2024 Diagnostic Related Groups List (MS-DRG v41.0)

2024 Diagnostic Related Groups List (MS-DRG v41.0)

2024 Diagnostic Related Groups List (MS-DRG v41.0)

008 Simultaneous pancreas and kidney transplant

010 Pancreas transplant

011 Tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc

012 Tracheostomy for face, mouth and neck diagnoses or laryngectomy with cc

013 Tracheostomy for face, mouth and neck diagnoses or laryngectomy without cc/mcc

019 Simultaneous pancreas and kidney transplant with hemodialysis

020 Intracranial vascular procedures with principal diagnosis hemorrhage with mcc

021 Intracranial vascular procedures with principal diagnosis hemorrhage with cc

022 Intracranial vascular procedures with principal diagnosis hemorrhage without cc/mcc

023 Craniotomy with major device implant or acute complex cns principal diagnosis with mcc or chemotherapy implant or epilepsy with neurostimulator

024 Craniotomy with major device implant or acute complex cns principal diagnosis without mcc

052 Spinal disorders and injuries with cc/mcc

053 Spinal disorders and injuries without cc/mcc

054 Nervous system neoplasms with mcc

055 Nervous system neoplasms without mcc

056 Degenerative nervous system disorders with mcc

057 Degenerative nervous system disorders without mcc

058 Multiple sclerosis and cerebellar ataxia with mcc

059 Multiple sclerosis and cerebellar ataxia with cc

060 Multiple sclerosis and cerebellar ataxia without cc/mcc

061 Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with mcc

062 Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc

063 Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent without cc/mcc

064 Intracranial hemorrhage or cerebral infarction with mcc

065 Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours

066 Intracranial hemorrhage or cerebral infarction without cc/mcc

067 Nonspecific cva and precerebral occlusion without infarction with mcc

068 Nonspecific cva and precerebral occlusion without infarction without mcc

069 Transient ischemia without thrombolytic

070 Nonspecific cerebrovascular disorders with mcc

071 Nonspecific cerebrovascular disorders with cc

072 Nonspecific cerebrovascular disorders without cc/mcc

073 Cranial and peripheral nerve disorders with mcc

074 Cranial and peripheral nerve disorders without mcc

075 Viral meningitis with cc/mcc

076 Viral meningitis without cc/mcc

077 Hypertensive encephalopathy with mcc

078 Hypertensive encephalopathy with cc

079 Hypertensive encephalopathy without cc/mcc

080 Nontraumatic stupor and coma with mcc

081 Nontraumatic stupor and coma without mcc

082 Traumatic stupor and coma >1 hour with mcc

083 Traumatic stupor and coma >1 hour with cc

084 Traumatic stupor and coma >1 hour without cc/mcc

085 Traumatic stupor and coma <1 hour with mcc

086 Traumatic stupor and coma <1 hour with cc

087 Traumatic stupor and coma <1 hour without cc/mcc

088 Concussion with mcc

089 Concussion with cc

090 Concussion without cc/mcc

091 Other disorders of nervous system with mcc

092 Other disorders of nervous system with cc

093 Other disorders of nervous system without cc/mcc

094 Bacterial and tuberculous infections of nervous system with mcc

095 Bacterial and tuberculous infections of nervous system with cc

096 Bacterial and tuberculous infections of nervous system without cc/mcc

097 Non-bacterial infection of nervous system except viral meningitis with mcc

098 Non-bacterial infection of nervous system except viral meningitis with cc

099 Non-bacterial infection of nervous system except viral meningitis without cc/mcc

100 Seizures with mcc

101 Seizures without mcc

102 Headaches with mcc

103 Headaches without mcc

121 Acute major eye infections with cc/mcc

122 Acute major eye infections without cc/mcc

123 Neurological eye disorders

124 Other disorders of the eye with mcc or thrombolytic agent

125 Other disorders of the eye without mcc

146 Ear, nose, mouth and throat malignancy with mcc

147 Ear, nose, mouth and throat malignancy with cc

148 Ear, nose, mouth and throat malignancy without cc/mcc

149 Dysequilibrium

150 Epistaxis with mcc

151 Epistaxis without mcc

152 Otitis media and uri with mcc

153 Otitis media and uri without mcc

154 Other ear, nose, mouth and throat diagnoses with mcc

155 Other ear, nose, mouth and throat diagnoses with cc

156 Other ear, nose, mouth and throat diagnoses without cc/mcc

157 Dental and oral diseases with mcc

158 Dental and oral diseases with cc

159 Dental and oral diseases without cc/mcc

173 Ultrasound accelerated and other thrombolysis with principal diagnosis pulmonary embolism

