U S Department of Health and Human Services www.hhs.gov
Centers for Medicare & Medicaid Services
Draft ICD-10-CM/PCS MS-DRGv28 Definitions Manual Previous Page [Alt-p] Up a level [Alt-u] Next Page [Alt-n]
 
MS-DRG INDEX
DRG 001   Heart transplant or implant of heart assist system w MCC
DRG 002   Heart transplant or implant of heart assist system w/o MCC
DRG 003   ECMO or trach w MV 96+ hrs or PDX exc face, mouth & neck w maj O.R.
DRG 004   Trach w MV 96+ hrs or PDX exc face, mouth & neck w/o maj O.R.
DRG 005   Liver transplant w MCC or intestinal transplant
DRG 006   Liver transplant w/o MCC
DRG 007   Lung transplant
DRG 008   Simultaneous pancreas/kidney transplant
DRG 010   Pancreas transplant
DRG 011   Tracheostomy for face,mouth & neck diagnoses w MCC
DRG 012   Tracheostomy for face,mouth & neck diagnoses w CC
DRG 013   Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC
DRG 014   Allogeneic bone marrow transplant
DRG 015   Autologous bone marrow transplant
DRG 020 (MDC 01)   Intracranial vascular procedures w PDX hemorrhage w MCC
DRG 021 (MDC 01)   Intracranial vascular procedures w PDX hemorrhage w CC
DRG 022 (MDC 01)   Intracranial vascular procedures w PDX hemorrhage w/o CC/MCC
DRG 023 (MDC 01)   Cranio w major dev impl/acute complex CNS PDX w MCC or chemo implant
DRG 024 (MDC 01)   Cranio w major dev impl/acute complex CNS PDX w/o MCC
DRG 025 (MDC 01)   Craniotomy & endovascular intracranial procedures w MCC
DRG 026 (MDC 01)   Craniotomy & endovascular intracranial procedures w CC
DRG 027 (MDC 01)   Craniotomy & endovascular intracranial procedures w/o CC/MCC
DRG 028 (MDC 01)   Spinal procedures w MCC
DRG 029 (MDC 01)   Spinal procedures w CC or spinal neurostimulators
DRG 030 (MDC 01)   Spinal procedures w/o CC/MCC
DRG 031 (MDC 01)   Ventricular shunt procedures w MCC
DRG 032 (MDC 01)   Ventricular shunt procedures w CC
DRG 033 (MDC 01)   Ventricular shunt procedures w/o CC/MCC
DRG 034 (MDC 01)   Carotid artery stent procedure w MCC
DRG 035 (MDC 01)   Carotid artery stent procedure w CC
DRG 036 (MDC 01)   Carotid artery stent procedure w/o CC/MCC
DRG 037 (MDC 01)   Extracranial procedures w MCC
DRG 038 (MDC 01)   Extracranial procedures w CC
DRG 039 (MDC 01)   Extracranial procedures w/o CC/MCC
DRG 040 (MDC 01)   Periph/cranial nerve & other nerv syst proc w MCC
DRG 041 (MDC 01)   Periph/cranial nerve & other nerv syst proc w CC or periph neurostim
DRG 042 (MDC 01)   Periph/cranial nerve & other nerv syst proc w/o CC/MCC
DRG 052 (MDC 01)   Spinal disorders & injuries w CC/MCC
DRG 053 (MDC 01)   Spinal disorders & injuries w/o CC/MCC
DRG 054 (MDC 01)   Nervous system neoplasms w MCC
DRG 055 (MDC 01)   Nervous system neoplasms w/o MCC
DRG 056 (MDC 01)   Degenerative nervous system disorders w MCC
DRG 057 (MDC 01)   Degenerative nervous system disorders w/o MCC
DRG 058 (MDC 01)   Multiple sclerosis & cerebellar ataxia w MCC
DRG 059 (MDC 01)   Multiple sclerosis & cerebellar ataxia w CC
DRG 060 (MDC 01)   Multiple sclerosis & cerebellar ataxia w/o CC/MCC
DRG 061 (MDC 01)   Acute ischemic stroke w use of thrombolytic agent w MCC
DRG 062 (MDC 01)   Acute ischemic stroke w use of thrombolytic agent w CC
DRG 063 (MDC 01)   Acute ischemic stroke w use of thrombolytic agent w/o CC/MCC
DRG 064 (MDC 01)   Intracranial hemorrhage or cerebral infarction w MCC
DRG 065 (MDC 01)   Intracranial hemorrhage or cerebral infarction w CC
DRG 066 (MDC 01)   Intracranial hemorrhage or cerebral infarction w/o CC/MCC
DRG 067 (MDC 01)   Nonspecific cva & precerebral occlusion w/o infarct w MCC
DRG 068 (MDC 01)   Nonspecific cva & precerebral occlusion w/o infarct w/o MCC
DRG 069 (MDC 01)   Transient ischemia
DRG 070 (MDC 01)   Nonspecific cerebrovascular disorders w MCC
DRG 071 (MDC 01)   Nonspecific cerebrovascular disorders w CC
DRG 072 (MDC 01)   Nonspecific cerebrovascular disorders w/o CC/MCC
DRG 073 (MDC 01)   Cranial & peripheral nerve disorders w MCC
DRG 074 (MDC 01)   Cranial & peripheral nerve disorders w/o MCC
DRG 075 (MDC 01)   Viral meningitis w CC/MCC
DRG 076 (MDC 01)   Viral meningitis w/o CC/MCC
DRG 077 (MDC 01)   Hypertensive encephalopathy w MCC
DRG 078 (MDC 01)   Hypertensive encephalopathy w CC
DRG 079 (MDC 01)   Hypertensive encephalopathy w/o CC/MCC
DRG 080 (MDC 01)   Nontraumatic stupor & coma w MCC
DRG 081 (MDC 01)   Nontraumatic stupor & coma w/o MCC
DRG 082 (MDC 01)   Traumatic stupor & coma, coma >1 hr w MCC
DRG 083 (MDC 01)   Traumatic stupor & coma, coma >1 hr w CC
DRG 084 (MDC 01)   Traumatic stupor & coma, coma >1 hr w/o CC/MCC
DRG 085 (MDC 01)   Traumatic stupor & coma, coma <1 hr w MCC
DRG 086 (MDC 01)   Traumatic stupor & coma, coma <1 hr w CC
DRG 087 (MDC 01)   Traumatic stupor & coma, coma <1 hr w/o CC/MCC
DRG 088 (MDC 01)   Concussion w MCC
DRG 089 (MDC 01)   Concussion w CC
DRG 090 (MDC 01)   Concussion w/o CC/MCC
DRG 091 (MDC 01)   Other disorders of nervous system w MCC
DRG 092 (MDC 01)   Other disorders of nervous system w CC
DRG 093 (MDC 01)   Other disorders of nervous system w/o CC/MCC
DRG 094 (MDC 01)   Bacterial & tuberculous infections of nervous system w MCC
DRG 095 (MDC 01)   Bacterial & tuberculous infections of nervous system w CC
DRG 096 (MDC 01)   Bacterial & tuberculous infections of nervous system w/o CC/MCC
DRG 097 (MDC 01)   Non-bacterial infect of nervous sys exc viral meningitis w MCC
DRG 098 (MDC 01)   Non-bacterial infect of nervous sys exc viral meningitis w CC
DRG 099 (MDC 01)   Non-bacterial infect of nervous sys exc viral meningitis w/o CC/MCC
DRG 100 (MDC 01)   Seizures w MCC
DRG 101 (MDC 01)   Seizures w/o MCC
DRG 102 (MDC 01)   Headaches w MCC
DRG 103 (MDC 01)   Headaches w/o MCC
DRG 113 (MDC 02)   Orbital procedures w CC/MCC
DRG 114 (MDC 02)   Orbital procedures w/o CC/MCC
DRG 115 (MDC 02)   Extraocular procedures except orbit
