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Major Diagnostic Category

• MDC 00 - Pre-MDC
• MDC 01 - Diseases & Disorders of the Nervous System
• MDC 02 - Diseases & Disorders of the Eye
• MDC 03 - Diseases & Disorders of the Ear, Nose, Mouth & Throat
• MDC 04 - Diseases & Disorders of the Respiratory System
• MDC 05 - Diseases & Disorders of the Circulatory System
• MDC 06 - Diseases & Disorders of the Digestive System
• MDC 07 - Diseases & Disorders of the Hepatobiliary System & Pancreas
• MDC 08 - Diseases & Disorders of the Musculoskeletal System & Connective Tissue
• MDC 09 - Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast
• MDC 10 - Endocrine, Nutritional & Metabolic Diseases & Disorders
• MDC 11 - Diseases & Disorders of the Kidney & Urinary Tract
• MDC 12 - Diseases & Disorders of the Male Reproductive System
• MDC 13 - Diseases & Disorders of the Female Reproductive System
• MDC 14 - Pregnancy, Childbirth & the Puerperium
• MDC 15 - Newborns & Other Neonates with Conditions Originating in Perinatal Period
• MDC 16 - Diseases & Disorders of Blood, Blood Forming Organs, Immunologic Disorders
• MDC 17 - Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms
• MDC 18 - Infectious & Parasitic Diseases, Systemic or Unspecified Sites
• MDC 19 - Mental Diseases & Disorders
• MDC 20 - Alcohol/Drug Use & Alcohol/Drug Induced Organic Mental Disorders
• MDC 21 - Injuries, Poisonings & Toxic Effects of Drugs
• MDC 22 - Burns
• MDC 23 - Factors Influencing Health Status & Other Contacts with Health Services
• MDC 24 - Multiple Significant Trauma
• MDC 25 - Human Immunodeficiency Virus Infections
• MDC 99 - Other

Medicare Severity Diagnosis Related Groups (MS-DRG) for MDC-00

• CC = Complication or Comorbidity
• MCC = Major Complication or Comorbidity

• Surgical - Operating Room/Non-O.R. Procedures

  • DRG 001 - HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC
  • DRG 002 - HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC
  • DRG 003 - ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE
  • DRG 004 - TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE
  • DRG 005 - LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT
  • DRG 006 - LIVER TRANSPLANT WITHOUT MCC
  • DRG 007 - LUNG TRANSPLANT
  • DRG 008 - SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT
  • DRG 010 - PANCREAS TRANSPLANT
  • DRG 011 - TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH MCC
  • DRG 012 - TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH CC
  • DRG 013 - TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC
  • DRG 014 - ALLOGENEIC BONE MARROW TRANSPLANT
  • DRG 016 - AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC OR T-CELL IMMUNOTHERAPY
  • DRG 017 - AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC

• Medical - Principal Diagnosis

  • DRG 018 - CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

• Surgical - Operating Room/Non-O.R. Procedures

  • DRG 019 - SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS