MS-DRG v39 (FY 2022) Definitions Manual MDC 08 • Bilateral or multiple major joint procedures of lower extremity

DRG Assignment Logic for Bilateral or multiple major joint procedures of lower extremity

Patients who qualify for Bilateral or multiple major joint procedures of lower extremity will be grouped into a DRG according to the logic below.

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.

To qualify as bilateral or multiple joint procedures you must have at least one code from two different lower extremity sites as listed below. Examples: left hip and right hip - bilateral; left hip and left knee - multiple; left hip and right ankle - multiple; left knee and right knee - bilateral RIGHT HIP

LEFT HIP

RIGHT KNEE

LEFT KNEE