MS-DRG v37 (FY 2020) Definitions Manual MDC 25 • HIV with Major Related Condition

DRG Assignment Logic for HIV with Major Related Condition

Patients who qualify for HIV with Major Related Condition 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 OR SECONDARY DIAGNOSIS OF HIV INFECTION

AND PRINCIPAL OR SECONDARY DIAGNOSIS OF MAJOR RELATED CONDITION

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