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IRDRG-August2010 - Excel

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					                                        3c8f5eb2-2527-415b-bfcb-a2f7309efd7c.xls          Page 1 of 17

         IR DRG v2.2 Statistics File
Note:
OP = outpatient/ambulatory procedure
OM = outpatient or ambulatory medical
IP = inpatient procedure
IM = inpatient medical

drg      drg_description                                                           type    Relative Weight
012100   OP CRANIOTOMY                                                               O               0.9685
012110   OP VENTRICULAR SHUNT PROCEDURES                                             O               2.4059
012120   OP EXTRACRANIAL VASCULAR PROCEDURES                                         O               3.4867
012130   OP CARPAL TUNNEL RELEASE                                                    O               0.8554
012210   OP COMPLEX PERIPHERAL NERVE PROCEDURES                                      O               1.5601
012220   OP NON-COMPLEX PERIPHERAL NERVE PROCEDURES                                  O               1.4159
012310   OP COMPLEX SPINE PROCEDURES                                                 O               2.3363
012320   OP NON-COMPLEX SPINE PROCEDURES                                             O               1.1976
013100   OP SPINAL TAP & INJECTION                                                   O               0.4753
013110   OP PERIPHERAL NERVE INJECTION                                               O               0.6331
013120   OP OTHER NEUROLOGICAL PROCEDURES                                            O               1.0373
013130   OP ELECTROENCEPHALOGRAPHY                                                   O               1.0374
022210   OP COMPLEX EXTERNAL EYE PROCEDURES                                          O               1.3614
022220   OP MODERATELY COMPLEX EXTERNAL EYE PROCEDURES                               O               1.2794
022230   OP NON-COMPLEX EXTERNAL EYE PROCEDURES                                      O               0.5636
022310   OP COMPLEX ANTERIOR SEGMENT EYE PROCEDURES                                  O               2.2551
022320   OP MODERATELY COMPLEX ANTERIOR SEGMENT EYE PROCEDURES                       O               0.8111
022330   OP NON-COMPLEX ANTERIOR SEGMENT EYE PROCEDURES                              O               0.4961
022340   OP COMPLEX POSTERIOR SEGMENT EYE PROCEDURES                                 O               2.6182
022350   OP NON-COMPLEX POSTERIOR SEGMENT EYE PROCEDURES                             O               2.1448
022360   OP CATARACT PROCEDURES                                                      O               1.7995
022370   OP RETINAL PHOTOCOAGULATION & CRYOTHERAPY PROCEDURES                        O               1.9156
023100   OP MODERATELY COMPLEX LASER EYE PROCEDURES                                  O               0.6665
023110   OP NON-COMPLEX EXTRAOCULAR PROCEDURES                                       O               0.1375
023120   OP OTHER EYE PROCEDURES                                                     O               0.1073
023130   OP DIAGNOSTIC & IMAGING EYE PROCEDURES                                      O               0.2301
032100   OP COMPLEX LARYNX PROCEDURES                                                O               2.5688
032110   OP OTHER COMPLEX HEAD & NECK PROCEDURES                                     O               3.0533
032120   OP SINUS & MASTOID PROCEDURES                                               O               1.9741
032130   OP SALIVARY GLAND PROCEDURES                                                O               1.9894
032140   OP CLEFT LIP & PALATE REPAIR                                                O               2.1173
032150   OP TONSIL & ADENOID PROCEDURES                                              O               0.9363
032210   OP COMPLEX EAR, NOSE, MOUTH & THROAT PROCEDURES                             O               1.6206
032220   OP MODERATELY COMPLEX EAR, NOSE, MOUTH & THROAT PROCEDURES                  O               1.0461
032230   OP RHINOPLASTY                                                              O               1.3708
032240   OP NON-COMPLEX NOSE PROCEDURES                                              O               1.1553
032250   OP MIDDLE EAR PROCEDURES                                                    O               1.9123
032310   OP COMPLEX MOUTH & TONGUE PROCEDURES                                        O               1.3314
032320   OP NON-COMPLEX MOUTH & TONGUE PROCEDURES                                    O               1.1386
033100   OP OTHER MODERATELY COMPLEX EAR, NOSE, MOUTH & THROAT PROCEDURES            O               0.9336
033110   OP OTHER NON-COMPLEX EAR, NOSE, MOUTH & THROAT PROCEDURES                   O               0.5661
033120   OP NASAL CAUTERY & PACKING                                                  O               0.1977
033130   OP OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSTIC PROCEDURES                    O               0.8220
033140   OP EAR, NOSE, MOUTH & THROAT FUNCTIONAL TESTING                             O               0.2819
033150   OP OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES                               O               0.1308
033160   OP DENTAL PROCEDURES                                                        O               1.6959
042100   OP COMPLEX RESPIRATORY SYSTEM PROCEDURES                                    O               2.1701
042210   OP SHORT TERM MECHANICAL VENTILATION PROCEDURES                             O               1.0487
042220   OP LARYNX & TRACHEA PROCEDURES                                              O               1.7629
042310   OP THORACOSCOPY/MEDIASTINOSCOPY                                             O               2.2866
042320   OP INTERMEDIATE CHEST PROCEDURES                                            O               1.7016
043100   OP CHEST WALL PROCEDURES                                                    O               1.0737
043110   OP CHEST TUBE INSERTION                                                     O               1.0001
043120   OP THORACENTESIS                                                            O               0.8284
043130   OP RESPIRATORY THERAPY PROCEDURES                                           O               0.2771
043140   OP PERCUTANEOUS BIOPSY & ASPIRATION                                         O               0.9346
043150   OP BRONCHOSCOPY                                                             O               1.2211
043160   OP PULMONARY FUNCTION TESTS                                                 O               0.2569
                                   3c8f5eb2-2527-415b-bfcb-a2f7309efd7c.xls            Page 2 of 17

043170   OP OTHER RESPIRATORY SYSTEM PROCEDURES                                    O            0.5467
052110   OP CARDIAC DEFIBRILLATOR & HEART ASSIST SYSTEM INSERTION                  O            4.0974
052120   OP COMPLEX THORACIC VASCULAR PROCEDURES                                   O            2.8810
052130   OP COMPLEX ABDOMINAL VASCULAR PROCEDURES                                  O            3.6615
052140   OP PERMANENT CARDIAC PACEMAKER INSERTION                                  O            6.4801
052150   OP CARDIAC CATHETERIZATION                                                O            1.6467
052160   OP CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT   O            4.0930
052170   OP VEIN LIGATION & STRIPPING                                              O            1.3493
052210   OP NON-CARDIAC ARTERIAL ANGIOGRAPHY                                       O            3.1592
052220   OP MODERATELY COMPLEX VASCULAR PROCEDURES                                 O            2.9750
052230   OP NON-COMPLEX VASCULAR PROCEDURES                                        O            1.6003
052310   OP CARDIOFIBRILLATOR DEVICE INSERTION OR REPLACEMENT                      O            4.7350
052320   OP CARDIAC PACEMAKER INSERTION OR REPLACEMENT                             O            6.1917
052410   OP ELECTROPHYSIOLOGIC PROCEDURES                                          O            4.1516
052420   OP CORONARY ANGIOPLASTY & OTHER CARDIOVASCULAR PERCUTANEOUS PROCEDURES    O            4.8269
053100   OP RESUSCITATION                                                          O            0.6127
053110   OP CARDIOVERSION                                                          O            0.3234
053120   OP OTHER MINOR CARDIAC PROCEDURES                                         O            1.8795
053130   OP ECHOCARDIOGRAPHY                                                       O            0.8499
053140   OP STRESS TESTING                                                         O            1.0549
053150   OP CARDIOVASCULAR FUNCTION & MONITORING PROCEDURES                        O            0.4814
062100   OP NON-COMPLEX SMALL & LARGE BOWEL PROCEDURES                             O            1.0187
062110   OP PERITONEAL ADHESIOLYSIS                                                O            2.1754
062120   OP HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL                            O            1.6699
062130   OP APPENDICEAL PROCEDURES                                                 O            2.7178
062140   OP INGUINAL & FEMORAL HERNIA PROCEDURES                                   O            1.4982
062210   OP COMPLEX SMALL & LARGE BOWEL PROCEDURES                                 O            1.3990
062220   OP COMPLEX UPPER GASTROINTESTINAL PROCEDURES                              O            4.5488
062310   OP MODERATELY COMPLEX UPPER GASTROINTESTINAL PROCEDURES                   O            1.5295
062320   OP OTHER UPPER GASTROINTESTINAL PROCEDURES                                O            1.0744
062410   OP LAPAROSCOPY                                                            O            1.6848
062420   OP LAPAROTOMY & OTHER GASTROINTESTINAL PROCEDURES                         O            1.6383
062510   OP HEMORRHOID PROCEDURES                                                  O            1.1165
062520   OP MODERATELY COMPLEX ANAL & RECTAL PROCEDURES                            O            1.0204
062530   OP NON-COMPLEX ANAL & RECTAL PROCEDURES                                   O            0.7801
063100   OP OTHER NON-COMPLEX GASTROINTESTINAL PROCEDURES                          O            0.6735
063110   OP NON-COMPEX ANAL & RECTAL PROCEDURES                                    O            0.5005
063120   OP SIGMOIDOSCOPY & COMPLEX ANOSCOPY                                       O            0.4106
063130   OP COLONOSCOPY                                                            O            0.6656
063140   OP COMPLEX UPPER GASTROINTESTINAL ENDOCSOCPY                              O            0.9485
063150   OP NON-COMPLEX UPPER GASTROINTESTINAL ENDOCSOCPY                          O            0.6930
063160   OP OTHER GASTROINTESTINAL PROCEDURES                                      O            0.2532
072100   OP PANCREAS & LIVER PROCEDURES                                            O            1.4768
072110   OP COMPLEX BILIARY TRACT PROCEDURES                                       O            1.9157
072120   OP CHOLECYSTECTOMY EXCEPT LAPAROSCOPIC                                    O            3.5625
072130   OP OTHER HEPATOBILIARY & PANCREAS PROCEDURES                              O            2.9441
072140   OP LAPAROSCOPIC CHOLECYSTECTOMY                                           O            2.4595
073100   OP PERCUTANEOUS LIVER & BILIARY TRACT PROCEDURES                          O            0.8623
073110   OP ENDOSCOPIC BILIARY TRACT PROCEDURES                                    O            1.9229
073120   OP OTHER HEPATOBILIARY SYSTEM & PANCREAS PROCEDURES                       O            0.0000
082100   OP CRANIAL & FACIAL BONE RECONSTRUCTIVE PROCEDURES                        O            2.7923
082210   OP COMPLEX HIP & FEMUR PROCEDURES                                         O            2.5007
082220   OP NON-COMPLEX HIP & FEMUR PROCEDURES                                     O            2.5295
082310   OP BUNION PROCEDURES                                                      O            1.5189
082320   OP OTHER FOOT PROCEDURES                                                  O            1.5160
082410   OP BONE ARTHROTOMIES, INCISIONS & EXCISIONS                               O            1.7655
082420   OP REMOVAL OF IMPLANTED DEVICES                                           O            1.0952
082510   OP COMPLEX SOFT TISSUE PROCEDURES                                         O            1.8981
082520   OP NON-COMPLEX SOFT TISSUE PROCEDURES                                     O            1.0808
082610   OP ARTHROSCOPY                                                            O            1.7348
082620   OP OTHER BONE & JOINT PROCEDURES                                          O            1.9891
082630   OP BONE INCISIONS, BIOPSIES & GRAFTS                                      O            1.7442
082640   OP COMPLEX SKULL & FACIAL PROCEDURES                                      O            2.3787
082650   OP NON-COMPLEX SKULL & FACIAL PROCEDURES                                  O            1.4236
082710   OP COMPLEX KNEE & LOWER LEG PROCEDURES                                    O            1.7561
082720   OP NON-COMPLEX KNEE & LOWER LEG PROCEDURES                                O            1.6947
                                   3c8f5eb2-2527-415b-bfcb-a2f7309efd7c.xls       Page 3 of 17

