Enhanced MS-DRG Definitions Manual

MS-DRG v37 (FY 2020) Definitions Manual • MDC XX • Non-extensive Procedure Unrelated to Principal Diagnosis

DRG Assignment Logic for Non-extensive Procedure Unrelated to Principal Diagnosis

Patients who qualify for Non-extensive Procedure Unrelated to Principal Diagnosis will be grouped into a DRG according to the logic below.

MCC CC DRG Name Type
Yes n/a 987 NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Medical
No Yes 988 NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Medical
No No 989 NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Medical

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.

ONLY OPERATING ROOM PROCEDURES