DRG Expert has been a trusted and comprehensive reference to the DRG
classification system for more than 25 years. Organized by major diagnostic
category (MDC), the convenient and innovative book layout follows the logical
MS-DRG decision process. This is a must-have reference for those who need to
verify DRG information and accurately assign MS-DRGs concurrently or
retrospectively based on ICD-10-CM methodology, which goes into effect October
Features and Benefits
Edge—Visual indicators notify you of special alerts. Easily identify CC and MCC
restrictions, special payment status, transfer DRG status, surgical/medical
partitioning, and other requirements.
Edge—Medicare CMS rate structure. Updated to provide current relative weight
(RW), geometric mean length-of-stay (GMLOS), and arithmetic mean length-of-stay
(AMLOS) for each MS-DRG under IPPS.
Edge—MS-DRG structure. Every diagnosis and procedure code that defines each DRG
Edge—LTC-DRG crosswalk and current rate structure. Know what the RW and
length-of-stay data are for each MS-DRG under the LTCH prospective payment
Edge—MDC diagnosis list. Complete list of mutually exclusive diagnoses defining
Edge—Transfer DRG symbol. Indicates a DRG selected as a qualified discharge
that may be paid at the per diem rate.
Edge—Average national payment. Listed for every MS-DRG as a quick benchmark
locate the correct DRG. Use the numeric or alphabetic index to quickly identify
a DRG based on its diagnosis or procedure code.
hierarchy table. Quickly find the DRG hierarchy for multiple procedure cases to
help you assign the code that reflects the greatest resource utilization.
and numeric indexes. Search for DRGs by the numeric codes or by code titles for
indicate which CC subclass the DRG belongs to based upon the presence or
absence of CCs or major CCs (MCCs).
list of diagnoses considered CCs and MCCs.
of those Principal Diagnoses that are their own CC and their own MCC.
titles for each MS-DRG. Selection of the correct DRG begins with knowing its
accurate and complete description.