DRG 116 (MDC 02)   Intraocular procedures w CC/MCC
DRG 117 (MDC 02)   Intraocular procedures w/o CC/MCC
DRG 121 (MDC 02)   Acute major eye infections w CC/MCC
DRG 122 (MDC 02)   Acute major eye infections w/o CC/MCC
DRG 123 (MDC 02)   Neurological eye disorders
DRG 124 (MDC 02)   Other disorders of the eye w MCC
DRG 125 (MDC 02)   Other disorders of the eye w/o MCC
DRG 129 (MDC 03)   Major head & neck procedures w CC/MCC or major device
DRG 130 (MDC 03)   Major head & neck procedures w/o CC/MCC
DRG 131 (MDC 03)   Cranial/facial procedures w CC/MCC
DRG 132 (MDC 03)   Cranial/facial procedures w/o CC/MCC
DRG 133 (MDC 03)   Other ear, nose, mouth & throat O.R. procedures w CC/MCC
DRG 134 (MDC 03)   Other ear, nose, mouth & throat O.R. procedures w/o CC/MCC
DRG 135 (MDC 03)   Sinus & mastoid procedures w CC/MCC
DRG 136 (MDC 03)   Sinus & mastoid procedures w/o CC/MCC
DRG 137 (MDC 03)   Mouth procedures w CC/MCC
DRG 138 (MDC 03)   Mouth procedures w/o CC/MCC
DRG 139 (MDC 03)   Salivary gland procedures
DRG 146 (MDC 03)   Ear, nose, mouth & throat malignancy w MCC
DRG 147 (MDC 03)   Ear, nose, mouth & throat malignancy w CC
DRG 148 (MDC 03)   Ear, nose, mouth & throat malignancy w/o CC/MCC
DRG 149 (MDC 03)   Dysequilibrium
DRG 150 (MDC 03)   Epistaxis w MCC
DRG 151 (MDC 03)   Epistaxis w/o MCC
DRG 152 (MDC 03)   Otitis media & URI w MCC
DRG 153 (MDC 03)   Otitis media & URI w/o MCC
DRG 154 (MDC 03)   Other ear, nose, mouth & throat diagnoses w MCC
DRG 155 (MDC 03)   Other ear, nose, mouth & throat diagnoses w CC
DRG 156 (MDC 03)   Other ear, nose, mouth & throat diagnoses w/o CC/MCC
DRG 157 (MDC 03)   Dental & Oral Diseases w MCC
DRG 158 (MDC 03)   Dental & Oral Diseases w CC
DRG 159 (MDC 03)   Dental & Oral Diseases w/o CC/MCC
DRG 163 (MDC 04)   Major chest procedures w MCC
DRG 164 (MDC 04)   Major chest procedures w CC
DRG 165 (MDC 04)   Major chest procedures w/o CC/MCC
DRG 166 (MDC 04)   Other resp system O.R. procedures w MCC
DRG 167 (MDC 04)   Other resp system O.R. procedures w CC
DRG 168 (MDC 04)   Other resp system O.R. procedures w/o CC/MCC
DRG 175 (MDC 04)   Pulmonary embolism w MCC
DRG 176 (MDC 04)   Pulmonary embolism w/o MCC
DRG 177 (MDC 04)   Respiratory infections & inflammations w MCC
DRG 178 (MDC 04)   Respiratory infections & inflammations w CC
DRG 179 (MDC 04)   Respiratory infections & inflammations w/o CC/MCC
DRG 180 (MDC 04)   Respiratory neoplasms w MCC
DRG 181 (MDC 04)   Respiratory neoplasms w CC
DRG 182 (MDC 04)   Respiratory neoplasms w/o CC/MCC
DRG 183 (MDC 04)   Major chest trauma w MCC
DRG 184 (MDC 04)   Major chest trauma w CC
DRG 185 (MDC 04)   Major chest trauma w/o CC/MCC
DRG 186 (MDC 04)   Pleural effusion w MCC
DRG 187 (MDC 04)   Pleural effusion w CC
DRG 188 (MDC 04)   Pleural effusion w/o CC/MCC
DRG 189 (MDC 04)   Pulmonary edema & respiratory failure
DRG 190 (MDC 04)   Chronic obstructive pulmonary disease w MCC
DRG 191 (MDC 04)   Chronic obstructive pulmonary disease w CC
DRG 192 (MDC 04)   Chronic obstructive pulmonary disease w/o CC/MCC
DRG 193 (MDC 04)   Simple pneumonia & pleurisy w MCC
DRG 194 (MDC 04)   Simple pneumonia & pleurisy w CC
DRG 195 (MDC 04)   Simple pneumonia & pleurisy w/o CC/MCC
DRG 196 (MDC 04)   Interstitial lung disease w MCC
DRG 197 (MDC 04)   Interstitial lung disease w CC
DRG 198 (MDC 04)   Interstitial lung disease w/o CC/MCC
DRG 199 (MDC 04)   Pneumothorax w MCC
DRG 200 (MDC 04)   Pneumothorax w CC
DRG 201 (MDC 04)   Pneumothorax w/o CC/MCC
DRG 202 (MDC 04)   Bronchitis & asthma w CC/MCC
DRG 203 (MDC 04)   Bronchitis & asthma w/o CC/MCC
DRG 204 (MDC 04)   Respiratory signs & symptoms
DRG 205 (MDC 04)   Other respiratory system diagnoses w MCC
DRG 206 (MDC 04)   Other respiratory system diagnoses w/o MCC
DRG 207 (MDC 04)   Respiratory system diagnosis w ventilator support 96+ hours
DRG 208 (MDC 04)   Respiratory system diagnosis w ventilator support <96 hours
DRG 215 (MDC 05)   Other heart assist system implant
DRG 216 (MDC 05)   Cardiac valve & oth maj cardiothoracic proc w card cath w MCC
DRG 217 (MDC 05)   Cardiac valve & oth maj cardiothoracic proc w card cath w CC
DRG 218 (MDC 05)   Cardiac valve & oth maj cardiothoracic proc w card cath w/o CC/MCC
DRG 219 (MDC 05)   Cardiac valve & oth maj cardiothoracic proc w/o card cath w MCC
DRG 220 (MDC 05)   Cardiac valve & oth maj cardiothoracic proc w/o card cath w CC
DRG 221 (MDC 05)   Cardiac valve & oth maj cardiothoracic proc w/o card cath w/o CC/MCC
DRG 222 (MDC 05)   Cardiac defib implant w cardiac cath w AMI/HF/shock w MCC
DRG 223 (MDC 05)   Cardiac defib implant w cardiac cath w AMI/HF/shock w/o MCC
DRG 224 (MDC 05)   Cardiac defib implant w cardiac cath w/o AMI/HF/shock w MCC
DRG 225 (MDC 05)   Cardiac defib implant w cardiac cath w/o AMI/HF/shock w/o MCC
DRG 226 (MDC 05)   Cardiac defibrillator implant w/o cardiac cath w MCC
DRG 227 (MDC 05)   Cardiac defibrillator implant w/o cardiac cath w/o MCC
DRG 228 (MDC 05)   Other cardiothoracic procedures w MCC
DRG 229 (MDC 05)   Other cardiothoracic procedures w CC
DRG 230 (MDC 05)   Other cardiothoracic procedures w/o CC/MCC
DRG 231 (MDC 05)   Coronary bypass w PTCA w MCC
DRG 232 (MDC 05)   Coronary bypass w PTCA w/o MCC
DRG 233 (MDC 05)   Coronary bypass w cardiac cath w MCC
DRG 234 (MDC 05)   Coronary bypass w cardiac cath w/o MCC
DRG 235 (MDC 05)   Coronary bypass w/o cardiac cath w MCC
DRG 236 (MDC 05)   Coronary bypass w/o cardiac cath w/o MCC
DRG 237 (MDC 05)   Major cardiovasc procedures w MCC or thoracic aortic aneurysm repair
DRG 238 (MDC 05)   Major cardiovasc procedures w/o MCC
DRG 239 (MDC 05)   Amputation for circ sys disorders exc upper limb & toe w MCC
DRG 240 (MDC 05)   Amputation for circ sys disorders exc upper limb & toe w CC
DRG 241 (MDC 05)   Amputation for circ sys disorders exc upper limb & toe w/o CC/MCC
