List of Australian Refined Diagnosis Related Groups Version 5.1

Print
AR-DRG version 5.1 was released in October 2004. It is a minor update to the classification and incorporates ICD-10-AM Fourth Edition codes. The ADRG and DRG structure is unchanged from version 5.0.The latest available morbidity and patient-level cost data were used to test recommendations for the development of AR-DRG Version 5.1.
 All recommendations were initially tested using morbidity and patient level cost data collected for the 2000/01 financial year. Morbidity data for financial years 2001/02 and 2002/03 morbidity data later became available, and some recommendations were tested using these data.
 Data for the financial years 2000/01 and 2001/02, which were coded using ICD-10-AM Second Edition codes, were mapped to ICD-10-AM Third Edition codes and grouped to AR-DRG Version 5.0 to test recommendations for the development of Version 5.1. Data for financial year 2002/03 were coded using the ICD-10-AM Third Edition codes and grouped to AR-DRG Version 5.0 without mapping.
 When AR-DRG Version 5.1 was finalised, it was tested using data which was forward mapped to ICD-10-AM Fourth Edition codes.

List of Australian Refined Diagnosis Related Groups Version 5.1

       
Specialty DRG Part Description
 

Pre-MDC

General Surgery A01Z S Liver Transplant
Cardiothoracic A03Z S Lung or Heart/Lung Transplant
Cardiothoracic A05Z S Heart Transplant
Other/Ungrouped A06Z S Tracheostomy or Ventilation >95 hours
Haematology A07Z S Allogeneic Bone Marrow Transplant
Haematology A08A S Autologous Bone Marrow Transplant W Catastrophic CC
Haematology A08B S Autologous Bone Marrow Transplant W/O Catastrophic CC
Renal Medicine A09A S Renal Transplant W Pancreas Transplant or Catastrophic CC
Renal Medicine A09B S Renal Transplant W/O Pancreas Transplant W/O Catastrophic CC
Cardiology A40Z O ECMO W/O Cardiac Surgery
Other/Ungrouped A41A O Intubation Age<16 W CC
Other/Ungrouped A41B O Intubation Age<16 W/O CC
 

MDC 01 Diseases and disorders of the nervous system

Neurosurgery B01Z S Ventricular Shunt Revision
Neurosurgery B02A S Craniotomy W Catastrophic CC
Neurosurgery B02B S Craniotomy W Severe or Moderate CC
Neurosurgery B02C S Craniotomy W/O CC
Neurosurgery B03A S Spinal Procedures W Catastrophic or Severe CC
Neurosurgery B03B S Spinal Procedures W/O Catastrophic or Severe CC
Vascular B04A S Extracranial Vascular Procedures W Catastrophic or Severe CC
Vascular B04B S Extracranial Vascular Procedures W/O Catastrophic or Severe CC
Orthopaedics B05Z S Carpal Tunnel Release
Neurology B06A S Procs for Cerebral Palsy, Muscular Dystrophy, Neuropathy  W Cat or Sev CC
Neurology B06B S Procs for Cerebral Palsy, Muscular Dystrophy, Neuropathy W/O Cat or Sev CC
Neurology B07A S Peripheral and Cranial Nerve & Other Nervous System Procedures W CC
Neurology B07B S Peripheral and Cranial Nerve & Other Nervous System Procedures W/O CC
Neurology B40Z O Plasmapheresis W Neurological Disease
Neurology B41Z O Telemetric EEG Monitoring
Neurology B60A M Established Paraplegia/Quadriplegia W or W/O OR Procs W Catastrophic CC
Neurology B60B M Established Paraplegia/Quadriplegia W or W/O OR Procs W/O Catastrophic CC
Neurology B61A M Spinal Cord Conditions W or W/O OR Procedures W Catastrophic or Severe CC
Neurology B61B M Spinal Cord Conditions W or W/O OR Procedures W/O Catastrophic or Severe CC
Haematology B62Z M Admit for Apheresis
Neurology B63Z M Dementia and Other Chronic Disturbances of Cerebral Function
Neurology B64A M Delirium W Catastrophic CC
Neurology B64B M Delirium W/O Catastrophic CC
Neurology B65Z M Cerebral Palsy
Neurology B66A M Nervous System Neoplasm W Catastrophic or Severe CC
Neurology B66B M Nervous System Neoplasm W/O Catastrophic or Severe CC
Neurology B67A M Degenerative Nervous System Disorders W Cat or Sev CC
Neurology B67B M Degenerative Nervous System Disorders Age >59 W/O Cat or Sev CC
Neurology B67C M Degenerative Nervous System Disorders Age <60 W/O Cat or Sev CC
Neurology B68A M Multiple Sclerosis and Cerebellar Ataxia W CC
Neurology B68B M Multiple Sclerosis and Cerebellar Ataxia W/O CC
Neurology B69A M TIA and Precerebral Occlusion W Catastrophic or Severe CC
Neurology B69B M TIA and Precerebral Occlusion W/O Catastrophic or Severe CC
Neurology B70A M Stroke W Catastrophic CC
Neurology B70B M Stroke W Severe CC
Neurology B70C M Stroke W/O Catastrophic or Severe CC
Neurology B70D M Stroke, Died or Transferred < 5 days
Neurology B71A M Cranial and Peripheral Nerve Disorders W CC
Neurology B71B M Cranial and Peripheral Nerve Disorders W/O CC
Neurology B72A M Nervous System Infection Except Viral Meningitis W Cat or Sev CC
Neurology B72B M Nervous System Infection Except Viral Meningitis W/O Cat or Sev CC
Neurology B73Z M Viral Meningitis
Neurology B74Z M Nontraumatic Stupor and Coma
Neurology B75Z M Febrile Convulsions
Neurology B76A M Seizure W Catastrophic or Severe CC
Neurology B76B M Seizure W/O Catastrophic or Severe CC
Neurology B77Z M Headache
Neurology B78A M Intracranial Injury W Catastrophic or Severe CC
Neurology B78B M Intracranial Injury W/O Catastrophic or Severe CC
Neurology B79Z M Skull Fractures
Neurology B80Z M Other Head Injury
Neurology B81A M Other Disorders of the Nervous System W Catastrophic or Severe CC
Neurology B81B M Other Disorders of the Nervous System W/O Catastrophic or Severe CC
 

MDC 02 Diseases and disorders of the eye

Ophthalmology C01Z S Procedures for Penetrating Eye Injury
Ophthalmology C02Z S Enucleations and Orbital Procedures
Ophthalmology C03Z S Retinal Procedures
Ophthalmology C04Z S Major Corneal, Scleral and Conjunctival Procedures
Ophthalmology C05Z S Dacryocystorhinostomy
Ophthalmology C10Z S Strabismus Procedures
Ophthalmology C11Z S Eyelid Procedures
Ophthalmology C12Z S Other Corneal, Scleral and Conjunctival Procedures
Ophthalmology C13Z S Lacrimal Procedures
Ophthalmology C14Z S Other Eye Procedures
Ophthalmology C15A S Glaucoma and Complex Cataract Procedures
Ophthalmology C15B S Glaucoma and Complex Cataract Procedures, Sameday
Ophthalmology C16A S Lens Procedures
Ophthalmology C16B S Lens Procedures, Sameday
Ophthalmology C60A M Acute and Major Eye Infections Age >54 or W (Catastrophic or Severe CC)
Ophthalmology C60B M Acute and Major Eye Infections Age <55 W/O Catastrophic or Severe CC
Ophthalmology C61Z M Neurological and Vascular Disorders of the Eye
Ophthalmology C62Z M Hyphema and Medically Managed Trauma to the Eye
Ophthalmology C63A M Other Disorders of the Eye W CC
Ophthalmology C63B M Other Disorders of the Eye W/O CC
 

