MS-DRG v37 (FY 2020) Definitions Manual MDC 08 • Major Shoulder or Elbow Joint Procedures

DRG Assignment Logic for Major Shoulder or Elbow Joint Procedures

Patients who qualify for Major Shoulder or Elbow Joint Procedures 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.

OPERATING ROOM PROCEDURES

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