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Viewing:  Nov 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

Select the "demo" button to view sample results.
Demo
Video

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.  Select the "more" links for additional boxes. When done, select the "group" button. The resultant DRG will display below.

more  Switch to ICD-9 Grouper   DRG Grouper Tutorial (PDF)

incident details
ICD-10 Codes POA Description (will appear for codes) Legend
 
Principal Dx (ICD-10-CM)
Secondary Dx (ICD-10-CM)
Procedures (ICD-10-PCS)

Discharge Date
(optional - not used in grouping)
Admitting Diagnosis
(0-124)
Age
Gender
Discharge Status

  
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