MDC 03 Diseases and disorders of the ear, nose, mouth & throat

ENT D01Z S Cochlear Implant
ENT D02A S Head and Neck Procedures W Catastrophic or Severe CC
ENT D02B S Head and Neck Procedures W Malignancy or Moderate CC
ENT D02C S Head and Neck Procedures W/O Malignancy W/O CC
ENT D03Z S Surgical Repair for Cleft Lip or Palate Diagnosis
ENT D04A S Maxillo Surgery W CC
ENT D04B S Maxillo Surgery W/O CC
ENT D05Z S Parotid Gland Procedures
ENT D06Z S Sinus, Mastoid and Complex Middle Ear Procedures
ENT D09Z S Miscellaneous Ear, Nose, Mouth & Throat Procedures
ENT D10Z S Nasal Procedures
ENT D11Z S Tonsillectomy and/or Adenoidectomy
ENT D12Z S Other Ear, Nose, Mouth & Throat Procedures
ENT D13Z S Myringotomy W Tube Insertion
ENT D14Z S Mouth and Salivary Gland Procedures
Dental&Oral Surgery D40Z O Dental Extractions and Restorations
ENT D60A M Ear, Nose, Mouth and Throat Malignancy W Catastrophic or Severe CC
ENT D60B M Ear, Nose, Mouth and Throat Malignancy W/O Catastrophic or Severe CC
ENT D61Z M Dysequilibrium
ENT D62Z M Epistaxis
ENT D63A M Otitis Media and URI W CC
ENT D63B M Otitis Media and URI W/O CC
ENT D64Z M Laryngotracheitis and Epiglottitis
ENT D65Z M Nasal Trauma and Deformity
ENT D66A M Other Ear, Nose, Mouth and Throat Diagnoses W CC
ENT D66B M Other Ear, Nose, Mouth and Throat Diagnoses W/O CC
Dental&Oral Surgery D67A M Oral and Dental Disorders Except Extractions and Restorations
Dental&Oral Surgery D67B M Oral and Dental Disorders Except Extractions and Restorations, Sameday
 

MDC 04 Diseases and disorders of the respiratory system

Cardiothoracic E01A S Major Chest Procedures W Catastrophic CC
Cardiothoracic E01B S Major Chest Procedures W/O Catastrophic CC
Cardiothoracic E02A S Other Respiratory System OR Procedures W Catastrophic CC
Cardiothoracic E02B S Other Respiratory System OR Procedures W Severe CC
Cardiothoracic E02C S Other Respiratory System OR Procedures W/O Catastrophic or Severe CC
Respiratory Medicine E40Z O Respiratory System Diagnosis W Ventilator Support
Respiratory Medicine E41Z O Respiratory System Diagnosis W Non-invasive Ventilation
Respiratory Medicine E60A M Cystic Fibrosis W Catastrophic or Severe CC
Respiratory Medicine E60B M Cystic Fibrosis W/O Catastrophic or Severe CC
Respiratory Medicine E61A M Pulmonary Embolism W Catastrophic or Severe CC
Respiratory Medicine E61B M Pulmonary Embolism W/O Catastrophic or Severe CC
Respiratory Medicine E62A M Respiratory Infections/Inflammations W Catastrophic CC
Respiratory Medicine E62B M Respiratory Infections/Inflammations W Severe or Moderate CC
Respiratory Medicine E62C M Respiratory Infections/Inflammations W/O CC
Respiratory Medicine E63Z M Sleep Apnoea
Respiratory Medicine E64Z M Pulmonary Oedema and Respiratory Failure
Respiratory Medicine E65A M Chronic Obstructive Airways Disease W Catastrophic or Severe CC
Respiratory Medicine E65B M Chronic Obstructive Airways Disease W/O Catastrophic or Severe CC
General Medicine E66A M Major Chest Trauma Age >69 W CC
General Medicine E66B M Major Chest Trauma Age >69 or W CC
General Medicine E66C M Major Chest Trauma Age <70 W/O CC
Respiratory Medicine E67A M Respiratory Signs and Symptoms W Catastrophic or Severe CC
Respiratory Medicine E67B M Respiratory Signs and Symptoms W/O Catastrophic or Severe CC
Respiratory Medicine E68Z M Pneumothorax
Respiratory Medicine E69A M Bronchitis and Asthma Age >49 W CC
Respiratory Medicine E69B M Bronchitis and Asthma Age >49 or W CC
Respiratory Medicine E69C M Bronchitis and Asthma Age <50 W/O CC
Respiratory Medicine E70A M Whooping Cough and Acute Bronchiolitis W CC
Respiratory Medicine E70B M Whooping Cough and Acute Bronchiolitis W/O CC
Respiratory Medicine E71A M Respiratory Neoplasms W Catastrophic CC
Respiratory Medicine E71B M Respiratory Neoplasms W Severe or Moderate CC
Respiratory Medicine E71C M Respiratory Neoplasms W/O CC
Neonatology E72Z M Respiratory Problems Arising from Neonatal Period
Respiratory Medicine E73A M Pleural Effusion W Catastrophic CC
Respiratory Medicine E73B M Pleural Effusion W Severe CC
Respiratory Medicine E73C M Pleural Effusion W/O Catastrophic or Severe CC
Respiratory Medicine E74A M Interstitial Lung Disease W Catastrophic CC
Respiratory Medicine E74B M Interstitial Lung Disease W Severe CC
Respiratory Medicine E74C M Interstitial Lung Disease W/O Catastrophic or Severe CC
Respiratory Medicine E75A M Other Respiratory System Diagnosis Age >64 W CC
Respiratory Medicine E75B M Other Respiratory System Diagnosis Age >64 or W CC
Respiratory Medicine E75C M Other Respiratory System Diagnosis Age <65 W/O CC
 

