DRG 538
Medical DRGSprains, Strains, and Dislocations of Hip, Pelvis and Thigh without CC/MCC
What is MS-DRG 538?
MS-DRG 538 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 08 (MDC 08) without a significant Complication or Comorbidity. It maps to 61 ICD-10-CM diagnosis codes. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.
Linked ICD-10-CM Diagnosis Mappings
- S33.4XXA
Traumatic rupture of symphysis pubis, initial encounter
BillableChapter 19 - S73.001A
Unspecified subluxation of right hip, initial encounter
BillableChapter 19 - S73.002A
Unspecified subluxation of left hip, initial encounter
BillableChapter 19 - S73.003A
Unspecified subluxation of unspecified hip, initial encounter
BillableChapter 19 - S73.004A
Unspecified dislocation of right hip, initial encounter
BillableChapter 19 - S73.005A
Unspecified dislocation of left hip, initial encounter
BillableChapter 19 - S73.006A
Unspecified dislocation of unspecified hip, initial encounter
BillableChapter 19 - S73.011A
Posterior subluxation of right hip, initial encounter
BillableChapter 19 - S73.012A
Posterior subluxation of left hip, initial encounter
BillableChapter 19 - S73.013A
Posterior subluxation of unspecified hip, initial encounter
BillableChapter 19 - S73.014A
Posterior dislocation of right hip, initial encounter
BillableChapter 19 - S73.015A
Posterior dislocation of left hip, initial encounter
BillableChapter 19 - S73.016A
Posterior dislocation of unspecified hip, initial encounter
BillableChapter 19 - S73.021A
Obturator subluxation of right hip, initial encounter
BillableChapter 19 - S73.022A
Obturator subluxation of left hip, initial encounter
BillableChapter 19 - S73.023A
Obturator subluxation of unspecified hip, initial encounter
BillableChapter 19 - S73.024A
Obturator dislocation of right hip, initial encounter
BillableChapter 19 - S73.025A
Obturator dislocation of left hip, initial encounter
BillableChapter 19 - S73.026A
Obturator dislocation of unspecified hip, initial encounter
BillableChapter 19 - S73.031A
Other anterior subluxation of right hip, initial encounter
BillableChapter 19 - S73.032A
Other anterior subluxation of left hip, initial encounter
BillableChapter 19 - S73.033A
Other anterior subluxation of unspecified hip, initial encounter
BillableChapter 19 - S73.034A
Other anterior dislocation of right hip, initial encounter
BillableChapter 19 - S73.035A
Other anterior dislocation of left hip, initial encounter
BillableChapter 19 - S73.036A
Other anterior dislocation of unspecified hip, initial encounter
BillableChapter 19 - S73.041A
Central subluxation of right hip, initial encounter
BillableChapter 19 - S73.042A
Central subluxation of left hip, initial encounter
BillableChapter 19 - S73.043A
Central subluxation of unspecified hip, initial encounter
BillableChapter 19 - S73.044A
Central dislocation of right hip, initial encounter
BillableChapter 19 - S73.045A
Central dislocation of left hip, initial encounter
BillableChapter 19 - S73.046A
Central dislocation of unspecified hip, initial encounter
BillableChapter 19 - S73.101A
Unspecified sprain of right hip, initial encounter
BillableChapter 19 - S73.102A
Unspecified sprain of left hip, initial encounter
BillableChapter 19 - S73.109A
Unspecified sprain of unspecified hip, initial encounter
BillableChapter 19 - S73.111A
Iliofemoral ligament sprain of right hip, initial encounter
BillableChapter 19 - S73.112A
Iliofemoral ligament sprain of left hip, initial encounter
BillableChapter 19 - S73.119A
Iliofemoral ligament sprain of unspecified hip, initial encounter
BillableChapter 19 - S73.121A
Ischiocapsular ligament sprain of right hip, initial encounter
BillableChapter 19 - S73.122A
Ischiocapsular ligament sprain of left hip, initial encounter
BillableChapter 19 - S73.129A
Ischiocapsular ligament sprain of unspecified hip, initial encounter
BillableChapter 19 - S73.191A
Other sprain of right hip, initial encounter
BillableChapter 19 - S73.192A
Other sprain of left hip, initial encounter
BillableChapter 19 - S73.199A
Other sprain of unspecified hip, initial encounter
BillableChapter 19 - S76.011A
Strain of muscle, fascia and tendon of right hip, initial encounter
BillableChapter 19 - S76.012A
Strain of muscle, fascia and tendon of left hip, initial encounter
BillableChapter 19 - S76.019A
Strain of muscle, fascia and tendon of unspecified hip, initial encounter
BillableChapter 19 - S76.111A
Strain of right quadriceps muscle, fascia and tendon, initial encounter
BillableChapter 19 - S76.112A
Strain of left quadriceps muscle, fascia and tendon, initial encounter
BillableChapter 19 - S76.119A
Strain of unspecified quadriceps muscle, fascia and tendon, initial encounter
BillableChapter 19 - S76.211A
Strain of adductor muscle, fascia and tendon of right thigh, initial encounter
BillableChapter 19 - S76.212A
Strain of adductor muscle, fascia and tendon of left thigh, initial encounter
BillableChapter 19 - S76.219A
Strain of adductor muscle, fascia and tendon of unspecified thigh, initial encounter
BillableChapter 19 - S76.311A
Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, initial encounter
BillableChapter 19 - S76.312A
Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, left thigh, initial encounter
BillableChapter 19 - S76.319A
Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, unspecified thigh, initial encounter
BillableChapter 19 - S76.811A
Strain of other specified muscles, fascia and tendons at thigh level, right thigh, initial encounter
BillableChapter 19 - S76.812A
Strain of other specified muscles, fascia and tendons at thigh level, left thigh, initial encounter
BillableChapter 19 - S76.819A
Strain of other specified muscles, fascia and tendons at thigh level, unspecified thigh, initial encounter
BillableChapter 19 - S76.911A
Strain of unspecified muscles, fascia and tendons at thigh level, right thigh, initial encounter
BillableChapter 19 - S76.912A
Strain of unspecified muscles, fascia and tendons at thigh level, left thigh, initial encounter
BillableChapter 19 - S76.919A
Strain of unspecified muscles, fascia and tendons at thigh level, unspecified thigh, initial encounter
BillableChapter 19
