DRG 455 - COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT CC/MCC

Enhanced MS-DRG Definitions Manual

MS-DRG v36 (FY 2019) Definitions Manual • DRG 455 - COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITHOUT CC/MCC

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

MDC	MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue
MDC Subsection	Combined Anterior/Posterior Spinal Fusion
DRG Number	455
DRG Description	COMBINED ANTERIOR/POSTERIOR SPINAL FUSION 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 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue Subsection Combined Anterior/Posterior Spinal Fusion)

This DRG is a member of the subsection Combined Anterior/Posterior Spinal Fusion. Patients who qualify for Combined Anterior/Posterior Spinal Fusion 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	453	COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH MCC	Medical
No	Yes	454	COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH CC	Medical
No	No	455	COMBINED ANTERIOR/POSTERIOR SPINAL FUSION 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.