MS-DRG v35 (FY 2018) MDC 24 | Turquoise Health MS-DRG Manual

Enhanced MS-DRG Definitions Manual

MS-DRG v35 (FY 2018) Definitions Manual • MDC 24

MDC 24 Multiple Significant Trauma 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.

PRINCIPAL DIAGNOSIS OF SIGNIFICANT TRAUMA AND TWO OR MORE SIGNIFICANT TRAUMAS OF DIFFERENT BODY SITES SIGNIFICANT TRAUMA PRINCIPAL DIAGNOSIS

Patients who qualify for PRINCIPAL DIAGNOSIS OF SIGNIFICANT TRAUMA AND TWO OR MORE SIGNIFICANT TRAUMAS OF DIFFERENT BODY SITES SIGNIFICANT TRAUMA PRINCIPAL DIAGNOSIS will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

DRG	Name	Type

Craniotomy for Multiple Significant Trauma

All patients who qualify for the subsection Craniotomy for Multiple Significant Trauma will be automatically grouped into DRG 955 - CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA.

View the requirements to qualify for this subsection.

DRG	Name	Type
955	CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA	Medical

Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma

All patients who qualify for the subsection Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma will be automatically grouped into DRG 956 - LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA.

View the requirements to qualify for this subsection.

DRG	Name	Type
956	LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA	Medical

Other Procedures for Multiple Significant Trauma

Patients who qualify for Other Procedures for Multiple Significant Trauma 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	957	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC	Medical
No	Yes	958	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC	Medical
No	No	959	OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	Medical

Other Multiple Significant Trauma

Patients who qualify for Other Multiple Significant Trauma 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	963	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC	Medical
No	Yes	964	OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC	Medical
No	No	965	OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC	Medical

About the Turquoise Health MS-DRG Manual Browser

We build tools and machine learning systems that simplify healthcare revenue cycle operations. We were frustrated with the formatting of the MS-DRG rules, so we built our own solution.

MS-DRG rules and ICD-10 CM/PCS codes are automatically parsed from CMS's MS-DRG data files. All content is provided strictly “AS IS” and may contain parsing errors. If you spot an error, please let us know.

We have converted the MS-DRG logic into fully structured, machine-readable data. If you need structured data versions of the MS-DRG manuals, we would love to talk with you.