082810   OP COMPLEX ARM, ELBOW & SHOULDER PROCEDURES                          O            2.5272
082820   OP NON-COMPLEX ARM, ELBOW & SHOULDER PROCEDURES                      O            1.8358
082830   OP COMPLEX HAND & WRIST PROCEDURES                                   O            1.9107
082840   OP NON-COMPLEX HAND & WRIST PROCEDURES                               O            1.0911
083100   OP OSTEOPATHIC MANIPULATIVE PROCEDURES                               O            1.0102
083110   OP MUSCULOSKELETAL DIAGNOSTIC & THERAPEUTIC PROCEDURES               O            0.5157
083120   OP JOINT BIOPSIES & SKELETAL TRACTION PROCEDURES                     O            1.2666
083130   OP CLOSED REDUCTIONS OF FRACTURES                                    O            0.4129
083140   OP CLOSED FACIAL REDUCTIONS                                          O            0.7058
083150   OP APPLICATION OF CASTS & SPLINTS                                    O            0.2099
083160   OP PHYSICAL THERAPY & MINOR MUSCULOSKELETAL PROCEDURES               O            0.3809
083170   OP PROSTHETICS FITTING                                               O            0.0000
092210   OP COMPLEX SKIN GRAFT WITH BURNS                                     O            2.0867
092220   OP NON-COMPLEX SKIN GRAFT WITH BURNS                                 O            1.3376
092310   OP COMPLEX SKIN GRAFT WITHOUT BURNS                                  O            1.3993
092320   OP NON-COMPLEX SKIN GRAFT WITHOUT BURNS                              O            1.1417
092410   OP PLASTIC SURGERY PROCEDURES                                        O            1.8230
092420   OP OTHER SKIN & SUBCUTANEOUS TISSUE PROCEDURES                       O            0.8513
092510   OP MASTECTOMY                                                        O            2.7294
092520   OP COMPLEX NON-MASTECTOMY BREAST PROCEDURES                          O            2.0880
092530   OP NON-COMPLEX NON-MASTECTOMY BREAST PROCEDURES                      O            1.1624
093100   OP OTHER NON-COMPLEX BREAST PROCEDURES                               O            0.9745
093110   OP COMPLEX SKIN PROCEDURES                                           O            0.4674
093120   OP NON-COMPLEX SKIN PROCEDURES                                       O            0.1884
102100   OP ADRENAL PROCEDURES                                                O            0.0000
102210   OP COMPLEX THYROID, PARATHYROID PROCEDURES                           O            2.5768
102220   OP NON-COMPLEX THYROID, PARATHYROID & THYROGLOSSAL DUCT PROCEDURES   O            1.5309
103100   OP DIAGNOSTIC ENDOCRINE PROCEDURES                                   O            1.0090
112110   OP COMPLEX BLADDER PROCEDURES                                        O            4.6757
112120   OP CREATE, REVISE, REMOVE DIALYSIS DEVICE                            O            2.7049
112210   OP URINARY TRACT EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY                O            2.6906
112220   OP COMPLEX KIDNEY & URETER PROCEDURES                                O            1.2041
112230   OP MODERATELY COMPLEX KIDNEY & URETER PROCEDURES                     O            2.9413
112240   OP NON-COMPLEX KIDNEY & URETER PROCEDURES                            O            1.9675
112310   OP COMPLEX BLADDER & URETHRA PROCEDURES                              O            1.6563
112320   OP NON-COMPLEX BLADDER & URETHRA PROCEDURES                          O            1.2407
112410   OP COMPLEX URETHRAL & TRANSURETHRAL PROCEDURES                       O            1.2312
112420   OP NON-COMPLEX URETHRAL & TRANSURETHRAL PROCEDURES                   O            1.0296
113100   OP KIDNEY & URETER PROCEDURES                                        O            1.4111
113110   OP FLOW & OTHER DIAGNOSTIC URINARY TRACT STUDIES                     O            0.7054
113120   OP CYSTOSCOPY & NON-COMPLEX URINARY TRACT ENDOSCOPY                  O            0.5831
113130   OP COMPLEX URINARY TRACT ENDOSCOPY                                   O            1.9894
113140   OP OTHER NON-COMPLEX URINARY TRACT PROCEDURES                        O            0.4913
113150   OP DIALYSIS                                                          O            1.3433
122100   OP COMPLEX PROSTATECTOMY PROCEDURES                                  O            3.8310
122110   OP PENIS PROCEDURES                                                  O            1.1350
122120   OP MODERATELY COMPLEX PROSTATE & SCROTAL CONTENTS PROCEDURES         O            1.3787
122130   OP NON-COMPLEX PROSTATE & SCROTAL CONTENTS PROCEDURES                O            3.0218
122140   OP TRANSURETHRAL PROSTATECTOMY                                       O            2.1091
122150   OP CIRCUMCISION                                                      O            0.9946
123100   OP MALE STERILIZATION PROCEDURES                                     O            0.6953
123110   OP MALE GENITAL DIAGNOSTIC & THERAPEUTIC PROCEDURES                  O            0.9403
123120   OP OTHER MALE GENITAL PROCEDURES                                     O            0.0000
132100   OP ABORTION PROCEDURES                                               O            0.7946
132110   OP DILATION & CURETTAGE, INTRAUTERINE & CERVICAL PROCEDURES          O            0.8492
132120   OP OPEN TUBAL INTERRUPTION                                           O            1.4709
132130   OP ENDOSCOPIC TUBAL INTERRUPTION                                     O            0.0000
132210   OP COMPLEX OPEN PELVIC PROCEDURES                                    O            2.9568
132220   OP NON-COMPLEX OPEN PELVIC PROCEDURES                                O            1.2581
132230   OP LAPAROSCOPIC GYNECOLOGIC PROCEDURES                               O            1.0376
132310   OP VAGINAL HYSTERECTOMY & COMPLEX VAGINAL PROCEDURES                 O            3.4062
132320   OP CYSTOCOELE REPAIR & INTERMEDIATE VULVOVAGINAL PROCEDURES          O            2.3889
132330   OP NON-COMPLEX VULVOVAGINAL PROCEDURES                               O            1.0153
132340   OP OTHER GYNECOLOGIC PROCEDURES                                      O            0.3586
133100   OP ENDOSCOPIC & NON-COMPLEX GYNECOLOGIC PROCEDURES                   O            0.8393
133110   OP MODERATELY COMPLEX GYNECOLOGIC PROCEDURES                         O            0.6709
                                       3c8f5eb2-2527-415b-bfcb-a2f7309efd7c.xls                  Page 4 of 17

133120   OP NON-COMPLEX GYNECOLOGIC PROCEDURES                                               O            0.4371
147100   OP CESAREAN DELIVERY                                                                O            0.0000
147110   OP VAGINAL DELIVERY WITH STERILIZATION &/OR DILATION & CURETTAGE                    O            1.2351
147120   OP VAGINAL DELIVERY WITH PROCEDURE EXCEPT STERILIZATION &/OR DILATION & CURETTAGE   O            0.4497
147130   OM VAGINAL DELIVERY                                                                 O            0.2096
159100   OM NEONATE, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY                      O            0.0000
159110   OM NEONATE, BIRTHWT 1000-1499 GRAMS                                                 O            0.5407
159120   OM NEONATE, BIRTHWT 1500-1999 GRAMS                                                 O            0.0000
159130   OM NEONATE, BIRTHWT 2000-2499 GRAMS                                                 O            0.0463
159140   OM NEONATE, BIRTHWT >2499 GRAMS WITH MAJOR ANOMALY OR HEREDITARY CONDITION          O            0.1576
159150   OM NEONATE, BIRTHWT >2499 GRAMS WITH ASPIRATION SYNDROME                            O            0.0193
159160   OM NEONATE, BIRTHWT >2499 GRAMS WITH CONGENITAL/PERINATAL INFECTIONS                O            0.0664
159170   OM NEONATE, BIRTHWT >2499 GRAMS                                                     O            0.1665
162100   OP BONE MARROW TRANSPLANTATION                                                      O            1.8987
162110   OP SPLEEN PROCEDURES                                                                O            2.3775
162210   OP COMPLEX LYMPH NODE & THYMUS PROCEDURES                                           O            1.9941
162220   OP NON-COMPLEX LYMPH NODE & THYMUS PROCEDURES                                       O            1.8515
163100   OP TRANSFUSION & THERAPEUTIC BONE MARROW PROCEDURES                                 O            1.8355
163110   OP DIAGNOSTIC PROCEDURES OF BLOOD & BLOOD FORMING ORGANS                            O            2.0438
173100   OP RADIOTHERAPY PROCEDURES                                                          O            3.1483
173110   OP CHEMOTHERAPY FOR LUNG & BLADDER MALIGNANCY                                       O            1.7045
173120   OP CHEMOTHERAPY FOR COLON MALIGNANCY                                                O            2.7500
173130   OP CHEMOTHERAPY FOR BREAST OR OVARY MALIGNANCY                                      O            3.2358
173140   OP CHEMOTHERAPY FOR GASTROINTESTINAL MALIGNANCY                                     O            3.1943
173150   OP CHEMOTHERAPY FOR MELANOMA, KIDNEY OR PROSTATE MALIGNANCY                         O            2.9277
173160   OP CHEMOTHERAPY FOR BRAIN MALIGNANCY                                                O            0.6639
173170   OP CHEMOTHERAPY FOR HEAD OR NECK MALIGNANCY                                         O            3.4690
173180   OP CHEMOTHERAPY FOR ACUTE LEUKEMIA                                                  O            0.7066
173190   OP CHEMOTHERAPY FOR LYMPHOMA, MYELOMA OR TESTICULAR MALIGNANCY                      O            2.8245
173200   OP CHEMOTHERAPY FOR SKIN MALIGNANCY                                                 O            5.4995
173210   OP CHEMOTHERAPY FOR GYNECOLOGIC MALIGNANCY                                          O            3.1951
173220   OP CHEMOTHERAPY FOR METASTATIC MALIGNANCY                                           O            3.5807
173230   OP CHEMOTHERAPY FOR OTHER MALIGNANCY                                                O            0.9655
193100   OP SHOCK THERAPY                                                                    O            0.5742
195100   OM EXTENSIVE MENTAL HEALTH SERVICES                                                 O            0.7035
195110   OM GROUP THERAPY                                                                    O            0.4639
195120   OM MENTAL HEALTH WITH DIAGNOSTIC TESTING PROCEDURES                                 O            0.5937
195130   OM ADULT ACUTE INDIVIDUAL PSYCHOTHERAPY                                             O            0.5028
195140   OM ADULT NON-ACUTE INDIVIDUAL PSYCHOTHERAPY                                         O            0.3639
195150   OM INDIVIDUAL TREATMENT FOR MENTAL RETARDATION                                      O            0.2941
195160   OM INDIVIDUAL PSYCHOTHERAPY FOR CHILDHOOD MENTAL HEALTH PROBLEMS                    O            0.4080
202100   OP ALCOHOL & DRUG REHABILITATION &/OR DETOXIFICATION THERAPY                        O            0.0000
223100   OP RADIOSURGICAL PROCEDURES                                                         O            3.5203
223110   OP EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY EXCEPT URINARY OR BILIARY TRACTS            O            0.0000
223120   OP REHABILITATION PROCEDURES                                                        O            0.4493
223130   OP MISCELLANEOUS NON-COMPLEX ANCILLARY SERVICES PROCEDURES                          O            2.7415
223140   OP SLEEP DIAGNOSTIC STUDIES                                                         O            0.5421
223150   OP CARDIAC NUCLEAR IMAGING STUDIES                                                  O            0.0000
223160   OP MAGNETIC RESONANCE IMAGING PROCEDURES                                            O            1.1360
223170   OP NUCLEAR MEDICINE STUDIES                                                         O            1.4357
223180   OP COMPUTED HEAD TOMOGRAPHY                                                         O            0.4377
223190   OP OTHER COMPUTED TOMOGRAPHY                                                        O            0.6720
223200   OP URINARY TRACT CONTRAST IMAGING STUDIES                                           O            1.0425
223210   OP VASCULAR CONTRAST IMAGING STUDIES                                                O            2.3339
223220   OP OTHER CONTRAST IMAGING STUDIES                                                   O            0.4127
223230   OP OTHER ULTRASOUND PROCEDURES                                                      O            0.6422
223240   OP VASCULAR ULTRASOUND PROCEDURES                                                   O            0.4665
223250   OP GYNECOLOGIC ULTRASOUND PROCEDURES                                                O            0.4709
223260   OP MODERATELY COMPLEX RADIOGRAPHS                                                   O            0.2590
223270   OP WOUND CARE                                                                       O            0.1946
223280   OP BREAST IMAGING STUDIES                                                           O            0.8853
223290   OP OTHER IMAGING STUDIES                                                            O            1.0201
223300   OP PHOTOTHERAPY                                                                     O            0.0562
235100   OM RFV ACUTE SUBSTANCE ABUSE                                                        O            0.4345
235110   OM RFV NON-ACUTE SUBSTANCE ABUSE                                                    O            0.3256
235120   OM RFV DENTAL CONDITION                                                             O            0.1032
                                    3c8f5eb2-2527-415b-bfcb-a2f7309efd7c.xls       Page 5 of 17

