23

Factors Influencing Health Status and Other Contacts with Health Services

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 O.R. Procedures with Diagnoses of Other Contact with Health Services
   • 939 O.R. Procedures with Diagnoses of Other Contact with Health Services with MCC 3.2657
   • 940 O.R. Procedures with Diagnoses of Other Contact with Health Services with CC 2.1122
   • 941 O.R. Procedures with Diagnoses of Other Contact with Health Services without CC/MCC 1.9448

Medical DRGs

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

• 945 Rehabilitation with CC/MCC 1.4749
• 946 Rehabilitation without CC/MCC 1.1051
• 947 Signs and Symptoms with MCC 1.2610
• 948 Signs and Symptoms without MCC 0.7835
• 949 Aftercare with CC/MCC 1.1230
• 950 Aftercare without CC/MCC 0.7664
• 951 Other Factors Influencing Health Status 0.5577