Table 6: Diagnosis-related group (DRG) codes are listed for all study-relevant inpatient discharge diagnoses; Healthcare Common Procedure Coding System (HCPCS) codes are listed for all relevant outpatient cardiac stress testing. Data is based on 2012 reimbursement figures. All values are listed in US dollars.
|Inpatient service||DRG code||Reimbursement|
|CABG||238 - Major cardiovasc proc w/o MCC||$20,224.94|
|Inpatient ICA (with DES)||247 - Percutaneous cardiovascular proc w/||$12,016.59|
|Inpatient ICA (with BMS)||Drug eluting stent w/o MCC||$11,000.00|
|Inpatient ICA (diagnostic)||287 - Circulatory disorders except AMI w/ card cath w/o MCC||$6,292.35|
|Medically managed MI||282 - AMI discharged alive w/o CC/MCC||$4,344.40|
|Chest pain rule out||313 - Chest pain||$2,951.06|
|Outpatient service||HCPCS code||Reimbursement|
|SPECT MPI||78452 - Ht muscle image spectmult||$549.98|
|Stress echo||93351 - Stress TTE complete||$265.14|
|Exercise EKG||93014 - Cardiovascular stress test||$96.68|
CABG: coronary artery bypass graft; ICA: invasive coronary angiography; DES: drug-eluting stent; BMS: bare-metal stent; MI: myocardial infarction; MPI: myocardial perfusion imaging; MCC: major cardiac complications; TTE transthoracic echocardiogram.