PHC4 - Diagnosis Related Group (DRG) Descriptions

Hospital Performance Report 1998 - Diagnosis Related Group (DRG) Descriptions

Heart Attack (DRG's 121, 122, 123): includes medical treatment only.
Heart Failure and Shock (DRG 127): Congestive heart failure is an abnormal accumulation of fluid due to the heart's inability to pump a normal amount of blood. The term "shock" refers to heart shock, not shock resulting from injury.
Major Vessel Operations except Heart (DRG 110): Surgery to the aorta and other major arteries and veins in the chest area surrounding the heart, but not within the heart. Does not include coronary bypass, cardiac catheterization or valve procedures.
Vascular Operations except Heart (DRG 478): Surgical procedures on blood vessels in the head, neck, and the upper and lower limbs.
Vascular Conditions except Heart (DRG 130): Medical treatment for disorders of blood vessels in the head, neck, aorta, upper and lower limbs. Examples include varicose veins, aneurysm, and diabetes-related circulatory disorders. Conditions not included are hypertension and coronary artery disease.
Stroke (DRG 14): Sudden "attack" caused by hemorrhaging, a blockage or narrowing of vessels within the brain. Transient ischemic attack (temporary stroke symptoms) is not included.
Adult Pneumonia (DRG 89): Simple pneumonia (inflammation of the lung) includes viral and bacterial pneumonia, as well as pleurisy - an inflammation of the membrane surrounding the lungs.
Adult Lung Infections (DRG 79): Infections other than simple pneumonia including tuberculosis, pneumonitis and certain rare pneumonias.
Lung Cancer (DRG 82): Includes the initial diagnosis as well as follow-up care for patients with malignant and benign tumors. Does not include chemotherapy.
Adult Diabetes (DRG 294): Includes patients over age 35 hospitalized for control of the blood sugar. Conditions include coma, ketoacidosis and fluid imbalances. Kidney, eye, nervous system or circulatory complications related to diabetes are not included.
Kidney Failure (DRG 316): Short and long-term kidney (renal) failure due to hypertension, heart disease, or unknown causes. Does not include dialysis or transplants.
Adult Septicemia (DRG 416): Also known as blood poisoning, is a system-wide infection of the patient's blood. Does not include post-operative or post-injury infections.
Gastrointestinal Bleeding: (DRG 174): Bleeding from stomach or intestinal ulcers, inflammation of the stomach, or inflammation of small sac-like areas in the wall of the colon.
Major Intestinal Procedures (DRG 148): Major surgical procedures involving the intestines, including colostomy and other repairs to the intestines. Not included are procedures for hernia, appendix or biopsies.
Hip Operations, Except Replacements - Adults (DRG 210): Includes surgery for hip fracture; does not include replacements or amputations.