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Viewing:  Aug 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

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Instructions: 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)

Incident Details
ICD-9 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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