DRG 242 (MDC 05)   Permanent cardiac pacemaker implant w MCC
DRG 243 (MDC 05)   Permanent cardiac pacemaker implant w CC
DRG 244 (MDC 05)   Permanent cardiac pacemaker implant w/o CC/MCC
DRG 245 (MDC 05)   AICD generator procedures
DRG 246 (MDC 05)   Perc cardiovasc proc w drug-eluting stent w MCC or 4+ vessels/stents
DRG 247 (MDC 05)   Perc cardiovasc proc w drug-eluting stent w/o MCC
DRG 248 (MDC 05)   Perc cardiovasc proc w non-drug-eluting stent w MCC or 4+ ves/stents
DRG 249 (MDC 05)   Perc cardiovasc proc w non-drug-eluting stent w/o MCC
DRG 250 (MDC 05)   Perc cardiovasc proc w/o coronary artery stent w MCC
DRG 251 (MDC 05)   Perc cardiovasc proc w/o coronary artery stent w/o MCC
DRG 252 (MDC 05)   Other vascular procedures w MCC
DRG 253 (MDC 05)   Other vascular procedures w CC
DRG 254 (MDC 05)   Other vascular procedures w/o CC/MCC
DRG 255 (MDC 05)   Upper limb & toe amputation for circ system disorders w MCC
DRG 256 (MDC 05)   Upper limb & toe amputation for circ system disorders w CC
DRG 257 (MDC 05)   Upper limb & toe amputation for circ system disorders w/o CC/MCC
DRG 258 (MDC 05)   Cardiac pacemaker device replacement w MCC
DRG 259 (MDC 05)   Cardiac pacemaker device replacement w/o MCC
DRG 260 (MDC 05)   Cardiac pacemaker revision except device replacement w MCC
DRG 261 (MDC 05)   Cardiac pacemaker revision except device replacement w CC
DRG 262 (MDC 05)   Cardiac pacemaker revision except device replacement w/o CC/MCC
DRG 263 (MDC 05)   Vein ligation & stripping
DRG 264 (MDC 05)   Other circulatory system O.R. procedures
DRG 265 (MDC 05)   AICD lead procedures
DRG 280 (MDC 05)   Acute myocardial infarction, discharged alive w MCC
DRG 281 (MDC 05)   Acute myocardial infarction, discharged alive w CC
DRG 282 (MDC 05)   Acute myocardial infarction, discharged alive w/o CC/MCC
DRG 283 (MDC 05)   Acute myocardial infarction, expired w MCC
DRG 284 (MDC 05)   Acute myocardial infarction, expired w CC
DRG 285 (MDC 05)   Acute myocardial infarction, expired w/o CC/MCC
DRG 286 (MDC 05)   Circulatory disorders except AMI, w card cath w MCC
DRG 287 (MDC 05)   Circulatory disorders except AMI, w card cath w/o MCC
DRG 288 (MDC 05)   Acute & subacute endocarditis w MCC
DRG 289 (MDC 05)   Acute & subacute endocarditis w CC
DRG 290 (MDC 05)   Acute & subacute endocarditis w/o CC/MCC
DRG 291 (MDC 05)   Heart failure & shock w MCC
DRG 292 (MDC 05)   Heart failure & shock w CC
DRG 293 (MDC 05)   Heart failure & shock w/o CC/MCC
DRG 294 (MDC 05)   Deep vein thrombophlebitis w CC/MCC
DRG 295 (MDC 05)   Deep vein thrombophlebitis w/o CC/MCC
DRG 296 (MDC 05)   Cardiac arrest, unexplained w MCC
DRG 297 (MDC 05)   Cardiac arrest, unexplained w CC
DRG 298 (MDC 05)   Cardiac arrest, unexplained w/o CC/MCC
DRG 299 (MDC 05)   Peripheral vascular disorders w MCC
DRG 300 (MDC 05)   Peripheral vascular disorders w CC
DRG 301 (MDC 05)   Peripheral vascular disorders w/o CC/MCC
DRG 302 (MDC 05)   Atherosclerosis w MCC
DRG 303 (MDC 05)   Atherosclerosis w/o MCC
DRG 304 (MDC 05)   Hypertension w MCC
DRG 305 (MDC 05)   Hypertension w/o MCC
DRG 306 (MDC 05)   Cardiac congenital & valvular disorders w MCC
DRG 307 (MDC 05)   Cardiac congenital & valvular disorders w/o MCC
DRG 308 (MDC 05)   Cardiac arrhythmia & conduction disorders w MCC
DRG 309 (MDC 05)   Cardiac arrhythmia & conduction disorders w CC
DRG 310 (MDC 05)   Cardiac arrhythmia & conduction disorders w/o CC/MCC
DRG 311 (MDC 05)   Angina pectoris
DRG 312 (MDC 05)   Syncope & collapse
DRG 313 (MDC 05)   Chest pain
DRG 314 (MDC 05)   Other circulatory system diagnoses w MCC
DRG 315 (MDC 05)   Other circulatory system diagnoses w CC
DRG 316 (MDC 05)   Other circulatory system diagnoses w/o CC/MCC
DRG 326 (MDC 06)   Stomach, esophageal & duodenal proc w MCC
DRG 327 (MDC 06)   Stomach, esophageal & duodenal proc w CC
DRG 328 (MDC 06)   Stomach, esophageal & duodenal proc w/o CC/MCC
DRG 329 (MDC 06)   Major small & large bowel procedures w MCC
DRG 330 (MDC 06)   Major small & large bowel procedures w CC
DRG 331 (MDC 06)   Major small & large bowel procedures w/o CC/MCC
DRG 332 (MDC 06)   Rectal resection w MCC
DRG 333 (MDC 06)   Rectal resection w CC
DRG 334 (MDC 06)   Rectal resection w/o CC/MCC
DRG 335 (MDC 06)   Peritoneal adhesiolysis w MCC
DRG 336 (MDC 06)   Peritoneal adhesiolysis w CC
DRG 337 (MDC 06)   Peritoneal adhesiolysis w/o CC/MCC
DRG 338 (MDC 06)   Appendectomy w complicated principal diag w MCC
DRG 339 (MDC 06)   Appendectomy w complicated principal diag w CC
DRG 340 (MDC 06)   Appendectomy w complicated principal diag w/o CC/MCC
DRG 341 (MDC 06)   Appendectomy w/o complicated principal diag w MCC
DRG 342 (MDC 06)   Appendectomy w/o complicated principal diag w CC
DRG 343 (MDC 06)   Appendectomy w/o complicated principal diag w/o CC/MCC
DRG 344 (MDC 06)   Minor small & large bowel procedures w MCC
DRG 345 (MDC 06)   Minor small & large bowel procedures w CC
DRG 346 (MDC 06)   Minor small & large bowel procedures w/o CC/MCC
DRG 347 (MDC 06)   Anal & stomal procedures w MCC
DRG 348 (MDC 06)   Anal & stomal procedures w CC
DRG 349 (MDC 06)   Anal & stomal procedures w/o CC/MCC
DRG 350 (MDC 06)   Inguinal & femoral hernia procedures w MCC
DRG 351 (MDC 06)   Inguinal & femoral hernia procedures w CC
DRG 352 (MDC 06)   Inguinal & femoral hernia procedures w/o CC/MCC
DRG 353 (MDC 06)   Hernia procedures except inguinal & femoral w MCC
DRG 354 (MDC 06)   Hernia procedures except inguinal & femoral w CC
DRG 355 (MDC 06)   Hernia procedures except inguinal & femoral w/o CC/MCC
DRG 356 (MDC 06)   Other digestive system O.R. procedures w MCC
DRG 357 (MDC 06)   Other digestive system O.R. procedures w CC
DRG 358 (MDC 06)   Other digestive system O.R. procedures w/o CC/MCC
DRG 368 (MDC 06)   Major esophageal disorders w MCC
DRG 369 (MDC 06)   Major esophageal disorders w CC
