| No. | Quality Metric |
|---|---|
| 3 | TOP ICD DIAGNOSIS CODES FOR DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) |
| 4 | TOP ICD PROCEDURE CODES FOR DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) |
DRG 480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC. DRG 481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC. DRG 482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC. OPERATING ROOM PROCEDURES.
DRG 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS.
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC - Medicare Severity Diagnosis Related Group.
DRG 470 - Major Joint Replacements or Reattachment of Lower Extremity.
DRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH COMPLICATION OR COMORBIDITY (CC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS.
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPL - Medicare Severity Diagnosis Related Group.
Changes to MS-DRG One potential new change involves creating new MS-DRGs 521 and 522 for hip replacements that are performed with a diagnosis of a hip fracture. The hip fracture can be from trauma, pathologic, osteoporosis, stress, displaced or nondisplaced. Revision of MS-DRG 037, 038, and 039.
annuallyCongress recognized that it would be necessary to recalculate the DRG relative weights periodically to account for changes in resource consumption. Accordingly, section 1886(d)(4)(C) of the Act requires that the Secretary adjust the DRG classifications and relative weights at least annually.
DRG 483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES.
DRG Codes (Diagnosis Related Group) Diagnosis-related group (DRG) is a system which classifies hospital cases according to certain groups,also referred to as DRGs, which are expected to have similar hospital resource use (cost). They have been used in the United States since 1983.
IR-DRGs incorporate the concept of severity adjustment through the use of multiple levels of Complications and Comorbidities (CCs) applied to all base patient groups.
A Medicare Severity-Diagnosis Related Group (MS-DRG) is a system of classifying a Medicare patient's hospital stay into various groups in order to facilitate payment of services.