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Viewing: Apr 24, 2019
MS-DRG GrouperCode 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:
Enter a ICD-9 vol 1 principle diagnosis, as well as any ICD-9 vol 1 secondary diagnoses and ICD-9 vol 3 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)
Constitutes a Complication/Comorbidity (CC) when used as a Secondary Diagnoses
Constitutes a Major Complication/Comorbidity (MCC) when used as a Secondary Diagnoses
Complication status is dependent on whether this condition was Present On Admission (POA) or hospital acquired.
Complication status is dependent on the patient's Discharge Status.
Operating Room Procedure
OR in Combo
Potential Operating Room Procedure, when used in combination with other specific procedures