50-year-old man was admitted to the hospital for hip replacement surgery to treat generalized osteoarthritis that involves both hips. His left hip is considerably worse than his right hip. Otherwise, the patient is in good health. His past medical history included pneumonia two years ago and a hernia repair at the age of 32. A successful total hip replacement was performed using a ceramic on polyethylene hip replacement hearing surface prosthesis. The patient was discharged three days later to receive physical therapy at home. He will be scheduled for a right hip replacement in six to eight months. Admit Diagnosis Principal Diagnosis Secondary Diagnoses Principal Procedure Secondary Procedures Initial MS-DRG MS-DRG RW Add code I47.20, ventricular tachycardia (CC), as a secondary diagnosis Revised 1 MS-DRG MS-DRG RW Remove code I47.2 and add code I49.01, ventricular fibrillation (MCC), as a secondary diagnosis Revised 2 MS-DRG MS-DRG RW What did you learn about MS-DRG grouping from scenario 1?
A 50-year-old man was admitted to the hospital for hip replacement surgery to treat generalized osteoarthritis that involves both hips. His left hip is considerably worse than his right hip. Otherwise, the patient is in good health. His past medical history included pneumonia two years ago and a hernia repair at the age of 32. A successful total hip replacement was performed using a ceramic on polyethylene hip replacement hearing surface prosthesis. The patient was discharged three days later to receive physical therapy at home. He will be scheduled for a right hip replacement in six to eight months.
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Admit Diagnosis |
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Principal Diagnosis |
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Secondary Diagnoses |
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Principal Procedure |
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Secondary Procedures |
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Initial |
MS-DRG |
MS-DRG RW |
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Add code I47.20, ventricular tachycardia (CC), as a secondary diagnosis |
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Revised 1 |
MS-DRG |
MS-DRG RW |
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Remove code I47.2 and add code I49.01, ventricular fibrillation (MCC), as a secondary diagnosis |
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Revised 2 |
MS-DRG |
MS-DRG RW |
What did you learn about MS-DRG grouping from scenario 1?
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