Patients who qualify for Osteomyelitis will be grouped into a DRG according to the logic below.
| MCC | CC | DRG | Name | Type |
|---|---|---|---|---|
| Yes | n/a | 539 | OSTEOMYELITIS WITH MCC | Medical |
| No | Yes | 540 | OSTEOMYELITIS WITH CC | Medical |
| No | No | 541 | OSTEOMYELITIS WITHOUT CC/MCC | Medical |
The tables below list the codes required to qualify for this subsection according to the logic listed above. By matching the codes on a patient's account to those listed below, you can work out how a patient will be grouped by the MS-DRG grouper. However, sometimes this can be difficult to work out by hand. If you are looking for automated DRG grouping software that can be integrated into your workflow, please let us know.
| Code | Description |
|---|---|
| A02.24 |
Salmonella osteomyelitis |
| A18.01 |
Tuberculosis of spine |
| A18.03 |
Tuberculosis of other bones |
| A51.46 |
Secondary syphilitic osteopathy |
| A52.77 |
Syphilis of bone and joint |
| A54.41 |
Gonococcal spondylopathy |
| M46.20 |
Osteomyelitis of vertebra, site unspecified |
| M46.21 |
Osteomyelitis of vertebra, occipito-atlanto-axial region |
| M46.22 |
Osteomyelitis of vertebra, cervical region |
| M46.23 |
Osteomyelitis of vertebra, cervicothoracic region |
| M46.24 |
Osteomyelitis of vertebra, thoracic region |
| M46.25 |
Osteomyelitis of vertebra, thoracolumbar region |
| M46.26 |
Osteomyelitis of vertebra, lumbar region |
| M46.27 |
Osteomyelitis of vertebra, lumbosacral region |
| M46.28 |
Osteomyelitis of vertebra, sacral and sacrococcygeal region |
| M46.30 |
Infection of intervertebral disc (pyogenic), site unspecified |
| M46.31 |
Infection of intervertebral disc (pyogenic), occipito-atlanto-axial region |
| M46.32 |
Infection of intervertebral disc (pyogenic), cervical region |
| M46.33 |
Infection of intervertebral disc (pyogenic), cervicothoracic region |
| M46.34 |
Infection of intervertebral disc (pyogenic), thoracic region |
| M46.35 |
Infection of intervertebral disc (pyogenic), thoracolumbar region |
| M46.36 |
Infection of intervertebral disc (pyogenic), lumbar region |
| M46.37 |
Infection of intervertebral disc (pyogenic), lumbosacral region |
| M46.38 |
Infection of intervertebral disc (pyogenic), sacral and sacrococcygeal region |
| M46.39 |
Infection of intervertebral disc (pyogenic), multiple sites in spine |
| M86.00 |
Acute hematogenous osteomyelitis, unspecified site |
| M86.011 |
Acute hematogenous osteomyelitis, right shoulder |
| M86.012 |
Acute hematogenous osteomyelitis, left shoulder |
| M86.019 |
Acute hematogenous osteomyelitis, unspecified shoulder |
| M86.021 |
Acute hematogenous osteomyelitis, right humerus |
| M86.022 |
Acute hematogenous osteomyelitis, left humerus |
| M86.029 |
Acute hematogenous osteomyelitis, unspecified humerus |
| M86.031 |
Acute hematogenous osteomyelitis, right radius and ulna |
| M86.032 |
Acute hematogenous osteomyelitis, left radius and ulna |
| M86.039 |
Acute hematogenous osteomyelitis, unspecified radius and ulna |
| M86.041 |
Acute hematogenous osteomyelitis, right hand |
| M86.042 |
Acute hematogenous osteomyelitis, left hand |
| M86.049 |
Acute hematogenous osteomyelitis, unspecified hand |
| M86.051 |
Acute hematogenous osteomyelitis, right femur |
| M86.052 |
Acute hematogenous osteomyelitis, left femur |
| M86.059 |
Acute hematogenous osteomyelitis, unspecified femur |
| M86.061 |
Acute hematogenous osteomyelitis, right tibia and fibula |
| M86.062 |