175 Pulmonary embolism with mcc or acute cor pulmonale

176 Pulmonary embolism without mcc

177 Respiratory infections and inflammations with mcc

178 Respiratory infections and inflammations with cc

179 Respiratory infections and inflammations without cc/mcc

180 Respiratory neoplasms with mcc

181 Respiratory neoplasms with cc

182 Respiratory neoplasms without cc/mcc

183 Major chest trauma with mcc

184 Major chest trauma with cc

185 Major chest trauma without cc/mcc

186 Pleural effusion with mcc

187 Pleural effusion with cc

188 Pleural effusion without cc/mcc

189 Pulmonary edema and respiratory failure

190 Chronic obstructive pulmonary disease with mcc

191 Chronic obstructive pulmonary disease with cc

192 Chronic obstructive pulmonary disease without cc/mcc

193 Simple pneumonia and pleurisy with mcc

194 Simple pneumonia and pleurisy with cc

195 Simple pneumonia and pleurisy without cc/mcc

196 Interstitial lung disease with mcc

197 Interstitial lung disease with cc

198 Interstitial lung disease without cc/mcc

199 Pneumothorax with mcc

200 Pneumothorax with cc

201 Pneumothorax without cc/mcc

202 Bronchitis and asthma with cc/mcc

203 Bronchitis and asthma without cc/mcc

204 Respiratory signs and symptoms

205 Other respiratory system diagnoses with mcc

206 Other respiratory system diagnoses without mcc

280 Acute myocardial infarction, discharged alive with mcc

281 Acute myocardial infarction, discharged alive with cc

282 Acute myocardial infarction, discharged alive without cc/mcc

283 Acute myocardial infarction, expired with mcc

284 Acute myocardial infarction, expired with cc

285 Acute myocardial infarction, expired without cc/mcc

288 Acute and subacute endocarditis with mcc

289 Acute and subacute endocarditis with cc

290 Acute and subacute endocarditis without cc/mcc

291 Heart failure and shock with mcc

292 Heart failure and shock with cc

293 Heart failure and shock without cc/mcc

294 Deep vein thrombophlebitis with cc/mcc

295 Deep vein thrombophlebitis without cc/mcc

296 Cardiac arrest, unexplained with mcc

297 Cardiac arrest, unexplained with cc

298 Cardiac arrest, unexplained without cc/mcc

299 Peripheral vascular disorders with mcc

300 Peripheral vascular disorders with cc

301 Peripheral vascular disorders without cc/mcc

302 Atherosclerosis with mcc

303 Atherosclerosis without mcc

304 Hypertension with mcc

305 Hypertension without mcc

306 Cardiac congenital and valvular disorders with mcc

307 Cardiac congenital and valvular disorders without mcc

308 Cardiac arrhythmia and conduction disorders with mcc

309 Cardiac arrhythmia and conduction disorders with cc

310 Cardiac arrhythmia and conduction disorders without cc/mcc

311 Angina pectoris

312 Syncope and collapse

313 Chest pain

314 Other circulatory system diagnoses with mcc

315 Other circulatory system diagnoses with cc

316 Other circulatory system diagnoses without cc/mcc

368 Major esophageal disorders with mcc

369 Major esophageal disorders with cc

370 Major esophageal disorders without cc/mcc

371 Major gastrointestinal disorders and peritoneal infections with mcc

372 Major gastrointestinal disorders and peritoneal infections with cc

373 Major gastrointestinal disorders and peritoneal infections without cc/mcc

374 Digestive malignancy with mcc

375 Digestive malignancy with cc

376 Digestive malignancy without cc/mcc

377 Gastrointestinal hemorrhage with mcc

378 Gastrointestinal hemorrhage with cc

379 Gastrointestinal hemorrhage without cc/mcc

380 Complicated peptic ulcer with mcc

381 Complicated peptic ulcer with cc

382 Complicated peptic ulcer without cc/mcc

383 Uncomplicated peptic ulcer with mcc

384 Uncomplicated peptic ulcer without mcc

385 Inflammatory bowel disease with mcc

386 Inflammatory bowel disease with cc

387 Inflammatory bowel disease without cc/mcc

388 Gastrointestinal obstruction with mcc

389 Gastrointestinal obstruction with cc

390 Gastrointestinal obstruction without cc/mcc

391 Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc

392 Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc

393 Other digestive system diagnoses with mcc

394 Other digestive system diagnoses with cc

395 Other digestive system diagnoses without cc/mcc

432 Cirrhosis and alcoholic hepatitis with mcc

433 Cirrhosis and alcoholic hepatitis with cc

434 Cirrhosis and alcoholic hepatitis without cc/mcc

435 Malignancy of hepatobiliary system or pancreas with mcc

436 Malignancy of hepatobiliary system or pancreas with cc

437 Malignancy of hepatobiliary system or pancreas without cc/mcc

