MS-DRG
MS-DRG 287: Circulatory Disorders Except AMI, with Cardiac Catheterization with MCC
Cath without MI + MCC
DRG
287
MDC
MDC 05: Circulatory System
Severity
with MCC
Relative weight
1.6234
Avg LOS
4.6 days
Typical indications
- Chest pain + cath + comorbidity
Common denial patterns
- MCC validation
Appeal angles
Document MCC.
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. 287 has relative weight 1.6234. 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 287?
Circulatory Disorders Except AMI, with Cardiac Catheterization with MCC. Cath without MI + MCC.
What are typical indications?
Chest pain + cath + comorbidity.
Why are claims under this DRG denied?
MCC validation.
How do I appeal?
Document MCC.
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