DRG 159 - DENTAL AND ORAL DISEASES WITHOUT CC/MCC | Turquoise Health MS-DRG Manual

Enhanced MS-DRG Definitions Manual

MS-DRG v36 (FY 2019) Definitions Manual • DRG 159 - DENTAL AND ORAL DISEASES 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	Dental and Oral Diseases
DRG Number	159
DRG Description	DENTAL AND ORAL DISEASES 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 Dental and Oral Diseases)

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

View the requirements to qualify.

MCC	CC	DRG	Name	Type
Yes	n/a	157	DENTAL AND ORAL DISEASES WITH MCC	Medical
No	Yes	158	DENTAL AND ORAL DISEASES WITH CC	Medical
No	No	159	DENTAL AND ORAL DISEASES 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.