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