MDC 21 Injuries, Poisonings & Toxic Effects of Drugs 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 Wound Debridements for Injuries will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
| MCC | CC | DRG | Name | Type |
|---|---|---|---|---|
| Yes | n/a | 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | Medical |
| No | Yes | 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | Medical |
| No | No | 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | Medical |
Patients who qualify for Skin Grafts for Injuries will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
| CC or MCC | DRG | Name | Type |
|---|---|---|---|
| Yes | 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | Medical |
| No | 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | Medical |
All patients who qualify for the subsection Hand Procedures for Injuries will be automatically grouped into DRG 906 - HAND PROCEDURES FOR INJURIES.
View the requirements to qualify for this subsection.
| DRG | Name | Type |
|---|---|---|
| 906 | HAND PROCEDURES FOR INJURIES | Medical |
Patients who qualify for Other O.R. Procedures for Injuries will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
| MCC | CC | DRG | Name | Type |
|---|---|---|---|---|
| Yes | n/a | 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | Medical |
| No | Yes | 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | Medical |
| No | No | 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | Medical |
Patients who qualify for Traumatic Injury will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
| MCC | DRG | Name | Type |
|---|---|---|---|
| Yes | 913 | TRAUMATIC INJURY WITH MCC | Medical |
| No | 914 | TRAUMATIC INJURY WITHOUT MCC | Medical |
Patients who qualify for Allergic Reactions will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
| MCC | DRG | Name | Type |
|---|---|---|---|
| Yes | 915 | ALLERGIC REACTIONS WITH MCC | Medical |
| No | 916 | ALLERGIC REACTIONS WITHOUT MCC | Medical |
Patients who qualify for Poisoning and Toxic Effects of Drugs will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
| MCC | DRG | Name | Type |
|---|---|---|---|
| Yes | 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | Medical |
| No | 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | Medical |
Patients who qualify for Complications of Treatment will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
| MCC | CC | DRG | Name | Type |
|---|---|---|---|---|
| Yes | n/a | 919 | COMPLICATIONS OF TREATMENT WITH MCC | Medical |
| No | Yes | 920 | COMPLICATIONS OF TREATMENT WITH CC | Medical |
| No | No | 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | Medical |
Patients who qualify for Other Injury, Poisoning and Toxic Effect Diagnoses will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.