DRG 949, DRG 950 Aftercare with, without CC/MCC

Each of the Medicare Severity Diagnosis Related Groups (MS-DRG) is defined by a particular set of patient attributes which include principal diagnosis, specific secondary diagnoses, procedures, sex and discharge status.

DRG 949 Aftercare with CC/MCC and DRG 950 Aftercare without CC/MCC is classified as a Medicare Diagnostic Category (MDC) 23 — Factors Influencing Health Status & Other Contacts with Health Services Aftercare. The category is General Medicine and the Surgical Category is non-surgical.

Below is the FY 2023 Proposed Rule Alternatives Considered MS-DRG Weights (ZIP). It contains MS-DRG weights determined under the FY 2023 proposed rule alternatives considered, found on the CMS website.

For a list of principal diagnoses for DRGs 949 and 050, please see ICD-10-CM/PCS MS-DRG v37.0 Definitions Manual (cms.gov).

Consider Other Potential DRGs
Aftercare of Myocardial infarction with a stated duration of 28 days or less from onset:

• Discharged alive:
  • DRG 280 — Acute myocardial infarction, discharged alive with MCC
  • DRG 281 — Acute myocardial infarction, discharged alive with CC
  • DRG 282 — Acute myocardial infarction, discharged alive without CC/MCC
• Expired:
  • DRG 283 — Acute myocardial infarction, expired with MCC
  • DRG 284 — Acute myocardial infarction, expired with CC
  • DRG 285 — Acute myocardial infarction, expired without CC/MCC

Principal Diagnosis Sequela(e) of Cerebrovascular Disease

• DRG 056 — Degenerative nervous system disorders with MCC
• DRG 057 — Degenerative nervous system disorders without MCC

Encounter for Planned Postoperative Wound Closure or Other Planned Procedure

• DRG 939 O.R. Procedures with diagnoses of other contact with health services with MCC
• DRG 940 O.R. Procedures with diagnoses of other contact with health services with CC
• DRG 941 O.R. Procedures with diagnoses of other contact with health services without CC/MCC

Further Information

• CMS Acute Inpatient PPS 
• CMS ICD-10-CM/PCS MS-DRG v37.0 Definitions Manual  
• CMS Inpatient PPS Web Pricer