MDC 05 Diseases and disorders of the circulatory system

Cardiology F01A S Implantation or Replacement of AICD, Total System W Cat or Sev CC
Cardiology F01B S Implantation or Replacement of AICD, Total System W/O Cat or Sev CC
Cardiology F02Z S AICD Component Implantation/Replacement
Cardiothoracic F03Z S Cardiac Valve Proc W CPB Pump W Invasive Cardiac Investigation
Cardiothoracic F04A S Cardiac Valve Proc W CPB Pump W/O Invasive Cardiac Inves W Cat CC
Cardiothoracic F04B S Cardiac Valve Proc W CPB Pump W/O Invasive Cardiac Inves W/O Cat CC
Cardiothoracic F05A S Coronary Bypass W Invasive Cardiac Inves W Catastrophic CC
Cardiothoracic F05B S Coronary Bypass W Invasive Cardiac Inves W/O Catastrophic CC
Cardiothoracic F06A S Coronary Bypass W/O Invasive Cardiac Inves W Catastrophic or Severe CC
Cardiothoracic F06B S Coronary Bypass W/O Invasive Cardiac Inves W/O Catastrophic or Severe CC
Cardiothoracic F07A S Other Cardiothoracic/Vascular Procedures W CPB Pump W Catastrophic CC
Cardiothoracic F07B S Other Cardiothoracic/Vascular Procedures W CPB Pump W/O Catastrophic CC
Cardiothoracic F08A S Major Reconstruct Vascular Procedures W/O CPB Pump W Catastrophic CC
Cardiothoracic F08B S Major Reconstruct Vascular Procedures W/O CPB Pump W/O Catastrophic CC
Cardiothoracic F09A S Other Cardiothoracic Procedures W/O CPB Pump W Catastrophic CC
Cardiothoracic F09B S Other Cardiothoracic Procedures W/O CPB Pump W/O Catastrophic CC
Cardiology F10Z S Percutaneous Coronary Intervention W AMI
Vascular F11A S Amputation for Circ System Except Upper Limb and Toe W Catastrophic CC
Vascular F11B S Amputation for Circ System Except Upper Limb and Toe W/O Catastrophic CC
Cardiology F12Z S Cardiac Pacemaker Implantation
Vascular F13Z S Upper Limb and Toe Amputation for Circulatory System Disorders
Vascular F14A S Vascular Procs Except Major Reconstruction W/O CPB Pump W Cat CC
Vascular F14B S Vascular Procs Except Major Reconstruction W/O CPB Pump W Sev CC
Vascular F14C S Vascular Procs Except Major Reconstruction W/O CPB Pump W/O Cat or Sev CC
Cardiology F15Z S Percutaneous Coronary Intervention W/O AMI W Stent Implantation
Cardiology F16Z S Percutaneous Coronary Intervention W/O AMI W/O Stent Implantation
Cardiology F17Z S Cardiac Pacemaker Replacement
Cardiology F18Z S Cardiac Pacemaker Revision Except Device Replacement
Cardiology F19Z S Other Trans-Vascular Percutaneous Cardiac Intervention
General Surgery F20Z S Vein Ligation and Stripping
Vascular F21A S Other Circulatory System OR Procedures W Catastrophic CC
Vascular F21B S Other Circulatory System OR Procedures W/O Catastrophic CC
Cardiology F40Z O Circulatory System Diagnosis W Ventilator Support
Cardiology F41A O Circulatory Disorders W AMI W Invasive Cardiac Inves Proc W Cat or Sev CC
Cardiology F41B O Circulatory Disorders W AMI W Invasive Cardiac Inves Proc W/O Cat or Sev CC
Cardiology F42A O Circulatory Disorders W/O AMI W Invasive Cardiac Inves Proc W Complex DX/Pr
Cardiology F42B O Circulatory Disorders W/O AMI W Invasive Cardiac Inves Proc W/O Complex DX/Pr
Cardiology F60A M Circulatory Disorders W AMI W/O Invasive Cardiac Inves Proc W Cat or Sev CC
Cardiology F60B M Circulatory Disorders W AMI W/O Invasive Cardiac Inves Proc W/O Cat or Sev CC
Cardiology F60C M Circulatory Disorders W AMI W/O Invasive Cardiac Inves Proc, Died
Cardiology F61Z M Infective Endocarditis
Cardiology F62A M Heart Failure and Shock W Catastrophic CC
Cardiology F62B M Heart Failure and Shock W/O Catastrophic CC
General Medicine F63A M Venous Thrombosis W Catastrophic or Severe CC
General Medicine F63B M Venous Thrombosis W/O Catastrophic or Severe CC
Vascular F64Z M Skin Ulcers for Circulatory Disorders
Vascular F65A M Peripheral Vascular Disorders W Catastrophic or Severe CC
Vascular F65B M Peripheral Vascular Disorders W/O Catastrophic or Severe CC
Cardiology F66A M Coronary Atherosclerosis W CC
Cardiology F66B M Coronary Atherosclerosis W/O CC
General Medicine F67A M Hypertension W CC
General Medicine F67B M Hypertension W/O CC
Cardiology F68Z M Congenital Heart Disease
Cardiology F69A M Valvular Disorders W Catastrophic or Severe CC
Cardiology F69B M Valvular Disorders W/O Catastrophic or Severe CC
Cardiology F70A M Major Arrhythmia and Cardiac Arrest W Catastrophic or Severe CC
Cardiology F70B M Major Arrhythmia and Cardiac Arrest W/O Catastrophic or Severe CC
Cardiology F71A M Non-Major Arrhythmia and Conduction Disorders W Catastrophic or Severe CC
Cardiology F71B M Non-Major Arrhythmia and Conduction Disorders W/O Catastrophic or Severe CC
Cardiology F72A M Unstable Angina W Catastrophic or Severe CC
Cardiology F72B M Unstable Angina W/O Catastrophic or Severe CC
Cardiology F73A M Syncope and Collapse W Catastrophic or Severe CC
Cardiology F73B M Syncope and Collapse W/O Catastrophic or Severe CC
Cardiology F74Z M Chest Pain
Cardiology F75A M Other Circulatory System Diagnoses W Catastrophic CC
Cardiology F75B M Other Circulatory System Diagnoses W Severe CC
Cardiology F75C M Other Circulatory System Diagnoses W/O Catastrophic or Severe CC
 

MDC 06 Diseases and disorders of the digestive system

General Surgery G01A S Rectal Resection W Catastrophic CC
General Surgery G01B S Rectal Resection W/O Catastrophic CC
General Surgery G02A S Major Small and Large Bowel Procedures W Catastrophic CC
General Surgery G02B S Major Small and Large Bowel Procedures W/O Catastrophic CC
General Surgery G03A S Stomach, Oesophageal and Duodenal Procedures W Malignancy
General Surgery G03B S Stomach, Oesophageal and Duodenal Procedures W/O Malignancy W Cat or Sev CC
General Surgery G03C S Stomach, Oesophageal and Duodenal Procedures W/O Malignancy W/O Cat or Sev CC
General Surgery G04A S Peritoneal Adhesiolysis Age >49 W CC
General Surgery G04B S Peritoneal Adhesiolysis Age >49 or W CC
General Surgery G04C S Peritoneal Adhesiolysis Age <50 W/O CC
General Surgery G05A S Minor Small and Large Bowel Procedures W CC
General Surgery G05B S Minor Small and Large Bowel Procedures W/O CC
General Surgery G06Z S Pyloromyotomy Procedure
General Surgery G07A S Appendicectomy W Catastrophic or Severe CC
General Surgery G07B S Appendicectomy W/O Catastrophic or Severe CC
General Surgery G08A S Abdominal and Other Hernia Procedures Age >59 or W (Cat or Sev CC)
General Surgery G08B S Abdominal and Other Hernia Procedures Age 1 to 59 W/O Cat or Sev CC
General Surgery G09Z S Inguinal and Femoral Hernia Procedures Age>0
General Surgery G10Z S Hernia Procedures Age<1
General Surgery G11A S Anal and Stomal Procedures W Catastrophic or Severe CC
General Surgery G11B S Anal and Stomal Procedures W/O Catastrophic or Severe CC
General Surgery G12A S Other Digestive System OR Procedures W Catastrophic or Severe CC
General Surgery G12B S Other Digestive System OR Procedures W/O Catastrophic or Severe CC
Gastroenterology G42A O Other Gastroscopy for Major Digestive Disease
Gastroenterology G42B O Other Gastroscopy for Major Digestive Disease, Sameday
Gastroenterology G43Z O Complex Colonoscopy
Gastroenterology G44A O Other Colonoscopy W Catastrophic or Severe CC
Gastroenterology G44B O Other Colonoscopy W/O Catastrophic or Severe CC
Gastroenterology G44C O Other Colonoscopy, Sameday
Gastroenterology G45A O Other Gastroscopy for Non-Major Digestive Disease
Gastroenterology G45B O Other Gastroscopy for Non-Major Digestive Disease, Sameday
Gastroenterology G46A O Complex Gastroscopy W Catastrophic or Severe CC
Gastroenterology G46B O Complex Gastroscopy W/O Catastrophic or Severe CC
Gastroenterology G46C O Complex Gastroscopy, Sameday
Gastroenterology G60A M Digestive Malignancy W Catastrophic or Severe CC
Gastroenterology G60B M Digestive Malignancy W/O Catastrophic or Severe CC
Gastroenterology G61A M GI Haemorrhage Age >64 or W (Catastrophic or Severe CC)
Gastroenterology G61B M GI Haemorrhage Age <65 W/O Catastrophic or Severe CC
Gastroenterology G62Z M Complicated Peptic Ulcer
Gastroenterology G63Z M Uncomplicated Peptic Ulcer
Gastroenterology G64Z M Inflammatory Bowel Disease
Gastroenterology G65A M GI Obstruction W CC
Gastroenterology G65B M GI Obstruction W/O CC
Gastroenterology G66A M Abdominal Pain or Mesenteric Adenitis W CC
Gastroenterology G66B M Abdominal Pain or Mesenteric Adenitis W/O CC
Gastroenterology G67A M Oesophagitis, Gastroent & Misc Digestive System Disorders Age >9 W Cat/Sev CC
Gastroenterology G67B M Oesophagitis, Gastroent & Misc Digestive Systm Disorders Age >9 W/O Cat/Sev CC
Gastroenterology G68A M Gastroenteritis Age <10 W CC
Gastroenterology G68B M Gastroenteritis Age <10 W/O CC
Gastroenterology G69Z M Oesophagitis and Misc Digestive System Disorders Age<10
Gastroenterology G70A M Other Digestive System Diagnoses W CC
Gastroenterology G70B M Other Digestive System Diagnoses W/O CC
 