438 Disorders of pancreas except malignancy with mcc

439 Disorders of pancreas except malignancy with cc

440 Disorders of pancreas except malignancy without cc/mcc

441 Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc

442 Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc

443 Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis without cc/mcc

444 Disorders of the biliary tract with mcc

445 Disorders of the biliary tract with cc

446 Disorders of the biliary tract without cc/mcc

456 Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions with mcc

457 Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions with cc

458 Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions without cc/mcc

485 Knee procedures with principal diagnosis of infection with mcc

486 Knee procedures with principal diagnosis of infection with cc

487 Knee procedures with principal diagnosis of infection without cc/mcc

521 Hip replacement with principal diagnosis of hip fracture with mcc

522 Hip replacement with principal diagnosis of hip fracture without mcc

533 Fractures of femur with mcc

534 Fractures of femur without mcc

535 Fractures of hip and pelvis with mcc

536 Fractures of hip and pelvis without mcc

537 Sprains, strains, and dislocations of hip, pelvis and thigh with cc/mcc

538 Sprains, strains, and dislocations of hip, pelvis and thigh without cc/mcc

539 Osteomyelitis with mcc

540 Osteomyelitis with cc

541 Osteomyelitis without cc/mcc

542 Pathological fractures and musculoskeletal and connective tissue malignancy with mcc

543 Pathological fractures and musculoskeletal and connective tissue malignancy with cc

544 Pathological fractures and musculoskeletal and connective tissue malignancy without cc/mcc

545 Connective tissue disorders with mcc

546 Connective tissue disorders with cc

547 Connective tissue disorders without cc/mcc

548 Septic arthritis with mcc

549 Septic arthritis with cc

550 Septic arthritis without cc/mcc

551 Medical back problems with mcc

552 Medical back problems without mcc

553 Bone diseases and arthropathies with mcc

554 Bone diseases and arthropathies without mcc

555 Signs and symptoms of musculoskeletal system and connective tissue with mcc

556 Signs and symptoms of musculoskeletal system and connective tissue without mcc

557 Tendonitis, myositis and bursitis with mcc

558 Tendonitis, myositis and bursitis without mcc

559 Aftercare, musculoskeletal system and connective tissue with mcc

560 Aftercare, musculoskeletal system and connective tissue with cc

561 Aftercare, musculoskeletal system and connective tissue without cc/mcc

562 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc

563 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc

564 Other musculoskeletal system and connective tissue diagnoses with mcc

565 Other musculoskeletal system and connective tissue diagnoses with cc

566 Other musculoskeletal system and connective tissue diagnoses without cc/mcc

573 Skin graft for skin ulcer or cellulitis with mcc

574 Skin graft for skin ulcer or cellulitis with cc

575 Skin graft for skin ulcer or cellulitis without cc/mcc

582 Mastectomy for malignancy with cc/mcc

583 Mastectomy for malignancy without cc/mcc

592 Skin ulcers with mcc

593 Skin ulcers with cc

594 Skin ulcers without cc/mcc

595 Major skin disorders with mcc

596 Major skin disorders without mcc

597 Malignant breast disorders with mcc

598 Malignant breast disorders with cc

599 Malignant breast disorders without cc/mcc

600 Non-malignant breast disorders with cc/mcc

601 Non-malignant breast disorders without cc/mcc

602 Cellulitis with mcc

603 Cellulitis without mcc

604 Trauma to the skin, subcutaneous tissue and breast with mcc

605 Trauma to the skin, subcutaneous tissue and breast without mcc

606 Minor skin disorders with mcc

607 Minor skin disorders without mcc

637 Diabetes with mcc

638 Diabetes with cc

639 Diabetes without cc/mcc

640 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc

641 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc

642 Inborn and other disorders of metabolism

643 Endocrine disorders with mcc

644 Endocrine disorders with cc

645 Endocrine disorders without cc/mcc

656 Kidney and ureter procedures for neoplasm with mcc

657 Kidney and ureter procedures for neoplasm with cc

658 Kidney and ureter procedures for neoplasm without cc/mcc

673 Other kidney and urinary tract procedures with mcc

674 Other kidney and urinary tract procedures with cc

675 Other kidney and urinary tract procedures without cc/mcc

682 Renal failure with mcc

