DRG 519 - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC

Enhanced MS-DRG Definitions Manual

MS-DRG v37 (FY 2020) Definitions Manual • DRG 519 - BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC

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

MDC	MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue
MDC Subsection	Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators
DRG Number	519
DRG Description	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC
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 Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators)

This DRG is a member of the subsection Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators. Patients who qualify for Back and Neck Procedures, Except Spinal Fusion, or Disc Devices/Neurostimulators will be grouped this DRG or one of the related DRGs according to the logic below.

View the requirements to qualify.

Back & Neck Except Disc Devices	Disc Devices	Neurostimulator Combinations	MCC	CC	DRG	Name	Type
Yes	n/a	n/a	Yes	n/a	518	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR	Medical
No	Yes	n/a	n/a	n/a	518	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR	Medical
No	No	Yes	n/a	n/a	518	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR	Medical
Yes	No	No	No	Yes	519	BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC	Medical
Yes	No	No	No	No	520	BACK AND NECK PROCEDURES EXCEPT 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.