Claim Diagnosis Related Group Code
DGNS_DRG_CDOn an institutional claim, the code that identifies the diagnosis related group to which a beneficiary stay is classified for payment purposes. [NCH]
Field Metadata
- FHIR Resource
- ExplanationOfBenefit
- FHIRPath
- ExplanationOfBenefit.supportingInfo.where(category.coding.system = 'http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType' andcategory.coding.code = 'drg').code.coding.where(system = 'https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software').code
- Coverage / Claim Type
- Inpatient
- SNF
- Source View
V2_MDCR_CLM_INSTNL- Source Column
DGNS_DRG_CD- Sources
- FISS
- NCH
- Profiles
- Basis
- Regular
- CMS
Example
460Mappings
- CCLF
CCLF1.DGNS_DRG_CD
- CCW
CLM_DRG_CD