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. Author manuscript; available in PMC: 2024 Sep 20.
Published in final edited form as: Med Care. 2014 Jun;52(6):469–478. doi: 10.1097/MLR.0000000000000106

Table 3.

Five most frequent CCS principal procedure categoriesa and DRG codes of Medicare beneficiaries with and without CAUTI who were discharged from a hospitalization in 2009.

Code Procedure category DRG weight (FY09) ICUb non-ICU
Cases Controls Cases Controls
n= 550 n= 2740 n= 334 n= 1670
n rank n rank n rank n rank

216 Respiratory intubation and mechanical ventilation 51 1 255 1 11 5 55 5
34 Tracheostomy; temporary and permanent 45 2 225 2 ≤10c 20 18
. No procedure 33 3 165 3 75 1 375 1
1 Incision and excision of CNS 24 4 120 4 ≤10c ≤10c
43 Heart valve procedures 21 5 105 5 ≤10c 35 9
54 Other vascular catheterization; not heart 15 10 75 10 14 4 70 4
146 Treatment; fracture or dislocation of hip and femur 14 11 70 11 27 2 135 2
153 Hip replacement; total and partial ≤10c 40 20 26 3 130 3
DRG title

3 ECMO or trach w MV 96+ hrs or PDX exc face, mouth & neck w maj O.R. 18.4 72 1 116 3 ≤10c ≤10c
4 Trach w MV 96+ hrs or PDX exc face, mouth & neck w/o maj O.R. 11.1 34 2 187 1 ≤10c 17 26
64 Intracranial hemorrhage or cerebral infarction w MCC 1.8 17 3 73 5 ≤10c 17 26
329 Major small & large bowel procedures w MCC 5.2 16 4 100 4 ≤10c 12 41
291 Heart failure & shock w MCC 1.5 14 5 46 11 16 3 33 6
280 Acute myocardial infarction, discharged alive w MCC 1.9 14 5 38 18 ≤10c 13 38
682 Renal failure w MCC 1.6 11 8 34 20 ≤10c 15 33
377 G.I. hemorrhage w MCC 1.6 ≤10c 43 13 ≤10c ≤10c
871 Septicemia or severe sepsis w/o MV 96+ hours w MCC 1.8 ≤10c 118 2 ≤10c 52 3
65 Intracranial hemorrhage or cerebral infarction w CC 1.2 ≤10c 42 15 ≤10c ≤10c 58
481 Hip & femur procedures except major joint w CC 1.8 ≤10c 26 31 20 2 76 2
470 Major joint replacement or reattachment of lower extremity w/o MCC 2.0 ≤10c 27 28 23 1 156 1
683 Renal failure w CC 1.1 ≤10c 19 41 ≤10c 20 22
482 Hip & femur procedures except major joint w/o CC/MCC 1.5 ≤10c ≤10 ≤10c 37 4
690 Kidney & urinary tract infections w/o MCC 0.8 ≤10c ≤10 ≤10c 36 5

Abbreviations: CAUTI, catheter-associated urinary tract infection; ICU, intensive care unit; CCS, Clinical Classifications Software; DRG, Diagnosis Related Group.

a

Agency for Healthcare Research and Quality Clinical Classifications Software17 single-level procedure category of the primary International Classification of Diseases, Ninth Revision, Clinical Modification procedure code.

b

ICU: Beneficiaries admitted to the ICU any time during the hospital stay.

c

In accordance with the CMS data use agreement, actual number and corresponding rank were not displayed when cell sizes ≤10.