🧮 DRG Mapping Sheet

🎯 Purpose

Quick reference for how diagnoses, procedures, and CC/MCCs impact DRG assignment.


🏥 DRG Logic Overview

  1. Determine principal diagnosis
  2. Check for OR procedures
  3. Identify CC/MCC
  4. Assign DRG based on grouping logic

🧩 CC/MCC Impact

TypeImpact
MCCHighest severity, increases DRG weight
CCModerate severity
NoneBase DRG

🛠 OR Procedure Impact

  • OR procedure may shift DRG family
  • Some procedures don’t impact DRG
  • Device‑related procedures often shift DRG

📘 Common DRG Families

  • Respiratory
  • Cardiac
  • GI
  • Renal
  • Infectious
  • Trauma
  • OB/Newborn