MDC 10 Endocrine, nutritional and metabolic diseases and disorders is broken down into subgroups, listed here from most to least resource intensive. If a patient received qualifying treatment in listed in more than one subgroup, the first one listed will determine the DRG assigned to the patient.
To determine if a patient qualifies for a subgroup, click on the subgroup name and check the requirements listed. Typically, each subgroup requires one of a serious of ICD-10-CM diagnostic codes or PCS codes to have been assigned to the patient.
To qualify for any subsection in this MDC, the patient's primary diagnostic code must be included in this list.
Patients who qualify for Amputation of lower limb for endocrine, nutritional and metabolic disorders will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
Patients who qualify for O.R. procedures for obesity will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
| MCC | CC | DRG | Name | Type |
|---|---|---|---|---|
| Yes | n/a | 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | Medical |
| No | Yes | 620 | O.R. PROCEDURES FOR OBESITY WITH CC | Medical |
| No | No | 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | Medical |
Patients who qualify for Adrenal and pituitary procedures will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
| CC or MCC | DRG | Name | Type |
|---|---|---|---|
| Yes | 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | Medical |
| No | 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | Medical |
Patients who qualify for Skin grafts and wound debridement for endocrine, nutritional and metabolic disorders will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
Patients who qualify for Thyroid, parathyroid and thyroglossal procedures will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
Patients who qualify for Other endocrine, nutritional and metabolic O.R. procedures will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
Patients who qualify for Diabetes will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
| MCC | CC | DRG | Name | Type |
|---|---|---|---|---|
| Yes | n/a | 637 | DIABETES WITH MCC | Medical |
| No | Yes | 638 | DIABETES WITH CC | Medical |
| No | No | 639 | DIABETES WITHOUT CC/MCC | Medical |
Patients who qualify for Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
All patients who qualify for the subsection Inborn and other disorders of metabolism will be automatically grouped into DRG 642 - INBORN AND OTHER DISORDERS OF METABOLISM.
View the requirements to qualify for this subsection.
| DRG | Name | Type |
|---|---|---|
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | Medical |
Patients who qualify for Endocrine disorders will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.
| MCC | CC | DRG | Name | Type |
|---|---|---|---|---|
| Yes | n/a | 643 | ENDOCRINE DISORDERS WITH MCC | Medical |
| No | Yes | 644 | ENDOCRINE DISORDERS WITH CC | Medical |
| No | No | 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | Medical |