Enhanced MS-DRG Definitions Manual

MS-DRG v40 (FY 2023) Definitions Manual • MDC 08 • Aftercare, musculoskeletal system and connective tissue

DRG Assignment Logic for Aftercare, musculoskeletal system and connective tissue

Patients who qualify for Aftercare, musculoskeletal system and connective tissue will be grouped into a DRG according to the logic below.

MCC CC DRG Name Type
Yes n/a 559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC Medical
No Yes 560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC Medical
No No 561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC Medical

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.

PRINCIPAL DIAGNOSIS