MS-DRG v34 (FY 2017) MDC 14 Vaginal Delivery without Complicating Diagnoses

Enhanced MS-DRG Definitions Manual

MS-DRG v34 (FY 2017) Definitions Manual • MDC 14 • Vaginal Delivery without Complicating Diagnoses

DRG Assignment Logic for Vaginal Delivery without Complicating Diagnoses

All patients who qualify for Vaginal Delivery without Complicating Diagnoses will be automatically grouped into DRG 775 - VAGINAL DELIVERY WITHOUT COMPLICATING DIAGNOSES.

View the requirements to qualify for this subsection.

DRG	Name	Type
775	VAGINAL DELIVERY WITHOUT COMPLICATING DIAGNOSES	Medical

Detailed Rules

The tables below list the codes required to qualify for this subsection according to the logic listed above. By matching the codes on a patient's account to those listed below, you can work out how a patient will be grouped by the MS-DRG grouper. However, sometimes this can be difficult to work out by hand. If you are looking for automated DRG grouping software that can be integrated into your workflow, please let us know.

PRINCIPAL DIAGNOSIS OR SECONDARY DIAGNOSIS

Codes in PRINCIPAL DIAGNOSIS OR SECONDARY DIAGNOSIS
Code	Description
O24.420	Gestational diabetes mellitus in childbirth, diet controlled
O24.424	Gestational diabetes mellitus in childbirth, insulin controlled
O24.425	Gestational diabetes mellitus in childbirth, controlled by oral hypoglycemic drugs
O24.429	Gestational diabetes mellitus in childbirth, unspecified control
O25.2	Malnutrition in childbirth
O26.62	Liver and biliary tract disorders in childbirth
O26.72	Subluxation of symphysis (pubis) in childbirth
O60.12X0	Preterm labor second trimester with preterm delivery second trimester, not applicable or unspecified
O60.12X1	Preterm labor second trimester with preterm delivery second trimester, fetus 1
O60.12X2	Preterm labor second trimester with preterm delivery second trimester, fetus 2
O60.12X3	Preterm labor second trimester with preterm delivery second trimester, fetus 3
O60.12X4	Preterm labor second trimester with preterm delivery second trimester, fetus 4
O60.12X5	Preterm labor second trimester with preterm delivery second trimester, fetus 5
O60.12X9	Preterm labor second trimester with preterm delivery second trimester, other fetus
O60.13X0	Preterm labor second trimester with preterm delivery third trimester, not applicable or unspecified
O60.13X1	Preterm labor second trimester with preterm delivery third trimester, fetus 1
O60.13X2	Preterm labor second trimester with preterm delivery third trimester, fetus 2
O60.13X3	Preterm labor second trimester with preterm delivery third trimester, fetus 3
O60.13X4	Preterm labor second trimester with preterm delivery third trimester, fetus 4
O60.13X5	Preterm labor second trimester with preterm delivery third trimester, fetus 5
O60.13X9	Preterm labor second trimester with preterm delivery third trimester, other fetus
O60.14X0	Preterm labor third trimester with preterm delivery third trimester, not applicable or unspecified
O60.14X1	Preterm labor third trimester with preterm delivery third trimester, fetus 1
O60.14X2	Preterm labor third trimester with preterm delivery third trimester, fetus 2
O60.14X3	Preterm labor third trimester with preterm delivery third trimester, fetus 3
O60.14X4	Preterm labor third trimester with preterm delivery third trimester, fetus 4
O60.14X5	Preterm labor third trimester with preterm delivery third trimester, fetus 5
O60.14X9	Preterm labor third trimester with preterm delivery third trimester, other fetus
O60.22X0	Term delivery with preterm labor, second trimester, not applicable or unspecified
O60.22X1	Term delivery with preterm labor, second trimester, fetus 1
O60.22X2	Term delivery with preterm labor, second trimester, fetus 2
O60.22X3	Term delivery with preterm labor, second trimester, fetus 3
O60.22X4	Term delivery with preterm labor, second trimester, fetus 4
O60.22X5	Term delivery with preterm labor, second trimester, fetus 5
O60.22X9	Term delivery with preterm labor, second trimester, other fetus
O60.23X0	Term delivery with preterm labor, third trimester, not applicable or unspecified
O60.23X1	Term delivery with preterm labor, third trimester, fetus 1
O60.23X2	Term delivery with preterm labor, third trimester, fetus 2
O60.23X3	Term delivery with preterm labor, third trimester, fetus 3
