MitraClip is associated with lower 30 Day readmission rates in DRG 229
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By: Avinash Kumar May. 03, 2019
MitraClip’s ICD 10 procedure code of 02UG3JZ is used by Hospitals to get NTAP payments over and above the DRG payment amount. The largest use of the MitraClip ICD 10 Code is in DRG 229 - Other Cardiothoracic Procedures without Major Complications and Comorbidities. The all cause readmission rate at the DRG is 16.42% versus 13.92% when MitraClip is used.
Diagnosis Related Groups (DRGs) is a classification system which assigns a hospital stay to one of approximately 750 DRG codes. Dexur also has a more in depth database of patients who have Mitral valve diseases like Mitral regurgitation and Mitral valve prolapse and can benefit from MitraClip procedures.
The below table shows the top DRGs associated with MitraClip procedures:
| Rank of Usage | DRG Code & Description where MitraClip was used | Total Medicare payment per Hospitalization at DRG |
|---|---|---|
| 1 | DRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | $30,586 |
| 2 | DRG 228: OTHER CARDIOTHORACIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | $48,396 |
| 3 | DRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | $56,314 |
| 4 | DRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH COMPLICATION OR COMORBIDITY (CC) | $34,951 |
| 5 | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | $32,609 |
Dexur Pro members get detailed quality outcomes for a combination of MitraClip usage and that DRG. Quality outcomes include LOS, Mortality, Readmission and SNF Discharge rates.
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