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DRG Expert — 2019 (2 Volume set, shrink wrapped)



2019 DRG Expert (ICD-10-CM): 2 Volume Set

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, 2018.

Key Features and Benefits

 Optum360 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
 Optum360 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
MS-DRG under IPPS.
 Optum360 Edge—MS-DRG structure. Every diagnosis and procedure code that defines each DRG
is listed.
 Optum360 Edge—LTC-DRG crosswalk and current rate structure. Know what the RW and
length-of-stay data are for each MS-DRG under the LTCH prospective payment system.
 Optum360 Edge—MDC diagnosis list. Complete list of mutually exclusive diagnoses defining each
 Optum360 Edge—Transfer DRG symbol. Indicates a DRG selected as a qualified discharge that
may be paid at the per diem rate.
 Optum360 Edge—Average national payment. Listed for every MS-DRG as a quick benchmark
 Easily locate the correct DRG. Use the numeric or alphabetic index 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
 Icons indicate which CC subclass the DRG belongs to based upon 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.