683 Renal failure with cc

684 Renal failure without cc/mcc

686 Kidney and urinary tract neoplasms with mcc

687 Kidney and urinary tract neoplasms with cc

688 Kidney and urinary tract neoplasms without cc/mcc

689 Kidney and urinary tract infections with mcc

690 Kidney and urinary tract infections without mcc

693 Urinary stones with mcc

694 Urinary stones without mcc

695 Kidney and urinary tract signs and symptoms with mcc

696 Kidney and urinary tract signs and symptoms without mcc

697 Urethral stricture

698 Other kidney and urinary tract diagnoses with mcc

699 Other kidney and urinary tract diagnoses with cc

700 Other kidney and urinary tract diagnoses without cc/mcc

715 Other male reproductive system o.r. Procedures for malignancy with cc/mcc

716 Other male reproductive system o.r. Procedures for malignancy without cc/mcc

722 Malignancy, male reproductive system with mcc

723 Malignancy, male reproductive system with cc

724 Malignancy, male reproductive system without cc/mcc

725 Benign prostatic hypertrophy with mcc

726 Benign prostatic hypertrophy without mcc

727 Inflammation of the male reproductive system with mcc

728 Inflammation of the male reproductive system without mcc

729 Other male reproductive system diagnoses with cc/mcc

730 Other male reproductive system diagnoses without cc/mcc

736 Uterine and adnexa procedures for ovarian or adnexal malignancy with mcc

737 Uterine and adnexa procedures for ovarian or adnexal malignancy with cc

738 Uterine and adnexa procedures for ovarian or adnexal malignancy without cc/mcc

739 Uterine and adnexa procedures for non-ovarian and non-adnexal malignancy with mcc

740 Uterine and adnexa procedures for non-ovarian and non-adnexal malignancy with cc

741 Uterine and adnexa procedures for non-ovarian and non-adnexal malignancy without cc/mcc

742 Uterine and adnexa procedures for non-malignancy with cc/mcc

743 Uterine and adnexa procedures for non-malignancy without cc/mcc

754 Malignancy, female reproductive system with mcc

755 Malignancy, female reproductive system with cc

756 Malignancy, female reproductive system without cc/mcc

757 Infections, female reproductive system with mcc

758 Infections, female reproductive system with cc

759 Infections, female reproductive system without cc/mcc

760 Menstrual and other female reproductive system disorders with cc/mcc

761 Menstrual and other female reproductive system disorders without cc/mcc

768 Vaginal delivery with o.r. Procedures except sterilization and/or d&c

769 Postpartum and post abortion diagnoses with o.r. Procedures

770 Abortion with d&c, aspiration curettage or hysterotomy

776 Postpartum and post abortion diagnoses without o.r. Procedures

779 Abortion without d&c

790 Extreme immaturity or respiratory distress syndrome, neonate

791 Prematurity with major problems

792 Prematurity without major problems

793 Full term neonate with major problems

794 Neonate with other significant problems

795 Normal newborn

796 Vaginal delivery with sterilization and/or d&c with mcc

797 Vaginal delivery with sterilization and/or d&c with cc

798 Vaginal delivery with sterilization and/or d&c without cc/mcc

805 Vaginal delivery without sterilization or d&c with mcc

806 Vaginal delivery without sterilization or d&c with cc

807 Vaginal delivery without sterilization or d&c without cc/mcc

808 Major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with mcc

809 Major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with cc

810 Major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders without cc/mcc

811 Red blood cell disorders with mcc

812 Red blood cell disorders without mcc

813 Coagulation disorders

814 Reticuloendothelial and immunity disorders with mcc

815 Reticuloendothelial and immunity disorders with cc

816 Reticuloendothelial and immunity disorders without cc/mcc

817 Other antepartum diagnoses with o.r. Procedures with mcc

818 Other antepartum diagnoses with o.r. Procedures with cc

819 Other antepartum diagnoses with o.r. Procedures without cc/mcc

820 Lymphoma and leukemia with major o.r. Procedures with mcc

821 Lymphoma and leukemia with major o.r. Procedures with cc

822 Lymphoma and leukemia with major o.r. Procedures without cc/mcc

823 Lymphoma and non-acute leukemia with other procedures with mcc

824 Lymphoma and non-acute leukemia with other procedures with cc

825 Lymphoma and non-acute leukemia with other procedures without cc/mcc

826 Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. Procedures with mcc

827 Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. Procedures with cc