235130   OM RFV GENERAL EXAMINATION                                            O            0.1556
235140   OM RFV PLAIN FILMS                                                    O            0.1736
235150   OM RFV ELECTROCARDIOGRAM                                              O            0.0878
235160   OM RFV VACCINATION                                                    O            0.1865
235170   OM RFV INFUSIONS                                                      O            0.1502
235180   OM RFV CONSULTATION OR OTHER EXAMINATION                              O            0.1142
235190   OM RFV OTHER HEALTH CARE CONTACTS                                     O            0.1901
235200   OM RFV THREATENED ABORTION                                            O            0.2890
235210   OM RFV ABORTION                                                       O            0.4084
235220   OM RFV FALSE LABOR                                                    O            0.1479
235230   OM RFV ANTEPARTUM CONDITION                                           O            0.2388
235240   OM RFV POSTPARTUM CONDITION                                           O            0.2100
235250   OM RFV ACUTE GASTROINTESTINAL CONDITION                               O            0.2682
235260   OM RFV ACUTE BRONCHIAL CONDITION                                      O            0.1842
235270   OM RFV ACUTE CENTRAL NERVOUS SYSTEM CONDITION                         O            0.2716
235280   OM RFV CENTRAL NERVOUS SYSTEM INJURY                                  O            0.1638
235290   OM RFV CONGESTIVE HEART FAILURE & OTHER CARDIAC CONDITIONS            O            0.2471
235300   OM RFV ACUTE MYOCARDIAL INFARCT & ARRHYTHMIA                          O            0.4173
235310   OM RFV SIGNIFICANT FRACTURES                                          O            0.2095
235320   OM RFV ACUTE URINARY TRACT CONDITION                                  O            0.2837
235330   OM RFV ACUTE HEMATOLOGICAL CONDITION                                  O            0.3576
235340   OM RFV HUMAN IMMUNODEFICIENCY VIRUS INFECTION                         O            0.2669
235350   OM RFV ACUTE INFECTION                                                O            0.4458
235360   OM RFV ACUTE METABOLIC DERANGEMENTS                                   O            0.3259
235370   OM RFV CARDIAC ARREST, RESPIRATORY ARREST & SHOCK                     O            0.3336
235380   OM RFV ACUTE PULMONARY CONDITION                                      O            0.2745
235390   OM RFV COMPLEX SOFT TISSUE INJURY                                     O            0.1554
235400   OM RFV ACUTE URINARY TRACT INFECTION                                  O            0.2337
235410   OM RFV OTHER COMPLEX ACUTE CONDITION                                  O            0.3041
235420   OM RFV OTHER NON-COMPLEX ACUTE CONDITION                              O            0.1472
235430   OM RFV OTHER COMPLEX CHRONIC CONDITION                                O            0.1982
235440   OM RFV OTHER NON-COMPLEX CHRONIC CONDITION                            O            0.1648
011011   IP INTRACRANIAL VASCULAR PROCEDURES                                   I            2.7696
011012   IP INTRACRANIAL VASCULAR PROCEDURES w/CC                              I            4.6880
011013   IP INTRACRANIAL VASCULAR PROCEDURES w/MCC                             I            9.0754
011101   IP CRANIOTOMY                                                         I            2.3231
011102   IP CRANIOTOMY w/CC                                                    I            3.2324
011103   IP CRANIOTOMY w/MCC                                                   I            7.0165
011111   IP VENTRICULAR SHUNT PROCEDURES                                       I            1.2443
011112   IP VENTRICULAR SHUNT PROCEDURES w/CC                                  I            1.7385
011113   IP VENTRICULAR SHUNT PROCEDURES w/MCC                                 I            5.3052
011121   IP EXTRACRANIAL VASCULAR PROCEDURES                                   I            1.0814
011122   IP EXTRACRANIAL VASCULAR PROCEDURES w/CC                              I            1.4550
011123   IP EXTRACRANIAL VASCULAR PROCEDURES w/MCC                             I            3.2046
011131   IP CARPAL TUNNEL RELEASE                                              I            0.7438
011132   IP CARPAL TUNNEL RELEASE w/CC                                         I            0.8783
011133   IP CARPAL TUNNEL RELEASE w/MCC                                        I            1.9819
011201   IP CRANIAL & PERIPHERAL NERVE PROCEDURES                              I            1.3011
011202   IP CRANIAL & PERIPHERAL NERVE PROCEDURES w/CC                         I            1.6867
011203   IP CRANIAL & PERIPHERAL NERVE PROCEDURES w/MCC                        I            4.1297
011301   IP SPINE PROCEDURES                                                   I            1.1123
011302   IP SPINE PROCEDURES w/CC                                              I            1.4809
011303   IP SPINE PROCEDURES w/MCC                                             I            3.7413
014101   IM SPINAL DISORDERS & INJURIES                                        I            0.9532
014102   IM SPINAL DISORDERS & INJURIES w/CC                                   I            1.2607
014103   IM SPINAL DISORDERS & INJURIES w/MCC                                  I            2.3788
014111   IM NERVOUS SYSTEM MALIGNANCY & DEGENERATIVE DISORDERS                 I            0.8488
014112   IM NERVOUS SYSTEM MALIGNANCY & DEGENERATIVE DISORDERS w/CC            I            0.9850
014113   IM NERVOUS SYSTEM MALIGNANCY & DEGENERATIVE DISORDERS w/MCC           I            1.4432
014121   IM MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA                             I            0.7496
014122   IM MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA w/CC                        I            0.9428
014123   IM MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA w/MCC                       I            1.3738
014131   IM NON-TRAUMATIC INTRACRANIAL HEMORRHAGE                              I            1.0002
014132   IM NON-TRAUMATIC INTRACRANIAL HEMORRHAGE w/CC                         I            1.3233
014133   IM NON-TRAUMATIC INTRACRANIAL HEMORRHAGE w/MCC                        I            2.1398
014141   IM CEREBROVASCULAR ACCIDENT WITH INFARCT                              I            0.9103
                                     3c8f5eb2-2527-415b-bfcb-a2f7309efd7c.xls              Page 6 of 17

014142   IM CEREBROVASCULAR ACCIDENT WITH INFARCT w/CC                                 I            1.1658
014143   IM CEREBROVASCULAR ACCIDENT WITH INFARCT w/MCC                                I            1.8744
014151   IM NON-SPECIFIC CVA & PRE-CEREBRAL OCCLUSION WITHOUT INFARCT                  I            0.7726
014152   IM NON-SPECIFIC CVA & PRE-CEREBRAL OCCLUSION WITHOUT INFARCT w/CC             I            0.9309
014153   IM NON-SPECIFIC CVA & PRE-CEREBRAL OCCLUSION WITHOUT INFARCT w/MCC            I            1.4132
014161   IM TRANSIENT ISCHEMIA                                                         I            0.6802
014162   IM TRANSIENT ISCHEMIA w/CC                                                    I            0.7871
014163   IM TRANSIENT ISCHEMIA w/MCC                                                   I            1.1026
014171   IM CRANIAL & PERIPHERAL NERVE DISORDERS                                       I            0.6980
014172   IM CRANIAL & PERIPHERAL NERVE DISORDERS w/CC                                  I            0.8663
014173   IM CRANIAL & PERIPHERAL NERVE DISORDERS w/MCC                                 I            1.4520
014181   IM BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM                       I            1.3054
014182   IM BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM w/CC                  I            2.0335
014183   IM BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM w/MCC                 I            2.8288
014191   IM NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS         I            1.2224
014192   IM NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS w/CC    I            1.7709
014193   IM NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS w/MCC   I            3.0805
014201   IM VIRAL MENINGITIS                                                           I            0.5835
014202   IM VIRAL MENINGITIS w/CC                                                      I            0.8982
014203   IM VIRAL MENINGITIS w/MCC                                                     I            1.3262
014211   IM NON-TRAUMATIC STUPOR & COMA                                                I            0.6447
014212   IM NON-TRAUMATIC STUPOR & COMA w/CC                                           I            0.9009
014213   IM NON-TRAUMATIC STUPOR & COMA w/MCC                                          I            1.5755
014221   IM SEIZURE                                                                    I            0.6092
014222   IM SEIZURE w/CC                                                               I            0.7817
014223   IM SEIZURE w/MCC                                                              I            1.1773
014231   IM MIGRAINE & OTHER HEADACHES                                                 I            0.5563
014232   IM MIGRAINE & OTHER HEADACHES w/CC                                            I            0.6807
014233   IM MIGRAINE & OTHER HEADACHES w/MCC                                           I            0.9089
014241   IM HEAD TRAUMA                                                                I            0.7114
014242   IM HEAD TRAUMA w/CC                                                           I            1.0942
014243   IM HEAD TRAUMA w/MCC                                                          I            1.9957
014251   IM CONCUSSION                                                                 I            0.7687
014252   IM CONCUSSION w/CC                                                            I            0.9735
014253   IM CONCUSSION w/MCC                                                           I            1.4352
014261   IM OTHER NERVOUS SYSTEM DISORDERS                                             I            0.7431
014262   IM OTHER NERVOUS SYSTEM DISORDERS w/CC                                        I            0.8417
014263   IM OTHER NERVOUS SYSTEM DISORDERS w/MCC                                       I            1.3592
021201   IP ORBITAL & EXTRAOCULAR PROCEDURES                                           I            1.0727
021202   IP ORBITAL & EXTRAOCULAR PROCEDURES w/CC                                      I            1.4263
021203   IP ORBITAL & EXTRAOCULAR PROCEDURES w/MCC                                     I            2.6638
021301   IP INTRAOCULAR & LENS PROCEDURES                                              I            0.7983
021302   IP INTRAOCULAR & LENS PROCEDURES w/CC                                         I            0.9115
021303   IP INTRAOCULAR & LENS PROCEDURES w/MCC                                        I            2.1884
024101   IM ACUTE MAJOR EYE INFECTIONS                                                 I            0.4417
024102   IM ACUTE MAJOR EYE INFECTIONS w/CC                                            I            0.7191
024103   IM ACUTE MAJOR EYE INFECTIONS w/MCC                                           I            1.1291
024111   IM NEUROLOGICAL EYE DISORDERS                                                 I            0.7290
024112   IM NEUROLOGICAL EYE DISORDERS w/CC                                            I            0.8047
024113   IM NEUROLOGICAL EYE DISORDERS w/MCC                                           I            1.0677
024121   IM OTHER EYE DISORDERS                                                        I            0.5354
024122   IM OTHER EYE DISORDERS w/CC                                                   I            0.7252
024123   IM OTHER EYE DISORDERS w/MCC                                                  I            1.2084
031101   IP COMPLEX LARYNX PROCEDURES                                                  I            2.0487
031102   IP COMPLEX LARYNX PROCEDURES w/CC                                             I            3.3346
031103   IP COMPLEX LARYNX PROCEDURES w/MCC                                            I            4.9010
031111   IP OTHER COMPLEX HEAD & NECK PROCEDURES                                       I            1.5616
031112   IP OTHER COMPLEX HEAD & NECK PROCEDURES w/CC                                  I            1.9881
031113   IP OTHER COMPLEX HEAD & NECK PROCEDURES w/MCC                                 I            4.6974
031121   IP SINUS & MASTOID PROCEDURES                                                 I            1.0766
031122   IP SINUS & MASTOID PROCEDURES w/CC                                            I            1.6007
031123   IP SINUS & MASTOID PROCEDURES w/MCC                                           I            4.0446
031131   IP SALIVARY GLAND PROCEDURES                                                  I            0.8700
031132   IP SALIVARY GLAND PROCEDURES w/CC                                             I            0.9330
031133   IP SALIVARY GLAND PROCEDURES w/MCC                                            I            1.8909
031141   IP CLEFT LIP & PALATE REPAIR                                                  I            0.7346
                                          3c8f5eb2-2527-415b-bfcb-a2f7309efd7c.xls                        Page 7 of 17

