DRG 456 - SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MCC

Enhanced MS-DRG Definitions Manual

MS-DRG v37 (FY 2020) Definitions Manual • DRG 456 - SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MCC

DRG Information as of MS-DRG v37 (FY 2020)

MDC	MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue
MDC Subsection	Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions
DRG Number	456
DRG Description	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MCC
Surgical / Medical	Medical

Table 5 for FY 2020

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 Spinal Fusion Except Cervical with Spinal Curvature / Malignancy / Infection or Extensive Fusions)

This DRG is a member of the subsection 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 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	456	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MCC	Medical
No	Yes	457	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH CC	Medical
No	No	458	SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS 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.

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