DRG 291
Medical DRGHeart Failure and Shock with MCC
What is MS-DRG 291?
MS-DRG 291 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 05 (MDC 05) with a Major Complication or Comorbidity (MCC). It maps to 29 ICD-10-CM diagnosis codes. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.
Linked ICD-10-CM Diagnosis Mappings
- I09.81
Rheumatic heart failure
BillableChapter 9 - I11.0
Hypertensive heart disease with heart failure
BillableChapter 9 - I13.0
Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
BillableChapter 9 - I13.10
Hypertensive heart and chronic kidney disease without heart failure, with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
BillableChapter 9 - I50.1
Left ventricular failure, unspecified
BillableChapter 9 - I50.20
Unspecified systolic (congestive) heart failure
BillableChapter 9 - I50.21
Acute systolic (congestive) heart failure
BillableChapter 9 - I50.22
Chronic systolic (congestive) heart failure
BillableChapter 9 - I50.23
Acute on chronic systolic (congestive) heart failure
BillableChapter 9 - I50.30
Unspecified diastolic (congestive) heart failure
BillableChapter 9 - I50.31
Acute diastolic (congestive) heart failure
BillableChapter 9 - I50.32
Chronic diastolic (congestive) heart failure
BillableChapter 9 - I50.33
Acute on chronic diastolic (congestive) heart failure
BillableChapter 9 - I50.40
Unspecified combined systolic (congestive) and diastolic (congestive) heart failure
BillableChapter 9 - I50.41
Acute combined systolic (congestive) and diastolic (congestive) heart failure
BillableChapter 9 - I50.42
Chronic combined systolic (congestive) and diastolic (congestive) heart failure
BillableChapter 9 - I50.43
Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure
BillableChapter 9 - I50.810
Right heart failure, unspecified
BillableChapter 9 - I50.811
Acute right heart failure
BillableChapter 9 - I50.812
Chronic right heart failure
BillableChapter 9 - I50.813
Acute on chronic right heart failure
BillableChapter 9 - I50.814
Right heart failure due to left heart failure
BillableChapter 9 - I50.82
Biventricular heart failure
BillableChapter 9 - I50.83
High output heart failure
BillableChapter 9 - I50.84
End stage heart failure
BillableChapter 9 - I50.89
Other heart failure
BillableChapter 9 - I50.9
Heart failure, unspecified
BillableChapter 9 - R57.0
Cardiogenic shock
BillableChapter 18 - R57.9
Shock, unspecified
BillableChapter 18