031142   IP CLEFT LIP & PALATE REPAIR w/CC                                                            I            0.8029
031143   IP CLEFT LIP & PALATE REPAIR w/MCC                                                           I            1.0316
031151   IP TONSIL & ADENOID PROCEDURES                                                               I            0.5471
031152   IP TONSIL & ADENOID PROCEDURES w/CC                                                          I            0.7704
031153   IP TONSIL & ADENOID PROCEDURES w/MCC                                                         I            1.5512
031201   IP OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES                                                I            0.9656
031202   IP OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES w/CC                                           I            1.7206
031203   IP OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES w/MCC                                          I            9.9774
031301   IP MOUTH PROCEDURES                                                                          I            0.8449
031302   IP MOUTH PROCEDURES w/CC                                                                     I            1.1425
031303   IP MOUTH PROCEDURES w/MCC                                                                    I            2.4463
034101   IM EAR, NOSE, MOUTH & THROAT MALIGNANCY                                                      I            0.8581
034102   IM EAR, NOSE, MOUTH & THROAT MALIGNANCY w/CC                                                 I            1.0564
034103   IM EAR, NOSE, MOUTH & THROAT MALIGNANCY w/MCC                                                I            1.5907
034111   IM DYSEQUILIBRIUM                                                                            I            0.5465
034112   IM DYSEQUILIBRIUM w/CC                                                                       I            0.6472
034113   IM DYSEQUILIBRIUM w/MCC                                                                      I            0.8296
034121   IM EPISTAXIS                                                                                 I            0.4548
034122   IM EPISTAXIS w/CC                                                                            I            0.5617
034123   IM EPISTAXIS w/MCC                                                                           I            0.8844
034131   IM EPIGLOTTITIS, OTITIS MEDIA, UPPER RESPIRATORY TRACT INFECTION & LARYNGOTRACHEITIS         I            0.3424
034132   IM EPIGLOTTITIS, OTITIS MEDIA, UPPER RESPIRATORY TRACT INFECTION & LARYNGOTRACHEITIS w/CC    I            0.5104
034133   IM EPIGLOTTITIS, OTITIS MEDIA, UPPER RESPIRATORY TRACT INFECTION & LARYNGOTRACHEITIS w/MCC   I            0.7577
034141   IM DENTAL & ORAL DISEASE                                                                     I            0.5419
034142   IM DENTAL & ORAL DISEASE w/CC                                                                I            0.7845
034143   IM DENTAL & ORAL DISEASE w/MCC                                                               I            1.3980
034151   IM OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES                                                 I            0.5042
034152   IM OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES w/CC                                            I            0.7339
034153   IM OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES w/MCC                                           I            1.0561
041011   IP LONG TERM MECHANICAL VENTILATION WITH TRACHEOSTOMY                                        I            9.4076
041012   IP LONG TERM MECHANICAL VENTILATION WITH TRACHEOSTOMY w/CC                                   I           10.0501
041013   IP LONG TERM MECHANICAL VENTILATION WITH TRACHEOSTOMY w/MCC                                  I           17.1707
041021   IP LONG TERM MECHANICAL VENTILATION WITHOUT TRACHEOSTOMY                                     I            4.8090
041022   IP LONG TERM MECHANICAL VENTILATION WITHOUT TRACHEOSTOMY w/CC                                I            5.1517
041023   IP LONG TERM MECHANICAL VENTILATION WITHOUT TRACHEOSTOMY w/MCC                               I            7.6128
041101   IP COMPLEX RESPIRATORY SYSTEM PROCEDURES                                                     I            2.0596
041102   IP COMPLEX RESPIRATORY SYSTEM PROCEDURES w/CC                                                I            2.7195
041103   IP COMPLEX RESPIRATORY SYSTEM PROCEDURES w/MCC                                               I            4.8152
041201   IP NON-COMPLEX RESPIRATORY SYSTEM PROCEDURES                                                 I            1.1260
041202   IP NON-COMPLEX RESPIRATORY SYSTEM PROCEDURES w/CC                                            I            1.6458
041203   IP NON-COMPLEX RESPIRATORY SYSTEM PROCEDURES w/MCC                                           I            2.4627
041301   IP MODERATELY COMPLEX RESPIRATORY SYSTEM PROCEDURES                                          I            1.4467
041302   IP MODERATELY COMPLEX RESPIRATORY SYSTEM PROCEDURES w/CC                                     I            2.0636
041303   IP MODERATELY COMPLEX RESPIRATORY SYSTEM PROCEDURES w/MCC                                    I            4.0991
044101   IM CYSTIC FIBROSIS                                                                           I            1.3401
044102   IM CYSTIC FIBROSIS w/CC                                                                      I            1.9162
044103   IM CYSTIC FIBROSIS w/MCC                                                                     I            2.8989
044111   IM RESPIRATORY FAILURE                                                                       I            0.7964
044112   IM RESPIRATORY FAILURE w/CC                                                                  I            1.1085
044113   IM RESPIRATORY FAILURE w/MCC                                                                 I            1.5886
044121   IM PULMONARY EMBOLISM                                                                        I            0.9145
044122   IM PULMONARY EMBOLISM w/CC                                                                   I            1.1843
044123   IM PULMONARY EMBOLISM w/MCC                                                                  I            1.5815
044131   IM MAJOR CHEST TRAUMA                                                                        I            0.6350
044132   IM MAJOR CHEST TRAUMA w/CC                                                                   I            0.9342
044133   IM MAJOR CHEST TRAUMA w/MCC                                                                  I            1.5186
044141   IM RESPIRATORY MALIGNANCY                                                                    I            0.8667
044142   IM RESPIRATORY MALIGNANCY w/CC                                                               I            1.2534
044143   IM RESPIRATORY MALIGNANCY w/MCC                                                              I            1.7700
044151   IM RESPIRATORY INFECTIONS & INFLAMMATIONS                                                    I            0.8219
044152   IM RESPIRATORY INFECTIONS & INFLAMMATIONS w/CC                                               I            1.1999
044153   IM RESPIRATORY INFECTIONS & INFLAMMATIONS w/MCC                                              I            2.0398
044161   IM SIMPLE PNEUMONIA & WHOOPING COUGH                                                         I            0.4920
044162   IM SIMPLE PNEUMONIA & WHOOPING COUGH w/CC                                                    I            0.8467
044163   IM SIMPLE PNEUMONIA & WHOOPING COUGH w/MCC                                                   I            1.3901
044171   IM CHRONIC OBSTRUCTIVE PULMONARY DISEASE                                                     I            0.6328
                                     3c8f5eb2-2527-415b-bfcb-a2f7309efd7c.xls                Page 8 of 17

044172   IM CHRONIC OBSTRUCTIVE PULMONARY DISEASE w/CC                                   I            0.8561
044173   IM CHRONIC OBSTRUCTIVE PULMONARY DISEASE w/MCC                                  I            1.2392
044181   IM ASTHMA & BRONCHIOLITIS                                                       I            0.4309
044182   IM ASTHMA & BRONCHIOLITIS w/CC                                                  I            0.6631
044183   IM ASTHMA & BRONCHIOLITIS w/MCC                                                 I            0.6911
044191   IM INTERSTITIAL LUNG DISEASE                                                    I            0.8254
044192   IM INTERSTITIAL LUNG DISEASE w/CC                                               I            1.0793
044193   IM INTERSTITIAL LUNG DISEASE w/MCC                                              I            1.6061
044201   IM PNEUMOTHORAX & PLEURAL EFFUSION                                              I            0.5925
044202   IM PNEUMOTHORAX & PLEURAL EFFUSION w/CC                                         I            0.9903
044203   IM PNEUMOTHORAX & PLEURAL EFFUSION w/MCC                                        I            1.5656
044211   IM RESPIRATORY SYSTEM SIGNS, SYMPTOMS & OTHER DIAGNOSES                         I            0.4842
044212   IM RESPIRATORY SYSTEM SIGNS, SYMPTOMS & OTHER DIAGNOSES w/CC                    I            0.6905
044213   IM RESPIRATORY SYSTEM SIGNS, SYMPTOMS & OTHER DIAGNOSES w/MCC                   I            1.0586
051011   IP HEART &/OR LUNG TRANSPLANTATION                                              I           12.8837
051012   IP HEART &/OR LUNG TRANSPLANTATION w/CC                                         I           13.1672
051013   IP HEART &/OR LUNG TRANSPLANTATION w/MCC                                        I           20.7842
051021   IP CARDIAC VALVE PROCEDURES WITH CARDIAC CATHETERIZATION                        I            5.4127
051022   IP CARDIAC VALVE PROCEDURES WITH CARDIAC CATHETERIZATION w/CC                   I            6.9889
051023   IP CARDIAC VALVE PROCEDURES WITH CARDIAC CATHETERIZATION w/MCC                  I           11.1013
051031   IP COMPLEX CARDIOTHORACIC REPAIR OF HEART ANOMALY                               I            4.1570
051032   IP COMPLEX CARDIOTHORACIC REPAIR OF HEART ANOMALY w/CC                          I            5.3819
051033   IP COMPLEX CARDIOTHORACIC REPAIR OF HEART ANOMALY w/MCC                         I            8.9612
051041   IP CARDIAC VALVE PROCEDURES WITHOUT CARDIAC CATHETERIZATION                     I            4.1489
051042   IP CARDIAC VALVE PROCEDURES WITHOUT CARDIAC CATHETERIZATION w/CC                I            5.1465
051043   IP CARDIAC VALVE PROCEDURES WITHOUT CARDIAC CATHETERIZATION w/MCC               I            8.5890
051051   IP CORONARY BYPASS WITH CARDIAC CATHETERIZATION                                 I            4.5643
051052   IP CORONARY BYPASS WITH CARDIAC CATHETERIZATION w/CC                            I            5.1685
051053   IP CORONARY BYPASS WITH CARDIAC CATHETERIZATION w/MCC                           I            7.5365
051061   IP OTHER CARDIOTHORACIC PROCEDURES                                              I            2.6803
051062   IP OTHER CARDIOTHORACIC PROCEDURES w/CC                                         I            3.7772
051063   IP OTHER CARDIOTHORACIC PROCEDURES w/MCC                                        I            5.9821
051071   IP CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION                              I            3.2200
051072   IP CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION w/CC                         I            3.6559
051073   IP CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION w/MCC                        I            5.2471
051111   IP CARDIAC DEFIBRILLATOR & HEART ASSIST SYSTEM INSERTION                        I            6.0789
051112   IP CARDIAC DEFIBRILLATOR & HEART ASSIST SYSTEM INSERTION w/CC                   I            6.7591
051113   IP CARDIAC DEFIBRILLATOR & HEART ASSIST SYSTEM INSERTION w/MCC                  I            8.9943
051121   IP COMPLEX THORACIC VASCULAR PROCEDURES                                         I            2.2676
051122   IP COMPLEX THORACIC VASCULAR PROCEDURES w/CC                                    I            3.7195
051123   IP COMPLEX THORACIC VASCULAR PROCEDURES w/MCC                                   I            8.8377
051131   IP COMPLEX ABDOMINAL VASCULAR PROCEDURES                                        I            2.3197
051132   IP COMPLEX ABDOMINAL VASCULAR PROCEDURES w/CC                                   I            2.9980
051133   IP COMPLEX ABDOMINAL VASCULAR PROCEDURES w/MCC                                  I            5.6803
051141   IP PERMANENT CARDIAC PACEMAKER INSERTION                                        I            2.2315
051142   IP PERMANENT CARDIAC PACEMAKER INSERTION w/CC                                   I            2.7368
051143   IP PERMANENT CARDIAC PACEMAKER INSERTION w/MCC                                  I            4.1558
051151   IP CARDIAC CATHETERIZATION                                                      I            1.1212
051152   IP CARDIAC CATHETERIZATION w/CC                                                 I            1.4059
051153   IP CARDIAC CATHETERIZATION w/MCC                                                I            2.4008
051161   IP CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT         I            0.9408
051162   IP CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT w/CC    I            1.3177
051163   IP CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT w/MCC   I            2.8216
051171   IP VEIN LIGATION & STRIPPING                                                    I            0.8094
051172   IP VEIN LIGATION & STRIPPING w/CC                                               I            1.2249
051173   IP VEIN LIGATION & STRIPPING w/MCC                                              I            2.6604
051201   IP OTHER CIRCULATORY SYSTEM PROCEDURES                                          I            1.7054
051202   IP OTHER CIRCULATORY SYSTEM PROCEDURES w/CC                                     I            2.2898
051203   IP OTHER CIRCULATORY SYSTEM PROCEDURES w/MCC                                    I            4.1880
051301   IP CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT                         I            2.1239
051302   IP CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT w/CC                    I            2.3898
051303   IP CARDIAC PACEMAKER & DEFIBRILLATOR DEVICE REPLACEMENT w/MCC                   I            4.3356
051401   IP PERCUTANEOUS CARDIOVASCULAR PROCEDURES                                       I            2.2500
051402   IP PERCUTANEOUS CARDIOVASCULAR PROCEDURES w/CC                                  I            2.4184
051403   IP PERCUTANEOUS CARDIOVASCULAR PROCEDURES w/MCC                                 I            3.3368
054101   IM ACUTE MYOCARDIAL INFARCTION                                                  I            0.6887
                                        3c8f5eb2-2527-415b-bfcb-a2f7309efd7c.xls                    Page 9 of 17

054102   IM ACUTE MYOCARDIAL INFARCTION w/CC                                                    I            0.9706
054103   IM ACUTE MYOCARDIAL INFARCTION w/MCC                                                   I            1.5688
054111   IM ACUTE & SUBACUTE ENDOCARDITIS                                                       I            0.9976
054112   IM ACUTE & SUBACUTE ENDOCARDITIS w/CC                                                  I            1.6405
054113   IM ACUTE & SUBACUTE ENDOCARDITIS w/MCC                                                 I            2.8232
054121   IM HEART FAILURE                                                                       I            0.6285
054122   IM HEART FAILURE w/CC                                                                  I            0.8712
054123   IM HEART FAILURE w/MCC                                                                 I            1.3999
054131   IM DEEP VEIN THROMBOPHLEBITIS                                                          I            0.4850
054132   IM DEEP VEIN THROMBOPHLEBITIS w/CC                                                     I            0.7046
054133   IM DEEP VEIN THROMBOPHLEBITIS w/MCC                                                    I            1.1596
054141   IM CARDIAC ARREST, UNEXPLAINED                                                         I            0.4823
054142   IM CARDIAC ARREST, UNEXPLAINED w/CC                                                    I            0.5643
054143   IM CARDIAC ARREST, UNEXPLAINED w/MCC                                                   I            0.8745
054151   IM PERIPHERAL & OTHER VASCULAR DISORDERS                                               I            0.5535
054152   IM PERIPHERAL & OTHER VASCULAR DISORDERS w/CC                                          I            0.8347
054153   IM PERIPHERAL & OTHER VASCULAR DISORDERS w/MCC                                         I            1.3388
054161   IM ATHEROSCLEROSIS                                                                     I            0.5515
054162   IM ATHEROSCLEROSIS w/CC                                                                I            0.6307
054163   IM ATHEROSCLEROSIS w/MCC                                                               I            0.9777
054171   IM HYPERTENSION                                                                        I            0.5560
054172   IM HYPERTENSION w/CC                                                                   I            0.6849
054173   IM HYPERTENSION w/MCC                                                                  I            1.0684
054181   IM CARDIAC CONGENITAL & VALVULAR DISORDERS                                             I            0.5755
054182   IM CARDIAC CONGENITAL & VALVULAR DISORDERS w/CC                                        I            0.8099
054183   IM CARDIAC CONGENITAL & VALVULAR DISORDERS w/MCC                                       I            1.2880
054191   IM CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS                                           I            0.5336
054192   IM CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS w/CC                                      I            0.7290
054193   IM CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS w/MCC                                     I            1.1913
054201   IM ANGINA PECTORIS & CHEST PAIN                                                        I            0.5299
054202   IM ANGINA PECTORIS & CHEST PAIN w/CC                                                   I            0.6105
054203   IM ANGINA PECTORIS & CHEST PAIN w/MCC                                                  I            0.8102
054211   IM SYNCOPE & COLLAPSE                                                                  I            0.5937
054212   IM SYNCOPE & COLLAPSE w/CC                                                             I            0.7407
054213   IM SYNCOPE & COLLAPSE w/MCC                                                            I            1.0104
054221   IM CARDIOMYOPATHY                                                                      I            0.6933
054222   IM CARDIOMYOPATHY w/CC                                                                 I            0.8149
054223   IM CARDIOMYOPATHY w/MCC                                                                I            1.2372
054231   IM MALFUNCTION, REACTION & COMPLICATION OF CARDIAOVASCOLAR DEVICE OR PROCEDURE         I            0.7352
054232   IM MALFUNCTION, REACTION & COMPLICATION OF CARDIAOVASCOLAR DEVICE OR PROCEDURE w/CC    I            0.9026
054233   IM MALFUNCTION, REACTION & COMPLICATION OF CARDIAOVASCOLAR DEVICE OR PROCEDURE w/MCC   I            1.7636
054241   IM OTHER CIRCULATORY SYSTEM DIAGNOSES                                                  I            0.5745
054242   IM OTHER CIRCULATORY SYSTEM DIAGNOSES w/CC                                             I            0.7894
054243   IM OTHER CIRCULATORY SYSTEM DIAGNOSES w/MCC                                            I            1.2722
061101   IP NON-COMPLEX SMALL & LARGE BOWEL PROCEDURES                                          I            1.2060
061102   IP NON-COMPLEX SMALL & LARGE BOWEL PROCEDURES w/CC                                     I            1.7782
061103   IP NON-COMPLEX SMALL & LARGE BOWEL PROCEDURES w/MCC                                    I            4.1498
061111   IP PERITONEAL ADHESIOLYSIS                                                             I            0.9702
061112   IP PERITONEAL ADHESIOLYSIS w/CC                                                        I            1.3918
061113   IP PERITONEAL ADHESIOLYSIS w/MCC                                                       I            3.2324
061121   IP HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL                                         I            0.9526
061122   IP HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL w/CC                                    I            1.2415
061123   IP HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL w/MCC                                   I            2.4696
061131   IP APPENDICEAL PROCEDURES                                                              I            0.9048
061132   IP APPENDICEAL PROCEDURES w/CC                                                         I            1.0031
061133   IP APPENDICEAL PROCEDURES w/MCC                                                        I            1.4333
061141   IP INGUINAL & FEMORAL HERNIA PROCEDURES                                                I            0.7430
061142   IP INGUINAL & FEMORAL HERNIA PROCEDURES w/CC                                           I            1.0406
061143   IP INGUINAL & FEMORAL HERNIA PROCEDURES w/MCC                                          I            2.1489
061201   IP COMPLEX INTESTINAL PROCEDURES                                                       I            1.6458
061202   IP COMPLEX INTESTINAL PROCEDURES w/CC                                                  I            2.2816
061203   IP COMPLEX INTESTINAL PROCEDURES w/MCC                                                 I            4.9066
061301   IP NON-COMPLEX STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES                               I            0.8847
061302   IP NON-COMPLEX STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES w/CC                          I            1.7242
061303   IP NON-COMPLEX STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES w/MCC                         I            4.2352
061401   IP OTHER DIGESTIVE SYSTEM PROCEDURES                                                   I            1.0543
                                     3c8f5eb2-2527-415b-bfcb-a2f7309efd7c.xls               Page 10 of 17