O60.23X4	Term delivery with preterm labor, third trimester, fetus 4
O60.23X5	Term delivery with preterm labor, third trimester, fetus 5
O60.23X9	Term delivery with preterm labor, third trimester, other fetus
O64.0XX0	Obstructed labor due to incomplete rotation of fetal head, not applicable or unspecified
O64.0XX1	Obstructed labor due to incomplete rotation of fetal head, fetus 1
O64.0XX2	Obstructed labor due to incomplete rotation of fetal head, fetus 2
O64.0XX3	Obstructed labor due to incomplete rotation of fetal head, fetus 3
O64.0XX4	Obstructed labor due to incomplete rotation of fetal head, fetus 4
O64.0XX5	Obstructed labor due to incomplete rotation of fetal head, fetus 5
O64.0XX9	Obstructed labor due to incomplete rotation of fetal head, other fetus
O64.1XX0	Obstructed labor due to breech presentation, not applicable or unspecified
O64.1XX1	Obstructed labor due to breech presentation, fetus 1
O64.1XX2	Obstructed labor due to breech presentation, fetus 2
O64.1XX3	Obstructed labor due to breech presentation, fetus 3
O64.1XX4	Obstructed labor due to breech presentation, fetus 4
O64.1XX5	Obstructed labor due to breech presentation, fetus 5
O64.1XX9	Obstructed labor due to breech presentation, other fetus
O64.2XX0	Obstructed labor due to face presentation, not applicable or unspecified
O64.2XX1	Obstructed labor due to face presentation, fetus 1
O64.2XX2	Obstructed labor due to face presentation, fetus 2
O64.2XX3	Obstructed labor due to face presentation, fetus 3
O64.2XX4	Obstructed labor due to face presentation, fetus 4
O64.2XX5	Obstructed labor due to face presentation, fetus 5
O64.2XX9	Obstructed labor due to face presentation, other fetus
O64.3XX0	Obstructed labor due to brow presentation, not applicable or unspecified
O64.3XX1	Obstructed labor due to brow presentation, fetus 1
O64.3XX2	Obstructed labor due to brow presentation, fetus 2
O64.3XX3	Obstructed labor due to brow presentation, fetus 3
O64.3XX4	Obstructed labor due to brow presentation, fetus 4
O64.3XX5	Obstructed labor due to brow presentation, fetus 5
O64.3XX9	Obstructed labor due to brow presentation, other fetus
O64.4XX0	Obstructed labor due to shoulder presentation, not applicable or unspecified
O64.4XX1	Obstructed labor due to shoulder presentation, fetus 1
O64.4XX2	Obstructed labor due to shoulder presentation, fetus 2
O64.4XX3	Obstructed labor due to shoulder presentation, fetus 3
O64.4XX4	Obstructed labor due to shoulder presentation, fetus 4
O64.4XX5	Obstructed labor due to shoulder presentation, fetus 5
O64.4XX9	Obstructed labor due to shoulder presentation, other fetus
O64.5XX0	Obstructed labor due to compound presentation, not applicable or unspecified
O64.5XX1	Obstructed labor due to compound presentation, fetus 1
O64.5XX2	Obstructed labor due to compound presentation, fetus 2
O64.5XX3	Obstructed labor due to compound presentation, fetus 3
O64.5XX4	Obstructed labor due to compound presentation, fetus 4
O64.5XX5	Obstructed labor due to compound presentation, fetus 5
O64.5XX9	Obstructed labor due to compound presentation, other fetus
O64.8XX0	Obstructed labor due to other malposition and malpresentation, not applicable or unspecified
O64.8XX1	Obstructed labor due to other malposition and malpresentation, fetus 1
O64.8XX2	Obstructed labor due to other malposition and malpresentation, fetus 2
O64.8XX3	Obstructed labor due to other malposition and malpresentation, fetus 3
O64.8XX4	Obstructed labor due to other malposition and malpresentation, fetus 4
O64.8XX5	Obstructed labor due to other malposition and malpresentation, fetus 5
O64.8XX9	Obstructed labor due to other malposition and malpresentation, other fetus
O64.9XX0	Obstructed labor due to malposition and malpresentation, unspecified, not applicable or unspecified
O64.9XX1	Obstructed labor due to malposition and malpresentation, unspecified, fetus 1
O64.9XX2	Obstructed labor due to malposition and malpresentation, unspecified, fetus 2
O64.9XX3	Obstructed labor due to malposition and malpresentation, unspecified, fetus 3
O64.9XX4	Obstructed labor due to malposition and malpresentation, unspecified, fetus 4
O64.9XX5	Obstructed labor due to malposition and malpresentation, unspecified, fetus 5
O64.9XX9	Obstructed labor due to malposition and malpresentation, unspecified, other fetus
