Medicare Spending Per Beneficiary (MSPB) | Specific procedure provided during an inpatient stay | |
Total Per Capita Costs (TPCC) | Overall cost of care provided to patients | |
Routine Cataract Removal with Intraocular Lens (IOL) Implantation | Undergo a procedure for routine cataract removal with intraocular lens implantation | |
Asthma/Chronic Obstructive
Pulmonary Disease (COPD) | Patients receiving medical care to manage and treat asthma or COPD | |
Colon and Rectal Resection | Receive colon or rectal resection for either benign or malignant indications during the performance period. | |
| Receiving medical care to manage and treat diabetes. | |
Intracranial Hemorrhage or Cerebral Infraction | Acute Inpatient Medical Condition Receive inpatient treatment for cerebral infarction or intracranial hemorrhage during the performance period. | |
| Undergo an excision procedure to remove a cutaneous melanoma during the performance period. | |
| Patients who receive an elective knee arthroplasty during the performance period. | |
Elective Outpatient Percutaneous
Coronary Intervention (PCI) | Undergo elective outpatient PCI surgery to place a coronary stent for heart disease during the performance period. | |
Simple Pneumonia with Hospitalization | Acute Inpatient Medical Condition Patients who receive inpatient treatment for simple pneumonia during the performance period. | |
Revascularization for Lower Extremity
Chronic Critical Limb Ischemia | Undergo elective revascularization surgery for lower extremity chronic critical limb ischemia. | |
Screening/Surveillance Colonoscopy | Undergo a screening or surveillance colonoscopy procedure during the performance period. | |
ST-Elevation Myocardial Infarction (STEMI)
with Percutaneous Coronary Intervention (PCI) | Acute Inpatient Medical Condition Present with STEMI indicating complete blockage of a coronary artery who emergently receive PCI as treatment | |
| Acute Inpatient Medical Condition Patients who receive inpatient medical treatment for sepsis during the performance period. | |
Renal or Ureteral Stone Surgical Treatment | Receive surgical treatment for renal or ureteral stones during the performance period. | |
Non-Emergent Coronary
Artery Bypass Graft (CABG) | Patients who undergo a CABG procedure during the performance period. | |
Lumpectomy, Partial Mastectomy,
Simple Mastectomy | Undergo partial or total mastectomy for breast cancer during the performance period. | |
Lower Gastrointestinal Hemorrhage | Acute Inpatient Medical Condition Receive inpatient non-surgical treatment for acute bleeding in the lower gastrointestinal tract | |
Lumbar Spine Fusion for
Degenerative Disease, 1-3 Levels | Undergo surgery for lumbar spine fusion during the performance period. | |
Inpatient Chronic Obstructive
Pulmonary Disease (COPD) Exacerbation | Acute Inpatient Medical Condition Receive inpatient treatment for an acute exacerbation of COPD during the performance period. | |
Hemodialysis Access Creation | Undergo a procedure for the creation of graft or fistula access for long-term hemodialysis | |
Femoral or Inguinal Hernia Repair | Undergo a surgical procedure to repair a femoral or inguinal hernia during the performance period. | |
Elective Primary Hip Arthroplasty | Receive an elective primary hip arthroplasty during the performance period. | |
Acute Kidney Injury Requiring
New Inpatient Dialysis | Receive an inpatient dialysis service for acute kidney injury during the performance period. | |
