Enhanced MS-DRG Definitions Manual

MS-DRG v38 (FY 2021) Definitions Manual • MDC 01 • Peripheral, Cranial Nerve and Other Nervous System Procedures

DRG Assignment Logic for Peripheral, Cranial Nerve and Other Nervous System Procedures

Patients who qualify for Peripheral, Cranial Nerve and Other Nervous System Procedures will be grouped into a DRG according to the logic below.

MCC CC Peripheral Neurostimulator Combinations DRG Name Type
Yes n/a n/a 040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC Medical
No Yes n/a 041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR Medical
No No Yes 041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR Medical
No No No 042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES 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.

PERIPHERAL / CRANIAL NERVE & OTHER NERVOUS SYSTEM PROCEDURES OPERATING ROOM PROCEDURES