MS-DRG v36 (FY 2019) Definitions Manual MDC 08 • Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions

DRG Assignment Logic for Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions

Patients who qualify for Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions will be grouped into a DRG according to the logic below.

Detailed Rules

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.

SPINAL FUSION EXCEPT CERVICAL OPERATING ROOM PROCEDURES

SPINAL CURVATURE / MALIGNANCY / INFECTION PRINCIPAL DIAGNOSIS

OR SECONDARY DIAGNOSIS

EXTENSIVE FUSIONS OPERATING ROOM PROCEDURES

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