MDC 23 Factors Influencing Health Status & Other Contacts with Health Services 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 Major Procedures with Diagnosis of Other Contact with Health Services will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
|Yes||n/a||939||O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC||Surgical|
|No||Yes||940||O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC||Surgical|
|No||No||941||O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC||Surgical|
All patients who qualify for the subsection Other Factors Influencing Health Status will be automatically grouped into DRG 951 - OTHER FACTORS INFLUENCING HEALTH STATUS.
View the requirements to qualify for this subsection.