MS-DRG v38 (FY 2021) MDC 15 Extreme Immaturity or Respiratory Distress Syndrome, Neonate

Enhanced MS-DRG Definitions Manual

MS-DRG v38 (FY 2021) Definitions Manual • MDC 15 • Extreme Immaturity or Respiratory Distress Syndrome, Neonate

DRG Assignment Logic for Extreme Immaturity or Respiratory Distress Syndrome, Neonate

All patients who qualify for Extreme Immaturity or Respiratory Distress Syndrome, Neonate will be automatically grouped into DRG 790 - EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE.

View the requirements to qualify for this subsection.

DRG	Name	Type
790	EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE	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 OR SECONDARY DIAGNOSIS

Codes in PRINCIPAL OR SECONDARY DIAGNOSIS
Code	Description
P07.01	Extremely low birth weight newborn, less than 500 grams
P07.02	Extremely low birth weight newborn, 500-749 grams
P07.03	Extremely low birth weight newborn, 750-999 grams
P07.21	Extreme immaturity of newborn, gestational age less than 23 completed weeks
P07.22	Extreme immaturity of newborn, gestational age 23 completed weeks
P07.23	Extreme immaturity of newborn, gestational age 24 completed weeks
P07.24	Extreme immaturity of newborn, gestational age 25 completed weeks
P07.25	Extreme immaturity of newborn, gestational age 26 completed weeks
P22.0	Respiratory distress syndrome of newborn

About the Turquoise Health MS-DRG Manual Browser

We build tools and machine learning systems that simplify healthcare revenue cycle operations. We were frustrated with the formatting of the MS-DRG rules, so we built our own solution.

MS-DRG rules and ICD-10 CM/PCS codes are automatically parsed from CMS's MS-DRG data files. All content is provided strictly “AS IS” and may contain parsing errors. If you spot an error, please let us know.

We have converted the MS-DRG logic into fully structured, machine-readable data. If you need structured data versions of the MS-DRG manuals, we would love to talk with you.