MDC 07 Diseases and disorders of the hepatobiliary system & pancreas

General Surgery H01A S Pancreas, Liver and Shunt Procedures W Catastrophic CC
General Surgery H01B S Pancreas, Liver and Shunt Procedures W/O Catastrophic CC
General Surgery H02A S Major Biliary Tract Procedures W Malignancy or Catastrophic CC
General Surgery H02B S Major Biliary Tract Procedures W/O Malignancy W (Severe or Moderate CC)
General Surgery H02C S Major Biliary Tract Procedures W/O Malignancy W/O CC
General Surgery H05A S Hepatobiliary Diagnostic Procedures W Catastrophic or Severe CC
General Surgery H05B S Hepatobiliary Diagnostic Procedures W/O Catastrophic or Severe CC
General Surgery H06Z S Other Hepatobiliary and Pancreas OR Procedures
General Surgery H07A S Open Cholecystectomy W Closed CDE or W Catastrophic CC
General Surgery H07B S Open Cholecystectomy W/O Closed CDE W/O Catastrophic CC
General Surgery H08A S Laparoscopic Cholecystectomy W Closed CDE Or W (Cat or Sev CC)
General Surgery H08B S Laparoscopic Cholecystectomy W/O Closed CDE W/O Cat or Sev CC
Gastroenterology H40Z O Endoscopic Procedures for Bleeding Oesophageal Varices
Gastroenterology H41A O ERCP Complex Therapeutic Procedure W Catastrophic or Severe CC
Gastroenterology H41B O ERCP Complex Therapeutic Procedure W/O Catastrophic or Severe CC
Gastroenterology H42A O ERCP Other Therapeutic Procedure W Catastrophic or Severe CC
Gastroenterology H42B O ERCP Other Therapeutic Procedure W Moderate CC
Gastroenterology H42C O ERCP Other Therapeutic Procedure W/O CC
General Medicine H60A M Cirrhosis and Alcoholic Hepatitis W Catastrophic CC
General Medicine H60B M Cirrhosis and Alcoholic Hepatitis W Severe CC
General Medicine H60C M Cirrhosis and Alcoholic Hepatitis W/O Catastrophic or Severe CC
General Medicine H61A M Malignancy of Hepatobiliary Sys,Panc (Age >69 W Cat or Sev CC) or W Cat CC  
General Medicine H61B M Malignancy of Hepatobiliary Sys,Panc (Age >69 W/O Cat or Sev CC) or W/O Cat CC  
General Medicine H62A M Disorders of Pancreas Except for Malignancy W Catastrophic or Severe CC
General Medicine H62B M Disorders of Pancreas Except for Malignancy W/O Catastrophic or Severe CC
General Medicine H63A M Disorders of Liver Except Malig, Cirrhosis, Alcoholic Hepatitis W Cat/Sev CC
General Medicine H63B M Disorders of Liver Excep Malig, Cirrhosis, Alcoholic Hepatitis W/O Cat/Sev CC
General Medicine H64A M Disorders of the Biliary Tract W CC
General Medicine H64B M Disorders of the Biliary Tract W/O CC
 

