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It is important to understand that while you may not use possible or probable diagnoses for professional reimbursement, they are acceptable for DRG assignment.
Physician understanding of the DRG system and appropriate documentation are the keys to success for both parties.
If this is all that is documented in the DIG summary, this case will code to DRG 29: traumatic stupor and coma, age >1 7, coma < 1 hour, with no complications or co-morbidities.
This DRG is assigned a relative weight of 0.6956 with an average national payment of approximately $3,000.
Consider, for example, three DRGS that often account for significant contractual adjustments in many hospitals providing general medical care.