MS-DRG v37 (FY 2020) Definitions Manual MDC 05 • Percutaneous Cardiovascular Procedures with Coronary Artery/Stent

DRG Assignment Logic for Percutaneous Cardiovascular Procedures with Coronary Artery/Stent

Patients who qualify for Percutaneous Cardiovascular Procedures with Coronary Artery/Stent 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.

PERCUTANEOUS CARDIOVASCULAR PROCEDURES OPERATING ROOM PROCEDURES

OR NON-OPERATING ROOM PROCEDURES

DRUG-ELUTING STENT

NON-DRUG-ELUTING STENT

COMBINATION OF CODES IN THE NEXT FOUR LISTS THAT ADD UP TO FOUR OR MORE ARTERIES/STENTS SELECT DRG 246 OVER DRG 247 or DRG 248 OVER DRG 249 ONE STENT

TWO STENTS

THREE STENTS

FOUR OR MORE STENTS

ONE ARTERY

TWO ARTERIES

THREE ARTERIES

FOUR OR MORE ARTERIES

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