O65.0	Obstructed labor due to deformed pelvis
O65.1	Obstructed labor due to generally contracted pelvis
O65.2	Obstructed labor due to pelvic inlet contraction
O65.3	Obstructed labor due to pelvic outlet and mid-cavity contraction
O65.4	Obstructed labor due to fetopelvic disproportion, unspecified
O65.5	Obstructed labor due to abnormality of maternal pelvic organs
O65.8	Obstructed labor due to other maternal pelvic abnormalities
O65.9	Obstructed labor due to maternal pelvic abnormality, unspecified
O66.0	Obstructed labor due to shoulder dystocia
O66.1	Obstructed labor due to locked twins
O66.2	Obstructed labor due to unusually large fetus
O66.3	Obstructed labor due to other abnormalities of fetus
O66.41	Failed attempted vaginal birth after previous cesarean delivery
O66.5	Attempted application of vacuum extractor and forceps
O66.6	Obstructed labor due to other multiple fetuses
O66.8	Other specified obstructed labor
O66.9	Obstructed labor, unspecified
O68	Labor and delivery complicated by abnormality of fetal acid-base balance
O69.0XX0	Labor and delivery complicated by prolapse of cord, not applicable or unspecified
O69.0XX1	Labor and delivery complicated by prolapse of cord, fetus 1
O69.0XX2	Labor and delivery complicated by prolapse of cord, fetus 2
O69.0XX3	Labor and delivery complicated by prolapse of cord, fetus 3
O69.0XX4	Labor and delivery complicated by prolapse of cord, fetus 4
O69.0XX5	Labor and delivery complicated by prolapse of cord, fetus 5
O69.0XX9	Labor and delivery complicated by prolapse of cord, other fetus
O69.1XX0	Labor and delivery complicated by cord around neck, with compression, not applicable or unspecified
O69.1XX1	Labor and delivery complicated by cord around neck, with compression, fetus 1
O69.1XX2	Labor and delivery complicated by cord around neck, with compression, fetus 2
O69.1XX3	Labor and delivery complicated by cord around neck, with compression, fetus 3
O69.1XX4	Labor and delivery complicated by cord around neck, with compression, fetus 4
O69.1XX5	Labor and delivery complicated by cord around neck, with compression, fetus 5
O69.1XX9	Labor and delivery complicated by cord around neck, with compression, other fetus
O69.2XX0	Labor and delivery complicated by other cord entanglement, with compression, not applicable or unspecified
O69.2XX1	Labor and delivery complicated by other cord entanglement, with compression, fetus 1
O69.2XX2	Labor and delivery complicated by other cord entanglement, with compression, fetus 2
O69.2XX3	Labor and delivery complicated by other cord entanglement, with compression, fetus 3
O69.2XX4	Labor and delivery complicated by other cord entanglement, with compression, fetus 4
O69.2XX5	Labor and delivery complicated by other cord entanglement, with compression, fetus 5
O69.2XX9	Labor and delivery complicated by other cord entanglement, with compression, other fetus
O69.3XX0	Labor and delivery complicated by short cord, not applicable or unspecified
O69.3XX1	Labor and delivery complicated by short cord, fetus 1
O69.3XX2	Labor and delivery complicated by short cord, fetus 2
O69.3XX3	Labor and delivery complicated by short cord, fetus 3
O69.3XX4	Labor and delivery complicated by short cord, fetus 4
O69.3XX5	Labor and delivery complicated by short cord, fetus 5
O69.3XX9	Labor and delivery complicated by short cord, other fetus
O69.4XX0	Labor and delivery complicated by vasa previa, not applicable or unspecified
O69.4XX1	Labor and delivery complicated by vasa previa, fetus 1
O69.4XX2	Labor and delivery complicated by vasa previa, fetus 2
O69.4XX3	Labor and delivery complicated by vasa previa, fetus 3
O69.4XX4	Labor and delivery complicated by vasa previa, fetus 4
O69.4XX5	Labor and delivery complicated by vasa previa, fetus 5
O69.4XX9	Labor and delivery complicated by vasa previa, other fetus
O69.5XX0	Labor and delivery complicated by vascular lesion of cord, not applicable or unspecified
O69.5XX1	Labor and delivery complicated by vascular lesion of cord, fetus 1
O69.5XX2	Labor and delivery complicated by vascular lesion of cord, fetus 2
O69.5XX3	Labor and delivery complicated by vascular lesion of cord, fetus 3
O69.5XX4	Labor and delivery complicated by vascular lesion of cord, fetus 4
O69.5XX5	Labor and delivery complicated by vascular lesion of cord, fetus 5
