MS-DRG v35 (FY 2018) Definitions Manual MDC 14 • Vaginal Delivery with Complicating Diagnoses

DRG Assignment Logic for Vaginal Delivery with Complicating Diagnoses

Patients who qualify for Vaginal Delivery with Complicating Diagnoses will be grouped into a DRG according to the logic below.

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.

SOME CODES MAY MEET MORE THAN ONE OF THE CONDITIONS FIRST CONDITION - VAGINAL DELIVERY PRINCIPAL DIAGNOSIS OR SECONDARY DIAGNOSIS

OR DELIVERY PROCEDURE

OR DELIVERY OUTCOME SECONDARY DIAGNOSIS

SECOND CONDITION - COMPLICATING DIAGNOSIS PRINCIPAL OR SECONDARY DIAGNOSIS

OR SECONDARY DIAGNOSIS

THIRD CONDITION - ONLY A LIMITED SET OF OPERATING ROOM PROCEDURES ONLY THESE EXTENSIVE OPERATING ROOM PROCEDURES

OR THESE NON-EXTENSIVE OPERATING ROOM PROCEDURES

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