Acute hematogenous osteomyelitis, left tibia and fibula |
| M86.069 |
Acute hematogenous osteomyelitis, unspecified tibia and fibula |
| M86.071 |
Acute hematogenous osteomyelitis, right ankle and foot |
| M86.072 |
Acute hematogenous osteomyelitis, left ankle and foot |
| M86.079 |
Acute hematogenous osteomyelitis, unspecified ankle and foot |
| M86.08 |
Acute hematogenous osteomyelitis, other sites |
| M86.09 |
Acute hematogenous osteomyelitis, multiple sites |
| M86.10 |
Other acute osteomyelitis, unspecified site |
| M86.111 |
Other acute osteomyelitis, right shoulder |
| M86.112 |
Other acute osteomyelitis, left shoulder |
| M86.119 |
Other acute osteomyelitis, unspecified shoulder |
| M86.121 |
Other acute osteomyelitis, right humerus |
| M86.122 |
Other acute osteomyelitis, left humerus |
| M86.129 |
Other acute osteomyelitis, unspecified humerus |
| M86.131 |
Other acute osteomyelitis, right radius and ulna |
| M86.132 |
Other acute osteomyelitis, left radius and ulna |
| M86.139 |
Other acute osteomyelitis, unspecified radius and ulna |
| M86.141 |
Other acute osteomyelitis, right hand |
| M86.142 |
Other acute osteomyelitis, left hand |
| M86.149 |
Other acute osteomyelitis, unspecified hand |
| M86.151 |
Other acute osteomyelitis, right femur |
| M86.152 |
Other acute osteomyelitis, left femur |
| M86.159 |
Other acute osteomyelitis, unspecified femur |
| M86.161 |
Other acute osteomyelitis, right tibia and fibula |
| M86.162 |
Other acute osteomyelitis, left tibia and fibula |
| M86.169 |
Other acute osteomyelitis, unspecified tibia and fibula |
| M86.171 |
Other acute osteomyelitis, right ankle and foot |
| M86.172 |
Other acute osteomyelitis, left ankle and foot |
| M86.179 |
Other acute osteomyelitis, unspecified ankle and foot |
| M86.18 |
Other acute osteomyelitis, other site |
| M86.19 |
Other acute osteomyelitis, multiple sites |
| M86.20 |
Subacute osteomyelitis, unspecified site |
| M86.211 |
Subacute osteomyelitis, right shoulder |
| M86.212 |
Subacute osteomyelitis, left shoulder |
| M86.219 |
Subacute osteomyelitis, unspecified shoulder |
| M86.221 |
Subacute osteomyelitis, right humerus |
| M86.222 |
Subacute osteomyelitis, left humerus |
| M86.229 |
Subacute osteomyelitis, unspecified humerus |
| M86.231 |
Subacute osteomyelitis, right radius and ulna |
| M86.232 |
Subacute osteomyelitis, left radius and ulna |
| M86.239 |
Subacute osteomyelitis, unspecified radius and ulna |
| M86.241 |
Subacute osteomyelitis, right hand |
| M86.242 |
Subacute osteomyelitis, left hand |
| M86.249 |
Subacute osteomyelitis, unspecified hand |
| M86.251 |
Subacute osteomyelitis, right femur |
| M86.252 |
Subacute osteomyelitis, left femur |
| M86.259 |
Subacute osteomyelitis, unspecified femur |
| M86.261 |
Subacute osteomyelitis, right tibia and fibula |
| M86.262 |
Subacute osteomyelitis, left tibia and fibula |
| M86.269 |
Subacute osteomyelitis, unspecified tibia and fibula |
| M86.271 |
Subacute osteomyelitis, right ankle and foot |
| M86.272 |
Subacute osteomyelitis, left ankle and foot |
| M86.279 |
Subacute osteomyelitis, unspecified ankle and foot |
| M86.28 |
Subacute osteomyelitis, other site |
| M86.29 |
Subacute osteomyelitis, multiple sites |
| M86.30 |
Chronic multifocal osteomyelitis, unspecified site |
| M86.311 |
Chronic multifocal osteomyelitis, right shoulder |
| M86.312 |
Chronic multifocal osteomyelitis, left shoulder |
| M86.319 |
Chronic multifocal osteomyelitis, unspecified shoulder |
| M86.321 |
