When an inpatient record supports both a valid CC and a valid MCC s…

Question

When an inpatient record supports both a valid CC and a valid MCC secondary diagnosis, which MS-DRG severity outcome typically results?

Accepted Answer

The MCC drives the higher with-MCC DRG tier rather than stopping at the CC-only tier — If you have a real MCC in the mix, the stay usually jumps to the MCC DRG—not the milder CC version. The higher severity flag wins the grouping race.

Answer

The CC overrides the MCC because CCs are sequenced first

Answer

Both tiers are billed on separate claims for the same stay

Answer

The grouper averages CC and MCC relative weights

When an inpatient record supports both a valid CC and a valid MCC secondary diagnosis, which MS-DRG severity outcome typically results?

Short Explanation

Full Explanation