MS-DRG
MS-DRG 313: Chest Pain
Chest pain admission
DRG
313
MDC
MDC 05: Circulatory System
Severity
—
Relative weight
0.6842
Avg LOS
1.8 days
Typical indications
- Chest pain rule-out ACS
Common denial patterns
- Almost always observation
Appeal angles
Difficult appeal — usually observation status appropriate.
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. 313 has relative weight 0.6842. 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 313?
Chest Pain. Chest pain admission.
What are typical indications?
Chest pain rule-out ACS.
Why are claims under this DRG denied?
Almost always observation.
How do I appeal?
Difficult appeal — usually observation status appropriate.
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