DRG 370 (MDC 06)   Major esophageal disorders w/o CC/MCC
DRG 371 (MDC 06)   Major gastrointestinal disorders & peritoneal infections w MCC
DRG 372 (MDC 06)   Major gastrointestinal disorders & peritoneal infections w CC
DRG 373 (MDC 06)   Major gastrointestinal disorders & peritoneal infections w/o CC/MCC
DRG 374 (MDC 06)   Digestive malignancy w MCC
DRG 375 (MDC 06)   Digestive malignancy w CC
DRG 376 (MDC 06)   Digestive malignancy w/o CC/MCC
DRG 377 (MDC 06)   G.I. hemorrhage w MCC
DRG 378 (MDC 06)   G.I. hemorrhage w CC
DRG 379 (MDC 06)   G.I. hemorrhage w/o CC/MCC
DRG 380 (MDC 06)   Complicated peptic ulcer w MCC
DRG 381 (MDC 06)   Complicated peptic ulcer w CC
DRG 382 (MDC 06)   Complicated peptic ulcer w/o CC/MCC
DRG 383 (MDC 06)   Uncomplicated peptic ulcer w MCC
DRG 384 (MDC 06)   Uncomplicated peptic ulcer w/o MCC
DRG 385 (MDC 06)   Inflammatory bowel disease w MCC
DRG 386 (MDC 06)   Inflammatory bowel disease w CC
DRG 387 (MDC 06)   Inflammatory bowel disease w/o CC/MCC
DRG 388 (MDC 06)   G.I. obstruction w MCC
DRG 389 (MDC 06)   G.I. obstruction w CC
DRG 390 (MDC 06)   G.I. obstruction w/o CC/MCC
DRG 391 (MDC 06)   Esophagitis, gastroent & misc digest disorders w MCC
DRG 392 (MDC 06)   Esophagitis, gastroent & misc digest disorders w/o MCC
DRG 393 (MDC 06)   Other digestive system diagnoses w MCC
DRG 394 (MDC 06)   Other digestive system diagnoses w CC
DRG 395 (MDC 06)   Other digestive system diagnoses w/o CC/MCC
DRG 405 (MDC 07)   Pancreas, liver & shunt procedures w MCC
DRG 406 (MDC 07)   Pancreas, liver & shunt procedures w CC
DRG 407 (MDC 07)   Pancreas, liver & shunt procedures w/o CC/MCC
DRG 408 (MDC 07)   Biliary tract proc except only cholecyst w or w/o c.d.e. w MCC
DRG 409 (MDC 07)   Biliary tract proc except only cholecyst w or w/o c.d.e. w CC
DRG 410 (MDC 07)   Biliary tract proc except only cholecyst w or w/o c.d.e. w/o CC/MCC
DRG 411 (MDC 07)   Cholecystectomy w c.d.e. w MCC
DRG 412 (MDC 07)   Cholecystectomy w c.d.e. w CC
DRG 413 (MDC 07)   Cholecystectomy w c.d.e. w/o CC/MCC
DRG 414 (MDC 07)   Cholecystectomy except by laparoscope w/o c.d.e. w MCC
DRG 415 (MDC 07)   Cholecystectomy except by laparoscope w/o c.d.e. w CC
DRG 416 (MDC 07)   Cholecystectomy except by laparoscope w/o c.d.e. w/o CC/MCC
DRG 417 (MDC 07)   Laparoscopic cholecystectomy w/o c.d.e. w MCC
DRG 418 (MDC 07)   Laparoscopic cholecystectomy w/o c.d.e. w CC
DRG 419 (MDC 07)   Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC
DRG 420 (MDC 07)   Hepatobiliary diagnostic procedures w MCC
DRG 421 (MDC 07)   Hepatobiliary diagnostic procedures w CC
DRG 422 (MDC 07)   Hepatobiliary diagnostic procedures w/o CC/MCC
DRG 423 (MDC 07)   Other hepatobiliary or pancreas O.R. procedures w MCC
DRG 424 (MDC 07)   Other hepatobiliary or pancreas O.R. procedures w CC
DRG 425 (MDC 07)   Other hepatobiliary or pancreas O.R. procedures w/o CC/MCC
DRG 432 (MDC 07)   Cirrhosis & alcoholic hepatitis w MCC
DRG 433 (MDC 07)   Cirrhosis & alcoholic hepatitis w CC
DRG 434 (MDC 07)   Cirrhosis & alcoholic hepatitis w/o CC/MCC
DRG 435 (MDC 07)   Malignancy of hepatobiliary system or pancreas w MCC
DRG 436 (MDC 07)   Malignancy of hepatobiliary system or pancreas w CC
DRG 437 (MDC 07)   Malignancy of hepatobiliary system or pancreas w/o CC/MCC
DRG 438 (MDC 07)   Disorders of pancreas except malignancy w MCC
DRG 439 (MDC 07)   Disorders of pancreas except malignancy w CC
DRG 440 (MDC 07)   Disorders of pancreas except malignancy w/o CC/MCC
DRG 441 (MDC 07)   Disorders of liver except malig,cirr,alc hepa w MCC
DRG 442 (MDC 07)   Disorders of liver except malig,cirr,alc hepa w CC
DRG 443 (MDC 07)   Disorders of liver except malig,cirr,alc hepa w/o CC/MCC
DRG 444 (MDC 07)   Disorders of the biliary tract w MCC
DRG 445 (MDC 07)   Disorders of the biliary tract w CC
DRG 446 (MDC 07)   Disorders of the biliary tract w/o CC/MCC
DRG 453 (MDC 08)   Combined anterior/posterior spinal fusion w MCC
DRG 454 (MDC 08)   Combined anterior/posterior spinal fusion w CC
DRG 455 (MDC 08)   Combined anterior/posterior spinal fusion w/o CC/MCC
DRG 456 (MDC 08)   Spinal fus exc cerv w spinal curv/malig/infec or ext fus w MCC
DRG 457 (MDC 08)   Spinal fus exc cerv w spinal curv/malig/infec or ext fus w CC
DRG 458 (MDC 08)   Spinal fus exc cerv w spinal curv/malig/infec or ext fus w/o CC/MCC
DRG 459 (MDC 08)   Spinal fusion except cervical w MCC
DRG 460 (MDC 08)   Spinal fusion except cervical w/o MCC
DRG 461 (MDC 08)   Bilateral or multiple major joint procs of lower extremity w MCC
DRG 462 (MDC 08)   Bilateral or multiple major joint procs of lower extremity w/o MCC
DRG 463 (MDC 08)   Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w MCC
DRG 464 (MDC 08)   Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w CC
DRG 465 (MDC 08)   Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w/o CC/MCC
DRG 466 (MDC 08)   Revision of hip or knee replacement w MCC
DRG 467 (MDC 08)   Revision of hip or knee replacement w CC
DRG 468 (MDC 08)   Revision of hip or knee replacement w/o CC/MCC
DRG 469 (MDC 08)   Major joint replacement or reattachment of lower extremity w MCC
DRG 470 (MDC 08)   Major joint replacement or reattachment of lower extremity w/o MCC
DRG 471 (MDC 08)   Cervical spinal fusion w MCC
DRG 472 (MDC 08)   Cervical spinal fusion w CC
DRG 473 (MDC 08)   Cervical spinal fusion w/o CC/MCC
DRG 474 (MDC 08)   Amputation for musculoskeletal sys & conn tissue dis w MCC
DRG 475 (MDC 08)   Amputation for musculoskeletal sys & conn tissue dis w CC
DRG 476 (MDC 08)   Amputation for musculoskeletal sys & conn tissue dis w/o CC/MCC
DRG 477 (MDC 08)   Biopsies of musculoskeletal system & connective tissue w MCC
DRG 478 (MDC 08)   Biopsies of musculoskeletal system & connective tissue w CC
