With the implementation of ICD-10 codes in October 2015, the 2023 DRG Desk Reference (ICD-10-CM) gives access to crucial information to improve MS-DRG assignment practices, guidance on how to accurately assign DRGs under the MS-DRG system, and provides insight with the Optimizing section of the DRG Desk Reference based on ICD-10 codes. 

The DRG Desk Reference (ICD-10-CM) is designed to work hand-in-hand with DRG Expert and the Guide to Clinical Validation, Documentation and Coding, which is the clinical section from the DRG Desk Reference based on ICD-10 codes. This product helps answer your DRG questions for all inpatient stays starting after October 1, 2022, as those claims will use the MS-DRG methodology based on
ICD-10-CM.

Key Features and Benefits  

·         Optum Edge — Optimizing tips. Know the major factors involved in moving a patient from a lower-paying MS-DRG to a higher one to receive optimal payment while staying in compliance.

·         Most commonly missed CC and MCC references. Perform accurate audits by knowing the most commonly missed CCs in the medical record.

·         ICD-10-CM codes for common diagnoses and procedures. Quickly identify the key diagnosis or procedure by ICD-10-CM code.

·         Case mix index section. Discusses the importance of calculating and tracking case mix on a regular basis as well as tips for documenting case mix index changes and their causes.

·         Complete CC and MCC list. Know how codes considered MCCs and CCs will affect DRG assignment—helping to legitimately improve reimbursement.

·         Relative weights of every valid DRG. A quick reference of the relative weights of all DRGs presented as options for optimizing.

·         List of ICD-10 codes driving MS-DRG assignment.