C/C Exclusions: Sometimes the codes designated as CCs (complication/comorbiditys) or MCCs (Major Complication/Comorbidity) do not affect the MS-DRG. It all depends on which principal diagnosis is assigned. Each CC (complication/comorbidity) has a list of PDX codes which, if assigned, will cause that CC not to change the MS-DRG. It is called the exclusion list for that specific CC code. There is no such list for MCCs (Major Complication/Comorbiditys) at this time.
Chat with our AI personalities