061402   IP OTHER DIGESTIVE SYSTEM PROCEDURES w/CC                                      I             1.6274
061403   IP OTHER DIGESTIVE SYSTEM PROCEDURES w/MCC                                     I             3.2528
061501   IP ANAL PROCEDURES                                                             I             0.6582
061502   IP ANAL PROCEDURES w/CC                                                        I             1.0407
061503   IP ANAL PROCEDURES w/MCC                                                       I             1.9641
064101   IM DIGESTIVE MALIGNANCY                                                        I             0.7876
064102   IM DIGESTIVE MALIGNANCY w/CC                                                   I             1.1182
064103   IM DIGESTIVE MALIGNANCY w/MCC                                                  I             1.8702
064111   IM PEPTIC ULCER & GASTRITIS                                                    I             0.5898
064112   IM PEPTIC ULCER & GASTRITIS w/CC                                               I             0.8668
064113   IM PEPTIC ULCER & GASTRITIS w/MCC                                              I             1.4175
064121   IM ESOPHAGEAL DISORDERS                                                        I             0.5110
064122   IM ESOPHAGEAL DISORDERS w/CC                                                   I             0.7475
064123   IM ESOPHAGEAL DISORDERS w/MCC                                                  I             1.2854
064131   IM DIVERTICULITIS, DIVERTICULOSIS & INFLAMMATORY BOWEL DISEASE                 I             0.6778
064132   IM DIVERTICULITIS, DIVERTICULOSIS & INFLAMMATORY BOWEL DISEASE w/CC            I             0.8694
064133   IM DIVERTICULITIS, DIVERTICULOSIS & INFLAMMATORY BOWEL DISEASE w/MCC           I             1.4036
064141   IM GASTROINTESTINAL VASCULAR INSUFFICIENCY                                     I             0.7706
064142   IM GASTROINTESTINAL VASCULAR INSUFFICIENCY w/CC                                I             1.0344
064143   IM GASTROINTESTINAL VASCULAR INSUFFICIENCY w/MCC                               I             1.8161
064151   IM GASTROINTESTINAL OBSTRUCTION                                                I             0.5465
064152   IM GASTROINTESTINAL OBSTRUCTION w/CC                                           I             0.7762
064153   IM GASTROINTESTINAL OBSTRUCTION w/MCC                                          I             1.3863
064161   IM MAJOR GASTROINTESTINAL INFECTIONS                                           I             0.8770
064162   IM MAJOR GASTROINTESTINAL INFECTIONS w/CC                                      I             1.2087
064163   IM MAJOR GASTROINTESTINAL INFECTIONS w/MCC                                     I             1.8073
064171   IM OTHER GASTROENTERITIS & ABDOMINAL PAIN                                      I             0.4408
064172   IM OTHER GASTROENTERITIS & ABDOMINAL PAIN w/CC                                 I             0.6262
064173   IM OTHER GASTROENTERITIS & ABDOMINAL PAIN w/MCC                                I             0.9303
064181   IM OTHER DIGESTIVE SYSTEM DIAGNOSES                                            I             0.5026
064182   IM OTHER DIGESTIVE SYSTEM DIAGNOSES w/CC                                       I             0.7862
064183   IM OTHER DIGESTIVE SYSTEM DIAGNOSES w/MCC                                      I             1.3818
071011   IP LIVER TRANSPLANTATION                                                       I             9.9312
071012   IP LIVER TRANSPLANTATION w/CC                                                  I            10.9568
071013   IP LIVER TRANSPLANTATION w/MCC                                                 I            19.2205
071101   IP PANCREAS & LIVER PROCEDURES                                                 I             2.1862
071102   IP PANCREAS & LIVER PROCEDURES w/CC                                            I             3.2813
071103   IP PANCREAS & LIVER PROCEDURES w/MCC                                           I             7.6059
071111   IP COMPLEX BILIARY TRACT PROCEDURES                                            I             1.7682
071112   IP COMPLEX BILIARY TRACT PROCEDURES w/CC                                       I             2.6141
071113   IP COMPLEX BILIARY TRACT PROCEDURES w/MCC                                      I             4.8209
071121   IP CHOLECYSTECTOMY EXCEPT LAPAROSCOPIC                                         I             1.3648
071122   IP CHOLECYSTECTOMY EXCEPT LAPAROSCOPIC w/CC                                    I             1.9860
071123   IP CHOLECYSTECTOMY EXCEPT LAPAROSCOPIC w/MCC                                   I             3.5600
071131   IP OTHER HEPATOBILIARY & PANCREAS PROCEDURES                                   I             1.1804
071132   IP OTHER HEPATOBILIARY & PANCREAS PROCEDURES w/CC                              I             1.6012
071133   IP OTHER HEPATOBILIARY & PANCREAS PROCEDURES w/MCC                             I             2.3606
071141   IP LAPAROSCOPIC CHOLECYSTECTOMY                                                I             1.0587
071142   IP LAPAROSCOPIC CHOLECYSTECTOMY w/CC                                           I             1.4847
071143   IP LAPAROSCOPIC CHOLECYSTECTOMY w/MCC                                          I             2.3226
074101   IM CIRRHOSIS & ALCOHOLIC HEPATITIS                                             I             0.5739
074102   IM CIRRHOSIS & ALCOHOLIC HEPATITIS w/CC                                        I             0.9017
074103   IM CIRRHOSIS & ALCOHOLIC HEPATITIS w/MCC                                       I             1.5199
074111   IM MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS                               I             0.9167
074112   IM MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS w/CC                          I             1.2469
074113   IM MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS w/MCC                         I             1.8303
074121   IM PANCREAS DISORDERS EXCEPT MALIGNANCY                                        I             0.6757
074122   IM PANCREAS DISORDERS EXCEPT MALIGNANCY w/CC                                   I             0.9580
074123   IM PANCREAS DISORDERS EXCEPT MALIGNANCY w/MCC                                  I             1.8207
074131   IM LIVER DISORDERS EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS         I             0.6318
074132   IM LIVER DISORDERS EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS w/CC    I             0.9246
074133   IM LIVER DISORDERS EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS w/MCC   I             1.5304
074141   IM OTHER BILIARY TRACT DISORDERS                                               I             0.6247
074142   IM OTHER BILIARY TRACT DISORDERS w/CC                                          I             0.9449
074143   IM OTHER BILIARY TRACT DISORDERS w/MCC                                         I             1.4581
081011   IP BILATERAL & MULTIPLE MAJOR LOWER EXTREMITY JOINT PROCEDURES                 I             2.9115
                                       3c8f5eb2-2527-415b-bfcb-a2f7309efd7c.xls                 Page 11 of 17

