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2017 DRG Expert (ICD-10-CM)

A Comprehensive Guidebook to the DRG Classification System Using the ICD-10-CM and ICD-10-PCS Code Set

Price: $129.95
Format: 8.5" x 11" Spiral
Edition: 2017
Publisher: Optum360
Experts: Karen Krawzik, RHIT, CCS, AHIMA-approved ICD-10-CM/PCS Trainer
Sample Pages: View Sample Pages

Product Code: IPDRGE17

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The 2017 DRG Expert has been a trusted and comprehensive reference to the DRG classification system for over 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 1, 2016.

Our 2017 DRG Expert (ICD-10-CM) includes:

  • 28,795 code changes in 178 DRG groups
  • Assign 52 ICD-10-PCS endovascular thrombectomy codes of the lower limbs to MS-DRGs 270, 271, 272 Other Major Cardiovascular Procedures with MCC, with CC, without CC/MCC.
  • Modify Grouper logic for MS-DRGs 242, 243, and 244 Permanent Cardiac Pacemaker Implant with MCC, with CC, without CC/MCC, MS-DRGs 258 - 259 Cardiac Pacemaker Device Replacement with MCC, without MCC and MS-DRGs 260 - 262 Cardiac Pacemaker Revision Except Device Replacement with MCC, with CC, Without CC/MCC
  • 58 new knee joint revision code combinations assigned to MS-DRGs
    • 466 Revision of Hip or Knee Replacement with MCC
    • 467 Revision of Hip or Knee Replacement with CC
    • 468 Revision of Hip or Knee Replacement without CC/ MCC
  • And many more changes

Key Features and Benefits

  • Optum360 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.
  • Optum360 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.
  • Optum360 Edge MS-DRG structure. Every diagnosis and procedure code that defines each DRG is listed.
  • Optum360 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 system.
  • Optum360 Edge MDC diagnosis list. Complete list of mutually exclusive diagnoses defining each MDC.
  • Optum360 Edge Transfer DRG symbol. Indicates a DRG selected as a qualified discharge that may be paid at the per diem rate.
  • Optum360 Edge Average national payment. Listed for every MS-DRG as a quick benchmark comparison.
  • Easily locate the correct DRG. Use the numeric or alphabetic index to quickly identify a DRG based on its diagnosis or procedure code.
  • Surgical hierarchy table. Quickly find the DRG hierarchy for multiple procedure cases to help you assign the code that reflects the greatest resource utilization.
  • Alphabetic and numeric indexes. Search for DRGs by the numeric codes or by code titles for fast look-up.
  • Icons indicate which CC subclass the DRG belongs to based upon the presence or absence of CCs or major CCs (MCCs).
  • Complete list of diagnoses considered CCs and MCCs.
  • List of those Principal Diagnoses that are their own CC and their own MCC
  • Full titles for each MS-DRG. Selection of the correct DRG begins with knowing its accurate and complete description.
  • Inpatient Medicare "MedPAR" benchmarking data designed to provide a high-level benchmark of discharges, length of stay, age, total charges, and total reimbursement on a DRG basis at a national level for hospitals.