MDC 08 Diseases & disorders of the musculoskeletal system & connective tissue

Orthopaedics I01Z S Bilateral or Multiple Major Joint Procedures of Lower Extremity
Plastics I02A S Microvascular Tissue Transfer or (Skin Graft W Cat or Sev CC), Excluding Hand
Plastics I02B S Skin Graft W/O Catastrophic or Severe CC, Excluding Hand
Orthopaedics I03A S Hip Revision W Catastrophic or Severe CC
Orthopaedics I03B S Hip Replacement W Cat or Sev CC or Hip Revision W/O Cat or Sev CC
Orthopaedics I03C S Hip Replacement W/O Catastrophic or Severe CC
Orthopaedics I04Z S Knee Replacement and Reattachment
Orthopaedics I05Z S Other Major Joint Replacement and Limb Reattachment Procedures
Orthopaedics I06Z S Spinal Fusion W Deformity
Orthopaedics I07Z S Amputation
Orthopaedics I08A S Other Hip and Femur Procedures W Catastrophic or Severe CC
Orthopaedics I08B S Other Hip and Femur Procedures W/O Catastrophic or Severe CC
Orthopaedics I09A S Spinal Fusion W Catastrophic or Severe CC
Orthopaedics I09B S Spinal Fusion W/O Catastrophic or Severe CC
Orthopaedics I10A S Other Back and Neck Procedures W Catastrophic or Severe CC
Orthopaedics I10B S Other Back and Neck Procedures W/O Catastrophic or Severe CC
Orthopaedics I11Z S Limb Lengthening Procedures
Orthopaedics I12A S Infect/Inflam of Bone & Joint W Misc Musc Sys & Conn Tiss Procs W Cat CC
Orthopaedics I12B S Infect/Inflam of Bone & Joint W Misc Musc Sys & Conn Tiss Procs W Sev CC
Orthopaedics I12C S Infect/Inflam Bone & Joint W Misc Musc Sys & Conn Tiss Proc W/O Cat or Sev CC
Orthopaedics I13A S Humerus, Tibia, Fibula and Ankle Procedures W Catastrophic or Severe CC
Orthopaedics I13B S Humerus, Tibia, Fibula and Ankle Procedures Age >59 W/O Cat or Sev CC
Orthopaedics I13C S Humerus, Tibia, Fibula and Ankle Procedures Age <60 W/O Cat or Sev CC
Orthopaedics I14Z S Stump Revision
Neurosurgery I15Z S Cranio-Facial Surgery
Orthopaedics I16Z S Other Shoulder Procedures
Plastics I17Z S Maxillo-Facial Surgery
Orthopaedics I18Z S Other Knee Procedures
Orthopaedics I19Z S Other Elbow or Forearm Procedures
Orthopaedics I20Z S Other Foot Procedures
Orthopaedics I21Z S Local Excision & Removal of Internal Fixation Devices of Hip and Femur
Orthopaedics I23Z S Local Excision & Removal of Internal Fixation Device Excl Hip and Femur
Orthopaedics I24Z S Arthroscopy
Orthopaedics I25Z S Bone and Joint Diagnostic Procedures including Biopsy
Orthopaedics I27A S Soft Tissue Procedures W Catastrophic or Severe CC
Orthopaedics I27B S Soft Tissue Procedures W/O Catastrophic or Severe CC
Orthopaedics I28A S Other Connective Tissue Procedures W CC
Orthopaedics I28B S Other Connective Tissue Procedures W/O CC
Orthopaedics I29Z S Knee Reconstruction or Revision
Orthopaedics I30Z S Hand Procedures
Orthopaedics I60Z M Femoral Shaft Fractures
Orthopaedics I61Z M Distal Femoral Fractures
Orthopaedics I63Z M Sprains, Strains and Dislocations of Hip, Pelvis and Thigh
Orthopaedics I64A M Osteomyelitis W CC
Orthopaedics I64B M Osteomyelitis W/O CC
Orthopaedics I65A M Connective Tissue Malignancy, including Pathological Fx W Cat or Sev CC
Orthopaedics I65B M Connective Tissue Malignancy, including Pathological Fx W/O Cat or Sev CC
Rheumatology I66A M Inflammatory Musculoskeletal Disorders W Cat or Sev CC
Rheumatology I66B M Inflammatory Musculoskeletal Disorders W/O Cat or Sev CC
Orthopaedics I67A M Septic Arthritis W Catastrophic or Severe CC
Orthopaedics I67B M Septic Arthritis W/O Catastrophic or Severe CC
Orthopaedics I68A M Non-surgical Spinal Disorders W CC
Orthopaedics I68B M Non-surgical Spinal Disorders W/O CC
Orthopaedics I68C M Non-surgical Spinal Disorders, Sameday
Orthopaedics I69A M Bone Diseases & Spec Arthropathies Age >74 W Catastrophic or Severe CC
Orthopaedics I69B M Bone Diseases & Spec Arthropathies Age >74 or W (Catastrophic or Severe CC)
Orthopaedics I69C M Bone Diseases & Spec Arthropathies Age <75 W/O Catastrophic or Severe CC
Orthopaedics I70Z M Non-specific Arthropathies
Orthopaedics I71A M Other Musculotendinous Disorders Age >69 W CC
Orthopaedics I71B M Other Musculotendinous Disorders Age >69 or W CC
Orthopaedics I71C M Other Musculotendinous Disorders Age <70 W/O CC
Orthopaedics I72A M Specific Musculotendinous Disorders Age >79 or W (Cat or Sev CC)
Orthopaedics I72B M Specific Musculotendinous Disorders Age <80 W/O Cat or Sev CC
Orthopaedics I73A M Aftercare of Musculoskeletal Implants/Prostheses Age >59 W Cat or Sev CC
Orthopaedics I73B M Aftercare of Musculoskeletal Implants/Prostheses Age >59 or W (Cat or Sev CC)
Orthopaedics I73C M Aftercare of Musculoskeletal Implants/Prostheses Age <60 W/O Cat or Sev CC
Orthopaedics I74A M Injury to Forearm, Wrist, Hand or Foot Age >74 W CC
Orthopaedics I74B M Injury to Forearm, Wrist, Hand or Foot Age >74 or W CC
Orthopaedics I74C M Injury to Forearm, Wrist, Hand or Foot Age <75 W/O CC
Orthopaedics I75A M Injury to Shoulder, Arm, Elbow, Knee, Leg or Ankle Age >64 W CC
Orthopaedics I75B M Injury to Shoulder, Arm, Elbow, Knee, Leg or Ankle Age >64 or W CC
Orthopaedics I75C M Injury to Shoulder, Arm, Elbow, Knee, Leg or Ankle Age <65 W/O CC
Orthopaedics I76A M Other Musculoskeletal Disorders Age >69 W CC
Orthopaedics I76B M Other Musculoskeletal Disorders Age >69 or W CC
Orthopaedics I76C M Other Musculoskeletal Disorders Age <70 W/O CC
Orthopaedics I77A M Fractures of Pelvis W Catastrophic or Severe CC
Orthopaedics I77B M Fractures of Pelvis W/O Catastrophic or Severe CC
Orthopaedics I78A M Fractures of Neck of Femur W Catastrophic or Severe CC
Orthopaedics I78B M Fractures of Neck of Femur W/O Catastrophic or Severe CC
 

MDC 09 Diseases and disorders of the skin, subcutaneous tissue & breast

Plastics J01Z S Microvascular Tissue Transfer for Skin, Subcutaneous Tissue & Breast Disorder
General Surgery J06A S Major Procedures for Malignant Breast Conditions
General Surgery J06B S Major Procedures for Non-Malignant Breast Conditions
General Surgery J07A S Minor Procedures for Malignant Breast Conditions
General Surgery J07B S Minor Procedures for Non-Malignant Breast Conditions
Plastics J08A S Other Skin Graft and/or Debridement Procedures W Catastrophic or Severe CC
Plastics J08B S Other Skin Graft and/or Debridement Procedures W/O Catastrophic or Severe CC
General Surgery J09Z S Perianal and Pilonidal Procedures
Plastics J10Z S Skin, Subcutaneous Tissue and Breast Plastic OR Procedures
General Surgery J11Z S Other Skin, Subcutaneous Tissue and Breast Procedures
General Surgery J12A S Lower Limb Procs W Ulcer/Cellulitis W Cat CC
General Surgery J12B S Lower Limb Procs W Ulcer/Cellulitis W/O Cat CC W Skin Graft/Flap Repair
General Surgery J12C S Lower Limb Procs W Ulcer/Cellulitis W/O Cat CC W/O Skin Graft/Flap Repair
General Surgery J13A S Lower Limb Procs W/O Ulcer/Cellulitis W Skin Graft W (Cat or Sev CC)
General Surgery J13B S Lower Limb Procs W/O Ulcer/Cellulitis W/O (Skin Graft and (Cat or Sev CC))
General Surgery J14Z S Major Breast Reconstructions
General Medicine J60A M Skin Ulcers
General Medicine J60B M Skin Ulcers, Sameday
General Medicine J62A M Malignant Breast Disorders (Age >69 W CC) or W (Cat or Sev CC) 
General Medicine J62B M Malignant Breast Disorders (Age >69 W/O CC) or W/O (Cat or Sev CC) 
General Medicine J63Z M Non-Malignant Breast Disorders
General Medicine J64A M Cellulitis Age >59 W Catastrophic or Severe CC
General Medicine J64B M Cellulitis (Age >59 W/O Catastrophic or Severe CC) or Age <60
General Surgery J65A M Trauma to the Skin, Subcutaneous Tissue and Breast Age >69
General Surgery J65B M Trauma to the Skin, Subcutaneous Tissue and Breast Age <70
Dermatology J67A M Minor Skin Disorders
Dermatology J67B M Minor Skin Disorders, Sameday
Dermatology J68A M Major Skin Disorders
Dermatology J68B M Major Skin Disorders, Sameday
 