DRG 479 (MDC 08)   Biopsies of musculoskeletal system & connective tissue w/o CC/MCC
DRG 480 (MDC 08)   Hip & femur procedures except major joint w MCC
DRG 481 (MDC 08)   Hip & femur procedures except major joint w CC
DRG 482 (MDC 08)   Hip & femur procedures except major joint w/o CC/MCC
DRG 483 (MDC 08)   Major joint & limb reattachment proc of upper extremity w CC/MCC
DRG 484 (MDC 08)   Major joint & limb reattachment proc of upper extremity w/o CC/MCC
DRG 485 (MDC 08)   Knee procedures w pdx of infection w MCC
DRG 486 (MDC 08)   Knee procedures w pdx of infection w CC
DRG 487 (MDC 08)   Knee procedures w pdx of infection w/o CC/MCC
DRG 488 (MDC 08)   Knee procedures w/o pdx of infection w CC/MCC
DRG 489 (MDC 08)   Knee procedures w/o pdx of infection w/o CC/MCC
DRG 490 (MDC 08)   Back & neck proc exc spinal fusion w CC/MCC or disc device/neurostim
DRG 491 (MDC 08)   Back & neck proc exc spinal fusion w/o CC/MCC
DRG 492 (MDC 08)   Lower extrem & humer proc except hip,foot,femur w MCC
DRG 493 (MDC 08)   Lower extrem & humer proc except hip,foot,femur w CC
DRG 494 (MDC 08)   Lower extrem & humer proc except hip,foot,femur w/o CC/MCC
DRG 495 (MDC 08)   Local excision & removal int fix devices exc hip & femur w MCC
DRG 496 (MDC 08)   Local excision & removal int fix devices exc hip & femur w CC
DRG 497 (MDC 08)   Local excision & removal int fix devices exc hip & femur w/o CC/MCC
DRG 498 (MDC 08)   Local excision & removal int fix devices of hip & femur w CC/MCC
DRG 499 (MDC 08)   Local excision & removal int fix devices of hip & femur w/o CC/MCC
DRG 500 (MDC 08)   Soft tissue procedures w MCC
DRG 501 (MDC 08)   Soft tissue procedures w CC
DRG 502 (MDC 08)   Soft tissue procedures w/o CC/MCC
DRG 503 (MDC 08)   Foot procedures w MCC
DRG 504 (MDC 08)   Foot procedures w CC
DRG 505 (MDC 08)   Foot procedures w/o CC/MCC
DRG 506 (MDC 08)   Major thumb or joint procedures
DRG 507 (MDC 08)   Major shoulder or elbow joint procedures w CC/MCC
DRG 508 (MDC 08)   Major shoulder or elbow joint procedures w/o CC/MCC
DRG 509 (MDC 08)   Arthroscopy
DRG 510 (MDC 08)   Shoulder,elbow or forearm proc,exc major joint proc w MCC
DRG 511 (MDC 08)   Shoulder,elbow or forearm proc,exc major joint proc w CC
DRG 512 (MDC 08)   Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC
DRG 513 (MDC 08)   Hand or wrist proc, except major thumb or joint proc w CC/MCC
DRG 514 (MDC 08)   Hand or wrist proc, except major thumb or joint proc w/o CC/MCC
DRG 515 (MDC 08)   Other musculoskelet sys & conn tiss O.R. proc w MCC
DRG 516 (MDC 08)   Other musculoskelet sys & conn tiss O.R. proc w CC
DRG 517 (MDC 08)   Other musculoskelet sys & conn tiss O.R. proc w/o CC/MCC
DRG 533 (MDC 08)   Fractures of femur w MCC
DRG 534 (MDC 08)   Fractures of femur w/o MCC
DRG 535 (MDC 08)   Fractures of hip & pelvis w MCC
DRG 536 (MDC 08)   Fractures of hip & pelvis w/o MCC
DRG 537 (MDC 08)   Sprains, strains, & dislocations of hip, pelvis & thigh w CC/MCC
DRG 538 (MDC 08)   Sprains, strains, & dislocations of hip, pelvis & thigh w/o CC/MCC
DRG 539 (MDC 08)   Osteomyelitis w MCC
DRG 540 (MDC 08)   Osteomyelitis w CC
DRG 541 (MDC 08)   Osteomyelitis w/o CC/MCC
DRG 542 (MDC 08)   Pathological fractures & musculoskelet & conn tiss malig w MCC
DRG 543 (MDC 08)   Pathological fractures & musculoskelet & conn tiss malig w CC
DRG 544 (MDC 08)   Pathological fractures & musculoskelet & conn tiss malig w/o CC/MCC
DRG 545 (MDC 08)   Connective tissue disorders w MCC
DRG 546 (MDC 08)   Connective tissue disorders w CC
DRG 547 (MDC 08)   Connective tissue disorders w/o CC/MCC
DRG 548 (MDC 08)   Septic arthritis w MCC
DRG 549 (MDC 08)   Septic arthritis w CC
DRG 550 (MDC 08)   Septic arthritis w/o CC/MCC
DRG 551 (MDC 08)   Medical back problems w MCC
DRG 552 (MDC 08)   Medical back problems w/o MCC
DRG 553 (MDC 08)   Bone diseases & arthropathies w MCC
DRG 554 (MDC 08)   Bone diseases & arthropathies w/o MCC
DRG 555 (MDC 08)   Signs & symptoms of musculoskeletal system & conn tissue w MCC
DRG 556 (MDC 08)   Signs & symptoms of musculoskeletal system & conn tissue w/o MCC
DRG 557 (MDC 08)   Tendonitis, myositis & bursitis w MCC
DRG 558 (MDC 08)   Tendonitis, myositis & bursitis w/o MCC
DRG 559 (MDC 08)   Aftercare, musculoskeletal system & connective tissue w MCC
DRG 560 (MDC 08)   Aftercare, musculoskeletal system & connective tissue w CC
DRG 561 (MDC 08)   Aftercare, musculoskeletal system & connective tissue w/o CC/MCC
DRG 562 (MDC 08)   Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC
DRG 563 (MDC 08)   Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC
DRG 564 (MDC 08)   Other musculoskeletal sys & connective tissue diagnoses w MCC
DRG 565 (MDC 08)   Other musculoskeletal sys & connective tissue diagnoses w CC
DRG 566 (MDC 08)   Other musculoskeletal sys & connective tissue diagnoses w/o CC/MCC
DRG 573 (MDC 09)   Skin graft &/or debrid for skn ulcer or cellulitis w MCC
DRG 574 (MDC 09)   Skin graft &/or debrid for skn ulcer or cellulitis w CC
DRG 575 (MDC 09)   Skin graft &/or debrid for skn ulcer or cellulitis w/o CC/MCC
DRG 576 (MDC 09)   Skin graft &/or debrid exc for skin ulcer or cellulitis w MCC
DRG 577 (MDC 09)   Skin graft &/or debrid exc for skin ulcer or cellulitis w CC
DRG 578 (MDC 09)   Skin graft &/or debrid exc for skin ulcer or cellulitis w/o CC/MCC
DRG 579 (MDC 09)   Other skin, subcut tiss & breast proc w MCC
DRG 580 (MDC 09)   Other skin, subcut tiss & breast proc w CC
DRG 581 (MDC 09)   Other skin, subcut tiss & breast proc w/o CC/MCC
DRG 582 (MDC 09)   Mastectomy for malignancy w CC/MCC
DRG 583 (MDC 09)   Mastectomy for malignancy w/o CC/MCC
DRG 584 (MDC 09)   Breast biopsy, local excision & other breast procedures w CC/MCC
DRG 585 (MDC 09)   Breast biopsy, local excision & other breast procedures w/o CC/MCC
DRG 592 (MDC 09)   Skin ulcers w MCC
