APPENDIX C: Medical Discharge MS-DRGs - Agency for …

[Pages:10]AHRQ QITM ICD-10-CM/PCS Specification v2021 Patient Safety Indicators Appendices qualityindicators.

Appendix C

APPENDIX C: Medical Discharge MS-DRGs

Medical discharge MS-DRGs: (MEDIC2R)

014

Allogeneic bone marrow transplant

535

016

Autologous bone marrow transplant with 536

CC/MCC

017

Autologous bone marrow transplant

537

without CC/MCC

018

Chimeric antigen receptor (car) T-cell

538

immunotherapy

052

Spinal disorders and injuries with

539

CC/MCC

053

Spinal disorders and injuries without

540

CC/MCC

054

Nervous system neoplasms with MCC

541

055

Nervous system neoplasms without MCC 542

056

Degenerative nervous system disorders 543

with MCC

057

Degenerative nervous system disorders 544

without MCC

058

Multiple sclerosis and cerebellar ataxia 545

with MCC

059

Multiple sclerosis and cerebellar ataxia 546

with CC

060

Multiple sclerosis and cerebellar ataxia 547

without CC/MCC

061

Ischemic stroke, precerebral occlusion or 548

transient ischemia with thrombolytic

agent with MCC

062

Ischemic stroke, precerebral occlusion or 549

transient ischemia with thrombolytic

agent with CC

063

Ischemic stroke, precerebral occlusion or 550

transient ischemia with thrombolytic agent without CC/MCC

064

Intracranial hemorrhage or cerebral

551

infarction with MCC

065

Intracranial hemorrhage or cerebral

552

infarction with CC or tpa in 24 hours

July 2021

Fractures of hip and pelvis with MCC Fractures of hip and pelvis without MCC

Sprains, strains, and dislocations of hip, pelvis and thigh with CC/MCC Sprains, strains, and dislocations of hip, pelvis and thigh without CC/MCC Osteomyelitis with MCC

Osteomyelitis with CC

Osteomyelitis without CC/MCC

Pathological fractures and musculoskeletal and connective tissue malignancy with MCC Pathological fractures and musculoskeletal and connective tissue malignancy with CC Pathological fractures and musculoskeletal and connective tissue malignancy without CC/MCC Connective tissue disorders with MCC

Connective tissue disorders with CC

Connective tissue disorders without CC/MCC Septic arthritis with MCC

Septic arthritis with CC

Septic arthritis without CC/MCC

Medical back problems with MCC

Medical back problems without MCC

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AHRQ QITM ICD-10-CM/PCS Specification v2021 Patient Safety Indicators Appendices qualityindicators.

Appendix C

066

Intracranial hemorrhage or cerebral

553

infarction without CC/MCC

067

Nonspecific CVA and precerebral

554

occlusion without infarction with MCC

068

Nonspecific CVA and precerebral

555

occlusion without infarction without

MCC

069

Transient ischemia without thrombolytic 556

070

Nonspecific cerebrovascular disorders

557

with MCC

071

Nonspecific cerebrovascular disorders

558

with CC

072

Nonspecific cerebrovascular disorders

559

without CC/MCC

073

Cranial and peripheral nerve disorders

560

with MCC

074

Cranial and peripheral nerve disorders

561

without MCC

075

Viral meningitis with CC/MCC

562

076

Viral meningitis without CC/MCC

563

077

Hypertensive encephalopathy with MCC 564

078

Hypertensive encephalopathy with CC

565

079

Hypertensive encephalopathy without

566

CC/MCC

080

Nontraumatic stupor and coma with MCC 592

081

Nontraumatic stupor and coma without 593

MCC

082

Traumatic stupor and coma >1 hour with 594

MCC

083

Traumatic stupor and coma >1 hour with 595

CC

July 2021

Bone diseases and arthropathies with MCC Bone diseases and arthropathies without MCC

Signs and symptoms of musculoskeletal system and connective tissue with MCC

Signs and symptoms of musculoskeletal system and connective tissue without MCC Tendonitis, myositis and bursitis with MCC Tendonitis, myositis and bursitis without MCC Aftercare, musculoskeletal system and connective tissue with MCC Aftercare, musculoskeletal system and connective tissue with CC Aftercare, musculoskeletal system and connective tissue without CC/MCC

Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with MCC Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCC Other musculoskeletal system and connective tissue diagnoses with MCC

Other musculoskeletal system and connective tissue diagnoses with CC Other musculoskeletal system and connective tissue diagnoses without CC/MCC Skin ulcers with MCC

Skin ulcers with CC

Skin ulcers without CC/MCC

Major skin disorders with MCC

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AHRQ QITM ICD-10-CM/PCS Specification v2021 Patient Safety Indicators Appendices qualityindicators.

Appendix C

084

Traumatic stupor and coma >1 hour

596

without CC/MCC

085

Traumatic stupor and coma 96 hours without MCC Acute adjustment reaction and psychosocial dysfunction

Depressive neuroses Neuroses except depressive Disorders of personality and impulse control Organic disturbances and intellectual disability Psychoses Behavioral and developmental disorders

Other mental disorder diagnoses Alcohol, drug abuse or dependence, left ama Alcohol, drug abuse or dependence with rehabilitation therapy

July 2021

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