Physician's Capitation Trends-Assignment of Diagnoses (DxGroups) for Each PIP-DCG
PIP-DCG 5
Dx Group 14 Breast cancer (b)
131 Ongoing pregnancy with complications
132 Ongoing pregnancy with no or minor complications
PIP-DCG 6
DXGroup 18 Cancer of prostate/testie/ male genital organs (b)
PIP-DCG 7
DxGroup 1 Central nervous system infections
39 Abdominal hernia, complicated
64 Alcohol/drug dependence
PIP-DCG 8
DxGroup 16 Cancer of uterus/cervix/ female genital organs
36 Peptic ulcer
77 Valvular and rheumatic heart disease
79 Hypertension, complicated
80 Coronary atherosclerosis
84 Angina pectoris
86 Atrial arrhythmia
92 Precerebral arterial occlusion
96 Aortic and other arterial aneurysm
110 Asthma
153 Brain injury
158 Artificial opening of gastrointestinal tract status
PIP-DCG 9
DxGroup 21 Other cancers (b)
32 Pancreatitis/other pancreatic disorders
82 Acute myocardial infarction
93 Transient cerebral ischemia
145 Fractures of skull and face
146 Pelvic fracture
147 Hip fracture
150 Internal injuries/traumatic amputations/third degree burns
PIP-DCG 10
DxGroup 11 Colon cancer (b)
59 Schizophrenic disorders
81 Post-myocardial infarction
82 Unstable angina
97 Thromboembolic vascular disease
116 Kidney infection
143 Vertebral fracture without spinal cord injury
PIP-DCG 11
DxGroup 42 Gastrointestinal obstruction/perforation
45 Gastrointestinal hemorrhage
87 Paroxysmal ventricular tachycardia
109 Bacterial pneumonia
133 Cellulitis and bullous skin disorders
PIP-DCG 12
DxGroup 4 Tuberculosis
10 Stomach, small bowel, other digestive cancer
12 Rectal cancer
19 Cancer of bladder, kidney, urinary organs
22 Benign brain/nervous system neoplasm
26 Diabetes with acute complica- tions/hypoglycemic coma
41 Inflammatory bowel disease
48 Rheumatoid arthritis and connective tissue disease
49 Bone/joint infections/necrosis
56 Dementia
60 Major depression
73 Epilepsy and other seizure disorders
91 Cerebral hemorrhage
93 Stroke
98 Peripheral vascular disease
111 Pulmonary fibrosis and bronchiectasis
113 Pleural effusion/ pneumothorax/empyema
PIP-DCG 14
DxGroup 2 Septicemia/shock
29 Adrenal gland, metabolic disorder
58 Delirium/hallucinations
61 Paranoia and other psychoses
63 Anxiety disorders
66 Personality disorders
70 Degenerative disorders
144 Spinal cord injury
PIP-DCG 16
DxGroup 8 Mouth/pharynx/larynx/other respiratory cancer
13 Lung cancer
34 Cirrhosis, other liver disorders
89 Congestive heart failure
95 Atherosclerosis of major vessel
105 Chronic obstructive pulmonary disease
PIP-DCG 18
DxGroup 17 Cancer of placenta/ovary/ uterine adnexa
55 Blood/immune disorders
72 Paralytic and other neurologic disorders
75 Polyneuropathy
108 Gram-negative/staphylococcus pneumonia
PIP-DCG 20
DxGroup 27 Diabetes with chronic complications
76 Coma and encephalopathy
112 Aspiration pneumonia
115 Renal failure/nephritis
PIP-DCG 23
DxGroup 9 Liver/pancreas/esophagus cancer (b)
33 End-stage liver disorders
88 Cardio-respiratory failure and shock
134 Decubitous and chronic skin ulcers
PIP-DCG 26
DxGroup 7 Metastatic cancer (b)
20 Brain/nervous system cancers (b)
PIP-DCG 29
DxGroup 3 HIV/AIDS (a)
15 cancers/neoplasms
(a) includes principal and secondary inpatient diagnoses of HIV/AIDS
(b) includes principal diagnoses and secondary diagnoses when the principal diagnosis is chemotherapy
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