MS-DRG
MS-DRG 246: Percutaneous Cardiovascular Procedures with Drug-Eluting Stent with MCC or 4+ Vessels/Stents
Multi-stent PCI + MCC
DRG
246
MDC
MDC 05: Circulatory System
Severity
with MCC
Relative weight
3.6542
Avg LOS
4.5 days
Typical indications
- Multi-vessel PCI
- PCI + comorbidity
Common denial patterns
- MCC validation
- Stent number
Appeal angles
Document MCC + procedure log.
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. 246 has relative weight 3.6542. 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 246?
Percutaneous Cardiovascular Procedures with Drug-Eluting Stent with MCC or 4+ Vessels/Stents. Multi-stent PCI + MCC.
What are typical indications?
Multi-vessel PCI; PCI + comorbidity.
Why are claims under this DRG denied?
MCC validation; Stent number.
How do I appeal?
Document MCC + procedure log.
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