MS-DRG v41 (FY 2024) MDC 22 | Turquoise Health MS-DRG Manual

Enhanced MS-DRG Definitions Manual

MS-DRG v41 (FY 2024) Definitions Manual • MDC 22

MDC 22 Burns 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.

MDC 22 Assignment of Diagnosis Codes

To qualify for any subsection in this MDC, the patient's primary diagnostic code must be included in this list.

Extensive burns or full thickness burns with MV >96 hours

Patients who qualify for Extensive burns or full thickness burns with MV >96 hours will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

Skin Graft	DRG	Name	Type
Yes	927	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT	Medical
No	933	EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT	Medical

Full thickness burn

Patients who qualify for Full thickness burn will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

Skin Graft or SDX of Inhalation Injury	CC or MCC	DRG	Name	Type
Yes	Yes	928	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC	Medical
Yes	No	929	FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC	Medical
No	n/a	934	FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY	Medical

Non-extensive burns

All patients who qualify for the subsection Non-extensive burns will be automatically grouped into DRG 935 - NON-EXTENSIVE BURNS.

View the requirements to qualify for this subsection.

DRG	Name	Type
935	NON-EXTENSIVE BURNS	Medical

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.