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Viewing:  Sep 21, 2019

MS-DRG Grouper        Code Set:

The DRG-Grouper is used to calculate payments to cover operating costs for inpatient hospital stays. Under the inpatient prospective payment system (IPPS) each individual case is categorized into a diagnosis related group – DRG. Payment weights are assigned to each DRG based on average resources used to treat Medicare patients in that DRG.

Access to this feature is available in the following products:
  • Facility Inpatient Reimbursement Tools


Instructions: Enter a ICD-10-CM principle diagnosis, as well as any ICD-10-CM secondary diagnoses and ICD-10-PCS procedures, in the boxes below.  Click the "Add" links for additional boxes. When done, click the "Group" button. The resultant DRG will display below.
DRG Grouper Tutorial (PDF)

Incident Details
ICD-10 Code POA Description (will appear for codes) Legend
Principal Diagnosis:
Secondary Diagnoses:

Discharge Date:
(optional - not used in grouping)
Admitting Diagnosis
Discharge Status:
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