Chronic multifocal osteomyelitis, right humerus |
| M86.322 |
Chronic multifocal osteomyelitis, left humerus |
| M86.329 |
Chronic multifocal osteomyelitis, unspecified humerus |
| M86.331 |
Chronic multifocal osteomyelitis, right radius and ulna |
| M86.332 |
Chronic multifocal osteomyelitis, left radius and ulna |
| M86.339 |
Chronic multifocal osteomyelitis, unspecified radius and ulna |
| M86.341 |
Chronic multifocal osteomyelitis, right hand |
| M86.342 |
Chronic multifocal osteomyelitis, left hand |
| M86.349 |
Chronic multifocal osteomyelitis, unspecified hand |
| M86.351 |
Chronic multifocal osteomyelitis, right femur |
| M86.352 |
Chronic multifocal osteomyelitis, left femur |
| M86.359 |
Chronic multifocal osteomyelitis, unspecified femur |
| M86.361 |
Chronic multifocal osteomyelitis, right tibia and fibula |
| M86.362 |
Chronic multifocal osteomyelitis, left tibia and fibula |
| M86.369 |
Chronic multifocal osteomyelitis, unspecified tibia and fibula |
| M86.371 |
Chronic multifocal osteomyelitis, right ankle and foot |
| M86.372 |
Chronic multifocal osteomyelitis, left ankle and foot |
| M86.379 |
Chronic multifocal osteomyelitis, unspecified ankle and foot |
| M86.38 |
Chronic multifocal osteomyelitis, other site |
| M86.39 |
Chronic multifocal osteomyelitis, multiple sites |
| M86.40 |
Chronic osteomyelitis with draining sinus, unspecified site |
| M86.411 |
Chronic osteomyelitis with draining sinus, right shoulder |
| M86.412 |
Chronic osteomyelitis with draining sinus, left shoulder |
| M86.419 |
Chronic osteomyelitis with draining sinus, unspecified shoulder |
| M86.421 |
Chronic osteomyelitis with draining sinus, right humerus |
| M86.422 |
Chronic osteomyelitis with draining sinus, left humerus |
| M86.429 |
Chronic osteomyelitis with draining sinus, unspecified humerus |
| M86.431 |
Chronic osteomyelitis with draining sinus, right radius and ulna |
| M86.432 |
Chronic osteomyelitis with draining sinus, left radius and ulna |
| M86.439 |
Chronic osteomyelitis with draining sinus, unspecified radius and ulna |
| M86.441 |
Chronic osteomyelitis with draining sinus, right hand |
| M86.442 |
Chronic osteomyelitis with draining sinus, left hand |
| M86.449 |
Chronic osteomyelitis with draining sinus, unspecified hand |
| M86.451 |
Chronic osteomyelitis with draining sinus, right femur |
| M86.452 |
Chronic osteomyelitis with draining sinus, left femur |
| M86.459 |
Chronic osteomyelitis with draining sinus, unspecified femur |
| M86.461 |
Chronic osteomyelitis with draining sinus, right tibia and fibula |
| M86.462 |
Chronic osteomyelitis with draining sinus, left tibia and fibula |
| M86.469 |
Chronic osteomyelitis with draining sinus, unspecified tibia and fibula |
| M86.471 |
Chronic osteomyelitis with draining sinus, right ankle and foot |
| M86.472 |
Chronic osteomyelitis with draining sinus, left ankle and foot |
| M86.479 |
Chronic osteomyelitis with draining sinus, unspecified ankle and foot |
| M86.48 |
Chronic osteomyelitis with draining sinus, other site |
| M86.49 |
Chronic osteomyelitis with draining sinus, multiple sites |
| M86.50 |
Other chronic hematogenous osteomyelitis, unspecified site |
| M86.511 |
Other chronic hematogenous osteomyelitis, right shoulder |
| M86.512 |
Other chronic hematogenous osteomyelitis, left shoulder |
| M86.519 |
Other chronic hematogenous osteomyelitis, unspecified shoulder |
| M86.521 |
Other chronic hematogenous osteomyelitis, right humerus |
| M86.522 |
