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Table 2 Major Diagnostic Category (MDC) and contributing Diagnosis-Related Groups (DRGs, > 1%) of hospitalizations with documented OUD without opioid overdose, by OUD diagnosis position (primary/secondary)

From: Non-overdose acute care hospitalizations for opioid use disorder among commercially-insured adults: a retrospective cohort study

%

Primary-OUD

%

Secondary-OUD

100

Alcohol/Drug Use or Induced Mental Disorders (MDC 20)

Alcohol, Drug Abuse, or Dependence

• 88.5% DRG 897: Without Rehabilitation Therapy Without MCCa

• 5.1% DRG 895: With Rehabilitation Therapy

• 4.7% DRG 894: Left AMAb

36.5

23.1

Alcohol, Drug Abuse or Induced Mental Disorders (MDC 20)

• 31.4% DRG 897: Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without MCC

• 2.2% DRG 895: Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy

• 1.7% DRG 894: Alcohol, Drug Abuse or Dependence, Left AMA

Mental Diseases and Disorders (MDC 19)

• 18.4% Psychoses (DRG 885)

• 3.2% Neuroses (DRG 881)

  

6.7

Musculoskeletal System and Connective Tissue (MDC 8)

• 1.6% DRG 470: Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity Without MCC

  

5.3

Digestive System (MDC 6)

• 1.8% DRG 392: Esophagitis, Gastroenteritis and Misc Digestive Disorders Without MCC

  

4.1

Pregnancy, Childbirth and Puerperium (MDC 14)

• 1.5% DRG 775: Vaginal Delivery Without Complicating Diagnoses

  

3.6

Respiratory System (MDC 4)

  

3.5

Nervous System (MDC 1)

  

2.8

Infectious and Parasitic DDs (MDC 18)

• 1.3% DRG 871: Septicemia or Severe Sepsis without mechanical ventilation > 96 h with MCC

  

2.7

Circulatory System (MDC 5)

  

2.5

Skin, Subcutaneous Tissue and Breast (MDC 9)

• 1.6% DRG 603: Cellulitis without MCC

  1. aMCC—major complication or comorbidity
  2. bAMA—against medical advice, referred to in the text as self-directed discharges