DRG 593 (MDC 09)   Skin ulcers w CC
DRG 594 (MDC 09)   Skin ulcers w/o CC/MCC
DRG 595 (MDC 09)   Major skin disorders w MCC
DRG 596 (MDC 09)   Major skin disorders w/o MCC
DRG 597 (MDC 09)   Malignant breast disorders w MCC
DRG 598 (MDC 09)   Malignant breast disorders w CC
DRG 599 (MDC 09)   Malignant breast disorders w/o CC/MCC
DRG 600 (MDC 09)   Non-malignant breast disorders w CC/MCC
DRG 601 (MDC 09)   Non-malignant breast disorders w/o CC/MCC
DRG 602 (MDC 09)   Cellulitis w MCC
DRG 603 (MDC 09)   Cellulitis w/o MCC
DRG 604 (MDC 09)   Trauma to the skin, subcut tiss & breast w MCC
DRG 605 (MDC 09)   Trauma to the skin, subcut tiss & breast w/o MCC
DRG 606 (MDC 09)   Minor skin disorders w MCC
DRG 607 (MDC 09)   Minor skin disorders w/o MCC
DRG 614 (MDC 10)   Adrenal & pituitary procedures w CC/MCC
DRG 615 (MDC 10)   Adrenal & pituitary procedures w/o CC/MCC
DRG 616 (MDC 10)   Amputat of lower limb for endocrine,nutrit,& metabol dis w MCC
DRG 617 (MDC 10)   Amputat of lower limb for endocrine,nutrit,& metabol dis w CC
DRG 618 (MDC 10)   Amputat of lower limb for endocrine,nutrit,& metabol dis w/o CC/MCC
DRG 619 (MDC 10)   O.R. procedures for obesity w MCC
DRG 620 (MDC 10)   O.R. procedures for obesity w CC
DRG 621 (MDC 10)   O.R. procedures for obesity w/o CC/MCC
DRG 622 (MDC 10)   Skin grafts & wound debrid for endoc, nutrit & metab dis w MCC
DRG 623 (MDC 10)   Skin grafts & wound debrid for endoc, nutrit & metab dis w CC
DRG 624 (MDC 10)   Skin grafts & wound debrid for endoc, nutrit & metab dis w/o CC/MCC
DRG 625 (MDC 10)   Thyroid, parathyroid & thyroglossal procedures w MCC
DRG 626 (MDC 10)   Thyroid, parathyroid & thyroglossal procedures w CC
DRG 627 (MDC 10)   Thyroid, parathyroid & thyroglossal procedures w/o CC/MCC
DRG 628 (MDC 10)   Other endocrine, nutrit & metab O.R. proc w MCC
DRG 629 (MDC 10)   Other endocrine, nutrit & metab O.R. proc w CC
DRG 630 (MDC 10)   Other endocrine, nutrit & metab O.R. proc w/o CC/MCC
DRG 637 (MDC 10)   Diabetes w MCC
DRG 638 (MDC 10)   Diabetes w CC
DRG 639 (MDC 10)   Diabetes w/o CC/MCC
DRG 640 (MDC 10)   Nutritional & misc metabolic disorders w MCC
DRG 641 (MDC 10)   Nutritional & misc metabolic disorders w/o MCC
DRG 642 (MDC 10)   Inborn errors of metabolism
DRG 643 (MDC 10)   Endocrine disorders w MCC
DRG 644 (MDC 10)   Endocrine disorders w CC
DRG 645 (MDC 10)   Endocrine disorders w/o CC/MCC
DRG 652 (MDC 11)   Kidney transplant
DRG 653 (MDC 11)   Major bladder procedures w MCC
DRG 654 (MDC 11)   Major bladder procedures w CC
DRG 655 (MDC 11)   Major bladder procedures w/o CC/MCC
DRG 656 (MDC 11)   Kidney & ureter procedures for neoplasm w MCC
DRG 657 (MDC 11)   Kidney & ureter procedures for neoplasm w CC
DRG 658 (MDC 11)   Kidney & ureter procedures for neoplasm w/o CC/MCC
DRG 659 (MDC 11)   Kidney & ureter procedures for non-neoplasm w MCC
DRG 660 (MDC 11)   Kidney & ureter procedures for non-neoplasm w CC
DRG 661 (MDC 11)   Kidney & ureter procedures for non-neoplasm w/o CC/MCC
DRG 662 (MDC 11)   Minor bladder procedures w MCC
DRG 663 (MDC 11)   Minor bladder procedures w CC
DRG 664 (MDC 11)   Minor bladder procedures w/o CC/MCC
DRG 665 (MDC 11)   Prostatectomy w MCC
DRG 666 (MDC 11)   Prostatectomy w CC
DRG 667 (MDC 11)   Prostatectomy w/o CC/MCC
DRG 668 (MDC 11)   Transurethral procedures w MCC
DRG 669 (MDC 11)   Transurethral procedures w CC
DRG 670 (MDC 11)   Transurethral procedures w/o CC/MCC
DRG 671 (MDC 11)   Urethral procedures w CC/MCC
DRG 672 (MDC 11)   Urethral procedures w/o CC/MCC
DRG 673 (MDC 11)   Other kidney & urinary tract procedures w MCC
DRG 674 (MDC 11)   Other kidney & urinary tract procedures w CC
DRG 675 (MDC 11)   Other kidney & urinary tract procedures w/o CC/MCC
DRG 682 (MDC 11)   Renal failure w MCC
DRG 683 (MDC 11)   Renal failure w CC
DRG 684 (MDC 11)   Renal failure w/o CC/MCC
DRG 685 (MDC 11)   Admit for renal dialysis
DRG 686 (MDC 11)   Kidney & urinary tract neoplasms w MCC
DRG 687 (MDC 11)   Kidney & urinary tract neoplasms w CC
DRG 688 (MDC 11)   Kidney & urinary tract neoplasms w/o CC/MCC
DRG 689 (MDC 11)   Kidney & urinary tract infections w MCC
DRG 690 (MDC 11)   Kidney & urinary tract infections w/o MCC
DRG 691 (MDC 11)   Urinary stones w esw lithotripsy w CC/MCC
DRG 692 (MDC 11)   Urinary stones w esw lithotripsy w/o CC/MCC
DRG 693 (MDC 11)   Urinary stones w/o esw lithotripsy w MCC
DRG 694 (MDC 11)   Urinary stones w/o esw lithotripsy w/o MCC
DRG 695 (MDC 11)   Kidney & urinary tract signs & symptoms w MCC
DRG 696 (MDC 11)   Kidney & urinary tract signs & symptoms w/o MCC
DRG 697 (MDC 11)   Urethral stricture
DRG 698 (MDC 11)   Other kidney & urinary tract diagnoses w MCC
DRG 699 (MDC 11)   Other kidney & urinary tract diagnoses w CC
DRG 700 (MDC 11)   Other kidney & urinary tract diagnoses w/o CC/MCC
DRG 707 (MDC 12)   Major male pelvic procedures w CC/MCC
DRG 708 (MDC 12)   Major male pelvic procedures w/o CC/MCC
DRG 709 (MDC 12)   Penis procedures w CC/MCC
DRG 710 (MDC 12)   Penis procedures w/o CC/MCC
DRG 711 (MDC 12)   Testes procedures w CC/MCC
DRG 712 (MDC 12)   Testes procedures w/o CC/MCC
DRG 713 (MDC 12)   Transurethral prostatectomy w CC/MCC
DRG 714 (MDC 12)   Transurethral prostatectomy w/o CC/MCC
DRG 715 (MDC 12)   Other male reproductive system O.R. proc for malignancy w CC/MCC
DRG 716 (MDC 12)   Other male reproductive system O.R. proc for malignancy w/o CC/MCC
DRG 717 (MDC 12)   Other male reproductive system O.R. proc exc malignancy w CC/MCC
DRG 718 (MDC 12)   Other male reproductive system O.R. proc exc malignancy w/o CC/MCC
DRG 722 (MDC 12)   Malignancy, male reproductive system w MCC
DRG 723 (MDC 12)   Malignancy, male reproductive system w CC
DRG 724 (MDC 12)   Malignancy, male reproductive system w/o CC/MCC
DRG 725 (MDC 12)   Benign prostatic hypertrophy w MCC
