UM Guidelines
Ambulatory or 1 & 1-day Goal Length of Stay

Inpatient and Surgical Care (ISC)

BCBST modification effective June 19, 2009*

Changed:
   
The following Goal Length of Stays have been modified to 23 hour observation.
 

ORG

Guideline

BCBST Modified GLOS

S-131

Abdominal Aortic Aneurysm, Endovascular Repair

23-hr

S-22

Adrenalectomy by Laparoscopy

23-hr

S-82

Ankle Dislocation, Open or Open Reduction

23-hr

S-90

Ankle Fracture, Closed, Open Reduction, Internal Fixation (ORIF)

23-hr

S-100

Ankle Fracture, Complex, Open Reduction, Internal Fixation (ORIF)

23-hr

S-152

Aortic Coarctation, Angioplasty

23-hr

P-20

Appendectomy, Uncomplicated, Open or Laparoscopic

23-hr

S-170

Appendectomy, without Peritonitis

23-hr

S-175

Appendectomy, without Peritonitis, by Laparoscopy

23-hr

S-200

Bladder Incision: Cystotomy

23-hr

S-282

Cardiac Septal Defect: Atrial, Transcatheter Closure

23-hr

S-292

Cardiac Valvotomy, Mitral, Percutaneous

23-hr

S-320

Cervical Fusion, Anterior

23-hr

S-371

Cholecystectomy with Common Duct Exploration by Laparoscopy

23-hr

S-424

Elbow: Fracture of Olecranon, Open Treatment

23-hr

S-422

Elbow: Unicondylar Fracture, Open Treatment

23-hr

S-420

Elbow Arthroplasty

23-hr

M-157

Electrophysiologic Study and Implantable Cardioverter-Defibrillator (ICD) Insertion, Transvenous

23-hr

S-445

Esophageal perticulectomy, Endoscopic Stapling

23-hr

S-490

Foot Fracture, Calcaneus or Talus, Open Reduction, Internal Fixation (ORIF)

23-hr

S-515

Gastric Restrictive Procedure without Gastric Bypass by Laparoscopy

23-hr

P-204

Hemopohilia

23-hr

S-632

Humerus Fracture, Open or Open Reduction

23-hr

P-207

Idiopathic Thrombocytopenic Purpura (ITP)

23-hr

S-710

Knee Arthrotomy

23-hr

S-810

Lumbar Diskectomy, Foraminotomy, Laminotomy, Multiple Levels

23-hr

S-830

Lumbar Laminectomy

23-hr

S-1012

Radius/Ulna Fracture, Open or Open Reduction

23-hr

S-530

Removal of Posterior Spinal Instrumentation

23-hr

S-1020

Repair of Cystocele, Rectocele, or Enterocele and Other Prolapse

23-hr

P-443

Slipped Upper Femoral Epiphysis, Closed Reduction

23-hr

S-1062

Splenectomy by Laparoscopy

23-hr

S-1072

Sympathectomy by Thoracoscopy or Laparoscopy

23-hr

S-1082

Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS)

23-hr

S-1111

Tibia/Fibula Shaft Fracture Closed, Closed Reduction without Internal Fixation

23-hr

S-1131

Tibial Osteotomy for Genu Varus or Valgus, Child or Adolescent

23-hr

S-1132

Tibial Osteotomy, Adult

23-hr

S-850

Urethral Suspension Procedures

23-hr