828 Myeloproliferative disorders or poorly differentiated neoplasms with major o.r. Procedures without cc/mcc

829 Myeloproliferative disorders or poorly differentiated neoplasms with other procedures with cc/mcc

830 Myeloproliferative disorders or poorly differentiated neoplasms with other procedures without cc/mcc

831 Other antepartum diagnoses without o.r. Procedures with mcc

832 Other antepartum diagnoses without o.r. Procedures with cc

833 Other antepartum diagnoses without o.r. Procedures without cc/mcc

834 Acute leukemia without major o.r. Procedures with mcc

835 Acute leukemia without major o.r. Procedures with cc

836 Acute leukemia without major o.r. Procedures without cc/mcc

837 Chemotherapy with acute leukemia as secondary diagnosis or with high dose chemotherapy agent with mcc

838 Chemotherapy with acute leukemia as secondary diagnosis with cc or high dose chemotherapy agent

839 Chemotherapy with acute leukemia as secondary diagnosis without cc/mcc

840 Lymphoma and non-acute leukemia with mcc

841 Lymphoma and non-acute leukemia with cc

842 Lymphoma and non-acute leukemia without cc/mcc

843 Other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with mcc

844 Other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with cc

845 Other myeloproliferative disorders or poorly differentiated neoplastic diagnoses without cc/mcc

846 Chemotherapy without acute leukemia as secondary diagnosis with mcc

847 Chemotherapy without acute leukemia as secondary diagnosis with cc

848 Chemotherapy without acute leukemia as secondary diagnosis without cc/mcc

849 Radiotherapy

856 Postoperative or post-traumatic infections with o.r. Procedures with mcc

857 Postoperative or post-traumatic infections with o.r. Procedures with cc

858 Postoperative or post-traumatic infections with o.r. Procedures without cc/mcc

862 Postoperative and post-traumatic infections with mcc

863 Postoperative and post-traumatic infections without mcc

864 Fever and inflammatory conditions

865 Viral illness with mcc

866 Viral illness without mcc

867 Other infectious and parasitic diseases diagnoses with mcc

868 Other infectious and parasitic diseases diagnoses with cc

869 Other infectious and parasitic diseases diagnoses without cc/mcc

870 Septicemia or severe sepsis with mv >96 hours

871 Septicemia or severe sepsis without mv >96 hours with mcc

872 Septicemia or severe sepsis without mv >96 hours without mcc

880 Acute adjustment reaction and psychosocial dysfunction

881 Depressive neuroses

882 Neuroses except depressive

883 Disorders of personality and impulse control

884 Organic disturbances and intellectual disability

885 Psychoses

886 Behavioral and developmental disorders

887 Other mental disorder diagnoses

894 Alcohol, drug abuse or dependence, left ama

895 Alcohol, drug abuse or dependence with rehabilitation therapy

896 Alcohol, drug abuse or dependence without rehabilitation therapy with mcc

897 Alcohol, drug abuse or dependence without rehabilitation therapy without mcc

913 Traumatic injury with mcc

914 Traumatic injury without mcc

915 Allergic reactions with mcc

916 Allergic reactions without mcc

917 Poisoning and toxic effects of drugs with mcc

918 Poisoning and toxic effects of drugs without mcc

919 Complications of treatment with mcc

920 Complications of treatment with cc

921 Complications of treatment without cc/mcc

922 Other injury, poisoning and toxic effect diagnoses with mcc

923 Other injury, poisoning and toxic effect diagnoses without mcc

927 Extensive burns or full thickness burns with mv >96 hours with skin graft

928 Full thickness burn with skin graft or inhalation injury with cc/mcc

929 Full thickness burn with skin graft or inhalation injury without cc/mcc

933 Extensive burns or full thickness burns with mv >96 hours without skin graft

935 Non-extensive burns

945 Rehabilitation with cc/mcc

946 Rehabilitation without cc/mcc

947 Signs and symptoms with mcc

948 Signs and symptoms without mcc

949 Aftercare with cc/mcc

950 Aftercare without cc/mcc

951 Other factors influencing health status

963 Other multiple significant trauma with mcc

964 Other multiple significant trauma with cc

965 Other multiple significant trauma without cc/mcc

969 Hiv with extensive o.r. Procedures with mcc

970 Hiv with extensive o.r. Procedures without mcc

974 Hiv with major related condition with mcc

975 Hiv with major related condition with cc

976 Hiv with major related condition without cc/mcc

977 Hiv with or without other related condition

998 Principal diagnosis invalid as discharge diagnosis