DRG 726 (MDC 12)   Benign prostatic hypertrophy w/o MCC
DRG 727 (MDC 12)   Inflammation of the male reproductive system w MCC
DRG 728 (MDC 12)   Inflammation of the male reproductive system w/o MCC
DRG 729 (MDC 12)   Other male reproductive system diagnoses w CC/MCC
DRG 730 (MDC 12)   Other male reproductive system diagnoses w/o CC/MCC
DRG 734 (MDC 13)   Pelvic evisceration, rad hysterectomy & rad vulvectomy w CC/MCC
DRG 735 (MDC 13)   Pelvic evisceration, rad hysterectomy & rad vulvectomy w/o CC/MCC
DRG 736 (MDC 13)   Uterine & adnexa proc for ovarian or adnexal malignancy w MCC
DRG 737 (MDC 13)   Uterine & adnexa proc for ovarian or adnexal malignancy w CC
DRG 738 (MDC 13)   Uterine & adnexa proc for ovarian or adnexal malignancy w/o CC/MCC
DRG 739 (MDC 13)   Uterine,adnexa proc for non-ovarian/adnexal malig w MCC
DRG 740 (MDC 13)   Uterine,adnexa proc for non-ovarian/adnexal malig w CC
DRG 741 (MDC 13)   Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC
DRG 742 (MDC 13)   Uterine & adnexa proc for non-malignancy w CC/MCC
DRG 743 (MDC 13)   Uterine & adnexa proc for non-malignancy w/o CC/MCC
DRG 744 (MDC 13)   D&C, conization, laparoscopy & tubal interruption w CC/MCC
DRG 745 (MDC 13)   D&C, conization, laparoscopy & tubal interruption w/o CC/MCC
DRG 746 (MDC 13)   Vagina, cervix & vulva procedures w CC/MCC
DRG 747 (MDC 13)   Vagina, cervix & vulva procedures w/o CC/MCC
DRG 748 (MDC 13)   Female reproductive system reconstructive procedures
DRG 749 (MDC 13)   Other female reproductive system O.R. procedures w CC/MCC
DRG 750 (MDC 13)   Other female reproductive system O.R. procedures w/o CC/MCC
DRG 754 (MDC 13)   Malignancy, female reproductive system w MCC
DRG 755 (MDC 13)   Malignancy, female reproductive system w CC
DRG 756 (MDC 13)   Malignancy, female reproductive system w/o CC/MCC
DRG 757 (MDC 13)   Infections, female reproductive system w MCC
DRG 758 (MDC 13)   Infections, female reproductive system w CC
DRG 759 (MDC 13)   Infections, female reproductive system w/o CC/MCC
DRG 760 (MDC 13)   Menstrual & other female reproductive system disorders w CC/MCC
DRG 761 (MDC 13)   Menstrual & other female reproductive system disorders w/o CC/MCC
DRG 765 (MDC 14)   Cesarean section w CC/MCC
DRG 766 (MDC 14)   Cesarean section w/o CC/MCC
DRG 767 (MDC 14)   Vaginal delivery w sterilization &/or D&C
DRG 768 (MDC 14)   Vaginal delivery w O.R. proc except steril &/or D&C
DRG 769 (MDC 14)   Postpartum & post abortion diagnoses w O.R. procedure
DRG 770 (MDC 14)   Abortion w D&C, aspiration curettage or hysterotomy
DRG 774 (MDC 14)   Vaginal delivery w complicating diagnoses
DRG 775 (MDC 14)   Vaginal delivery w/o complicating diagnoses
DRG 776 (MDC 14)   Postpartum & post abortion diagnoses w/o O.R. procedure
DRG 777 (MDC 14)   Ectopic pregnancy
DRG 778 (MDC 14)   Threatened abortion
DRG 779 (MDC 14)   Abortion w/o D&C
DRG 780 (MDC 14)   False labor
DRG 781 (MDC 14)   Other antepartum diagnoses w medical complications
DRG 782 (MDC 14)   Other antepartum diagnoses w/o medical complications
DRG 790 (MDC 15)   Extreme immaturity or respiratory distress syndrome, neonate
DRG 791 (MDC 15)   Prematurity w major problems
DRG 792 (MDC 15)   Prematurity w/o major problems
DRG 793 (MDC 15)   Full term neonate w major problems
DRG 794 (MDC 15)   Neonate w other significant problems
DRG 795 (MDC 15)   Normal newborn
DRG 799 (MDC 16)   Splenectomy w MCC
DRG 800 (MDC 16)   Splenectomy w CC
DRG 801 (MDC 16)   Splenectomy w/o CC/MCC
DRG 802 (MDC 16)   Other O.R. proc of the blood & blood forming organs w MCC
DRG 803 (MDC 16)   Other O.R. proc of the blood & blood forming organs w CC
DRG 804 (MDC 16)   Other O.R. proc of the blood & blood forming organs w/o CC/MCC
DRG 808 (MDC 16)   Major hematol/immun diag exc sickle cell crisis & coagul w MCC
DRG 809 (MDC 16)   Major hematol/immun diag exc sickle cell crisis & coagul w CC
DRG 810 (MDC 16)   Major hematol/immun diag exc sickle cell crisis & coagul w/o CC/MCC
DRG 811 (MDC 16)   Red blood cell disorders w MCC
DRG 812 (MDC 16)   Red blood cell disorders w/o MCC
DRG 813 (MDC 16)   Coagulation disorders
DRG 814 (MDC 16)   Reticuloendothelial & immunity disorders w MCC
DRG 815 (MDC 16)   Reticuloendothelial & immunity disorders w CC
DRG 816 (MDC 16)   Reticuloendothelial & immunity disorders w/o CC/MCC
DRG 820 (MDC 17)   Lymphoma & leukemia w major O.R. procedure w MCC
DRG 821 (MDC 17)   Lymphoma & leukemia w major O.R. procedure w CC
DRG 822 (MDC 17)   Lymphoma & leukemia w major O.R. procedure w/o CC/MCC
DRG 823 (MDC 17)   Lymphoma & non-acute leukemia w other O.R. proc w MCC
DRG 824 (MDC 17)   Lymphoma & non-acute leukemia w other O.R. proc w CC
DRG 825 (MDC 17)   Lymphoma & non-acute leukemia w other O.R. proc w/o CC/MCC
DRG 826 (MDC 17)   Myeloprolif disord or poorly diff neopl w maj O.R. proc w MCC
DRG 827 (MDC 17)   Myeloprolif disord or poorly diff neopl w maj O.R. proc w CC
DRG 828 (MDC 17)   Myeloprolif disord or poorly diff neopl w maj O.R. proc w/o CC/MCC
DRG 829 (MDC 17)   Myeloprolif disord or poorly diff neopl w other O.R. proc w CC/MCC
DRG 830 (MDC 17)   Myeloprolif disord or poorly diff neopl w other O.R. proc w/o CC/MCC
DRG 837 (MDC 17)   Chemo w acute leukemia as sdx or w high dose chemo agent w MCC
DRG 838 (MDC 17)   Chemo w acute leukemia as sdx w CC or high dose chemo agent
DRG 839 (MDC 17)   Chemo w acute leukemia as sdx w/o CC/MCC
DRG 843 (MDC 17)   Other myeloprolif dis or poorly diff neopl diag w MCC
DRG 844 (MDC 17)   Other myeloprolif dis or poorly diff neopl diag w CC
DRG 845 (MDC 17)   Other myeloprolif dis or poorly diff neopl diag w/o CC/MCC
DRG 846 (MDC 17)   Chemotherapy w/o acute leukemia as secondary diagnosis w MCC
DRG 847 (MDC 17)   Chemotherapy w/o acute leukemia as secondary diagnosis w CC
DRG 848 (MDC 17)   Chemotherapy w/o acute leukemia as secondary diagnosis w/o CC/MCC
