Enhanced MS-DRG Definitions Manual

MS-DRG v38 (FY 2021) Definitions Manual • MDC XX • Extensive O.R. Procedure Unrelated to Principal Diagnosis

DRG Assignment Logic for Extensive O.R. Procedure Unrelated to Principal Diagnosis

Patients who qualify for Extensive O.R. Procedure Unrelated to Principal Diagnosis will be grouped into a DRG according to the logic below.

MCC CC DRG Name Type
Yes n/a 981 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC Medical
No Yes 982 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC Medical
No No 983 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC Medical

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.

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