2024 DRG Expert (ICD-10-CM): 2 Volume Set

Sample Page

The DRG Expert has been a trusted and comprehensive reference to the DRG classification system for more than 25 years. Organized by major diagnostic category (MDC), the convenient and innovative book layout follows the logical MS-DRG decision process. This is a must-have reference for those who need to verify DRG information and accurately assign MS-DRGs concurrently or retrospectively based on  ICD-10-CM methodology, which goes into effect October 1, 2023.

Key Features and Benefits

• Optum Edge — Visual indicators notify you of special alerts. Easily identify CC and MCC restrictions, special payment status, transfer DRG status, surgical/medical partitioning, and other requirements.
• Optum Edge — Medicare CMS rate structure. Updated to provide current relative weight (RW), geometric mean length-of-stay (GMLOS), and arithmetic mean length-of-stay (AMLOS) for each MSDRG under IPPS. 
• Optum Edge — MS-DRG structure. Every diagnosis and procedure code that defines each DRG is listed. 
• Optum Edge — LTC-DRG crosswalk and current rate structure. Know what the RW and lengthof-stay data are for each MS-DRG under the LTCH prospective payment system. 
• Optum Edge — MDC diagnosis list. Complete list of mutually exclusive diagnoses defining each MDC. 
• Optum Edge — Transfer DRG symbol. Indicates a DRG selected as a qualified discharge that may be paid at the per diem rate. 
• Optum Edge — Average national payment. Listed for every MS-DRG as a quick benchmark comparison. 
• Easily locate the correct DRG. Use the exclusive numeric or alphabetic indexes to quickly identify a DRG based on its diagnosis or procedure code.
• Surgical hierarchy table. Quickly find the DRG hierarchy for multiple procedure cases to help you assign the code that reflects the greatest resource utilization. 
• Alphabetic and numeric indexes. Search for DRGs by the numeric codes or by code titles for fast look-up. 
• Icons indicate which CC subclass the DRG belongs to based on the presence or absence of CCs or major CCs (MCCs). 
• Complete list of diagnoses considered CCs and MCCs. 
• List of those principal diagnoses that are their own CC and their own MCC.
• Full titles for each MS-DRG. Selection of the correct DRG begins with knowing its accurate and complete description.

Published: November 2023

Dimensions: 8.5” X 11” Spiral
ISBN: 978-1-62254-868-2