O69.5XX9	Labor and delivery complicated by vascular lesion of cord, other fetus
O69.81X1	Labor and delivery complicated by cord around neck, without compression, fetus 1
O69.81X2	Labor and delivery complicated by cord around neck, without compression, fetus 2
O69.81X3	Labor and delivery complicated by cord around neck, without compression, fetus 3
O69.81X4	Labor and delivery complicated by cord around neck, without compression, fetus 4
O69.81X5	Labor and delivery complicated by cord around neck, without compression, fetus 5
O69.81X9	Labor and delivery complicated by cord around neck, without compression, other fetus
O69.82X1	Labor and delivery complicated by other cord entanglement, without compression, fetus 1
O69.82X2	Labor and delivery complicated by other cord entanglement, without compression, fetus 2
O69.82X3	Labor and delivery complicated by other cord entanglement, without compression, fetus 3
O69.82X4	Labor and delivery complicated by other cord entanglement, without compression, fetus 4
O69.82X5	Labor and delivery complicated by other cord entanglement, without compression, fetus 5
O69.82X9	Labor and delivery complicated by other cord entanglement, without compression, other fetus
O69.89X1	Labor and delivery complicated by other cord complications, fetus 1
O69.89X2	Labor and delivery complicated by other cord complications, fetus 2
O69.89X3	Labor and delivery complicated by other cord complications, fetus 3
O69.89X4	Labor and delivery complicated by other cord complications, fetus 4
O69.89X5	Labor and delivery complicated by other cord complications, fetus 5
O69.89X9	Labor and delivery complicated by other cord complications, other fetus
O69.9XX0	Labor and delivery complicated by cord complication, unspecified, not applicable or unspecified
O69.9XX1	Labor and delivery complicated by cord complication, unspecified, fetus 1
O69.9XX2	Labor and delivery complicated by cord complication, unspecified, fetus 2
O69.9XX3	Labor and delivery complicated by cord complication, unspecified, fetus 3
O69.9XX4	Labor and delivery complicated by cord complication, unspecified, fetus 4
O69.9XX5	Labor and delivery complicated by cord complication, unspecified, fetus 5
O69.9XX9	Labor and delivery complicated by cord complication, unspecified, other fetus
O71.00	Rupture of uterus before onset of labor, unspecified trimester
O71.1	Rupture of uterus during labor
O71.81	Laceration of uterus, not elsewhere classified
O75.5	Delayed delivery after artificial rupture of membranes
O75.81	Maternal exhaustion complicating labor and delivery
O75.82	Onset (spontaneous) of labor after 37 completed weeks of gestation but before 39 completed weeks gestation, with delivery by (planned) cesarean section
O77.0	Labor and delivery complicated by meconium in amniotic fluid
O77.1	Fetal stress in labor or delivery due to drug administration
O77.8	Labor and delivery complicated by other evidence of fetal stress
O77.9	Labor and delivery complicated by fetal stress, unspecified
O80	Encounter for full-term uncomplicated delivery
O82	Encounter for cesarean delivery without indication
O99.02	Anemia complicating childbirth
O99.12	Other diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism complicating childbirth
O99.214	Obesity complicating childbirth
O99.284	Endocrine, nutritional and metabolic diseases complicating childbirth
O99.314	Alcohol use complicating childbirth
O99.324	Drug use complicating childbirth
O99.334	Smoking (tobacco) complicating childbirth
O99.344	Other mental disorders complicating childbirth
O99.354	Diseases of the nervous system complicating childbirth
O99.52	Diseases of the respiratory system complicating childbirth
O99.62	Diseases of the digestive system complicating childbirth
O99.72	Diseases of the skin and subcutaneous tissue complicating childbirth
O99.814	Abnormal glucose complicating childbirth
O99.824	Streptococcus B carrier state complicating childbirth
O99.844	Bariatric surgery status complicating childbirth
O9A.12	Malignant neoplasm complicating childbirth
O9A.22	Injury, poisoning and certain other consequences of external causes complicating childbirth
O9A.32	Physical abuse complicating childbirth
O9A.42	Sexual abuse complicating childbirth
O9A.52	Psychological abuse complicating childbirth

