09

Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast

Surgical hierarchy

In the order the grouper applies them, highest first. A patient with several procedures is assigned to the highest surgical class one of them belongs to, so this ordering decides the DRG, not the order procedures appear on the claim.

1. 1 Skin Graft
   • 573 Skin Graft for Skin Ulcer or Cellulitis with MCC 6.3575
   • 574 Skin Graft for Skin Ulcer or Cellulitis with CC 3.5674
   • 575 Skin Graft for Skin Ulcer or Cellulitis without CC/MCC 1.8797
   • 576 Skin Graft Except for Skin Ulcer or Cellulitis with MCC 4.9802
   • 577 Skin Graft Except for Skin Ulcer or Cellulitis with CC 2.8251
   • 578 Skin Graft Except for Skin Ulcer or Cellulitis without CC/MCC 1.6703
2. 2 Skin Debridement
   • 570 Skin Debridement with MCC 2.8600
   • 571 Skin Debridement with CC 1.6354
   • 572 Skin Debridement without CC/MCC 1.1622
3. 3 Other Skin, Subcutaneous Tissue and Breast Procedures
   • 579 Other Skin, Subcutaneous Tissue and Breast Procedures with MCC 3.2482
   • 580 Other Skin, Subcutaneous Tissue and Breast Procedures with CC 1.7365
   • 581 Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC 1.5357
4. 4 Mastectomy for Malignancy
   • 582 Mastectomy for Malignancy with CC/MCC 1.8006
   • 583 Mastectomy for Malignancy without CC/MCC 1.8006
5. 5 Breast Biopsy, Local Excision and Other Breast Procedures
   • 584 Breast Biopsy, Local Excision and Other Breast Procedures with CC/MCC 2.0299
   • 585 Breast Biopsy, Local Excision and Other Breast Procedures without CC/MCC 1.8924

Medical DRGs

16 medical DRGs. The surgical hierarchy does not apply to these, so they are listed by number.

• 592 Skin Ulcers with MCC 1.9101
• 593 Skin Ulcers with CC 1.1575
• 594 Skin Ulcers without CC/MCC 0.7801
• 595 Major Skin Disorders with MCC 2.0239
• 596 Major Skin Disorders without MCC 1.1071
• 597 Malignant Breast Disorders with MCC 1.7383
• 598 Malignant Breast Disorders with CC 1.0962
• 599 Malignant Breast Disorders without CC/MCC 0.6925
• 600 Non-Malignant Breast Disorders with CC/MCC 0.9975
• 601 Non-Malignant Breast Disorders without CC/MCC 0.6017
• 602 Cellulitis with MCC 1.4273
• 603 Cellulitis without MCC 0.8635
• 604 Trauma to the Skin, Subcutaneous Tissue and Breast with MCC 1.4530
• 605 Trauma to the Skin, Subcutaneous Tissue and Breast without MCC 0.9079
• 606 Minor Skin Disorders with MCC 1.5728
• 607 Minor Skin Disorders without MCC 0.8772