MS-DRG
MS-DRG 217: Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC
Valve + cath + CC
DRG
217
MDC
MDC 05: Circulatory System
Severity
with CC
Relative weight
9.2734
Avg LOS
9.8 days
Typical indications
- AVR/MVR + CC
Common denial patterns
- CC validation
Appeal angles
Document CC relevance.
Context: how MS-DRGs work
MS-DRGs bundle hospital inpatient payment into a single amount per admission. Each DRG has a relative weight that multiplies the hospital's base rate to determine payment. 217 has relative weight 9.2734. Major Complication or Comorbidity (MCC) and Complication or Comorbidity (CC) secondary diagnoses can move a case to a higher-paying DRG within the same family.
Frequently asked questions
What is MS-DRG 217?
Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC. Valve + cath + CC.
What are typical indications?
AVR/MVR + CC.
Why are claims under this DRG denied?
CC validation.
How do I appeal?
Document CC relevance.
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