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. Author manuscript; available in PMC: 2017 May 1.
Published in final edited form as: J Health Econ. 2016 Feb 10;47:1–19. doi: 10.1016/j.jhealeco.2016.01.007

Table B2.

Group and Interaction Definitions

Group 01

Diabetes with Acute Complications
Diabetes with Chronic Complications
Diabetes without Complication

Group 02A

Mucopolysaccharidosis
Lipidoses and Glycogenosis
Amyloidosis, Porphyria, and Other Metabolic Disorders
Adrenal, Pituitary, and Other Significant Endocrine Disorders

Group 03

Necrotizing Fasciitis
Bone/Joint/Muscle Infections/Necrosis

Group 04

Osteogenesis Imperfecta and Other Osteodystrophies
Congenital/Developmental Skeletal and Connective Tissue Disorders

Group 06

Myelodysplastic Syndromes and Myelofibrosis
Aplastic Anemia

Group 07

Acquired Hemolytic Anemia, Including Hemolytic Disease of Newborn
Sickle Cell Anemia (Hb-SS)
Thalassemia Major

Group 08

Combined and Other Severe Immunodeficiencies
Disorders of the Immune Mechanism

Group 09

Drug Psychosis
Drug Dependence

Group 10

Traumatic Complete Lesion Cervical Spinal Cord
Quadriplegia

Group 11

Traumatic Complete Lesion Dorsal Spinal Cord
Paraplegia

Group 12

Quadriplegic Cerebral Palsy
Parkinson’s, Huntington’s, and Spinocerebellar Disease, and Other Neurodegenerative Disorders

Group 13

Respiratory Arrest
Cardio-Respiratory Failure and Shock, Including Respiratory Distress Syndromes

Group 14

Heart Assistive Device/Artificial Heart / Heart Transplant

Group 15

Chronic Obstructive Pulmonary Disease, Including Bronchiectasis
Asthma

Group 16

Chronic Kidney Disease, Stage 5
Chronic Kidney Disease, Severe (Stage 4)

Group 17

Ectopic and Molar Pregnancy, Except with Renal Failure, Shock, or Embolism
Miscarriage with Complications
Miscarriage with No or Minor Complications

Group 18

Completed Pregnancy With Major Complications
Completed Pregnancy With Complications
Completed Pregnancy with No or Minor Complications

Severe

Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock
Peritonitis/Gastrointestinal Perforation/Necrotizing Enterocolitis
Seizure Disorders and Convulsions
Respirator Dependence/Tracheostomy Status
Respiratory Arrest
Cardio-Respiratory Failure and Shock, Including Respiratory Distress Syndromes
Pulmonary Embolism and Deep Vein Thrombosis

Interaction Group H

Opportunistic Infections
Metastatic Cancer
Lung, Brain, and Other Severe Cancers, Including Pediatric Acute Lymphoid Leukemia
Non-Hodgkin’s Lymphomas and Other Cancers and Tumors
Myasthenia Gravis/Myoneural Disorders and Guillain-Barre
Syndrome/Inflammatory and Toxic Neuropathy
Heart Infection/Inflammation, Except Rheumatic
Intracranial Hemorrhage
Group 06
Group 08

Interaction Group M

End-Stage Liver Disease
Acute Liver Failure/Disease, Including Neonatal Hepatitis
Atherosclerosis of the Extremities with Ulceration or Gangrene
Vascular Disease with Complications
Aspiration and Specified Bacterial Pneumonias and Other Severe Lung Infections
Artificial Openings for Feeding or Elimination
Group 03