MDC 10 Endocrine, nutritional and metabolic diseases and disorders

Endocrinology K01Z S Diabetic Foot Procedures
Endocrinology K02Z S Pituitary Procedures
Endocrinology K03Z S Adrenal Procedures
General Surgery K04Z S Major Procedures for Obesity
General Surgery K05Z S Parathyroid Procedures
General Surgery K06Z S Thyroid Procedures
General Surgery K07Z S Obesity Procedures
General Surgery K08Z S Thyroglossal Procedures
Endocrinology K09Z S Other Endocrine, Nutritional and Metabolic OR Procedures
Endocrinology K40Z O Endoscopic or Investigative Procedure for Metabolic Disorders W/O CC
Endocrinology K60A M Diabetes W Catastrophic or Severe CC
Endocrinology K60B M Diabetes W/O Catastrophic or Severe CC
Endocrinology K61Z M Severe Nutritional Disturbance
Endocrinology K62A M Miscellaneous Metabolic Disorders W Catastrophic CC
Endocrinology K62B M Miscellaneous Metabolic Disorders Age >74 or W Severe CC  
Endocrinology K62C M Miscellaneous Metabolic Disorders Age <75 W/O Catastrophic or Severe CC 
Endocrinology K63Z M Inborn Errors of Metabolism
Endocrinology K64A M Endocrine Disorders W Catastrophic or Severe CC
Endocrinology K64B M Endocrine Disorders W/O Catastrophic or Severe CC
 

MDC 11 Diseases and disorders of the kidney and urinary tract

Urology L02A S Operative Insertion of Peritoneal Catheter for Dialysis W Cat or Sev CC
Urology L02B S Operative Insertion of Peritoneal Catheter for Dialysis W/O Cat or Sev CC
Urology L03A S Kidney, Ureter and Major Bladder Procedures for Neoplasm W Cat or Sev CC
Urology L03B S Kidney, Ureter and Major Bladder Procedures for Neoplasm W/O Cat or Sev CC
Urology L04A S Kidney, Ureter and Major Bladder Procedures for Non-Neoplasm W Cat CC
Urology L04B S Kidney, Ureter and Major Bladder Procedures for Non-Neoplasm W Sev or Mod CC
Urology L04C S Kidney, Ureter and Major Bladder Procedures for Non-Neoplasm W/O CC
Urology L05A S Transurethral Prostatectomy W Catastrophic or Severe CC
Urology L05B S Transurethral Prostatectomy W/O Catastrophic or Severe CC
Urology L06A S Minor Bladder Procedures W Catastrophic or Severe CC
Urology L06B S Minor Bladder Procedures W/O Catastrophic or Severe CC
Urology L07A S Transurethral Procedures Except Prostatectomy W Catastrophic or Severe CC
Urology L07B S Transurethral Procedures Except Prostatectomy W/O Catastrophic or Severe CC
Urology L08A S Urethral Procedures W CC
Urology L08B S Urethral Procedures W/O CC
Urology L09A S Other Procedures for Kidney and Urinary Tract Disorders W Cat CC
Urology L09B S Other Procedures for Kidney and Urinary Tract Disorders W Sev CC
Urology L09C S Other Procedures for Kidney and Urinary Tract Disorders W/O Cat or Sev CC
Urology L40Z O Ureteroscopy
Urology L41Z O Cystourethroscopy, Sameday
Urology L42Z O ESW Lithotripsy for Urinary Stones
Renal Medicine L60A M Renal Failure W Catastrophic CC
Renal Medicine L60B M Renal Failure W Severe CC
Renal Medicine L60C M Renal Failure W/O Catastrophic or Severe CC
Renal Dialysis L61Z M Admit for Renal Dialysis
Urology L62A M Kidney and Urinary Tract Neoplasms W Catastrophic or Severe CC
Urology L62B M Kidney and Urinary Tract Neoplasms W/O Catastrophic or Severe CC
Urology L63A M Kidney and Urinary Tract Infections W Catastrophic CC
Urology L63B M Kidney and Urinary Tract Infections Age >69 or W Severe CC
Urology L63C M Kidney and Urinary Tract Infections Age <70 W/O Catastrophic or Severe CC
Urology L64Z M Urinary Stones and Obstruction
Urology L65A M Kidney and Urinary Tract Signs and Symptoms W Catastrophic or Severe CC
Urology L65B M Kidney and Urinary Tract Signs and Symptoms W/O Catastrophic or Severe CC
Urology L66Z M Urethral Stricture
Urology L67A M Other Kidney and Urinary Tract Diagnoses W Catastrophic CC
Urology L67B M Other Kidney and Urinary Tract Diagnoses W Severe CC
Urology L67C M Other Kidney and Urinary Tract Diagnoses W/O Catastrophic or Severe CC
 

MDC 12 Diseases and disorders of the male reproductive system

Urology M01Z S Major Male Pelvic Procedures
Urology M02A S Transurethral Prostatectomy W Catastrophic or Severe CC
Urology M02B S Transurethral Prostatectomy W/O Catastrophic or Severe CC
Urology M03A S Penis Procedures W CC
Urology M03B S Penis Procedures W/O CC
Urology M04A S Testes Procedures W CC
Urology M04B S Testes Procedures W/O CC
General Surgery M05Z S Circumcision
Urology M06A S Other Male Reproductive System OR Procedures for Malignancy
Urology M06B S Other Male Reproductive System OR Procedures Except for Malignancy
Urology M40Z O Cystourethroscopy W/O CC
Urology M60A M Malignancy, Male Reproductive System W Catastrophic or Severe CC
Urology M60B M Malignancy, Male Reproductive System W/O Catastrophic or Severe CC
Urology M61A M Benign Prostatic Hypertrophy W Catastrophic or Severe CC
Urology M61B M Benign Prostatic Hypertrophy W/O Catastrophic or Severe CC
Urology M62A M Inflammation of the Male Reproductive System W CC
Urology M62B M Inflammation of the Male Reproductive System W/O CC
General Surgery M63Z M Sterilisation, Male
Urology M64Z M Other Male Reproductive System Diagnoses
 

MDC 13 Diseases and disorders of the female reproductive system

Gynaecology N01Z S Pelvic Evisceration and Radical Vulvectomy
Gynaecology N02A S Uterine, Adnexa Procedure for Ovarian or Adnexal Malignancy W CC
Gynaecology N02B S Uterine, Adnexa Procedure for Ovarian or Adnexal Malignancy W/O CC
Gynaecology N03A S Uterine, Adnexa Procedure for Non-Ovarian or Adnexal Malignancy W CC
Gynaecology N03B S Uterine, Adnexa Procedure for Non-Ovarian or Adnexal Malignancy W/O CC
Gynaecology N04Z S Hysterectomy for Non-Malignancy
Gynaecology N05A S Oophorectomies & Complex Fallopian Tube Procs for Non-Malig W Cat or Sev CC
Gynaecology N05B S Oophorectomies & Complex Fallopian Tube Procs for Non-Malig W/O Cat or Sev CC
Gynaecology N06Z S Female Reproductive System Reconstructive Procedures
Gynaecology N07Z S Other Uterine & Adnexa Procedures for Non-Malignancy
Gynaecology N08Z S Endoscopic and Laparoscopic Procedures for Female Reproductive System  
Gynaecology N09Z S Conisation, Vagina, Cervix and Vulva Procedures
Gynaecology N10Z S Diagnostic Curettage or Diagnostic Hysteroscopy
Gynaecology N11A S Other Female Reproductive Sys OR Procs Age >64 or W Malignancy or W CC
Gynaecology N11B S Other Female Reproductive System OR Procs Age <65 W/O Malignancy W/O CC
Gynaecology N60A M Malignancy, Female Reproductive System W Catastrophic or Severe CC
Gynaecology N60B M Malignancy, Female Reproductive System W/O Catastrophic or Severe CC
Gynaecology N61Z M Infections, Female Reproductive System
Gynaecology N62A M Menstrual and Other Female Reproductive System Disorders W CC
Gynaecology N62B M Menstrual and Other Female Reproductive System Disorders W/O CC
 

