MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue is broken down into subgroups, listed here from most to least resource intensive. If a patient received qualifying treatment in listed in more than one subgroup, the first one listed will determine the DRG assigned to the patient.

To determine if a patient qualifies for a subgroup, click on the subgroup name and check the requirements listed. Typically, each subgroup requires one of a serious of ICD-10-CM diagnostic codes or PCS codes to have been assigned to the patient.

To qualify for any subsection in this MDC, the patient's primary diagnostic code must be included in this list.

Patients who qualify for Spinal Fusion Except Cervical will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

Patients who qualify for Cervical Spinal Fusion will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

Patients who qualify for Knee Procedures will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

Patients who qualify for Soft Tissue Procedures will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

Patients who qualify for Foot Procedures will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

All patients who qualify for the subsection Arthoscopy will be automatically grouped into DRG 509 - ARTHROSCOPY.

View the requirements to qualify for this subsection.

DRG Name Type
509 ARTHROSCOPY Surgical

Patients who qualify for Fractures of Femur will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

Patients who qualify for Fractures of Hip and Pelvis will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

Patients who qualify for Osteomyelitis will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

Patients who qualify for Connective Tissue Disorders will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

Patients who qualify for Septic Arthritis will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

Patients who qualify for Medical Back Problems will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

Patients who qualify for Bone Diseases and Arthropathies will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

Patients who qualify for Tendonitis, Myositis and Bursitis will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

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