How Many DRG Codes Are There?

How many DRGs are there in 2020?

With the creation of two new MS-DRGs and the deletion of two others, the number of MS-DRGs remains the same at 761.

The two new MS-DRGs for FY 2020 are: MS-DRG 319 (Other Endovascular Cardiac Valve Procedures with MCC).

How many DRGs are there in 2019?

280 DRGSThe list remains at 280 DRGS impacted by the rule. The special payment policy had DRGs 987, 988 and 989 added and now has 40 MS DRGs on the list that qualify for special payments. 8. The increase of the MS-DRGs are for vaginal delivery, Cesarean Section procedures and antepartum care and procedures.

What are the DRG codes?

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.

How many types of DRGs are there?

threeThere are currently three major versions of the DRG in use: basic DRGs, All Patient DRGs, and All Patient Refined DRGs. DRGs are used by Medicare and measure the typical resource use of an inpatient stay.

Is DRG only for inpatient?

A diagnosis-related group (DRG) is a patient classification system that standardizes prospective payment to hospitals and encourages cost containment initiatives. In general, a DRG payment covers all charges associated with an inpatient stay from the time of admission to discharge.

How is DRG calculated?

To figure out how much money your hospital got paid for your hospitalization, you must multiply your DRG’s relative weight by your hospital’s base payment rate. Here’s an example with a hospital that has a base payment rate of $6,000 when your DRG’s relative weight is 1.3: $6,000 X 1.3 = $7,800.