MDC 14 Pregnancy, childbirth and the puerperium

Obstetrics O01A S Caesarean Delivery W Catastrophic CC
Obstetrics O01B S Caesarean Delivery W Severe CC
Obstetrics O01C S Caesarean Delivery W/O Catastrophic or Severe CC
Obstetrics O02A S Vaginal Delivery W OR Procedure W Catastrophic or Severe CC
Obstetrics O02B S Vaginal Delivery W OR Procedure W/O Catastrophic or Severe CC
Obstetrics O03Z S Ectopic Pregnancy
Obstetrics O04Z S Postpartum and Post Abortion W OR Procedure
Obstetrics O05Z S Abortion W OR Procedure
Obstetrics O60A M Vaginal Delivery W Catastrophic or Severe CC
Obstetrics O60B M Vaginal Delivery W/O Catastrophic or Severe CC
Obstetrics O60C M Vaginal Delivery Single Uncomplicated W/O Other Condition
Obstetrics O61Z M Postpartum and Post Abortion W/O OR Procedure
Obstetrics O63Z M Abortion W/O OR Procedure
Obstetrics O64A M False Labour Before 37 Weeks or W Catastrophic CC
Obstetrics O64B M False Labour After 37 Weeks W/O Catastrophic CC
Obstetrics O66A M Antenatal & Other Obstetric Admission
Obstetrics O66B M Antenatal & Other Obstetric Admission, Sameday
 

MDC 15 Newborns and other neonates

Neonatology P01Z S Neonate, Died or Transf <5 Days of Admission W Significant OR Procedure
Neonatology P02Z S Cardiothoracic/Vascular Procedures for Neonates
Neonatology P03Z S Neonate, AdmWt 1000-1499 g W Significant OR Procedure
Neonatology P04Z S Neonate, AdmWt 1500-1999 g W Significant OR Procedure
Neonatology P05Z S Neonate, AdmWt 2000-2499 g W Significant OR Procedure
Neonatology P06A S Neonate, AdmWt > 2499 g W Significant OR Procedure W Multi Major Problems
Neonatology P06B S Neonate, AdmWt > 2499 g W Significant OR Proc W/O Multi Major Problems
Neonatology P60A M Neonate Died or Transf <5 Days of Adm, W/O Significant OR Proc, Newborn
Neonatology P60B M Neonate Died/Transf <5 Days of Adm, W/O Significant OR Proc, Not Newborn
Neonatology P61Z M Neonate, AdmWt < 750 g
Neonatology P62Z M Neonate, AdmWt 750-999 g
Neonatology P63Z M Neonate, AdmWt 1000-1249 g W/O Significant OR Procedure
Neonatology P64Z M Neonate, AdmWt 1250-1499 g W/O Significant OR Procedure
Neonatology P65A M Neonate, AdmWt 1500-1999 g W/O Significant OR Proc W Multi Major Problems
Neonatology P65B M Neonate, AdmWt 1500-1999 g W/O Significant OR Procedure W Major Problem
Neonatology P65C M Neonate, AdmWt 1500-1999 g W/O Significant OR Procedure W Other Problem
Neonatology P65D M Neonate, AdmWt 1500-1999 g W/O Significant OR Procedure W/O Problem
Neonatology P66A M Neonate, AdmWt 2000-2499 g W/O Significant OR Proc W Multi Major Problems
Neonatology P66B M Neonate, AdmWt 2000-2499 g W/O Significant OR Procedure W Major Problem
Neonatology P66C M Neonate, AdmWt 2000-2499 g W/O Significant OR Procedure W Other Problem
Neonatology P66D M Neonate, AdmWt 2000-2499 g W/O Significant OR Procedure W/O Problem
Neonatology P67A M Neonate, AdmWt > 2499 g W/O Significant OR Procedure W Multi Major Problems
Neonatology P67B M Neonate, AdmWt > 2499 g W/O Significant OR Procedure W Major Problem
Neonatology P67C M Neonate, AdmWt > 2499 g W/O Significant OR Procedure W Other Problem
Neonatology P67D M Neonate, AdmWt > 2499 g W/O Significant OR Procedure W/O Problem
 

MDC 16 Diseases and disorders of the blood and blood forming organs and immunological disorders

General Surgery Q01Z S Splenectomy
General Surgery Q02A S Other OR Procedure of Blood & Blood Forming Organs W Cat or Sev CC
General Surgery Q02B S Other OR Procedure of Blood & Blood Forming Organs W/O Cat or Sev CC
Haematology Q60A M Reticuloendothelial and Immunity Disorders W Catastrophic or Severe CC
Haematology Q60B M Reticuloendothelial and Immunity Disorders W/O Cat or Sev CC W Malignancy
Haematology Q60C M Reticuloendothelial and Immunity Disorders W/O Cat or Sev CC W/O Malignancy
Haematology Q61A M Red Blood Cell Disorders W Catastrophic CC
Haematology Q61B M Red Blood Cell Disorders W Severe CC
Haematology Q61C M Red Blood Cell Disorders W/O Catastrophic or Severe CC
Haematology Q62Z M Coagulation Disorders
 

MDC 17 Neoplastic disorders (haematological and solid neoplasms)

Haematology R01A S Lymphoma and Leukaemia W Major OR Procedures W Catastrophic or Severe CC
Haematology R01B S Lymphoma and Leukaemia W Major OR Procedures W/O Catastrophic or Severe CC
Haematology R02A S Other Neoplastic Disorders W Major OR Procedures W Cat or Sev CC
Haematology R02B S Other Neoplastic Disorders W Major OR Procedures W/O Cat or Sev CC
Haematology R03A S Lymphoma and Leukaemia W Other OR Procedures W Catastrophic or Severe CC
Haematology R03B S Lymphoma and Leukaemia W Other OR Procedures W/O Catastrophic or Severe CC
Haematology R04A S Other Neoplastic Disorders W Other OR Procedures W Cat or Sev CC
Haematology R04B S Other Neoplastic Disorders W Other OR Procedures W/O Cat or Sev CC
Haematology R60A M Acute Leukaemia W Catastrophic CC
Haematology R60B M Acute Leukaemia W Severe CC
Haematology R60C M Acute Leukaemia W/O Catastrophic or Severe CC
Haematology R61A M Lymphoma and Non-Acute Leukaemia W Catastrophic CC
Haematology R61B M Lymphoma and Non-Acute Leukaemia W/O Catastrophic CC
Haematology R61C M Lymphoma and Non-Acute Leukaemia, Sameday
Haematology R62A M Other Neoplastic Disorders W CC
Haematology R62B M Other Neoplastic Disorders W/O CC
Medical Oncology R63Z M Chemotherapy
Medical Oncology R64Z M Radiotherapy
 

