Skip to main content

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Claim Diagnosis Related Group Code

DGNS_DRG_CD

ON 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' and
    category.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 

460

Mappings

CCLF
  • CCLF1.DGNS_DRG_CD
CCW
  • CLM_DRG_CD

bluebutton.cms.gov

official website of the U.S. Department of Health and Human Services and the Centers for Medicare & Medicaid Services.

Looking for U.S. government information and services?
Visit USA.gov