UM Guidelines
Ambulatory 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-60

Achilles Tendon Repair

23-hr

S-11

Acromioplasty for Impingement Syndrome

23-hr

M-52

Angioplasty, Percutaneous Coronary Intervention

23-hr

A-0167

Cardiac Pacemaker Implantation

23-hr

S-378

Colles' Fracture: Distal Radial Fracture, Open Treatment

23-hr

A-0403

Deep Brain Stimulation (DBS)

23-hr

A-0394

Endovascular Repair (EVR), Thoracic Aortic Aneurysm

23-hr

S-430

Enucleation or Evisceration of Eyeball

23-hr

S-460

Femur Fracture, Removal of Internal Fixation Device

23-hr

S-505

Fundoplasty, Esophagogastric, by Laparoscopy

23-hr

S-665

Hysterectomy, Laparoscopic

23-hr

S-660

Hysterectomy, Vaginal

23-hr

S-770

Knee: Patella Reconstruction or Realignment for Recurrent Dislocation

23-hr

S-808

Lumbar Diskectomy or Microdiskectomy, Foraminotomy, Laminotomy, Single Level

23-hr

A-247

Mandibular Osteotomy

23-hr

A-0277

Mastectomy, Modified Radical

23-hr

S-860

Mastectomy, Modified Radical

23-hr

S-858

Mastectomy, Partial (Lumpectomy) with Axillary Lymphadenectomy

23-hr

S-900

Orbital Exploration

23-hr

S-910

Orchidectomy

23-hr

S-930

Parathyroidectomy

23-hr

S-954

Patent Ductus Arteriosus, Transcatheter Coil Occlusion

23-hr

S-1030

Retinal Detachment Repair

23-hr

S-1045

Rotator Cuff Repair with or without Acromioplasty

23-hr

S-1090

Thyroidectomy

23-hr

S-1160

Urethral Diverticulum, Excision

23-hr

A-0287 Uterine Artery Embolization

23-hr

A-0226 Vertebroplasty and Kyphoplasty

23-hr

S-1190 Vitrectomy for Hemorrhage or Retinal Detachment

23-hr

S-1210

Wrist Arthroplasty

23-hr