MDC 18 Infectious and parasitic diseases

Immunology S60Z M HIV, Sameday
Immunology S65A M HIV-Related Diseases W Catastrophic CC
Immunology S65B M HIV-Related Diseases W Severe CC
Immunology S65C M HIV-Related Diseases W/O Catastrophic or Severe CC
General Surgery T01A S OR Procedures for Infectious and Parasitic Diseases W Catastrophic CC
General Surgery T01B S OR Procedures for Infectious and Parasitic Diseases W Severe or Moderate CC
General Surgery T01C S OR Procedures for Infectious and Parasitic Diseases W/O CC
General Medicine T60A M Septicaemia W Catastrophic or Severe CC
General Medicine T60B M Septicaemia W/O Catastrophic or Severe CC
General Surgery T61A M Postoperative & Post-traumatic Infections Age >54 or W (Cat or Sev CC) 
General Surgery T61B M Postoperative & Post-traumatic Infections Age <55 W/O Cat or Sev CC
General Medicine T62A M Fever of Unknown Origin W CC
General Medicine T62B M Fever of Unknown Origin  W/O CC
General Medicine T63A M Viral Illness Age >59 or W CC
General Medicine T63B M Viral Illness Age <60 W/O CC
General Medicine T64A M Other Infectious and Parasitic Diseases W Catastrophic or Severe CC
General Medicine T64B M Other Infectious and Parasitic Diseases W/O Catastrophic or Severe CC
 

MDC 19 Mental diseases and disorders

Psychiatry U40Z O Mental Health Treatment, Sameday, W ECT
Psychiatry U60Z M Mental Health Treatment, Sameday, W/O ECT
Psychiatry U61A M Schizophrenia Disorders W Mental Health Legal Status
Psychiatry U61B M Schizophrenia Disorders W/O Mental Health Legal Status
Psychiatry U62A M Paranoia & Acute Psych Disorder W Cat/Sev CC or W Mental Health Legal Status
Psychiatry U62B M Paranoia & Acute Psych Disorder W/O Cat/Sev CC W/O Mental Health Legal Status
Psychiatry U63A M Major Affective Disorders Age >69 or W (Catastrophic or Severe CC)  
Psychiatry U63B M Major Affective Disorders Age <70 W/O Catastrophic or Severe CC
Psychiatry U64Z M Other Affective and Somatoform Disorders
Psychiatry U65Z M Anxiety Disorders
Psychiatry U66Z M Eating and Obsessive-Compulsive Disorders
Psychiatry U67Z M Personality Disorders and Acute Reactions
Psychiatry U68Z M Childhood Mental Disorders
 

MDC 20 Alcohol/drug use and alcohol/drug induced organic mental disorders

Psychiatry V60A M Alcohol Intoxication and Withdrawal W CC
Psychiatry V60B M Alcohol Intoxication and Withdrawal W/O CC
Psychiatry V61Z M Drug Intoxication and Withdrawal
Psychiatry V62A M Alcohol Use Disorder and Dependence
Psychiatry V62B M Alcohol Use Disorder and Dependence, Sameday
Psychiatry V63A M Opioid Use Disorder and Dependence
Psychiatry V63B M Opioid Use Disorder and Dependence, Left Against Medical Advice
Psychiatry V64Z M Other Drug Use Disorder and Dependence
 

MDC 21 Injuries, poisoning and toxic effects of drugs

Other/Ungrouped W01Z S Ventilation or Craniotomy Procs for Multiple Significant Trauma
Orthopaedics W02Z S Hip, Femur and Limb Procs for Multiple Significant Trauma, Incl Implantation
General Surgery W03Z S Abdominal Procedures for Multiple Significant Trauma
General Surgery W04Z S Other OR Procedures for Multiple Significant Trauma
General Medicine W60Z M Multiple Trauma, Died or Transf to Another Acute Care Facility, LOS<5 Days
General Medicine W61Z M Multiple Trauma Without Significant Procedures
Plastics X02Z S Microvascular Tissue Transfer or Skin Grafts for Injuries to Hand
General Surgery X04A S Other Procedures for Injuries to Lower Limb Age >59 or W CC
General Surgery X04B S Other Procedures for Injuries to Lower Limb Age <60 W/O CC
Plastics X05Z S Other Procedures for Injuries to Hand
General Surgery X06A S Other Procedures for Other Injuries W Catastrophic or Severe CC
General Surgery X06B S Other Procedures for Other Injuries W/O Catastrophic or Severe CC
Plastics X07A S Skin Graft for Injuries Ex Hand W Microvascular Tiss Tfr or W (Cat or Sev CC)
Plastics X07B S Skin Graft for Injuries Ex Hand W/O Microvascular Tiss Tfr W/O Cat or Sev CC
General Medicine X60A M Injuries Age >64 W CC
General Medicine X60B M Injuries Age >64 W/O CC
General Medicine X60C M Injuries Age <65
General Medicine X61Z M Allergic Reactions
General Medicine X62A M Poisoning/Toxic Effects of Drugs & Other Substances Age >59 or W CC
General Medicine X62B M Poisoning/Toxic Effects of Drugs & Other Substances Age <60 W/O CC
General Medicine X63A M Sequelae of Treatment W Catastrophic or Severe CC
General Medicine X63B M Sequelae of Treatment W/O Catastrophic or Severe CC
General Medicine X64A M Other Injury, Poisoning and Toxic Effect Diagnosis Age >59 or W CC
General Medicine X64B M Other Injury, Poisoning and Toxic Effect Diagnosis Age <60 W/O CC
 

MDC 22 Burns

Plastics Y01Z S Severe Full Thickness Burns
Plastics Y02A S Other Burns W Skin Graft Age >64 or W (Cat or Sev CC) or W Complicating Proc
Plastics Y02B S Other Burns W Skin Graft Age <65 W/O (Cat or Sev CC) W/O Complicating Proc
Plastics Y03Z S Other OR Procedures for Other Burns
Plastics Y60Z M Burns, Transferred to Another Acute Care Facility < 5 Days
Plastics Y61Z M Severe Burns
Plastics Y62A M Other Burns Age >64 or W (Cat or Sev CC) or W Complicating Proc
Plastics Y62B M Other Burns Age <65 W/O (Cat or Sev CC) W/O Complicating Proc
 

MDC 23 Factors influencing health status and other contacts with health services

General Surgery Z01A S OR Procedures W Diagnoses of Other Contacts W Health Services W Cat/Sev CC
General Surgery Z01B S OR Procedures W Diagnoses Other Contacts W Health Services W/O Cat/Sev CC
General Medicine Z40Z O Follow Up W Endoscopy
Rehabilitation Medicine Z60A M Rehabilitation W Catastrophic or Severe CC
Rehabilitation Medicine Z60B M Rehabilitation W/O Catastrophic or Severe CC
Rehabilitation Medicine Z60C M Rehabilitation, Sameday
General Medicine Z61Z M Signs and Symptoms
General Medicine Z62Z M Follow Up W/O Endoscopy
General Medicine Z63A M Other Aftercare W Catastrophic or Severe CC
General Medicine Z63B M Other Aftercare W/O Catastrophic or Severe CC
General Medicine Z64A M Other Factors Influencing Health Status
General Medicine Z64B M Other Factors Influencing Health Status, Sameday
Other/Ungrouped Z65Z M Multiple, Other and Unspecified Congenital Anomalies
 

Error DRGs

Other/Ungrouped 901Z S Extensive OR Procedure Unrelated to Principal Diagnosis
Other/Ungrouped 902Z S Non-Extensive OR Procedure Unrelated to Principal Diagnosis
Other/Ungrouped 903Z S Prostatic OR Procedure Unrelated to Principal Diagnosis
Other/Ungrouped 960Z M Ungroupable
Other/Ungrouped 961Z M Unacceptable Principal Diagnosis
Other/Ungrouped 963Z M Neonatal Diagnosis Not Consistent W Age/Weight