Enhanced MS-DRG Definitions Manual

MS-DRG v38 (FY 2021) Definitions Manual • MDC 08 • Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh

DRG Assignment Logic for Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh

Patients who qualify for Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh will be grouped into a DRG according to the logic below.

MCC DRG Name Type
Yes 562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC Medical
No 563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT 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.

PRINCIPAL DIAGNOSIS