MS-DRG v41 (FY 2024) MDC 08 Sprains, strains, and dislocations of hip, pelvis and thigh

Enhanced MS-DRG Definitions Manual

MS-DRG v41 (FY 2024) Definitions Manual • MDC 08 • Sprains, strains, and dislocations of hip, pelvis and thigh

DRG Assignment Logic for Sprains, strains, and dislocations of hip, pelvis and thigh

Patients who qualify for Sprains, strains, and dislocations of hip, pelvis and thigh will be grouped into a DRG according to the logic below.

CC or MCC	DRG	Name	Type
Yes	537	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC	Medical
No	538	SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH 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

Codes in PRINCIPAL DIAGNOSIS
Code	Description
S33.4XXA	Traumatic rupture of symphysis pubis, initial encounter
S73.001A	Unspecified subluxation of right hip, initial encounter
S73.002A	Unspecified subluxation of left hip, initial encounter
S73.003A	Unspecified subluxation of unspecified hip, initial encounter
S73.004A	Unspecified dislocation of right hip, initial encounter
S73.005A	Unspecified dislocation of left hip, initial encounter
S73.006A	Unspecified dislocation of unspecified hip, initial encounter
S73.011A	Posterior subluxation of right hip, initial encounter
S73.012A	Posterior subluxation of left hip, initial encounter
S73.013A	Posterior subluxation of unspecified hip, initial encounter
S73.014A	Posterior dislocation of right hip, initial encounter
S73.015A	Posterior dislocation of left hip, initial encounter
S73.016A	Posterior dislocation of unspecified hip, initial encounter
S73.021A	Obturator subluxation of right hip, initial encounter
S73.022A	Obturator subluxation of left hip, initial encounter
S73.023A	Obturator subluxation of unspecified hip, initial encounter
S73.024A	Obturator dislocation of right hip, initial encounter
S73.025A	Obturator dislocation of left hip, initial encounter
S73.026A	Obturator dislocation of unspecified hip, initial encounter
S73.031A	Other anterior subluxation of right hip, initial encounter
S73.032A	Other anterior subluxation of left hip, initial encounter
S73.033A	Other anterior subluxation of unspecified hip, initial encounter
S73.034A	Other anterior dislocation of right hip, initial encounter
S73.035A	Other anterior dislocation of left hip, initial encounter
S73.036A	Other anterior dislocation of unspecified hip, initial encounter
S73.041A	Central subluxation of right hip, initial encounter
S73.042A	Central subluxation of left hip, initial encounter
S73.043A	Central subluxation of unspecified hip, initial encounter
S73.044A	Central dislocation of right hip, initial encounter
S73.045A	Central dislocation of left hip, initial encounter
S73.046A	Central dislocation of unspecified hip, initial encounter
S73.101A	Unspecified sprain of right hip, initial encounter
S73.102A	Unspecified sprain of left hip, initial encounter
S73.109A	Unspecified sprain of unspecified hip, initial encounter
S73.111A	Iliofemoral ligament sprain of right hip, initial encounter
S73.112A	Iliofemoral ligament sprain of left hip, initial encounter
S73.119A	Iliofemoral ligament sprain of unspecified hip, initial encounter
S73.121A	Ischiocapsular ligament sprain of right hip, initial encounter
S73.122A	Ischiocapsular ligament sprain of left hip, initial encounter
S73.129A	Ischiocapsular ligament sprain of unspecified hip, initial encounter
S73.191A	Other sprain of right hip, initial encounter
S73.192A	Other sprain of left hip, initial encounter
S73.199A	Other sprain of unspecified hip, initial encounter
S76.011A	Strain of muscle, fascia and tendon of right hip, initial encounter
S76.012A	Strain of muscle, fascia and tendon of left hip, initial encounter
S76.019A	Strain of muscle, fascia and tendon of unspecified hip, initial encounter
S76.111A	Strain of right quadriceps muscle, fascia and tendon, initial encounter
S76.112A	Strain of left quadriceps muscle, fascia and tendon, initial encounter
S76.119A	Strain of unspecified quadriceps muscle, fascia and tendon, initial encounter
S76.211A	Strain of adductor muscle, fascia and tendon of right thigh, initial encounter
S76.212A	Strain of adductor muscle, fascia and tendon of left thigh, initial encounter
S76.219A	Strain of adductor muscle, fascia and tendon of unspecified thigh, initial encounter
S76.311A	Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, initial encounter
S76.312A	Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, left thigh, initial encounter
S76.319A	Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, unspecified thigh, initial encounter
S76.811A	Strain of other specified muscles, fascia and tendons at thigh level, right thigh, initial encounter
S76.812A	Strain of other specified muscles, fascia and tendons at thigh level, left thigh, initial encounter
S76.819A	Strain of other specified muscles, fascia and tendons at thigh level, unspecified thigh, initial encounter
S76.911A	Strain of unspecified muscles, fascia and tendons at thigh level, right thigh, initial encounter
S76.912A	Strain of unspecified muscles, fascia and tendons at thigh level, left thigh, initial encounter
S76.919A	Strain of unspecified muscles, fascia and tendons at thigh level, unspecified thigh, initial encounter

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.