ICD-10 MS-DRG v42 (2025)

Medicare Severity Diagnosis Related Group

MDC 16: DISEASES & DISORDERS OF BLOOD, BLOOD FORMING ORGANS, IMMUNOLOG DISORD

ICD10CM Code Assignment

Surgical DRGs

799   SPLENIC PROCEDURES WITH MCC
800   SPLENIC PROCEDURES WITH CC
801   SPLENIC PROCEDURES WITHOUT CC/MCC
802   OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC
803   OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC
804   OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC

If the Principal Diagnosis designated a DRG should be selected from this MDC, AND an O.R. (Operating Room) procedure was performed but does not match the Surgical DRGs listed above, see the Unrelated Operating Room Procedures DRGs.


Medical DRGs

808   MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC
809   MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC
810   MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC
811   RED BLOOD CELL DISORDERS WITH MCC
812   RED BLOOD CELL DISORDERS WITHOUT MCC
813   COAGULATION DISORDERS
814   RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC
815   RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC
816   RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC
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