Clinical Category - Cancer Care


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The "Cancer Care" clinical category includes medical conditions such as malignant breast disorders, respiratory neoplasms, leukemia, as well as surgeries such as mastectomy, kidney procedures for neoplasm and lymphoma with major O.R. procedures. Cancer Care includes the following MS-DRGs:

Medical Conditions

  • 054: Nervous System Neoplasms w MCC
  • 055: Nervous System Neoplasms w/o MCC
  • 146: Ear, Nose, Mouth & Throat Malignancy w MCC
  • 147: Ear, Nose, Mouth & Throat Malignancy w CC
  • 148: Ear, Nose, Mouth & Throat Malignancy w/o CC/MCC
  • 180: Respiratory Neoplasms w MCC
  • 181: Respiratory Neoplasms w CC
  • 182: Respiratory Neoplasms w/o CC/MCC
  • 374: Digestive Malignancy w MCC
  • 375: Digestive Malignancy w CC
  • 376: Digestive Malignancy w/o CC/MCC
  • 435: Malignancy of Hepatobiliary System or Pancreas w MCC
  • 436: Malignancy of Hepatobiliary System or Pancreas w CC
  • 437: Malignancy of Hepatobiliary System or Pancreas w/o CC/MCC
  • 542: Pathological Fractures & Musculoskeletal & ConnTiss Malignancy w MCC
  • 543: Pathological Fractures & Musculoskeletal & ConnTiss Malignancy w CC
  • 544: Pathological Fractures & Musculoskeletal & ConnTiss Malignancy w/o CC/MCC
  • 597: Malignant Breast Disorders w MCC
  • 598: Malignant Breast Disorders w CC
  • 599: Malignant Breast Disorders w/o CC/MCC
  • 686: Kidney & Urinary Tract Neoplasms w MCC
  • 687: Kidney & Urinary Tract Neoplasms w CC
  • 688: Kidney & Urinary Tract Neoplasms w/o CC/MCC
  • 722: Malignancy, Male Reproductive System, w MCC
  • 723: Malignancy, Male Reproductive System, w CC
  • 724: Malignancy, Male Reproductive System, w/o CC/MCC
  • 754: Malignancy, Female Reproductive System w MCC
  • 755: Malignancy, Female Reproductive System w CC
  • 756: Malignancy, Female Reproductive System w/o CC/MCC
  • 834: Acute Leukemia w/o Major O.R. Procedure w MCC
  • 835: Acute Leukemia w/o Major O.R. Procedure w CC
  • 836: Acute Leukemia w/o Major O.R. Procedure w/o CC/MCC
  • 837: Chemo w Acute Leukemia as Secondary Dx or w High Dose Chemo Agent w MCC
  • 838: Chemo w Acute Leukemia as Secondary Dx or w High Dose Chemo Agent w CC
  • 839: Chemo w Acute Leukemia as Secondary Dx or w High Dose Chemo Agent w/o CC/MCC
  • 840: Lymphoma & Non-acute Leukemia w MCC
  • 841: Lymphoma & Non-acute Leukemia w CC
  • 842: Lymphoma & Non-acute Leukemia w/o CC/MCC
  • 843: Other Myeloprolif Dis or Poorly Diff Neopl Diag w MCC
  • 844: Other Myeloprolif Dis or Poorly Diff Neopl Diag w CC
  • 845: Other Myeloprolif Dis or Poorly Diff Neopl Diag w/o CC/MCC
  • 846: Chemo w/o Acute Leukemia as Secondary Dx w MCC
  • 847: Chemo w/o Acute Leukemia as Secondary Dx w CC
  • 848: Chemo w/o Acute Leukemia as Secondary Dx w/o CC/MCC
  • 849: Radiotherapy

Surgeries

  • 582: Mastectomy for Malignancy w CC/MCC
  • 583: Mastectomy for Malignancy w/o CC/MCC
  • 584: Breast Biopsy, Local Excision & Other Breast Proc w CC/MCC
  • 585: Breast Biopsy, Local Excision & Other Breast Proc w/o CC/MCC
  • 656: Kidney and Ureter Procedures for Neoplasm w MCC
  • 657: Kidney and Ureter Procedures for Neoplasm w CC
  • 658: Kidney and Ureter Procedures for Neoplasm w/o CC/MCC
  • 715: Other Male Reproductive System O.R. Proc for Malignancy w CC/MCC
  • 716: Other Male Reproductive System O.R. Proc for Malignancy w/o CC/MCC
  • 734: Pelvic Evisceration, Radical Hysterectomy & Radical Vulvectomy w CC/MCC
  • 735: Pelvic Evisceration, Radical Hysterectomy & Radical Vulvectomy w/o CC/MCC
  • 736: Uterine & Adnexa Proc for Ovarian or Adnexal Malig w MCC
  • 737: Uterine & Adnexa Proc for Ovarian or Adnexal Malig w CC
  • 738: Uterine & Adnexa Proc for Ovarian or Adnexal Malig w/o CC/MCC
  • 739: Uterine, Adnexa Proc for Non-Ovarian/Adnexal Malig w MCC
  • 740: Uterine, Adnexa Proc for Non-Ovarian/Adnexal Malig w CC
  • 741: Uterine, Adnexa Proc for Non-Ovarian/Adnexal Malig w/o CC/MCC
  • 820: Lymphoma and Leukemia w Major O.R. Procedure w MCC
  • 821: Lymphoma and Leukemia w Major O.R. Procedure w CC
  • 822: Lymphoma and Leukemia w Major O.R. Procedure w/o CC/MCC
  • 823: Lymphoma & Non-Acute Leukemia w Other O.R. Proc w MCC
  • 824: Lymphoma & Non-Acute Leukemia w Other O.R. Proc w CC
  • 825: Lymphoma & Non-Acute Leukemia w Other O.R. Proc w/o CC/MCC
  • 826: Myeloprolif Disord or Poorly Diff Neopl w Maj O.R.Proc w MCC
  • 827: Myeloprolif Disord or Poorly Diff Neopl w Maj O.R.Proc w CC
  • 828: Myeloprolif Disord or Poorly Diff Neopl w Maj O.R.Proc w/o CC/MCC
  • 829: Myeloprolif Disord or Poorly Diff Neopl w Other O.R.Proc w CC/MCC
  • 830: Myeloprolif Disord or Poorly Diff Neopl w Other O.R.Proc w/o CC/MCC

CC = complication or comorbidity; MCC = major complication or comorbidity