MS-DRG 917: POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC

Principal diagnoses that group to MS-DRGs 917–918

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 1,499 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 917–918 the case lands in. The 24 most-searched:

• T45.1X5AAdverse effect of antineoplastic and immunosuppressive drugs, initial encounter
• T50.905AAdverse effect of unspecified drugs, medicaments and biological substances, initial encounter
• T50.901APoisoning by unspecified drugs, medicaments and biological substances, accidental (unintentional), initial encounter
• T36.0X5AAdverse effect of penicillins, initial encounter
• T38.0X5AAdverse effect of glucocorticoids and synthetic analogues, initial encounter
• T38.3X1APoisoning by insulin and oral hypoglycemic [antidiabetic] drugs, accidental (unintentional), initial encounter
• T38.3X5AAdverse effect of insulin and oral hypoglycemic [antidiabetic] drugs, initial encounter
• T40.2X1APoisoning by other opioids, accidental (unintentional), initial encounter
• T40.2X2APoisoning by other opioids, intentional self-harm, initial encounter
• T40.2X3APoisoning by other opioids, assault, initial encounter
• T40.2X4APoisoning by other opioids, undetermined, initial encounter
• T40.2X5AAdverse effect of other opioids, initial encounter
• T42.4X1APoisoning by benzodiazepines, accidental (unintentional), initial encounter
• T43.201APoisoning by unspecified antidepressants, accidental (unintentional), initial encounter
• T45.1X1APoisoning by antineoplastic and immunosuppressive drugs, accidental (unintentional), initial encounter
• T45.515AAdverse effect of anticoagulants, initial encounter
• T50.2X5AAdverse effect of carbonic-anhydrase inhibitors, benzothiadiazides and other diuretics, initial encounter
• T50.B95AAdverse effect of other viral vaccines, initial encounter
• T50.995AAdverse effect of other drugs, medicaments and biological substances, initial encounter
• T60.91XAToxic effect of unspecified pesticide, accidental (unintentional), initial encounter
• T60.92XAToxic effect of unspecified pesticide, intentional self-harm, initial encounter
• T62.0X1AToxic effect of ingested mushrooms, accidental (unintentional), initial encounter
• T63.441AToxic effect of venom of bees, accidental (unintentional), initial encounter
• M1A.10X0Lead-induced chronic gout, unspecified site, without tophus (tophi)

1,475 more codes group here. Open any code above for its full hierarchy, or check a whole claim in the free DRG calculator.

The severity splits

Same base DRG, split by whether a secondary diagnosis is a CC or MCC. The last column is the weight change from MS-DRG 917.