DRG 004 - TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES

Enhanced MS-DRG Definitions Manual

MS-DRG v39 (FY 2022) Definitions Manual • DRG 004 - TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES

DRG Information as of MS-DRG v39 (FY 2022)

MDC	Pre Pre-MDC
MDC Subsection	ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck
DRG Number	004
DRG Description	TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES
Surgical / Medical	Medical

Table 5 for FY 2022

Weights	None
Length of Stay (Geometric Mean)	None
Length of Stay (Arithmetic Mean)	None
Special Pay DRG	No
Post-Acute DRG	No

DRG Assignment Logic (From Pre Pre-MDC Subsection ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck)

This DRG is a member of the subsection ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck. Patients who qualify for ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck will be grouped this DRG or one of the related DRGs according to the logic below.

View the requirements to qualify.

ECMO	Tracheostomy	MV>96	PDX Exc Face, Mouth, Neck	Major O.R. Procedure	DRG	Name	Type
Yes	n/a	n/a	n/a	n/a	003	ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES	Medical
No	Yes	Yes	n/a	Yes	003	ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES	Medical
No	Yes	n/a	Yes	Yes	003	ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES	Medical
No	Yes	Yes	n/a	No	004	TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES	Medical
No	Yes	n/a	Yes	No	004	TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES	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.