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CAD_DIAG_PROC_DRG_codes_analysis.txt
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CAD_DIAG_PROC_DRG_codes_analysis.txt
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## PRV54986 and BENE30685 ## :: Yes :: Insc Claim Re-Imb Amt is 20000. Claim and admit duration is 5 days.
-- Clm Admit Diagnosis code --
99646 Articular bearing surface wear of prosthetic joint
-- Clm Diagnosis codes
99643 Broken prosthetic joint implant
99811 Hemorrhage complicating a procedure
3332 Myoclonus
3051 Tobacco use disorder
0414 NOT FOUND
2761 Hyposmolality and/or hyponatremia
32723 Obstructive sleep apnea (adult)(pediatric)
-- Diagnosis Related Group Code --
506 major thumb or joint procedures
-- Given Procedure codes --
8153 Revision of hip replacement, not otherwise specified
412 Splenotomy --> This procedure is no where related to the diagnosis. Spleen removal is surgery to remove a diseased or damaged spleen. This surgery is called splenectomy. The spleen is in the upper part of the belly, on the left side underneath the ribcage.
## PRV55912 and BENE22934 ## :: Yes :: Insc Claim Re-Imb Amt is 13000. Claim and admit duration is 4 days.
-- Clm Admit Diagnosis code --
71946 Pain in joint, lower leg
-- Clm Diagnosis codes
71535 Osteoarthrosis, localized, not specified whether primary or secondary, pelvic region and thigh
71960 Other symptoms referable to joint, site unspecified
4019 Unspecified essential hypertension
V1202 Personal history of poliomyelitis
4240 Mitral valve disorders
2449 Unspecified acquired hypothyroidism
2768 Hypopotassemia
-- Diagnosis Related Group Code --
506 major thumb or joint procedures
-- Given Procedure codes --
8154 Total knee replacement
## PRV55978 and BENE22934 ## :: NO :: Insc Claim Re-Imb Amt is 14000. Claim and admit duration is 3 days.
-- Clm Admit Diagnosis code --
49392 Asthma, unspecified type, with (acute) exacerbation
-- Clm Diagnosis codes
4660 Acute bronchitis
34590 Epilepsy, unspecified, without mention of intractable epilepsy
3441 Paraplegia
27651 Dehydration
2761 Hyposmolality and/or hyponatremia
3575 Alcoholic polyneuropathy
4254 Other primary cardiomyopathies
73300 Osteoporosis, unspecified
5180 Pulmonary collapse
-- Diagnosis Related Group Code --
180 RESPIRATORY NEOPLASMS WITH MCC
-- Given Procedure codes --
NaN
## PRV55912 and BENE11001 ## :: Yes :: Insc Claim Re-Imb Amt is 26000 with no mention about medical procedures. Claim and admit duration is 6 days.
-- Clm Admit Diagnosis code --
7866 Swelling, mass, or lump in chest
-- Clm Diagnosis codes
1970 Secondary malignant neoplasm of lung. Secondary malignant neoplasm is a malignant tumor whose cause is the treatment (usually radiation or chemotherapy) which was used for a prior tumor
4019 Unspecified essential hypertension
5853 Chronic kidney disease, Stage III (moderate)
7843 Aphasia -- It is a disorder that affects how you communicate. It can impact your speech, as well as the way you write and understand both spoken and written language. Aphasia usually happens suddenly after a stroke or a head injury.
2768 Hypopotassemia -- hypokalemia a deficiency of potassium in the blood is called also hypopotassemia. Although equally dangerous, hypokalemia is less common in CKD patients, as impaired renal K excretion usually leads to hyperkalemia. CKD patients can, however, still develop hypokalemia due to gastrointestinal K loss from diarrhea or vomiting or renal K loss from non-K-sparing diuretics.
71590 Osteoarthrosis, unspecified whether generalized or localized, site unspecified. Osteoarthrosis is a common disorder of synovial joints, seen most often in older patients. The joints affected most commonly are the knee, hip, hands and the first metatarsophalangeal joint.
2724 Other and unspecified hyperlipidemia. Hyperlipidemia means your blood has too many lipids (or fats), such as cholesterol and triglycerides.
19889 Secondary malignant neoplasm of other specified sites.
5849 Acute kidney failure, unspecified
-- Diagnosis Related Group Code --
201 PNEUMOTHORAX WITHOUT CC/MCC -- it means a collapsed lung.(CC is complication and MCC is Major complication)
-- Given Procedure codes --
NaN
## PRV55907 and BENE11001 ## :: Insc Claim Re-Imb Amt is 5000 with OPERATION of eyelids as medical procedure. Claim and admit duration is 3 days.
-- Clm Admit Diagnosis code --
6186 Vaginal enterocele, congenital or acquired
-- Clm Diagnosis codes
6186 Vaginal enterocele, congenital or acquired
2948 Other persistent mental disorders due to conditions classified elsewhere
56400 Constipation, unspecified
-- Diagnosis Related Group Code --
750 Other female reproductive system o.r. procedures without cc/mcc
-- Given Procedure codes --
7092 Other operations on cul-de-sac
## PRV56046 and BENE11001 ## :: Insc Claim Re-Imb Amt is 5000 with no mention about medical procedures. Claim and admit duration is 4 days.
-- Clm Admit Diagnosis code --
29590 Unspecified schizophrenia, unspecified
-- Clm Diagnosis codes
29623 Major depressive affective disorder, single episode, severe, without mention of psychotic behavior
30390 Other and unspecified alcohol dependence, unspecified
71690 Arthropathy, unspecified, site unspecified
34590 Epilepsy, unspecified, without mention of intractable epilepsy
V1581 Personal history of noncompliance with medical treatment, presenting hazards to health
32723 Obstructive sleep apnea (adult)(pediatric)
-- Diagnosis Related Group Code --
883 Disorders of personality and impulse control
-- Given Procedure codes --
NaN
## PRV52405 and BENE11011 ## :: Insc Claim Re-Imb Amt is 5000. Claim and admit duration is 8 days.
-- Clm Admit Diagnosis code --
431 Intracerebral hemorrhage
-- Clm Diagnosis codes
43491 Cerebral artery occlusion, unspecified with cerebral infarction
2762 Acidosis
7843 Aphasia
32723 Obstructive sleep apnea (adult)(pediatric)
V1041 Personal history of malignant neoplasm of cervix uteri
4254 Other primary cardiomyopathies
25062 Diabetes with neurological manifestations, type II or unspecified type, uncontrolled
40390 Hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage I through stage IV, or unspecified
4019 Unspecified essential hypertension
-- Diagnosis Related Group Code --
067 nonspecific cva and precerebral occlusion without infarction with mcc
-- Given Procedure codes --
331 Incision of lung
331 Drainage of Dura Mater with Drainage Device, Percutaneous Approach