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  3. Diagnosis Codes in MS-DRG 294 - Deep Vein Thrombophlebitis With CC/MCC

Diagnosis Codes in MS-DRG 294 - Deep Vein Thrombophlebitis With CC/MCC

The Medicare Severity Diagnosis-Related Group (MS-DRG) is a patient classification system used to categorize hospital cases based on clinical similarity and expected resource use. MS-DRGs organize all possible principal diagnoses into mutually exclusive groups known as Major Diagnostic Categories (MDCs), which help determine reimbursement under the Medicare Inpatient Prospective Payment System.

This section lists the diagnosis codes included in MS-DRG V42.0: Deep Vein Thrombophlebitis with CC/MCC from October 1, 2024, through September 30, 2025.

MS-DRG: 294

MS-DRG Title: Deep Vein Thrombophlebitis with CC/MCC

MCD: 05

Relative Weight: 1.2279 Relative Weight
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Geometric LOS: 1.23 Geometric Length of Stay
The geometric mean length of stay (GMLOS) is used by Medicare to calculate the reimbursement for patients whose medical treatment takes a much longer or shorter time than average.

Arithmetic LOS: 3.40 Arithmetic Length of Stay
The average length of stay (ALOS) reflects the average number of days a patient spends in a hospital for each admission.

  • I80 - Phlebitis and thrombophlebitis

    • I80.3 - Phlebitis and thrombophlebitis of lower extremities, unspecified

  • I80.1 - Phlebitis and thrombophlebitis of femoral vein

    • I80.10 - Phlebitis and thrombophlebitis of unspecified femoral vein

    • I80.11 - Phlebitis and thrombophlebitis of right femoral vein

    • I80.12 - Phlebitis and thrombophlebitis of left femoral vein

    • I80.13 - Phlebitis and thrombophlebitis of femoral vein, bilateral

  • I80.20 - Phlebitis and thrombophlebitis of unspecified deep vessels of lower extremities

    • I80.201 - Phlebitis and thrombophlebitis of unspecified deep vessels of right lower extremity

    • I80.202 - Phlebitis and thrombophlebitis of unspecified deep vessels of left lower extremity

    • I80.203 - Phlebitis and thrombophlebitis of unspecified deep vessels of lower extremities, bilateral

    • I80.209 - Phlebitis and thrombophlebitis of unspecified deep vessels of unspecified lower extremity

  • I80.21 - Phlebitis and thrombophlebitis of iliac vein

    • I80.211 - Phlebitis and thrombophlebitis of right iliac vein

    • I80.212 - Phlebitis and thrombophlebitis of left iliac vein

    • I80.213 - Phlebitis and thrombophlebitis of iliac vein, bilateral

    • I80.219 - Phlebitis and thrombophlebitis of unspecified iliac vein

  • I80.22 - Phlebitis and thrombophlebitis of popliteal vein

    • I80.221 - Phlebitis and thrombophlebitis of right popliteal vein

    • I80.222 - Phlebitis and thrombophlebitis of left popliteal vein

    • I80.223 - Phlebitis and thrombophlebitis of popliteal vein, bilateral

    • I80.229 - Phlebitis and thrombophlebitis of unspecified popliteal vein

  • I80.23 - Phlebitis and thrombophlebitis of tibial vein

    • I80.231 - Phlebitis and thrombophlebitis of right tibial vein

    • I80.232 - Phlebitis and thrombophlebitis of left tibial vein

    • I80.233 - Phlebitis and thrombophlebitis of tibial vein, bilateral

    • I80.239 - Phlebitis and thrombophlebitis of unspecified tibial vein

  • I80.24 - Phlebitis and thrombophlebitis of peroneal vein

    • I80.241 - Phlebitis and thrombophlebitis of right peroneal vein

    • I80.242 - Phlebitis and thrombophlebitis of left peroneal vein

    • I80.243 - Phlebitis and thrombophlebitis of peroneal vein, bilateral

    • I80.249 - Phlebitis and thrombophlebitis of unspecified peroneal vein

  • I80.25 - Phlebitis and thrombophlebitis of calf muscular vein

    • I80.251 - Phlebitis and thrombophlebitis of right calf muscular vein

    • I80.252 - Phlebitis and thrombophlebitis of left calf muscular vein

    • I80.253 - Phlebitis and thrombophlebitis of calf muscular vein, bilateral

    • I80.259 - Phlebitis and thrombophlebitis of unspecified calf muscular vein

  • I80.29 - Phlebitis and thrombophlebitis of other deep vessels of lower extremities

    • I80.291 - Phlebitis and thrombophlebitis of other deep vessels of right lower extremity

    • I80.292 - Phlebitis and thrombophlebitis of other deep vessels of left lower extremity

    • I80.293 - Phlebitis and thrombophlebitis of other deep vessels of lower extremity, bilateral

    • I80.299 - Phlebitis and thrombophlebitis of other deep vessels of unspecified lower extremity

  • I82.22 - Embolism and thrombosis of inferior vena cava

    • I82.220 - Acute embolism and thrombosis of inferior vena cava

    • I82.221 - Chronic embolism and thrombosis of inferior vena cava