Posted By Carolyn Weaver, Executive Consultant
For a medical surgical hospital, cardiac and vascular continue to dominate discharges. Even in programs that I work with that do not have invasive heart and vascular procedures, cardiovascular accounts for 25% to 30% of discharges.
When reviewing the Modern Healthcare Supplement “By The Numbers”, there are six cardiovascular DRGs in the top twenty. There is only one cardiovascualr procedural code - PCI. The groupings are:
- 30% Cardiovascular: 127 (Heart Failure); 143 (Chest Pain); (558) PCI; 138 (Conduction Disorders); 121 (MI); 14 (Stroke)
- 20% Respiratory: 89 (Pneumonia); 88 (COPD); 79 (Respiratory Infection); 475 (Ventilator)
- 15% GI: 182 (Gastroenteritis); 174 (Hemorrhage); 296 (Nutritional Disorders)
- 10% Renal: 320 (Kidney and Urinary Infections); 316 (Renal failure)
- 10% Infection: 277 (Cellulitis); 416 (Septicemia)
- 10% Ortho/Rehab: 544 (Joint Replacement); 462 (Rehab)
- 5% Psychiatric: 430 (Psychosis)
Tags: cardiovascular, DRGs
