CC 2.0037
   • 624 Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders without CC/MCC 1.3489
2. 2 Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders
   • 616 Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with MCC or Insertion of Antibiotic-eluting Bone Void Filler 3.1453
   • 617 Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with CC 1.7227
   • 618 Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders without CC/MCC 1.2765
3. 3 Adrenal and Pituitary Procedures
   • 614 Adrenal and Pituitary Procedures with CC/MCC 2.0316
   • 615 Adrenal and Pituitary Procedures without CC/MCC 1.3616
4. 4 Thyroid, Parathyroid and Thyroglossal Procedures
   • 625 Thyroid, Parathyroid and Thyroglossal Procedures with MCC 3.1042
   • 626 Thyroid, Parathyroid and Thyroglossal Procedures with CC 1.5530
   • 627 Thyroid, Parathyroid and Thyroglossal Procedures without CC/MCC 1.3334
5. 5 O.R. Procedures for Obesity
   • 619 O.R. Procedures for Obesity with MCC 2.5987
   • 620 O.R. Procedures for Obesity with CC 1.5842
   • 621 O.R. Procedures for Obesity without CC/MCC 1.5622
6. 6 Other Endocrine, Nutritional and Metabolic O.R. Procedures
   • 628 Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC or Insertion of Antibiotic-eluting Bone Void Filler 3.7050
   • 629 Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC 2.1442
   • 630 Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC 1.3721

Medical DRGs

9 medical DRGs. The surgical hierarchy does not apply to these, so they are listed by number.

• 637 Diabetes with MCC 1.4129
• 638 Diabetes with CC 0.9019
• 639 Diabetes without CC/MCC 0.6376
• 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC 1.3395
• 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC 0.7865
• 642 Inborn and Other Disorders of Metabolism 1.3219
• 643 Endocrine Disorders with MCC 1.6139
• 644 Endocrine Disorders with CC 1.0044
• 645 Endocrine Disorders without CC/MCC 0.7459