Medicare Severity DRGs (MS-DRGs) CMS V24 mdc medsurg MS v25 103 PR S 001 002 MS-DRG Descriptions Comments Heart transplant or implant of heart assist system w MCC Heart transplant or implant of heart assist system w/o MCC

541

PR

S

003

ECMO or trach w MV 96+ hrs or PDX exc face, mouth & neck w maj O.R.

542

PR

S

004

Trach w MV 96+ hrs or PDX exc face, mouth & neck w/o maj O.R.

480 PR

S

005

Liver transplant w MCC or intestinal Procedure 4697 (Transplant of intestine) is always transplant assigned to MS-DRG 005 regardless of severity level Liver transplant w/o MCC

006

495

PR

S

007

Lung transplant

512

PR

S

008

Simultaneous pancreas/kidney transplant

481

PR

S

009

Bone marrow transplant

513

PR

S

010

Pancreas transplant

482

PR

S

011 012 013

Tracheostomy for face,mouth & neck diagnoses w MCC Tracheostomy for face,mouth & neck diagnoses w CC Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC

Medicare Severity DRGs (MS-DRGs) CMS V24 mdc medsurg MS v25 528 01 S 020 021 022 MS-DRG Descriptions Comments Intracranial vascular procedures w PDX hemorrhage w MCC Intracranial vascular procedures w PDX hemorrhage w CC Intracranial vascular procedures w PDX hemorrhage w/o CC/MCC Cranio w major dev impl/acute complex CNS PDX w MCC or chemo implant Cranio w major dev impl/acute complex CNS PDX w/o MCC Non-or procedure 0010(Implant chemothera agent) is always assigned to MS-DRG 023 regardless of severity level; Added procedure 0062 to MS-DRG 023-027

543

01

S

023

024

001

01

S

025

Craniotomy & endovascular intracranial procedures w MCC Craniotomy & endovascular intracranial procedures w CC Craniotomy & endovascular intracranial procedures w/o CC/MCC Spinal procedures w MCC Spinal procedures w CC or spinal neurostimulators Spinal procedures w/o CC/MCC Ventricular shunt procedures w MCC Ventricular shunt procedures w CC Ventricular shunt procedures w/o CC/MCC Carotid artery stent procedure w MCC Carotid artery stent procedure w CC Carotid artery stent procedure w/o CC/MCC Extracranial procedures w MCC

*CMS v24 DRG 003 procedures are split between MSDRGs 025,026,027,031,032,033; Added procedure 0062 to MS-DRG 023-027

002 003*

026 027

531 532

01

S

028 029

Combination of 0393 with (8694 or 8695 or 8697 or 8698) is always assigned to MS-DRG 029 regardless of severity level

030 529 530 01 S 031 032 033

577

01

S

034 035 036

533

01

S

037

Medicare Severity DRGs (MS-DRGs) CMS V24 mdc medsurg MS v25 534 038 039 MS-DRG Descriptions Extracranial procedures w CC Extracranial procedures w/o CC/MCC Comments

006 007

01

S

040 041

Periph & cranial nerve & other nerv syst proc w MCC Periph/cranial nerve & other nerv Combination of 0492 with (8694 or 8695 or 8697 or syst proc w CC or periph neurostim 8698) is always assigned to MS-DRG 041 regardless of severity Periph & cranial nerve & other nerv syst proc w/o CC/MCC Spinal disorders & injuries w CC/MCC Spinal disorders & injuries w/o CC/MCC

008

042

009

01

M

052 053

010 011

01

M

054 055

Nervous system neoplasms w MCC Nervous system neoplasms w/o MCC

012

01

M

056 057

Degenerative nervous system disorders w MCC Degenerative nervous system disorders w/o MCC

013

01

M

058 059 060

Multiple sclerosis & cerebellar ataxia w MCC Multiple sclerosis & cerebellar ataxia w CC Multiple sclerosis & cerebellar ataxia w/o CC/MCC Acute ischemic stroke w use of thrombolytic agent w MCC Acute ischemic stroke w use of thrombolytic agent w CC Acute ischemic stroke w use of thrombolytic agent w/o CC/MCC

559

01

M

061 062 063

Medicare Severity DRGs (MS-DRGs) CMS V24 mdc medsurg MS v25 014 01 M 064 065 066 MS-DRG Descriptions Comments Intracranial hemorrhage or cerebral infarction w MCC Intracranial hemorrhage or cerebral infarction w CC Intracranial hemorrhage or cerebral infarction w/o CC/MCC Nonspecific cva & precerebral occlusion w/o infarct w MCC Nonspecific cva & precerebral occlusion w/o infarct w/o MCC

015

01

M

067 068

524

01

M

069

Transient ischemia

016 017

01

M

070 071 072

Nonspecific cerebrovascular disorders w MCC Nonspecific cerebrovascular disorders w CC Nonspecific cerebrovascular disorders w/o CC/MCC Cranial & peripheral nerve disorders w MCC Cranial & peripheral nerve disorders w/o MCC

018 019

01

M

073 074

021

01

M

075 076

Viral meningitis w CC/MCC Viral meningitis w/o CC/MCC

022

01

M

077 078 079

Hypertensive encephalopathy w MCC Hypertensive encephalopathy w CC Hypertensive encephalopathy w/o CC/MCC Nontraumatic stupor & coma w MCC Nontraumatic stupor & coma w/o MCC

023

01

M

080 081

Medicare Severity DRGs (MS-DRGs) CMS V24 mdc medsurg MS v25 MS-DRG Descriptions Comments

027

01

M

082 083 084

Traumatic stupor & coma, coma >1 hr w MCC Traumatic stupor & coma, coma >1 hr w CC Traumatic stupor & coma, coma >1 hr w/o CC/MCC Traumatic stupor & coma, coma