MS-DRG
MS-DRG 280: Acute Myocardial Infarction, Discharged Alive with MCC
STEMI/NSTEMI + MCC
DRG
280
MDC
MDC 05: Circulatory System
Severity
with MCC
Relative weight
1.6534
Avg LOS
5.4 days
Typical indications
- STEMI + cardiogenic shock
- NSTEMI + HF
Common denial patterns
- MCC validation
Appeal angles
Document MI diagnosis criteria + MCC clinical linkage.
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. 280 has relative weight 1.6534. 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 280?
Acute Myocardial Infarction, Discharged Alive with MCC. STEMI/NSTEMI + MCC.
What are typical indications?
STEMI + cardiogenic shock; NSTEMI + HF.
Why are claims under this DRG denied?
MCC validation.
How do I appeal?
Document MI diagnosis criteria + MCC clinical linkage.
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