MDC 14 Pregnancy, childbirth and the puerperium 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 Cesarean section with sterilization 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 | 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | Medical |
| No | Yes | 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | Medical |
| No | No | 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | Medical |
Patients who qualify for Cesarean section without sterilization 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 | 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | Medical |
| No | Yes | 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | Medical |
| No | No | 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | Medical |
All patients who qualify for the subsection Vaginal delivery with O.R. procedures except sterilization and/or D&C will be automatically grouped into DRG 768 - VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C.
View the requirements to qualify for this subsection.
Patients who qualify for Vaginal delivery with sterilization and/or D&C 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 | 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | Medical |
| No | Yes | 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | Medical |
| No | No | 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | Medical |
All patients who qualify for the subsection Abortion with D&C, aspiration curettage or hysterotomy will be automatically grouped into DRG 770 - ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY.
View the requirements to qualify for this subsection.
| DRG | Name | Type |
|---|---|---|
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | Medical |
Patients who qualify for Other antepartum diagnoses with 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.
All patients who qualify for the subsection Postpartum and post abortion diagnoses with O.R. procedures will be automatically grouped into DRG 769 - POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES.
View the requirements to qualify for this subsection.
Patients who qualify for Vaginal delivery without sterilization or D&C 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 | 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | Medical |
| No | Yes | 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | Medical |
| No | No | 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | Medical |
All patients who qualify for the subsection Abortion without D&C will be automatically grouped into DRG 779 - ABORTION WITHOUT D&C.
View the requirements to qualify for this subsection.
| DRG | Name | Type |
|---|---|---|
| 779 | ABORTION WITHOUT D&C | Medical |
Patients who qualify for Other antepartum diagnoses without 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.
All patients who qualify for the subsection Postpartum and post abortion diagnoses without O.R. procedures will be automatically grouped into DRG 776 - POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES.
View the requirements to qualify for this subsection.
All patients who qualify for the subsection Principal diagnosis invalid as discharge diagnosis will be automatically grouped into DRG 998 - PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS.
View the requirements to qualify for this subsection.
| DRG | Name | Type |
|---|---|---|
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | Medical |