The diagnostic related group to which a hospital claim belongs. A unique identifier of a hospital case type that is based on similar clinical problems.
Comments
This is an MAO submitted field and may be different than the derived DRG code (variable called DRVD_DRG_CD).
Nonpayment claims (zero reimbursement) may not have a DRG present.
This is an MAO submitted field and may be different than the derived DRG code (variable called DRVD_DRG_CD).
Nonpayment claims (zero reimbursement) may not have a DRG present.
Source: Medicare Advantage Organizations (MAOs)