081012   IP BILATERAL & MULTIPLE MAJOR LOWER EXTREMITY JOINT PROCEDURES w/CC                I             3.2498
081013   IP BILATERAL & MULTIPLE MAJOR LOWER EXTREMITY JOINT PROCEDURES w/MCC               I             4.5650
081021   IP AMPUTATION                                                                      I             1.1759
081022   IP AMPUTATION w/CC                                                                 I             1.9306
081023   IP AMPUTATION w/MCC                                                                I             3.4962
081041   IP MAJOR LOWER EXTREMITY JOINT & LIMB REATTACHMENT PROCEDURES                      I             1.9843
081042   IP MAJOR LOWER EXTREMITY JOINT & LIMB REATTACHMENT PROCEDURES w/CC                 I             2.1653
081043   IP MAJOR LOWER EXTREMITY JOINT & LIMB REATTACHMENT PROCEDURES w/MCC                I             3.1832
081051   IP MAJOR UPPER EXTREMITY JOINT & LIMB REATTACHMENT PROCEDURES                      I             1.6932
081052   IP MAJOR UPPER EXTREMITY JOINT & LIMB REATTACHMENT PROCEDURES w/CC                 I             1.9569
081053   IP MAJOR UPPER EXTREMITY JOINT & LIMB REATTACHMENT PROCEDURES w/MCC                I             3.3331
081061   IP SPINAL FUSION PROCEDURES FOR CURVATURE OF THE SPINE                             I             4.4271
081062   IP SPINAL FUSION PROCEDURES FOR CURVATURE OF THE SPINE w/CC                        I             5.3175
081063   IP SPINAL FUSION PROCEDURES FOR CURVATURE OF THE SPINE w/MCC                       I             7.8845
081071   IP SPINAL FUSION PROCEDURES EXCEPT FOR CURVATURE OF THE SPINE                      I             2.3392
081072   IP SPINAL FUSION PROCEDURES EXCEPT FOR CURVATURE OF THE SPINE w/CC                 I             3.1338
081073   IP SPINAL FUSION PROCEDURES EXCEPT FOR CURVATURE OF THE SPINE w/MCC                I             6.3839
081101   IP CRANIAL & FACIAL BONE RECONSTRUCTIVE PROCEDURES                                 I             1.3784
081102   IP CRANIAL & FACIAL BONE RECONSTRUCTIVE PROCEDURES w/CC                            I             1.8557
081103   IP CRANIAL & FACIAL BONE RECONSTRUCTIVE PROCEDURES w/MCC                           I             2.7899
081201   IP HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT                                       I             1.3621
081202   IP HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT w/CC                                  I             1.7530
081203   IP HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT w/MCC                                 I             3.0280
081301   IP FOOT PROCEDURES                                                                 I             0.9693
081302   IP FOOT PROCEDURES w/CC                                                            I             1.4282
081303   IP FOOT PROCEDURES w/MCC                                                           I             2.1306
081401   IP LOCAL EXCISION & REMOVAL OF INTERNAL FIXATION DEVICE                            I             0.8983
081402   IP LOCAL EXCISION & REMOVAL OF INTERNAL FIXATION DEVICE w/CC                       I             1.4785
081403   IP LOCAL EXCISION & REMOVAL OF INTERNAL FIXATION DEVICE w/MCC                      I             2.7074
081501   IP SOFT TISSUE PROCEDURES                                                          I             0.8461
081502   IP SOFT TISSUE PROCEDURES w/CC                                                     I             1.4165
081503   IP SOFT TISSUE PROCEDURES w/MCC                                                    I             3.0912
081601   IP OTHER MUSCULOSKELETEL SYSTEM & CONNECTIVE TISSUE PROCEDURES                     I             0.9596
081602   IP OTHER MUSCULOSKELETEL SYSTEM & CONNECTIVE TISSUE PROCEDURES w/CC                I             1.6443
081603   IP OTHER MUSCULOSKELETEL SYSTEM & CONNECTIVE TISSUE PROCEDURES w/MCC               I             3.3435
081701   IP KNEE & LOWER LEG PROCEDURES EXCEPT FOOT                                         I             1.1074
081702   IP KNEE & LOWER LEG PROCEDURES EXCEPT FOOT w/CC                                    I             1.6205
081703   IP KNEE & LOWER LEG PROCEDURES EXCEPT FOOT w/MCC                                   I             3.0761
081801   IP UPPER EXTREMITY PROCEDURES                                                      I             0.9041
081802   IP UPPER EXTREMITY PROCEDURES w/CC                                                 I             1.3695
081803   IP UPPER EXTREMITY PROCEDURES w/MCC                                                I             2.6224
084101   IM FRACTURES OF FEMUR                                                              I             0.5597
084102   IM FRACTURES OF FEMUR w/CC                                                         I             0.7397
084103   IM FRACTURES OF FEMUR w/MCC                                                        I             1.2796
084111   IM FRACTURE OF PELVIS OR DISLOCATION OF HIP                                        I             0.5335
084112   IM FRACTURE OF PELVIS OR DISLOCATION OF HIP w/CC                                   I             0.7344
084113   IM FRACTURE OF PELVIS OR DISLOCATION OF HIP w/MCC                                  I             1.3035
084121   IM FRACTURE OR DISLOCATION EXCEPT FEMUR & PELVIS                                   I             0.4987
084122   IM FRACTURE OR DISLOCATION EXCEPT FEMUR & PELVIS w/CC                              I             0.7102
084123   IM FRACTURE OR DISLOCATION EXCEPT FEMUR & PELVIS w/MCC                             I             1.1986
084131   IM MUSCULOSKELETAL & CONNECTIVE TISSUE MALIGNANCY & PATHOLOGICAL FRACTURES         I             0.6998
084132   IM MUSCULOSKELETAL & CONNECTIVE TISSUE MALIGNANCY & PATHOLOGICAL FRACTURES w/CC    I             0.9665
084133   IM MUSCULOSKELETAL & CONNECTIVE TISSUE MALIGNANCY & PATHOLOGICAL FRACTURES w/MCC   I             1.7418
084141   IM OSTEOMYELITIS                                                                   I             0.8584
084142   IM OSTEOMYELITIS w/CC                                                              I             1.2390
084143   IM OSTEOMYELITIS w/MCC                                                             I             2.1072
084151   IM SEPTIC ARTHRITIS                                                                I             0.6467
084152   IM SEPTIC ARTHRITIS w/CC                                                           I             0.9596
084153   IM SEPTIC ARTHRITIS w/MCC                                                          I             1.8451
084161   IM CONNECTIVE TISSUE DISORDERS                                                     I             0.7126
084162   IM CONNECTIVE TISSUE DISORDERS w/CC                                                I             1.0414
084163   IM CONNECTIVE TISSUE DISORDERS w/MCC                                               I             2.1581
084171   IM MEDICAL BACK PROBLEMS                                                           I             0.5817
084172   IM MEDICAL BACK PROBLEMS w/CC                                                      I             0.8111
084173   IM MEDICAL BACK PROBLEMS w/MCC                                                     I             1.3477
084181   IM OTHER BONE & JOINT DISEASES                                                     I             0.6107
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084182   IM OTHER BONE & JOINT DISEASES w/CC                                                I             0.7521
084183   IM OTHER BONE & JOINT DISEASES w/MCC                                               I             1.0358
084191   IM MALFUNCTION, REACTION OR COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE         I             0.5198
084192   IM MALFUNCTION, REACTION OR COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE w/CC    I             0.8755
084193   IM MALFUNCTION, REACTION OR COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE w/MCC   I             1.7100
084201   IM MUSCULOSKELETAL SIGNS, SYMPTOMS, SPRAINS & MINOR INFLAMMATIONS                  I             0.4890
084202   IM MUSCULOSKELETAL SIGNS, SYMPTOMS, SPRAINS & MINOR INFLAMMATIONS w/CC             I             0.6241
084203   IM MUSCULOSKELETAL SIGNS, SYMPTOMS, SPRAINS & MINOR INFLAMMATIONS w/MCC            I             0.9213
084211   IM OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES                      I             0.5570
084212   IM OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES w/CC                 I             0.7999
084213   IM OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES w/MCC                I             1.3664
091201   IP SKIN GRAFT WITH BURNS                                                           I             1.1475
091202   IP SKIN GRAFT WITH BURNS w/CC                                                      I             2.5173
091203   IP SKIN GRAFT WITH BURNS w/MCC                                                     I             7.7826
091301   IP SKIN GRAFT WITHOUT BURNS                                                        I             1.3803
091302   IP SKIN GRAFT WITHOUT BURNS w/CC                                                   I             2.4924
091303   IP SKIN GRAFT WITHOUT BURNS w/MCC                                                  I             5.7742
091401   IP OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST PROCEDURES                             I             1.2467
091402   IP OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST PROCEDURES w/CC                        I             1.8156
091403   IP OTHER SKIN, SUBCUTANEOUS TISSUE & BREAST PROCEDURES w/MCC                       I             3.4110
091501   IP BREAST PROCEDURES                                                               I             1.0092
091502   IP BREAST PROCEDURES w/CC                                                          I             1.1061
091503   IP BREAST PROCEDURES w/MCC                                                         I             2.2463
094101   IM MAJOR SKIN DISORDERS                                                            I             0.6229
094102   IM MAJOR SKIN DISORDERS w/CC                                                       I             1.0148
094103   IM MAJOR SKIN DISORDERS w/MCC                                                      I             1.7847
094111   IM MALIGNANT BREAST DISORDERS                                                      I             0.7401
094112   IM MALIGNANT BREAST DISORDERS w/CC                                                 I             1.0140
094113   IM MALIGNANT BREAST DISORDERS w/MCC                                                I             1.6072
094121   IM CELLULITIS                                                                      I             0.4903
094122   IM CELLULITIS w/CC                                                                 I             0.7705
094123   IM CELLULITIS w/MCC                                                                I             1.2479
094131   IM TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE & BREAST                                I             0.6136
094132   IM TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE & BREAST w/CC                           I             0.7075
094133   IM TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE & BREAST w/MCC                          I             1.0613
094141   IM OTHER SKIN & BREAST DISORDERS                                                   I             0.4101
094142   IM OTHER SKIN & BREAST DISORDERS w/CC                                              I             0.6095
094143   IM OTHER SKIN & BREAST DISORDERS w/MCC                                             I             1.1210
101011   IP PITUITARY & PINEAL PROCEDURES                                                   I             1.9064
101012   IP PITUITARY & PINEAL PROCEDURES w/CC                                              I             2.4972
101013   IP PITUITARY & PINEAL PROCEDURES w/MCC                                             I             4.9498
101101   IP ADRENAL PROCEDURES                                                              I             1.4587
101102   IP ADRENAL PROCEDURES w/CC                                                         I             1.7705
101103   IP ADRENAL PROCEDURES w/MCC                                                        I             3.7316
101201   IP THYROID, PARATHYROID & THYROGLOSSAL DUCT PROCEDURES                             I             0.8217
101202   IP THYROID, PARATHYROID & THYROGLOSSAL DUCT PROCEDURES w/CC                        I             1.0783
101203   IP THYROID, PARATHYROID & THYROGLOSSAL DUCT PROCEDURES w/MCC                       I             2.4383
104101   IM DIABETES AND NUTRITIONAL & MISC METABOLIC DISORDERS                             I             0.4815
104102   IM DIABETES AND NUTRITIONAL & MISC METABOLIC DISORDERS w/CC                        I             0.7138
104103   IM DIABETES AND NUTRITIONAL & MISC METABOLIC DISORDERS w/MCC                       I             1.2511
104111   IM HYPOVOLEMIA & ELECTROLYTE DISORDERS                                             I             0.3266
104112   IM HYPOVOLEMIA & ELECTROLYTE DISORDERS w/CC                                        I             0.6178
104113   IM HYPOVOLEMIA & ELECTROLYTE DISORDERS w/MCC                                       I             1.0188
104121   IM INBORN ERRORS OF METABOLISM                                                     I             0.4942
104122   IM INBORN ERRORS OF METABOLISM w/CC                                                I             0.8585
104123   IM INBORN ERRORS OF METABOLISM w/MCC                                               I             1.5210
104131   IM OTHER ENDOCRINE DISORDERS                                                       I             0.5174
104132   IM OTHER ENDOCRINE DISORDERS w/CC                                                  I             0.8885
104133   IM OTHER ENDOCRINE DISORDERS w/MCC                                                 I             1.5373
111011   IP KIDNEY TRANSPLANTATION                                                          I             5.9118
111012   IP KIDNEY TRANSPLANTATION w/CC                                                     I             6.5383
111013   IP KIDNEY TRANSPLANTATION w/MCC                                                    I             8.8512
111111   IP COMPLEX BLADDER PROCEDURES                                                      I             1.7812
111112   IP COMPLEX BLADDER PROCEDURES w/CC                                                 I             2.4090
111113   IP COMPLEX BLADDER PROCEDURES w/MCC                                                I             5.1077
111121   IP CREATE, REVISE, REMOVE DIALYSIS DEVICE                                          I             1.0022
                                             3c8f5eb2-2527-415b-bfcb-a2f7309efd7c.xls                           Page 13 of 17

111122   IP CREATE, REVISE, REMOVE DIALYSIS DEVICE w/CC                                                     I             1.9041
111123   IP CREATE, REVISE, REMOVE DIALYSIS DEVICE w/MCC                                                    I             4.0882
111201   IP UPPER URINARY TRACT PROCEDURES                                                                  I             1.3369
111202   IP UPPER URINARY TRACT PROCEDURES w/CC                                                             I             1.7049
111203   IP UPPER URINARY TRACT PROCEDURES w/MCC                                                            I             3.4798
111301   IP BLADDER & LOWER URINARY TRACT PROCEDURES                                                        I             0.7925
111302   IP BLADDER & LOWER URINARY TRACT PROCEDURES w/CC                                                   I             1.2043
111303   IP BLADDER & LOWER URINARY TRACT PROCEDURES w/MCC                                                  I             2.7168
111401   IP URETHRAL & TRANSURETHRAL PROCEDURES                                                             I             0.7404
111402   IP URETHRAL & TRANSURETHRAL PROCEDURES w/CC                                                        I             1.0502
111403   IP URETHRAL & TRANSURETHRAL PROCEDURES w/MCC                                                       I             2.4245
114101   IM KIDNEY & URINARY TRACT MALIGNANCY & RENAL FAILURE                                               I             0.6135
114102   IM KIDNEY & URINARY TRACT MALIGNANCY & RENAL FAILURE w/CC                                          I             1.0173
114103   IM KIDNEY & URINARY TRACT MALIGNANCY & RENAL FAILURE w/MCC                                         I             1.7691
114111   IM NEPHRITIS                                                                                       I             0.5354
114112   IM NEPHRITIS w/CC                                                                                  I             0.9567
114113   IM NEPHRITIS w/MCC                                                                                 I             1.6688
114121   IM KIDNEY & URINARY TRACT INFECTIONS                                                               I             0.4886
114122   IM KIDNEY & URINARY TRACT INFECTIONS w/CC                                                          I             0.6867
114123   IM KIDNEY & URINARY TRACT INFECTIONS w/MCC                                                         I             1.0793
114131   IM URINARY STONES                                                                                  I             0.4439
114132   IM URINARY STONES w/CC                                                                             I             0.6380
114133   IM URINARY STONES w/MCC                                                                            I             1.1209
114141   IM MALFUNCTION, REACTION OR COMPLICATION OF URINARY TRACT DEVICE, GRAFT OR TRANSPLANTATION         I             0.5173
114142   IM MALFUNCTION, REACTION OR COMPLICATION OF URINARY TRACT DEVICE, GRAFT OR TRANSPLANTATION w/CC    I             0.7965
114143   IM MALFUNCTION, REACTION OR COMPLICATION OF URINARY TRACT DEVICE, GRAFT OR TRANSPLANTATION w/MCC   I             1.2917
114151   IM KIDNEY & URINARY TRACT SIGNS & SYMPTOMS                                                         I             0.4359
114152   IM KIDNEY & URINARY TRACT SIGNS & SYMPTOMS w/CC                                                    I             0.5983
114153   IM KIDNEY & URINARY TRACT SIGNS & SYMPTOMS w/MCC                                                   I             0.8916
114161   IM OTHER KIDNEY & URINARY TRACT DIAGNOSES                                                          I             0.5745
114162   IM OTHER KIDNEY & URINARY TRACT DIAGNOSES w/CC                                                     I             0.8617
114163   IM OTHER KIDNEY & URINARY TRACT DIAGNOSES w/MCC                                                    I             1.4787
121101   IP COMPLEX PROSTATECTOMY PROCEDURES                                                                I             1.2454
121102   IP COMPLEX PROSTATECTOMY PROCEDURES w/CC                                                           I             1.4300
121103   IP COMPLEX PROSTATECTOMY PROCEDURES w/MCC                                                          I             2.5549
121111   IP PENIS PROCEDURES                                                                                I             1.3538
121112   IP PENIS PROCEDURES w/CC                                                                           I             1.5459
121113   IP PENIS PROCEDURES w/MCC                                                                          I             2.9568
121121   IP MODERATELY COMPLEX PROSTATE & SCROTAL CONTENTS PROCEDURES                                       I             0.6413
121122   IP MODERATELY COMPLEX PROSTATE & SCROTAL CONTENTS PROCEDURES w/CC                                  I             1.2209
121123   IP MODERATELY COMPLEX PROSTATE & SCROTAL CONTENTS PROCEDURES w/MCC                                 I             2.8614
121131   IP NON-COMPLEX PROSTATE & SCROTAL CONTENTS PROCEDURES                                              I             0.7989
121132   IP NON-COMPLEX PROSTATE & SCROTAL CONTENTS PROCEDURES w/CC                                         I             1.3192
121133   IP NON-COMPLEX PROSTATE & SCROTAL CONTENTS PROCEDURES w/MCC                                        I             2.5948
121141   IP TRANSURETHRAL PROSTATECTOMY                                                                     I             0.6624
121142   IP TRANSURETHRAL PROSTATECTOMY w/CC                                                                I             0.8182
121143   IP TRANSURETHRAL PROSTATECTOMY w/MCC                                                               I             1.9975
121151   IP CIRCUMCISION                                                                                    I             0.6406
121152   IP CIRCUMCISION w/CC                                                                               I             1.2202
121153   IP CIRCUMCISION w/MCC                                                                              I             2.6741
124101   IM MALE REPRODUCTIVE SYSTEM MALIGNANCY                                                             I             1.0474
124102   IM MALE REPRODUCTIVE SYSTEM MALIGNANCY w/CC                                                        I             1.4230
124103   IM MALE REPRODUCTIVE SYSTEM MALIGNANCY w/MCC                                                       I             1.5513
124111   IM MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY                                            I             0.4532
124112   IM MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY w/CC                                       I             0.6661
124113   IM MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY w/MCC                                      I             1.0925
131011   IP PELVIC EVISCERATION, RADICAL HYSTERECTECTOMY & RADICAL VULVECTOMY                               I             1.3279
131012   IP PELVIC EVISCERATION, RADICAL HYSTERECTECTOMY & RADICAL VULVECTOMY w/CC                          I             1.6901
131013   IP PELVIC EVISCERATION, RADICAL HYSTERECTECTOMY & RADICAL VULVECTOMY w/MCC                         I             3.4640
131101   IP ABORTION PROCEDURES                                                                             I             0.5814
131102   IP ABORTION PROCEDURES w/CC                                                                        I             0.9356
131103   IP ABORTION PROCEDURES w/MCC                                                                       I             1.5303
131111   IP DILATION & CURETTAGE, INTRAUTERINE & CERVICAL PROCEDURES                                        I             0.5813
131112   IP DILATION & CURETTAGE, INTRAUTERINE & CERVICAL PROCEDURES w/CC                                   I             0.7983
131113   IP DILATION & CURETTAGE, INTRAUTERINE & CERVICAL PROCEDURES w/MCC                                  I             0.9704
131121   IP OPEN TUBAL INTERRUPTION                                                                         I             0.6537
                                         3c8f5eb2-2527-415b-bfcb-a2f7309efd7c.xls                      Page 14 of 17

