MDC 17 Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms is broken down into subgroups, listed here from most to least resource intensive. If a patient received qualifying treatment in listed in more than one subgroup, the first one listed will determine the DRG assigned to the patient.
To determine if a patient qualifies for a subgroup, click on the subgroup name and check the requirements listed. Typically, each subgroup requires one of a serious of ICD-10-CM diagnostic codes or PCS codes to have been assigned to the patient.
To qualify for any subsection in this MDC, the patient's primary diagnostic code must be included in this list.
Patients who qualify for Lymphoma and Leukemia with Major Procedure will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
Patients who qualify for Lymphoma and Non-Acute Leukemia with Other Procedure will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
Patients who qualify for Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major Procedure will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
Patients who qualify for Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedure will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
Patients who qualify for Acute Leukemia without Major Procedure will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
| MCC | CC | DRG | Name | Type |
|---|---|---|---|---|
| Yes | n/a | 834 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH MCC | Medical |
| No | Yes | 835 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH CC | Medical |
| No | No | 836 | ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITHOUT CC/MCC | Medical |
Patients who qualify for Chemotherapy will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
| SDX Acute Leukemia | High Dose Chemo Agent | MCC | CC | DRG | Name | Type |
|---|---|---|---|---|---|---|
| Yes | n/a | Yes | n/a | 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | Medical |
| No | Yes | Yes | n/a | 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | Medical |
| Yes | No | No | Yes | 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | Medical |
| No | Yes | No | n/a | 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | Medical |
| Yes | No | No | No | 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | Medical |
Patients who qualify for Lymphoma and Non-Acute Leukemia will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
| MCC | CC | DRG | Name | Type |
|---|---|---|---|---|
| Yes | n/a | 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | Medical |
| No | Yes | 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | Medical |
| No | No | 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | Medical |
Patients who qualify for Other Myeloproliferative Disorders or Poorly Differentiated Neoplasm Diagnoses will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
Patients who qualify for Chemotherapy without Acute Leukemia as Secondary Diagnosis will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
All patients who qualify for the subsection Radiotherapy will be automatically grouped into DRG 849 - RADIOTHERAPY.
View the requirements to qualify for this subsection.
| DRG | Name | Type |
|---|---|---|
| 849 | RADIOTHERAPY | Medical |