MS-DRG v41 (FY 2024) MDC 12 Inflammation of the male reproductive system

Enhanced MS-DRG Definitions Manual

MS-DRG v41 (FY 2024) Definitions Manual • MDC 12 • Inflammation of the male reproductive system

DRG Assignment Logic for Inflammation of the male reproductive system

Patients who qualify for Inflammation of the male reproductive system will be grouped into a DRG according to the logic below.

MCC	DRG	Name	Type
Yes	727	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC	Medical
No	728	INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT 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
A18.14	Tuberculosis of prostate
A18.15	Tuberculosis of other male genital organs
A51.0	Primary genital syphilis
A54.00	Gonococcal infection of lower genitourinary tract, unspecified
A54.09	Other gonococcal infection of lower genitourinary tract
A54.1	Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess
A54.21	Gonococcal infection of kidney and ureter
A54.22	Gonococcal prostatitis
A54.23	Gonococcal infection of other male genital organs
A54.29	Other gonococcal genitourinary infections
A55	Chlamydial lymphogranuloma (venereum)
A56.00	Chlamydial infection of lower genitourinary tract, unspecified
A56.01	Chlamydial cystitis and urethritis
A56.09	Other chlamydial infection of lower genitourinary tract
A56.2	Chlamydial infection of genitourinary tract, unspecified
A56.8	Sexually transmitted chlamydial infection of other sites
A57	Chancroid
A58	Granuloma inguinale
A59.00	Urogenital trichomoniasis, unspecified
A59.02	Trichomonal prostatitis
A59.03	Trichomonal cystitis and urethritis
A59.09	Other urogenital trichomoniasis
A60.00	Herpesviral infection of urogenital system, unspecified
A60.01	Herpesviral infection of penis
A60.02	Herpesviral infection of other male genital organs
A60.09	Herpesviral infection of other urogenital tract
A60.1	Herpesviral infection of perianal skin and rectum
A60.9	Anogenital herpesviral infection, unspecified
A63.8	Other specified predominantly sexually transmitted diseases
A64	Unspecified sexually transmitted disease
B26.0	Mumps orchitis
B37.41	Candidal cystitis and urethritis
B37.42	Candidal balanitis
B37.49	Other urogenital candidiasis
N34.1	Nonspecific urethritis
N41.0	Acute prostatitis
N41.1	Chronic prostatitis
N41.2	Abscess of prostate
N41.3	Prostatocystitis
N41.4	Granulomatous prostatitis
N41.8	Other inflammatory diseases of prostate
N41.9	Inflammatory disease of prostate, unspecified
N43.1	Infected hydrocele
N45.1	Epididymitis
N45.2	Orchitis
N45.3	Epididymo-orchitis
N45.4	Abscess of epididymis or testis
N47.0	Adherent prepuce, newborn
N47.1	Phimosis
N47.2	Paraphimosis
N47.3	Deficient foreskin
N47.4	Benign cyst of prepuce
N47.5	Adhesions of prepuce and glans penis
N47.6	Balanoposthitis
N47.7	Other inflammatory diseases of prepuce
N47.8	Other disorders of prepuce
N48.1	Balanitis
N48.21	Abscess of corpus cavernosum and penis
N48.22	Cellulitis of corpus cavernosum and penis
N48.29	Other inflammatory disorders of penis
N49.0	Inflammatory disorders of seminal vesicle
N49.1	Inflammatory disorders of spermatic cord, tunica vaginalis and vas deferens
N49.2	Inflammatory disorders of scrotum
N49.3	Fournier gangrene
N49.8	Inflammatory disorders of other specified male genital organs
N49.9	Inflammatory disorder of unspecified male genital organ
Z41.2	Encounter for routine and ritual male circumcision

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.