UM Guidelines
Ambulatory Goal Length of Stay

Inpatient and Surgical Care (ISC)

BCBST modification effective November 30, 2007*

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

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-660

Hysterectomy, Vaginal

23-hr

S-665

Hysterectomy, Vaginal with Laparoscopic Assistance

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-0277

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

 


* These guideline(s) have been revised from the Milliman USA Milliman Care Guidelines.  The portions of the guideline(s) which have been revised are identified through the use of [insert: italic, boldface, underlined, etc. as appropriate] text, and Milliman USA has neither reviewed nor approved the modified material.  Any statement to the contrary or association of the modified material with Milliman USA is strictly prohibited. This document has been classified as public information.
The above information only contains the modified portion of the Milliman Care Guideline. If you wish to view the complete Milliman Care Guideline, please contact Milliman USA.