OR DELIVERY PROCEDURE

Codes in OR DELIVERY PROCEDURE
Code	Description
0DQP7ZZ	Repair Rectum, Via Natural or Artificial Opening
0DQQ0ZZ	Repair Anus, Open Approach
0DQQ3ZZ	Repair Anus, Percutaneous Approach
0DQQ4ZZ	Repair Anus, Percutaneous Endoscopic Approach
0DQQ7ZZ	Repair Anus, Via Natural or Artificial Opening
0DQQ8ZZ	Repair Anus, Via Natural or Artificial Opening Endoscopic
0DQR0ZZ	Repair Anal Sphincter, Open Approach
0DQR3ZZ	Repair Anal Sphincter, Percutaneous Approach
0DQR4ZZ	Repair Anal Sphincter, Percutaneous Endoscopic Approach
10A07Z6	Abortion of Products of Conception, Vacuum, Via Natural or Artificial Opening
10D07Z3	Extraction of Products of Conception, Low Forceps, Via Natural or Artificial Opening
10D07Z4	Extraction of Products of Conception, Mid Forceps, Via Natural or Artificial Opening
10D07Z5	Extraction of Products of Conception, High Forceps, Via Natural or Artificial Opening
10D07Z6	Extraction of Products of Conception, Vacuum, Via Natural or Artificial Opening
10D07Z7	Extraction of Products of Conception, Internal Version, Via Natural or Artificial Opening
10D07Z8	Extraction of Products of Conception, Other, Via Natural or Artificial Opening
10E0XZZ	Delivery of Products of Conception, External Approach
10S07ZZ	Reposition Products of Conception, Via Natural or Artificial Opening

OR DELIVERY OUTCOME SECONDARY DIAGNOSIS

Codes in OR DELIVERY OUTCOME SECONDARY DIAGNOSIS
Code	Description
Z37.0	Single live birth
Z37.1	Single stillbirth
Z37.2	Twins, both liveborn
Z37.3	Twins, one liveborn and one stillborn
Z37.4	Twins, both stillborn
Z37.50	Multiple births, unspecified, all liveborn
Z37.51	Triplets, all liveborn
Z37.52	Quadruplets, all liveborn
Z37.53	Quintuplets, all liveborn
Z37.54	Sextuplets, all liveborn
Z37.59	Other multiple births, all liveborn
Z37.60	Multiple births, unspecified, some liveborn
Z37.61	Triplets, some liveborn
Z37.62	Quadruplets, some liveborn
Z37.63	Quintuplets, some liveborn
Z37.64	Sextuplets, some liveborn
Z37.69	Other multiple births, some liveborn
Z37.7	Other multiple births, all stillborn
Z37.9	Outcome of delivery, unspecified

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