The code indicating the Diagnosis Related Group (or MS-DRG) to which the claims that comprise the stay belong for payment purposes.
Comments
This field comes from the actual DRG code (or MS-DRG code) that is present on the last claim record included in the stay. The exception is if the DRG code is not present (e.g., claims from Maryland and PPS-exempt hospital units do not have a DRG), then a valid DRG is obtained using the grouper software and is moved to this field.
This field comes from the actual DRG code (or MS-DRG code) that is present on the last claim record included in the stay. The exception is if the DRG code is not present (e.g., claims from Maryland and PPS-exempt hospital units do not have a DRG), then a valid DRG is obtained using the grouper software and is moved to this field.
Source: NCH