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Top 100 Reported Diagnostic Related Groups (DRGs)

North Carolina’s 100 most frequently reported hospital inpatient DRGs are listed in the table below.

DRG Code Description
64 Intracranial hemorrhage or cerebral infarction with major complications and comorbidities
65 Intracranial hemorrhage or cerebral infarction with complications and comorbidities
66 Intracranial hemorrhage or cerebral infarction without complications and comorbidities or major complications and comorbidities
69 Transient ischemia
101 Seizures without major complications and comorbidities
153 Otitis media and upper respiratory infection without major complications and comorbidities
176 Pulmonary embolism without major complications and comorbidities
177 Respiratory infections and inflammations with major complications and comorbidities
178 Respiratory infections and inflammations with complications and comorbidities
189 Pulmonary edema and respiratory failure
190 Chronic obstructive pulmonary disease with major complications and comorbidities
191 Chronic obstructive pulmonary disease with complications and comorbidities
192 Chronic obstructive pulmonary disease without complications and comorbidities or major complications and comorbidities
193 Simple pneumonia and pleurisy with major complications and comorbidities
194 Simple pneumonia and pleurisy with complications and comorbidities
195 Simple pneumonia and pleurisy without complications and comorbidities or major complications and comorbidities
202 Bronchitis and asthma with complications and comorbidities or major complications and comorbidities
203 Bronchitis and asthma without major complications and comorbidities or major complications and comorbidities
207 Respiratory system diagnosis with ventilator support 96+ hours
208 Respiratory system diagnosis with ventilator support less than 96 hours
238 Major cardiovascular procedures without major complications and comorbidities
246 Percutaneous cardiovascular procedure with drug-eluting stent with MCC or four or more vessels or stents
247 Percutaneous cardiovascular procedure with drug-eluting stent without major complications and comorbidities
280 Acute myocardial infarction, discharged alive with major complications and comorbidities
281 Acute myocardial infarction, discharged alive with complications and comorbidities
282 Acute myocardial infarction, discharged alive without complications and comorbidities or major complications and comorbidities
286 Circulatory disorders except AMI with cardiac catheterization
287 Circulatory disorders except acute myocardial infarction, with cardiac catheterization without major complications and comorbidities
291 Heart failure and shock with major complications and comorbidities
292 Heart failure and shock with complications and comorbidities
293

Heart failure and shock without complications and comorbidities or major complications and comorbidities
308 Cardiac arrhythmia and conduction disorders with major complications and comorbidities
309 Cardiac arrhythmia and conduction disorders with complications and comorbidities
310 Cardiac arrhythmia and conduction disorders without complications and comorbidities or major complications and comorbidities
312 Syncope and collapse
313 Chest pain
314 Other circulatory system diagnoses with major complications and comorbidities
329 Major small and large bowel procedures with major complications and comorbidities
330 Major small and large bowel procedures with complications and comorbidities
331 Major small and large bowel procedures without complications and comorbidities or major complications and comorbidities
372 Major gastrointestinal disorders and peritoneal infections with complications and comorbidities
377 Gastrointestinal hemorrhage with major complications and comorbidities
378 Gastrointestinal hemorrhage with complications and comorbidities
389 Gastrointestinal obstruction with complications and comorbidities
390 Gastrointestinal obstruction without complications and comorbidities or major complications and comorbidities
391 Esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications and comorbidities
392 Esophagitis, gastroenteritis and miscellaneous digestive disorders without major complications and comorbidities
394 Other digestive system diagnoses with complications and comorbidities
418 Laparoscopic cholecystectomy without common duct exploration with complications and comorbidities
419 Laparoscopic cholecystectomy without common duct exploration without complications and comorbidities or major complications and comorbidities
439 Disorders of pancreas except malignancy with complications and comorbidities
440 Disorders of pancreas except malignancy without complications and comorbidities or major complications and comorbidities
460 Spinal fusion except cervical without major complications and comorbidities
470 Major joint replacement or reattachment of lower extremity without major complications and comorbidities
473 Cervical spinal fusion without complications and comorbidities or major complications and comorbidities
481 Hip and femur procedures except major joint with complications and comorbidities
483 Major joint & limb reattachment procedure of upper extremity with CC/MCC
494 Lower extremity and humerus procedures except hip, foot, and femur without complications and comorbidities or major complications and comorbidities
552 Medical back problems without major complications and comorbidities
603 Cellulitis without major complications and comorbidities
621 Operating room procedures for obesity without complications and comorbidities or major complications and comorbidities
637 Diabetes with major complications and comorbidities
638 Diabetes with complications and comorbidities
639 Diabetes without complications and comorbidities or major complications and comorbidities
640 Miscellaneous disorders of nutrition, metabolism, and fluids and electrolytes with major complications and comorbidities
641 Miscellaneous disorders of nutrition, metabolism, and fluids and electrolytes without major complications and comorbidities
682 Renal failure with major complications and comorbidities
683 Renal failure with complications and comorbidities
689 Kidney and urinary tract infections with major complications and comorbidities
690 Kidney and urinary tract infections without major complications and comorbidities
698 Other kidney and urinary tract diagnoses with MCC
743 Uterine and adnexa procedures for non-malignancy without complications and comorbidities or major complications and comorbidities
765 Cesarean section with complications and comorbidities or major complications and comorbidities
766 Cesarean section without complications and comorbidities or major complications and comorbidities
767 Vaginal delivery with sterilization and/or dilation and curettage
774 Vaginal delivery with complicating diagnoses
775 Vaginal delivery without complicating diagnoses
781 Other antepartum diagnoses with medical complications
789 Neonates, died or transferred to another acute care facility
790 Extreme immaturity or respiratory distress syndrome, neonate
791 Prematurity with major problems
792 Prematurity without major problems
793 Full term neonate with major problems
794 Neonate with other significant problems
795 Normal newborn
811 Red blood cell disorders with major complications and comorbidities
812 Red blood cell disorders without major complications and comorbidities
847 Chemotherapy without acute leukemia as secondary diagnosis with complications and comorbidities
853 Infectious and parasitic diseases with operating room procedure with major complications and comorbidities
870 Septicemia or severe sepsis with mechanical ventilation 96+ hours
871 Septicemia or severe sepsis without mechanical ventilation 96+ hours with major complications and comorbidities
872 Septicemia or severe sepsis without mechanical ventilation 96+ hours without major complications and comorbidities
881 Depressive neuroses
882 Neuroses except depressive
885 Psychoses
897 Alcohol/drug abuse or dependence without rehabilitation therapy without major complications and comorbidities
917 Poisoning and toxic effects of drugs with major complications and comorbidities
918 Poisoning and toxic effects of drugs without major complications and comorbidities
945 Rehabilitation with complications and comorbidities or major complications and comorbidities
946 Rehabilitation without complications and comorbidities or major complications and comorbidities