MSDRG Codes

Use this procedure to view MSDRG information.

Procedure

  1. Type an MSDRG code in the Search field. You can also select an MSDRG code from Search.
  2. When the MSDRG Detail page opens, review MSDRG information displayed on the MSDRG details page.

Note: You can print the MSDRG Details page by clicking Print in the toolbar.

You can review the following types of information:

  • Provider Number
  • MSDRG code and description
  • MDC and MDC description
  • Weight
  • GLOS and ALOS
  • Approximate Reimbursement
  • Outlier Cutoff Days
  • Actual LOS
  • Number of Outlier Days
  • Operating Outlier Amount
  • Operating Indirect Medical Education
  • Operating Disproportionate Share Adjustment
  • Pass Through Amount
  • Total Capital Amount
  • Capital Hospital Specific Portion
  • Capital Federal Specific Portion
  • Capital Outlier Portion
  • Capital Old Hold Harmless Portion
  • Capital Disproportionate Share Adjustment
  • Capital Indirect Medical Education
  • Capital Exceptions
  • Operating Federal Specific Portion
  • New Tech Add-On Payment
  • Operating Hospital Specific Portion
  • Outlier Cost Threshold
  • IP Wage Index
  • Puerto Rico Wage Index
  • Hospital Base Rate (NAT FSP AMT)
  • Low Volume Discount
  • Readmission Factor
  • Readmission Adjustment (implied negative amount)
  • Operating Uncompensated Disproportionate Share Hospital Amount
  • HAC Reduction Amount (implied negative amount)