131122   IP OPEN TUBAL INTERRUPTION w/CC                                                           I             0.7433
131123   IP OPEN TUBAL INTERRUPTION w/MCC                                                          I             0.8264
131131   IP ENDOSCOPIC TUBAL INTERRUPTION                                                          I             0.7048
131132   IP ENDOSCOPIC TUBAL INTERRUPTION w/CC                                                     I             0.7652
131133   IP ENDOSCOPIC TUBAL INTERRUPTION w/MCC                                                    I             1.0279
131201   IP UTERINE & ADNEXAL PROCEDURES                                                           I             0.8546
131202   IP UTERINE & ADNEXAL PROCEDURES w/CC                                                      I             1.0322
131203   IP UTERINE & ADNEXAL PROCEDURES w/MCC                                                     I             1.5187
131301   IP VAGINA, CERVIX & VULVA PROCEDURES                                                      I             0.7061
131302   IP VAGINA, CERVIX & VULVA PROCEDURES w/CC                                                 I             0.8982
131303   IP VAGINA, CERVIX & VULVA PROCEDURES w/MCC                                                I             1.2219
134101   IM FEMALE REPRODUCTIVE SYSTEM MALIGNANCY                                                  I             0.7956
134102   IM FEMALE REPRODUCTIVE SYSTEM MALIGNANCY w/CC                                             I             0.9988
134103   IM FEMALE REPRODUCTIVE SYSTEM MALIGNANCY w/MCC                                            I             1.7764
134111   IM FEMALE REPRODUCTIVE SYSTEM INFECTIONS                                                  I             0.5808
134112   IM FEMALE REPRODUCTIVE SYSTEM INFECTIONS w/CC                                             I             0.7913
134113   IM FEMALE REPRODUCTIVE SYSTEM INFECTIONS w/MCC                                            I             1.4974
134121   IM MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS                                 I             0.5048
134122   IM MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS w/CC                            I             0.5769
134123   IM MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS w/MCC                           I             0.9521
134131   IM ABORTION                                                                               I             0.3694
134132   IM ABORTION w/CC                                                                          I             0.4263
134133   IM ABORTION w/MCC                                                                         I             0.4937
134141   IM THREATENED ABORTION                                                                    I             0.3479
134142   IM THREATENED ABORTION w/CC                                                               I             0.4537
134143   IM THREATENED ABORTION w/MCC                                                              I             0.5627
134151   IM FALSE LABOR                                                                            I             0.2164
134152   IM FALSE LABOR w/CC                                                                       I             0.2351
134153   IM FALSE LABOR w/MCC                                                                      I             0.4596
134161   IM ANTEPARTUM DISORDERS                                                                   I             0.2971
134162   IM ANTEPARTUM DISORDERS w/CC                                                              I             0.4257
134163   IM ANTEPARTUM DISORDERS w/MCC                                                             I             0.5987
134171   IM POSTPARTUM DISORDERS                                                                   I             0.3621
134172   IM POSTPARTUM DISORDERS w/CC                                                              I             0.5799
134173   IM POSTPARTUM DISORDERS w/MCC                                                             I             1.1125
146101   IP CESAREAN DELIVERY                                                                      I             0.6701
146102   IP CESAREAN DELIVERY w/CC                                                                 I             0.7439
146103   IP CESAREAN DELIVERY w/MCC                                                                I             0.9804
146111   IP VAGINAL DELIVERY WITH STERILIZATION &/OR DILATION & CURETTAGE                          I             0.6174
146112   IP VAGINAL DELIVERY WITH STERILIZATION &/OR DILATION & CURETTAGE w/CC                     I             0.6418
146113   IP VAGINAL DELIVERY WITH STERILIZATION &/OR DILATION & CURETTAGE w/MCC                    I             0.8313
146121   IP VAGINAL DELIVERY WITH PROCEDURE EXCEPT STERILIZATION &/OR DILATION & CURETTAGE         I             0.3807
146122   IP VAGINAL DELIVERY WITH PROCEDURE EXCEPT STERILIZATION &/OR DILATION & CURETTAGE w/CC    I             0.4180
146123   IP VAGINAL DELIVERY WITH PROCEDURE EXCEPT STERILIZATION &/OR DILATION & CURETTAGE w/MCC   I             0.5520
146131   IM VAGINAL DELIVERY                                                                       I             0.3839
146132   IM VAGINAL DELIVERY w/CC                                                                  I             0.4227
146133   IM VAGINAL DELIVERY w/MCC                                                                 I             0.5852
158011   IP NEONATE, W ORGAN TRANSPLANTATION OR EXTRACORPOREAL MEMBRANE OXYGENATION                I            15.0050
158012   IP NEONATE, W ORGAN TRANSPLANTATION OR EXTRACORPOREAL MEMBRANE OXYGENATION w/CC           I            18.5663
158013   IP NEONATE, W ORGAN TRANSPLANTATION OR EXTRACORPOREAL MEMBRANE OXYGENATION w/MCC          I            21.7916
158021   IP NEONATE, BIRTHWT <1000 GRAMS WITH MAJOR PROCEDURE                                      I            24.2098
158022   IP NEONATE, BIRTHWT <1000 GRAMS WITH MAJOR PROCEDURE w/CC                                 I            27.7711
158023   IP NEONATE, BIRTHWT <1000 GRAMS WITH MAJOR PROCEDURE w/MCC                                I            31.7305
158031   IP NEONATE, BIRTHWT <1000 GRAMS WITHOUT MAJOR PROCEDURE                                   I             0.1285
158032   IP NEONATE, BIRTHWT <1000 GRAMS WITHOUT MAJOR PROCEDURE w/CC                              I             6.3158
158033   IP NEONATE, BIRTHWT <1000 GRAMS WITHOUT MAJOR PROCEDURE w/MCC                             I            21.2977
158041   IP NEONATE, BIRTHWT 1000-1499 GRAMS WITH MAJOR PROCEDURE                                  I            11.9594
158042   IP NEONATE, BIRTHWT 1000-1499 GRAMS WITH MAJOR PROCEDURE w/CC                             I            15.5208
158043   IP NEONATE, BIRTHWT 1000-1499 GRAMS WITH MAJOR PROCEDURE w/MCC                            I            22.2529
158051   IP NEONATE, BIRTHWT 1500-1999 GRAMS WITH MAJOR PROCEDURE                                  I             6.5032
158052   IP NEONATE, BIRTHWT 1500-1999 GRAMS WITH MAJOR PROCEDURE w/CC                             I             9.2173
158053   IP NEONATE, BIRTHWT 1500-1999 GRAMS WITH MAJOR PROCEDURE w/MCC                            I            13.5805
158061   IP NEONATE, BIRTHWT 2000-2499 GRAMS WITH MAJOR PROCEDURE                                  I             3.8445
158062   IP NEONATE, BIRTHWT 2000-2499 GRAMS WITH MAJOR PROCEDURE w/CC                             I             6.8280
158063   IP NEONATE, BIRTHWT 2000-2499 GRAMS WITH MAJOR PROCEDURE w/MCC                            I            12.7009
158071   IP NEONATE, BIRTHWT >2499 GRAMS WITH MAJOR PROCEDURE                                      I             3.6324
                                      3c8f5eb2-2527-415b-bfcb-a2f7309efd7c.xls                  Page 15 of 17

