MS-DRG v38 (FY 2021) Definitions Manual MDC 08 • Other Musculoskeletal System and Connective Tissue Diagnoses

DRG Assignment Logic for Other Musculoskeletal System and Connective Tissue Diagnoses

Patients who qualify for Other Musculoskeletal System and Connective Tissue Diagnoses 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