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  3. MS-DRG - 582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC

MS-DRG - 582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC

The Medicare Severity Diagnosis-Related Group or MS-DRG is a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). This is the group for MS-DRG - 582 MASTECTOMY FOR MALIGNANCY WITH Complication Comorbidity/Major Complication or Comorbidity diseases in version MS-DRG V40.0 applicable from 10/01/2022 through 09/30/2023.

MS-DRG MS-DRG Title MCD Relative Weight Geometric LOS Arithmetic LOS
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC 09 1.9348 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.		 2.40 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.		 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.

ICD-10 Codes in Diagnostic Related Group

  • C50.011 - Malignant neoplasm of nipple and areola, right female breast BILLABLE CODE
  • C50.012 - Malignant neoplasm of nipple and areola, left female breast BILLABLE CODE
  • C50.019 - Malignant neoplasm of nipple and areola, unspecified female breast BILLABLE CODE
  • C50.021 - Malignant neoplasm of nipple and areola, right male breast BILLABLE CODE
  • C50.022 - Malignant neoplasm of nipple and areola, left male breast BILLABLE CODE
  • C50.029 - Malignant neoplasm of nipple and areola, unspecified male breast BILLABLE CODE
  • C50.111 - Malignant neoplasm of central portion of right female breast BILLABLE CODE
  • C50.112 - Malignant neoplasm of central portion of left female breast BILLABLE CODE
  • C50.119 - Malignant neoplasm of central portion of unspecified female breast BILLABLE CODE
  • C50.121 - Malignant neoplasm of central portion of right male breast BILLABLE CODE
  • C50.122 - Malignant neoplasm of central portion of left male breast BILLABLE CODE
  • C50.129 - Malignant neoplasm of central portion of unspecified male breast BILLABLE CODE
  • C50.211 - Malignant neoplasm of upper-inner quadrant of right female breast BILLABLE CODE
  • C50.212 - Malignant neoplasm of upper-inner quadrant of left female breast BILLABLE CODE
  • C50.219 - Malignant neoplasm of upper-inner quadrant of unspecified female breast BILLABLE CODE
  • C50.221 - Malignant neoplasm of upper-inner quadrant of right male breast BILLABLE CODE
  • C50.222 - Malignant neoplasm of upper-inner quadrant of left male breast BILLABLE CODE
  • C50.229 - Malignant neoplasm of upper-inner quadrant of unspecified male breast BILLABLE CODE
  • C50.311 - Malignant neoplasm of lower-inner quadrant of right female breast BILLABLE CODE
  • C50.312 - Malignant neoplasm of lower-inner quadrant of left female breast BILLABLE CODE
  • C50.319 - Malignant neoplasm of lower-inner quadrant of unspecified female breast BILLABLE CODE
  • C50.321 - Malignant neoplasm of lower-inner quadrant of right male breast BILLABLE CODE
  • C50.322 - Malignant neoplasm of lower-inner quadrant of left male breast BILLABLE CODE
  • C50.329 - Malignant neoplasm of lower-inner quadrant of unspecified male breast BILLABLE CODE
  • C50.411 - Malignant neoplasm of upper-outer quadrant of right female breast BILLABLE CODE
  • C50.412 - Malignant neoplasm of upper-outer quadrant of left female breast BILLABLE CODE
  • C50.419 - Malignant neoplasm of upper-outer quadrant of unspecified female breast BILLABLE CODE
  • C50.421 - Malignant neoplasm of upper-outer quadrant of right male breast BILLABLE CODE
  • C50.422 - Malignant neoplasm of upper-outer quadrant of left male breast BILLABLE CODE
  • C50.429 - Malignant neoplasm of upper-outer quadrant of unspecified male breast BILLABLE CODE
  • C50.511 - Malignant neoplasm of lower-outer quadrant of right female breast BILLABLE CODE
  • C50.512 - Malignant neoplasm of lower-outer quadrant of left female breast BILLABLE CODE
  • C50.519 - Malignant neoplasm of lower-outer quadrant of unspecified female breast BILLABLE CODE
  • C50.521 - Malignant neoplasm of lower-outer quadrant of right male breast BILLABLE CODE
  • C50.522 - Malignant neoplasm of lower-outer quadrant of left male breast BILLABLE CODE
  • C50.529 - Malignant neoplasm of lower-outer quadrant of unspecified male breast BILLABLE CODE
  • C50.611 - Malignant neoplasm of axillary tail of right female breast BILLABLE CODE
  • C50.612 - Malignant neoplasm of axillary tail of left female breast BILLABLE CODE
  • C50.619 - Malignant neoplasm of axillary tail of unspecified female breast BILLABLE CODE
  • C50.621 - Malignant neoplasm of axillary tail of right male breast BILLABLE CODE
  • C50.622 - Malignant neoplasm of axillary tail of left male breast BILLABLE CODE
  • C50.629 - Malignant neoplasm of axillary tail of unspecified male breast BILLABLE CODE
  • C50.811 - Malignant neoplasm of overlapping sites of right female breast BILLABLE CODE
  • C50.812 - Malignant neoplasm of overlapping sites of left female breast BILLABLE CODE
  • C50.819 - Malignant neoplasm of overlapping sites of unspecified female breast BILLABLE CODE
  • C50.821 - Malignant neoplasm of overlapping sites of right male breast BILLABLE CODE
  • C50.822 - Malignant neoplasm of overlapping sites of left male breast BILLABLE CODE
  • C50.829 - Malignant neoplasm of overlapping sites of unspecified male breast BILLABLE CODE
  • C50.911 - Malignant neoplasm of unspecified site of right female breast BILLABLE CODE
  • C50.912 - Malignant neoplasm of unspecified site of left female breast BILLABLE CODE
  • C50.919 - Malignant neoplasm of unspecified site of unspecified female breast BILLABLE CODE
  • C50.921 - Malignant neoplasm of unspecified site of right male breast BILLABLE CODE
  • C50.922 - Malignant neoplasm of unspecified site of left male breast BILLABLE CODE
  • C50.929 - Malignant neoplasm of unspecified site of unspecified male breast BILLABLE CODE
  • C79.2 - Secondary malignant neoplasm of skin BILLABLE CODE
  • C79.81 - Secondary malignant neoplasm of breast BILLABLE CODE
  • D05.00 - Lobular carcinoma in situ of unspecified breast BILLABLE CODE
  • D05.01 - Lobular carcinoma in situ of right breast BILLABLE CODE
  • D05.02 - Lobular carcinoma in situ of left breast BILLABLE CODE
  • D05.10 - Intraductal carcinoma in situ of unspecified breast BILLABLE CODE
  • D05.11 - Intraductal carcinoma in situ of right breast BILLABLE CODE
  • D05.12 - Intraductal carcinoma in situ of left breast BILLABLE CODE
  • D05.80 - Other specified type of carcinoma in situ of unspecified breast BILLABLE CODE
  • D05.81 - Other specified type of carcinoma in situ of right breast BILLABLE CODE
  • D05.82 - Other specified type of carcinoma in situ of left breast BILLABLE CODE
  • D05.90 - Unspecified type of carcinoma in situ of unspecified breast BILLABLE CODE
  • D05.91 - Unspecified type of carcinoma in situ of right breast BILLABLE CODE
  • D05.92 - Unspecified type of carcinoma in situ of left breast BILLABLE CODE
  • D48.60 - Neoplasm of uncertain behavior of unspecified breast BILLABLE CODE
  • D48.61 - Neoplasm of uncertain behavior of right breast BILLABLE CODE
  • D48.62 - Neoplasm of uncertain behavior of left breast BILLABLE CODE