MS-DRG v37 (FY 2020) Definitions Manual MDC 16 • Major Hematological/Immunological Diagnoses Except Sickle Cell Crisis and Coagulation

DRG Assignment Logic for Major Hematological/Immunological Diagnoses Except Sickle Cell Crisis and Coagulation

Patients who qualify for Major Hematological/Immunological Diagnoses Except Sickle Cell Crisis and Coagulation 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.

PRINCIPAL DIAGNOSIS

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