DRG 849 (MDC 17)   Radiotherapy
DRG 853 (MDC 18)   Infectious & parasitic diseases w O.R. procedure w MCC
DRG 854 (MDC 18)   Infectious & parasitic diseases w O.R. procedure w CC
DRG 855 (MDC 18)   Infectious & parasitic diseases w O.R. procedure w/o CC/MCC
DRG 856 (MDC 18)   Postoperative or post-traumatic infections w O.R. proc w MCC
DRG 857 (MDC 18)   Postoperative or post-traumatic infections w O.R. proc w CC
DRG 858 (MDC 18)   Postoperative or post-traumatic infections w O.R. proc w/o CC/MCC
DRG 862 (MDC 18)   Postoperative & post-traumatic infections w MCC
DRG 863 (MDC 18)   Postoperative & post-traumatic infections w/o MCC
DRG 864 (MDC 18)   Fever
DRG 865 (MDC 18)   Viral illness w MCC
DRG 866 (MDC 18)   Viral illness w/o MCC
DRG 867 (MDC 18)   Other infectious & parasitic diseases diagnoses w MCC
DRG 868 (MDC 18)   Other infectious & parasitic diseases diagnoses w CC
DRG 869 (MDC 18)   Other infectious & parasitic diseases diagnoses w/o CC/MCC
DRG 870 (MDC 18)   Septicemia or severe sepsis w MV 96+ hours
DRG 871 (MDC 18)   Septicemia or severe sepsis w/o MV 96+ hours w MCC
DRG 872 (MDC 18)   Septicemia or severe sepsis w/o MV 96+ hours w/o MCC
DRG 876 (MDC 19)   O.R. procedure w principal diagnoses of mental illness
DRG 880 (MDC 19)   Acute adjustment reaction & psychosocial dysfunction
DRG 881 (MDC 19)   Depressive neuroses
DRG 882 (MDC 19)   Neuroses except depressive
DRG 883 (MDC 19)   Disorders of personality & impulse control
DRG 884 (MDC 19)   Organic disturbances & mental retardation
DRG 885 (MDC 19)   Psychoses
DRG 886 (MDC 19)   Behavioral & developmental disorders
DRG 887 (MDC 19)   Other mental disorder diagnoses
DRG 894 (MDC 20)   Alcohol/drug abuse or dependence, left ama
DRG 895 (MDC 20)   Alcohol/drug abuse or dependence w rehabilitation therapy
DRG 896 (MDC 20)   Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC
DRG 897 (MDC 20)   Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC
DRG 901 (MDC 21)   Wound debridements for injuries w MCC
DRG 902 (MDC 21)   Wound debridements for injuries w CC
DRG 903 (MDC 21)   Wound debridements for injuries w/o CC/MCC
DRG 904 (MDC 21)   Skin grafts for injuries w CC/MCC
DRG 905 (MDC 21)   Skin grafts for injuries w/o CC/MCC
DRG 906 (MDC 21)   Hand procedures for injuries
DRG 907 (MDC 21)   Other O.R. procedures for injuries w MCC
DRG 908 (MDC 21)   Other O.R. procedures for injuries w CC
DRG 909 (MDC 21)   Other O.R. procedures for injuries w/o CC/MCC
DRG 913 (MDC 21)   Traumatic injury w MCC
DRG 914 (MDC 21)   Traumatic injury w/o MCC
DRG 915 (MDC 21)   Allergic reactions w MCC
DRG 916 (MDC 21)   Allergic reactions w/o MCC
DRG 917 (MDC 21)   Poisoning & toxic effects of drugs w MCC
DRG 918 (MDC 21)   Poisoning & toxic effects of drugs w/o MCC
DRG 919 (MDC 21)   Complications of treatment w MCC
DRG 920 (MDC 21)   Complications of treatment w CC
DRG 921 (MDC 21)   Complications of treatment w/o CC/MCC
DRG 922 (MDC 21)   Other injury, poisoning & toxic effect diag w MCC
DRG 923 (MDC 21)   Other injury, poisoning & toxic effect diag w/o MCC
DRG 927 (MDC 22)   Extensive burns or full thickness burns w MV 96+ hrs w skin graft
DRG 928 (MDC 22)   Full thickness burn w skin graft or inhal inj w CC/MCC
DRG 929 (MDC 22)   Full thickness burn w skin graft or inhal inj w/o CC/MCC
DRG 933 (MDC 22)   Extensive burns or full thickness burns w MV 96+ hrs w/o skin graft
DRG 934 (MDC 22)   Full thickness burn w/o skin grft or inhal inj
DRG 935 (MDC 22)   Non-extensive burns
DRG 939 (MDC 23)   O.R. proc w diagnoses of other contact w health services w MCC
DRG 940 (MDC 23)   O.R. proc w diagnoses of other contact w health services w CC
DRG 941 (MDC 23)   O.R. proc w diagnoses of other contact w health services w/o CC/MCC
DRG 945 (MDC 23)   Rehabilitation w CC/MCC
DRG 946 (MDC 23)   Rehabilitation w/o CC/MCC
DRG 947 (MDC 23)   Signs & symptoms w MCC
DRG 948 (MDC 23)   Signs & symptoms w/o MCC
DRG 949 (MDC 23)   Aftercare w CC/MCC
DRG 950 (MDC 23)   Aftercare w/o CC/MCC
DRG 951 (MDC 23)   Other factors influencing health status
DRG 955 (MDC 24)   Craniotomy for multiple significant trauma
DRG 956 (MDC 24)   Limb reattachment, hip & femur proc for multiple significant trauma
DRG 957 (MDC 24)   Other O.R. procedures for multiple significant trauma w MCC
DRG 958 (MDC 24)   Other O.R. procedures for multiple significant trauma w CC
DRG 959 (MDC 24)   Other O.R. procedures for multiple significant trauma w/o CC/MCC
DRG 963 (MDC 24)   Other multiple significant trauma w MCC
DRG 964 (MDC 24)   Other multiple significant trauma w CC
DRG 965 (MDC 24)   Other multiple significant trauma w/o CC/MCC
DRG 969 (MDC 25)   HIV w extensive O.R. procedure w MCC
DRG 970 (MDC 25)   HIV w extensive O.R. procedure w/o MCC
DRG 974 (MDC 25)   HIV w major related condition w MCC
DRG 975 (MDC 25)   HIV w major related condition w CC
DRG 976 (MDC 25)   HIV w major related condition w/o CC/MCC
DRG 977 (MDC 25)   HIV w or w/o other related condition
DRG 981   Extensive O.R. procedure unrelated to principal diagnosis w MCC
DRG 982   Extensive O.R. procedure unrelated to principal diagnosis w CC
DRG 983   Extensive O.R. procedure unrelated to principal diagnosis w/o CC/MCC
DRG 984   Prostatic O.R. procedure unrelated to principal diagnosis w MCC
DRG 985   Prostatic O.R. procedure unrelated to principal diagnosis w CC
DRG 986   Prostatic O.R. procedure unrelated to principal diagnosis w/o CC/MCC
DRG 987   Non-extensive O.R. proc unrelated to principal diagnosis w MCC
DRG 988   Non-extensive O.R. proc unrelated to principal diagnosis w CC
DRG 989   Non-extensive O.R. proc unrelated to principal diagnosis w/o CC/MCC
DRG 998   Principal diagnosis invalid as discharge diagnosis



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244