158072   IP NEONATE, BIRTHWT >2499 GRAMS WITH MAJOR PROCEDURE w/CC                          I             6.8221
158073   IP NEONATE, BIRTHWT >2499 GRAMS WITH MAJOR PROCEDURE w/MCC                         I            16.1877
158081   IP NEONATE, BIRTHWT >2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME                 I             1.9747
158082   IP NEONATE, BIRTHWT >2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME w/CC            I             2.8033
158083   IP NEONATE, BIRTHWT >2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME w/MCC           I             3.9574
158101   IM NEONATE, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY                     I             0.1300
158102   IM NEONATE, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY w/CC                I             0.3257
158103   IM NEONATE, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY w/MCC               I             2.0765
158111   IM NEONATE, BIRTHWT 1000-1499 GRAMS WITHOUT MAJOR PROCEDURE                        I             1.3158
158112   IM NEONATE, BIRTHWT 1000-1499 GRAMS WITHOUT MAJOR PROCEDURE w/CC                   I             5.0541
158113   IM NEONATE, BIRTHWT 1000-1499 GRAMS WITHOUT MAJOR PROCEDURE w/MCC                  I            10.2959
158121   IM NEONATE, BIRTHWT 1500-1999 GRAMS WITHOUT MAJOR PROCEDURE                        I             0.6706
158122   IM NEONATE, BIRTHWT 1500-1999 GRAMS WITHOUT MAJOR PROCEDURE w/CC                   I             2.4695
158123   IM NEONATE, BIRTHWT 1500-1999 GRAMS WITHOUT MAJOR PROCEDURE w/MCC                  I             4.7829
158131   IM NEONATE, BIRTHWT 2000-2499 GRAMS WITHOUT MAJOR PROCEDURE                        I             0.1599
158132   IM NEONATE, BIRTHWT 2000-2499 GRAMS WITHOUT MAJOR PROCEDURE w/CC                   I             0.8965
158133   IM NEONATE, BIRTHWT 2000-2499 GRAMS WITHOUT MAJOR PROCEDURE w/MCC                  I             2.5914
158141   IM NEONATE, BIRTHWT >2499 GRAMS WITH MAJOR ANOMALY OR HEREDITARY CONDITION         I             0.1973
158142   IM NEONATE, BIRTHWT >2499 GRAMS WITH MAJOR ANOMALY OR HEREDITARY CONDITION w/CC    I             0.8582
158143   IM NEONATE, BIRTHWT >2499 GRAMS WITH MAJOR ANOMALY OR HEREDITARY CONDITION w/MCC   I             4.6178
158151   IM NEONATE, BIRTHWT >2499 GRAMS WITH ASPIRATION SYNDROME                           I             0.2430
158152   IM NEONATE, BIRTHWT >2499 GRAMS WITH ASPIRATION SYNDROME w/CC                      I             1.0157
158153   IM NEONATE, BIRTHWT >2499 GRAMS WITH ASPIRATION SYNDROME w/MCC                     I             1.9322
158161   IM NEONATE, BIRTHWT >2499 GRAMS WITH CONGENITAL/PERINATAL INFECTIONS               I             0.8374
158162   IM NEONATE, BIRTHWT >2499 GRAMS WITH CONGENITAL/PERINATAL INFECTIONS w/CC          I             1.0647
158163   IM NEONATE, BIRTHWT >2499 GRAMS WITH CONGENITAL/PERINATAL INFECTIONS w/MCC         I             1.5755
158171   IM NEONATE, BIRTHWT >2499 GRAMS WITHOUT MAJOR PROCEDURE                            I             0.1149
158172   IM NEONATE, BIRTHWT >2499 GRAMS WITHOUT MAJOR PROCEDURE w/CC                       I             0.2487
158173   IM NEONATE, BIRTHWT >2499 GRAMS WITHOUT MAJOR PROCEDURE w/MCC                      I             0.7720
161101   IP BONE MARROW TRANSPLANTATION                                                     I             6.3548
161102   IP BONE MARROW TRANSPLANTATION w/CC                                                I             9.6789
161103   IP BONE MARROW TRANSPLANTATION w/MCC                                               I            13.1176
161111   IP SPLEEN PROCEDURES                                                               I             1.5024
161112   IP SPLEEN PROCEDURES w/CC                                                          I             2.4151
161113   IP SPLEEN PROCEDURES w/MCC                                                         I             5.3912
161201   IP OTHER PROCEDURES OF BLOOD & BLOOD FORMING ORGANS                                I             1.0381
161202   IP OTHER PROCEDURES OF BLOOD & BLOOD FORMING ORGANS w/CC                           I             1.7358
161203   IP OTHER PROCEDURES OF BLOOD & BLOOD FORMING ORGANS w/MCC                          I             3.3888
164101   IM AGRANULOCYTOSIS                                                                 I             0.6852
164102   IM AGRANULOCYTOSIS w/CC                                                            I             1.0199
164103   IM AGRANULOCYTOSIS w/MCC                                                           I             1.6045
164111   IM COAGULATION DISORDERS                                                           I             0.8423
164112   IM COAGULATION DISORDERS w/CC                                                      I             1.0029
164113   IM COAGULATION DISORDERS w/MCC                                                     I             1.6295
164121   IM SICKLE CELL ANEMIA CRISIS                                                       I             0.7658
164122   IM SICKLE CELL ANEMIA CRISIS w/CC                                                  I             1.0622
164123   IM SICKLE CELL ANEMIA CRISIS w/MCC                                                 I             1.6310
164131   IM RED BLOOD CELL DISORDERS EXCEPT SICKLE CELL ANEMIA CRISIS                       I             0.5329
164132   IM RED BLOOD CELL DISORDERS EXCEPT SICKLE CELL ANEMIA CRISIS w/CC                  I             0.7526
164133   IM RED BLOOD CELL DISORDERS EXCEPT SICKLE CELL ANEMIA CRISIS w/MCC                 I             1.2737
164141   IM OTHER BLOOD & BLOOD FORMING ORGANS DISORDERS                                    I             0.6166
164142   IM OTHER BLOOD & BLOOD FORMING ORGANS DISORDERS w/CC                               I             0.9994
164143   IM OTHER BLOOD & BLOOD FORMING ORGANS DISORDERS w/MCC                              I             1.9651
174101   IM ACUTE LEUKEMIA                                                                  I             1.1038
174102   IM ACUTE LEUKEMIA w/CC                                                             I             1.4396
174103   IM ACUTE LEUKEMIA w/MCC                                                            I             5.8959
174111   IM LYMPHOMA & NON-ACUTE LEUKEMIA                                                   I             1.0222
174112   IM LYMPHOMA & NON-ACUTE LEUKEMIA w/CC                                              I             1.3852
174113   IM LYMPHOMA & NON-ACUTE LEUKEMIA w/MCC                                             I             2.5157
174121   IM RADIOTHERAPY                                                                    I             0.5736
174122   IM RADIOTHERAPY w/CC                                                               I             1.3138
174123   IM RADIOTHERAPY w/MCC                                                              I             2.6442
174131   IM CHEMOTHERAPY                                                                    I             1.0168
174132   IM CHEMOTHERAPY w/CC                                                               I             1.3285
174133   IM CHEMOTHERAPY w/MCC                                                              I             2.2701
174141   IM OTHER MYELOPROLIF DISORDERS & POORLY DIFFERENTIATED NEOPLASM DIAGNOSIS          I             0.7942
                                      3c8f5eb2-2527-415b-bfcb-a2f7309efd7c.xls                 Page 16 of 17

174142   IM OTHER MYELOPROLIF DISORDERS & POORLY DIFFERENTIATED NEOPLASM DIAGNOSIS w/CC    I             1.1605
174143   IM OTHER MYELOPROLIF DISORDERS & POORLY DIFFERENTIATED NEOPLASM DIAGNOSIS w/MCC   I             1.7692
184101   IM SEPTICEMIA                                                                     I             0.6234
184102   IM SEPTICEMIA w/CC                                                                I             1.0391
184103   IM SEPTICEMIA w/MCC                                                               I             1.8293
184111   IM POST-OPERATIVE & POST-TRAUMATIC INFECTIONS                                     I             0.6152
184112   IM POST-OPERATIVE & POST-TRAUMATIC INFECTIONS w/CC                                I             0.9505
184113   IM POST-OPERATIVE & POST-TRAUMATIC INFECTIONS w/MCC                               I             1.5548
184121   IM FEVER                                                                          I             0.4152
184122   IM FEVER w/CC                                                                     I             0.6948
184123   IM FEVER w/MCC                                                                    I             1.0050
184131   IM NON-BACTERIAL INFECTIONS                                                       I             0.4097
184132   IM NON-BACTERIAL INFECTIONS w/CC                                                  I             0.5987
184133   IM NON-BACTERIAL INFECTIONS w/MCC                                                 I             1.0127
184141   IM OTHER BACTERIAL & PARASITIC DISEASES                                           I             0.5281
184142   IM OTHER BACTERIAL & PARASITIC DISEASES w/CC                                      I             0.9957
184143   IM OTHER BACTERIAL & PARASITIC DISEASES w/MCC                                     I             1.9674
184151   IM HUMAN IMMUNODEFICIENCY VIRUS INFECTION                                         I             0.7325
184152   IM HUMAN IMMUNODEFICIENCY VIRUS INFECTION w/CC                                    I             1.1674
184153   IM HUMAN IMMUNODEFICIENCY VIRUS INFECTION w/MCC                                   I             1.9604
194101   IM SCHIZOPHRENIA                                                                  I             0.9375
194102   IM SCHIZOPHRENIA w/CC                                                             I             1.0411
194103   IM SCHIZOPHRENIA w/MCC                                                            I             1.2894
194111   IM MAJOR DEPRESSION                                                               I             0.5544
194112   IM MAJOR DEPRESSION w/CC                                                          I             0.8422
194113   IM MAJOR DEPRESSION w/MCC                                                         I             1.0800
194121   IM PERSONALITY & IMPULSE CONTROL DISORDERS                                        I             0.5883
194122   IM PERSONALITY & IMPULSE CONTROL DISORDERS w/CC                                   I             0.7800
194123   IM PERSONALITY & IMPULSE CONTROL DISORDERS w/MCC                                  I             1.5278
194131   IM BIPOLAR DISORDERS                                                              I             0.6798
194132   IM BIPOLAR DISORDERS w/CC                                                         I             0.9003
194133   IM BIPOLAR DISORDERS w/MCC                                                        I             1.1608
194141   IM DEPRESSION                                                                     I             0.4089
194142   IM DEPRESSION w/CC                                                                I             0.5245
194143   IM DEPRESSION w/MCC                                                               I             0.7058
194151   IM NEUROSES EXCEPT DEPRESSION                                                     I             0.4040
194152   IM NEUROSES EXCEPT DEPRESSION w/CC                                                I             0.5687
194153   IM NEUROSES EXCEPT DEPRESSION w/MCC                                               I             0.7103
194161   IM ORGANIC DISTURBANCES & MENTAL RETARDATION                                      I             0.7733
194162   IM ORGANIC DISTURBANCES & MENTAL RETARDATION w/CC                                 I             0.8989
194163   IM ORGANIC DISTURBANCES & MENTAL RETARDATION w/MCC                                I             1.1999
194171   IM CHILDHOOD MENTAL DISORDERS                                                     I             0.8287
194172   IM CHILDHOOD MENTAL DISORDERS w/CC                                                I             0.8869
194173   IM CHILDHOOD MENTAL DISORDERS w/MCC                                               I             0.9462
194181   IM COMPULSIVE NUTRITION DISORDERS                                                 I             1.5128
194182   IM COMPULSIVE NUTRITION DISORDERS w/CC                                            I             1.6645
194183   IM COMPULSIVE NUTRITION DISORDERS w/MCC                                           I             2.5659
194191   IM OTHER MENTAL DISORDERS                                                         I             0.6961
194192   IM OTHER MENTAL DISORDERS w/CC                                                    I             0.8914
194193   IM OTHER MENTAL DISORDERS w/MCC                                                   I             1.1097
201101   IP ALCOHOL & DRUG REHABILITATION &/OR DETOXIFICATION THERAPY                      I             0.4596
201102   IP ALCOHOL & DRUG REHABILITATION &/OR DETOXIFICATION THERAPY w/CC                 I             0.6173
201103   IP ALCOHOL & DRUG REHABILITATION &/OR DETOXIFICATION THERAPY w/MCC                I             1.1230
204101   IM DRUG & ALCOHOL ABUSE & DEPENDENCE, LEFT AGAINST MEDICAL ADVICE                 I             0.2516
204102   IM DRUG & ALCOHOL ABUSE & DEPENDENCE, LEFT AGAINST MEDICAL ADVICE w/CC            I             0.4796
204103   IM DRUG & ALCOHOL ABUSE & DEPENDENCE, LEFT AGAINST MEDICAL ADVICE w/MCC           I             0.6971
204111   IM ALCOHOL, OPIOID & COCAINE ABUSE & DEPENDENCE                                   I             0.4054
204112   IM ALCOHOL, OPIOID & COCAINE ABUSE & DEPENDENCE w/CC                              I             0.6379
204113   IM ALCOHOL, OPIOID & COCAINE ABUSE & DEPENDENCE w/MCC                             I             1.0275
204121   IM OTHER DRUG ABUSE & DEPENDENCE                                                  I             0.4498
204122   IM OTHER DRUG ABUSE & DEPENDENCE w/CC                                             I             0.6701
204123   IM OTHER DRUG ABUSE & DEPENDENCE w/MCC                                            I             1.0320
214101   IM INJURIES TO UNSPECIFIED OR MULTIPLE SITES                                      I             0.7850
214102   IM INJURIES TO UNSPECIFIED OR MULTIPLE SITES w/CC                                 I             0.8716
214103   IM INJURIES TO UNSPECIFIED OR MULTIPLE SITES w/MCC                                I             1.1980
214111   IM ALLERGIC REACTIONS                                                             I             0.3095
                                     3c8f5eb2-2527-415b-bfcb-a2f7309efd7c.xls       Page 17 of 17

214112   IM ALLERGIC REACTIONS w/CC                                             I             0.4539
214113   IM ALLERGIC REACTIONS w/MCC                                            I             0.7758
214121   IM POISONING & TOXIC EFFECTS OF DRUGS                                  I             0.3914
214122   IM POISONING & TOXIC EFFECTS OF DRUGS w/CC                             I             0.5353
214123   IM POISONING & TOXIC EFFECTS OF DRUGS w/MCC                            I             1.0241
214131   IM COMPLICATIONS OF TREATMENT                                          I             0.4788
214132   IM COMPLICATIONS OF TREATMENT w/CC                                     I             0.7888
214133   IM COMPLICATIONS OF TREATMENT w/MCC                                    I             1.5283
214141   IM CHILD OR ADULT MALTREATMENT SYNDROME                                I             0.3639
214142   IM CHILD OR ADULT MALTREATMENT SYNDROME w/CC                           I             0.7730
214143   IM CHILD OR ADULT MALTREATMENT SYNDROME w/MCC                          I             1.4658
214151   IM BURNS, TRANSFERRED TO ANOTHER ACUTE CARE FACILITY                   I             0.2752
214152   IM BURNS, TRANSFERRED TO ANOTHER ACUTE CARE FACILITY w/CC              I             0.5194
214153   IM BURNS, TRANSFERRED TO ANOTHER ACUTE CARE FACILITY w/MCC             I             0.6727
214161   IM BURNS                                                               I             0.3764
214162   IM BURNS w/CC                                                          I             0.6549
214163   IM BURNS w/MCC                                                         I             1.1695
214171   IM OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES                    I             0.5876
214172   IM OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES w/CC               I             0.6843
214173   IM OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSES w/MCC              I             1.0571
224101   IM REHABILITATION                                                      I             1.0247
224102   IM REHABILITATION w/CC                                                 I             1.3602
224103   IM REHABILITATION w/MCC                                                I             1.9322
224111   IM SIGNS & SYMPTOMS                                                    I             0.4905
224112   IM SIGNS & SYMPTOMS w/CC                                               I             0.6136
224113   IM SIGNS & SYMPTOMS w/MCC                                              I             0.9232
224121   IM OTHER FACTORS INFLUENCING HEALTH STATUS                             I             0.2649
224122   IM OTHER FACTORS INFLUENCING HEALTH STATUS w/CC                        I             0.7961
224123   IM OTHER FACTORS INFLUENCING HEALTH STATUS w/MCC                       I             1.5859

				
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