MSDRG Grouper

CodeCheck MSDRG Grouper can be used to predict approximate reimbursement and resource consumption based on procedure, diagnoses, gender, and discharge status.

Perform an MSDRG Grouper CodeCheck

Use this procedure to predict approximate reimbursement and resource consumption based on procedure, diagnoses, gender, and discharge status.

Note: MSDRG Grouper does not accept CPT codes. To look up the ICD-9 or ICD-10 equivalent of a CPT code, use Search to look for the CPT in CodeBase, and click on the gear icon to get more detailed information.

Procedure

1. Select CodeCheck > MSDRG Grouper. The MSDRG Grouper Input page opens.
2. Select a ICD diagnosis of ICD-9 or ICD-10.
3. Type the appropriate Age.

Note: The default Age is 65.

4. Select the Sex.
5. Select the correct Discharge Status. Choose from:

• 01-Home, Self Care
• 02-Short Term Hospital
• 03-SNF (Skilled Nursing Facility)
• 04-ICF (Intermediate Care Facility)
• 05-Other Facility
• 06-Home Health Service
• 07-Left Against Medical Advice
• 20-Died
• 21-Court/Law Enforcement
• 30-Still a Patient
• 43-Fed Hospital
• 50-Hospice - Home
• 51-Hospice - Medical Facility
• 61-Swing Bed
• 62-Rehab Facility/Rehab Unit
• 63-Long Term Care Hospital
• 64-Nursing Facility-Medicaid Certified
• 65-Psych Hosp/Unit
• 66-Critical Access Hospital
• 70-Other Institution

6. Select an Admit Date.
7. Select a Discharge Date.
8. Enter the Diagnosis Codes. At least one code is required, and you can enter up to 10.

Note: Enter the primary diagnostic reason for the patient encounter first, and other diagnoses in decreasing order of relevance.

9. Enter the Procedure Codes. This step is optional.
10. Click Submit.