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  July 25, 2008  
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DRG/Coding Information    
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DRG Coding Information

HPMP DRG/Coding Training

TMF offers education on the clinical documentation and coding requirements related to important DRGs.

Click here for DRG Training.

Query Forms
Guidance from CMS on the use of coding query forms.


DRG Coding Guidelines

Hospital Payment Monitoring Program (HPMP)
Coding Guidelines

TMF has prepared coding guidelines for the following DRGs to assist the hospital staff in coding these DRGs correctly. The information included in these guidelines is not all inclusive. The coder should refer to the applicable Coding Clinic guidelines for additional information. The Centers for Medicare & Medicaid Services considers the Coding Clinic published by the American Hospital Association to be the official coding guidelines hospitals should follow in order to assure accuracy in ICD-9-CM coding and DRG assignment.


 TitleOwnerCategoryModified DateSize (Kb) 
CMS DRG 014 - Cerebrovascular DisorderVirginia Newell 4/2/200847.89Download
CMS DRG 079/089 - Pneumonia Coding GuidelinesVirginia Newell 4/1/200826.34Download
CMS DRG 087 - Pulmonary Edema & Respiratory FailureVirginia Newell 4/2/200836.79Download
CMS DRG 088 - Chronic Obstructive Pulmonary DiseaseVirginia Newell 4/2/200833.03Download
CMS DRG 110 - Major Cardiovascular Procedures with Complication/ComorbidityVirginia Newell 12/3/200746.08Download
CMS DRG 124/125 - Circulatory Disorders Except AMI with Cardiac Catheterization with and without Complication/ ComorbidityVirginia Newell 12/3/200752.12Download
CMS DRG 127 - Congestive Heart FailureVirginia Newell 5/5/200835.42Download
CMS DRG 132/133 - Atherosclerosis with or without Complication/ ComorbidityVirginia Newell 12/3/200729.70Download
CMS DRG 138 - Cardiac Arrhythmia & Conductive Disorders with and without Complication/ ComorbidityVirginia Newell 12/3/200744.36Download
CMS DRG 140 - Angina PectorisVirginia Newell 12/3/200720.67Download
CMS DRG 143 - Chest PainVirginia Newell 12/3/200723.46Download
CMS DRG 182 - Esophagitis, Gastroenteritis, and Miscellaneous Disorders Age >17 with Complication/ ComorbidityVirginia Newell 12/3/200735.92Download
CMS DRG 209 - Major Joint and Limb Reattachment Procedures of the Lower ExtremityVirginia Newell 12/3/200730.72Download
CMS DRG 210/211 - Hip and Femur Procedures Except Major Joint Age >17 with and without Complication/ComorbidityVirginia Newell 12/3/200739.42Download
CMS DRG 243 - Medical Back ProblemsVirginia Newell 12/3/200739.91Download
CMS DRG 296 - Nutritional and Miscellaneous Metabolic Disorders Age >17Virginia Newell 12/3/200731.61Download
CMS DRG 416 - SepticemiaVirginia Newell 4/1/200842.87Download
CMS DRG 468 - Extensive or Procedure Unrelated to Principal DiagnosisVirginia Newell 12/3/200714.54Download
CMS DRG 475 - Respiratory System Diagnosis with Ventilator SupportVirginia Newell 12/3/200744.38Download
Excisional DebridementVirginia Newell 12/3/200731.98Download
MS DRG 312 - Syncope & Collapse [CMS DRGs 141/142]Virginia Newell 12/3/200722.51Download
MS DRG 637, 638, 639 - Diabetes with and without CC/MCC [CMS DRGs 294, 295]Virginia Newell 12/3/200745.09Download
MS DRGs 377, 378, 379 - Gastrointestinal Hemmorrhage with and without CC/MCC [CMS DRGs 174/175]Virginia Newell 12/3/200733.51Download
MS DRGs 602, 603 - Cellulitis with and without MCC [CMS DRGs 277/278, 279]Virginia Newell 12/3/200727.11Download
MS DRGs 811, 812 - Red Blood Cell Disorders with and without MCC [CMS DRGs 395, 395]Virginia Newell 12/3/200739.12Download
MS-DRGs 314, 315, 316 - Other Circulatory System Diagnosis with or without Complication/Comorbidity [CMS DRG 144/145]Virginia Newell 12/7/200751.44Download
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