Which DRG corresponds to nonspecific CVA and precerebral occlusion w/o infarction w/o MCC?

Which DRG corresponds to nonspecific CVA and precerebral occlusion w/o infarction w/o MCC?

• A. DRG 65
• B. DRG 66
• C. DRG 68
• D. DRG 69

Answer: (C)

DRGs group hospital stays by diagnosis and severity to determine payment. For cerebrovascular disorders, the assigned DRG depends on whether there is infarction (tissue death) and whether there are major complications or comorbidities (MCC) or other modifiers. When someone has nonspecific CVA and precerebral occlusion without infarction and without any MCC, the stay falls into the DRG category that captures cerebrovascular events without infarction and without major complications. In this mapping, that corresponds to DRG 68. The lack of infarction rules out DRGs assigned for infarcted stroke, and the absence of MCC keeps it from being higher-weighted DRGs that are used when major complications or comorbidities are present. If there were infarction, or if a major complication or comorbidity existed, a different DRG would apply—typically a higher-weighted one in this same family. So the correct DRG is the one for w/o infarction w/o MCC, which is DRG 68.

DRGs group hospital stays by diagnosis and severity to determine payment. For cerebrovascular disorders, the assigned DRG depends on whether there is infarction (tissue death) and whether there are major complications or comorbidities (MCC) or other modifiers.

When someone has nonspecific CVA and precerebral occlusion without infarction and without any MCC, the stay falls into the DRG category that captures cerebrovascular events without infarction and without major complications. In this mapping, that corresponds to DRG 68. The lack of infarction rules out DRGs assigned for infarcted stroke, and the absence of MCC keeps it from being higher-weighted DRGs that are used when major complications or comorbidities are present.

If there were infarction, or if a major complication or comorbidity existed, a different DRG would apply—typically a higher-weighted one in this same family. So the correct DRG is the one for w/o infarction w/o MCC, which is DRG 68.