Other chronic hematogenous osteomyelitis, left humerus |
| M86.529 |
Other chronic hematogenous osteomyelitis, unspecified humerus |
| M86.531 |
Other chronic hematogenous osteomyelitis, right radius and ulna |
| M86.532 |
Other chronic hematogenous osteomyelitis, left radius and ulna |
| M86.539 |
Other chronic hematogenous osteomyelitis, unspecified radius and ulna |
| M86.541 |
Other chronic hematogenous osteomyelitis, right hand |
| M86.542 |
Other chronic hematogenous osteomyelitis, left hand |
| M86.549 |
Other chronic hematogenous osteomyelitis, unspecified hand |
| M86.551 |
Other chronic hematogenous osteomyelitis, right femur |
| M86.552 |
Other chronic hematogenous osteomyelitis, left femur |
| M86.559 |
Other chronic hematogenous osteomyelitis, unspecified femur |
| M86.561 |
Other chronic hematogenous osteomyelitis, right tibia and fibula |
| M86.562 |
Other chronic hematogenous osteomyelitis, left tibia and fibula |
| M86.569 |
Other chronic hematogenous osteomyelitis, unspecified tibia and fibula |
| M86.571 |
Other chronic hematogenous osteomyelitis, right ankle and foot |
| M86.572 |
Other chronic hematogenous osteomyelitis, left ankle and foot |
| M86.579 |
Other chronic hematogenous osteomyelitis, unspecified ankle and foot |
| M86.58 |
Other chronic hematogenous osteomyelitis, other site |
| M86.59 |
Other chronic hematogenous osteomyelitis, multiple sites |
| M86.60 |
Other chronic osteomyelitis, unspecified site |
| M86.611 |
Other chronic osteomyelitis, right shoulder |
| M86.612 |
Other chronic osteomyelitis, left shoulder |
| M86.619 |
Other chronic osteomyelitis, unspecified shoulder |
| M86.621 |
Other chronic osteomyelitis, right humerus |
| M86.622 |
Other chronic osteomyelitis, left humerus |
| M86.629 |
Other chronic osteomyelitis, unspecified humerus |
| M86.631 |
Other chronic osteomyelitis, right radius and ulna |
| M86.632 |
Other chronic osteomyelitis, left radius and ulna |
| M86.639 |
Other chronic osteomyelitis, unspecified radius and ulna |
| M86.641 |
Other chronic osteomyelitis, right hand |
| M86.642 |
Other chronic osteomyelitis, left hand |
| M86.649 |
Other chronic osteomyelitis, unspecified hand |
| M86.651 |
Other chronic osteomyelitis, right thigh |
| M86.652 |
Other chronic osteomyelitis, left thigh |
| M86.659 |
Other chronic osteomyelitis, unspecified thigh |
| M86.661 |
Other chronic osteomyelitis, right tibia and fibula |
| M86.662 |
Other chronic osteomyelitis, left tibia and fibula |
| M86.669 |
Other chronic osteomyelitis, unspecified tibia and fibula |
| M86.671 |
Other chronic osteomyelitis, right ankle and foot |
| M86.672 |
Other chronic osteomyelitis, left ankle and foot |
| M86.679 |
Other chronic osteomyelitis, unspecified ankle and foot |
| M86.68 |
Other chronic osteomyelitis, other site |
| M86.69 |
Other chronic osteomyelitis, multiple sites |
| M86.8X0 |
Other osteomyelitis, multiple sites |
| M86.8X1 |
Other osteomyelitis, shoulder |
| M86.8X2 |
Other osteomyelitis, upper arm |
| M86.8X3 |
Other osteomyelitis, forearm |
| M86.8X4 |
Other osteomyelitis, hand |
| M86.8X5 |
Other osteomyelitis, thigh |
| M86.8X6 |
Other osteomyelitis, lower leg |
| M86.8X7 |
Other osteomyelitis, ankle and foot |
| M86.8X8 |
Other osteomyelitis, other site |
| M86.8X9 |
Other osteomyelitis, unspecified sites |
| M86.9 |
Osteomyelitis, unspecified |
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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.
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