16

Diseases and Disorders of Blood, Blood Forming Organs and Immunologic Disorders

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 Splenic Procedures
   • 799 Splenic Procedures with MCC 4.8407
   • 800 Splenic Procedures with CC 3.1502
   • 801 Splenic Procedures without CC/MCC 2.1937
2. 2 Other O.R. Procedures of the Blood and Blood Forming Organs
   • 802 Other O.R. Procedures of the Blood and Blood Forming Organs with MCC 3.7018
   • 803 Other O.R. Procedures of the Blood and Blood Forming Organs with CC 1.9766
   • 804 Other O.R. Procedures of the Blood and Blood Forming Organs without CC/MCC 1.4165

Medical DRGs

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

• 808 Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders with MCC 2.1705
• 809 Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders with CC 1.2262
• 810 Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders without CC/MCC 1.0750
• 811 Red Blood Cell Disorders with MCC 1.3988
• 812 Red Blood Cell Disorders without MCC 0.9234
• 813 Coagulation Disorders 1.5257
• 814 Reticuloendothelial and Immunity Disorders with MCC 2.0729
• 815 Reticuloendothelial and Immunity Disorders with CC 1.0444
• 816 Reticuloendothelial and Immunity Disorders without CC/MCC 0.7381