DRG 138 - MOUTH PROCEDURES WITHOUT CC/MCC | Turquoise Health MS-DRG Manual

Enhanced MS-DRG Definitions Manual

MS-DRG v36 (FY 2019) Definitions Manual • DRG 138 - MOUTH PROCEDURES WITHOUT CC/MCC

DRG Information as of MS-DRG v36 (FY 2019)

MDC	MDC 03 Diseases & Disorders of the Ear, Nose, Mouth & Throat
MDC Subsection	Mouth Procedures
DRG Number	138
DRG Description	MOUTH PROCEDURES WITHOUT CC/MCC
Surgical / Medical	Medical

Table 5 for FY 2019

Weights	None
Length of Stay (Geometric Mean)	None
Length of Stay (Arithmetic Mean)	None
Special Pay DRG	No
Post-Acute DRG	No

DRG Assignment Logic (From MDC 03 Diseases & Disorders of the Ear, Nose, Mouth & Throat Subsection Mouth Procedures)

This DRG is a member of the subsection Mouth Procedures. Patients who qualify for Mouth Procedures will be grouped this DRG or one of the related DRGs according to the logic below.

View the requirements to qualify.

CC or MCC	DRG	Name	Type
Yes	137	MOUTH PROCEDURES WITH CC/MCC	Medical
No	138	MOUTH PROCEDURES 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.