DRG 538 - SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC

Enhanced MS-DRG Definitions Manual

MS-DRG v37 (FY 2020) Definitions Manual • DRG 538 - SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC

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

MDC	MDC 08 Diseases & Disorders of the Musculoskeletal System & Connective Tissue
MDC Subsection	Sprains, Strains and Dislocations of Hip, Pelvis and Thigh
DRG Number	538
DRG Description	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/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 Sprains, Strains and Dislocations of Hip, Pelvis and Thigh)

This DRG is a member of the subsection Sprains, Strains and Dislocations of Hip, Pelvis and Thigh. Patients who qualify for Sprains, Strains and Dislocations of Hip, Pelvis and Thigh will be grouped this DRG or one of the related DRGs according to the logic below.

View the requirements to qualify.

CC or MCC	DRG	Name	Type
Yes	537	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC	Medical
No	538	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH 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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