MDC 19 Mental Diseases & Disorders 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.
All patients who qualify for the subsection Major Procedure with Principal Diagnosis of Mental Illness will be automatically grouped into DRG 876 - O.R. PROCEDURE WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS.
View the requirements to qualify for this subsection.
All patients who qualify for the subsection Acute Adjustment Reaction and Psychosocial Dysfunction will be automatically grouped into DRG 880 - ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION.
View the requirements to qualify for this subsection.
DRG | Name | Type |
---|---|---|
880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | Medical |
All patients who qualify for the subsection Depressive Neuroses will be automatically grouped into DRG 881 - DEPRESSIVE NEUROSES.
View the requirements to qualify for this subsection.
DRG | Name | Type |
---|---|---|
881 | DEPRESSIVE NEUROSES | Medical |
All patients who qualify for the subsection Neuroses Except Depressive will be automatically grouped into DRG 882 - NEUROSES EXCEPT DEPRESSIVE.
View the requirements to qualify for this subsection.
DRG | Name | Type |
---|---|---|
882 | NEUROSES EXCEPT DEPRESSIVE | Medical |
All patients who qualify for the subsection Disorders of Personality and Impulse Control will be automatically grouped into DRG 883 - DISORDERS OF PERSONALITY AND IMPULSE CONTROL.
View the requirements to qualify for this subsection.
DRG | Name | Type |
---|---|---|
883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | Medical |
All patients who qualify for the subsection Organic Disturbances and Intellectual Disability will be automatically grouped into DRG 884 - ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY.
View the requirements to qualify for this subsection.
DRG | Name | Type |
---|---|---|
884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | Medical |
All patients who qualify for the subsection Psychoses will be automatically grouped into DRG 885 - PSYCHOSES.
View the requirements to qualify for this subsection.
All patients who qualify for the subsection Behavioral and Developmental Disorders will be automatically grouped into DRG 886 - BEHAVIORAL AND DEVELOPMENTAL DISORDERS.
View the requirements to qualify for this subsection.
DRG | Name | Type |
---|---|---|
886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | Medical |
All patients who qualify for the subsection Other Mental Disorder Diagnoses will be automatically grouped into DRG 887 - OTHER MENTAL DISORDER DIAGNOSES.
View the requirements to qualify for this subsection.
DRG | Name | Type |
---|---|---|
887 | OTHER MENTAL DISORDER DIAGNOSES | Medical |