Comments (5)
Thanks for the interest, @drrckln! I probably need to look at the details of the data files to assess the level of difficulties, but allow me to suggest a quick and easy solution for your problem.
You can convert ICD9 diagnosis/procedure codes to ICD10 using General Equivalence Mapping (GEM). Please see
After converting ICD9 codes to ICD10 codes, and then you can apply this drgpy
to get the corresponding DRG? Let me know if this solves your problem. Best,
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Ah, that could work. Thanks! I saw this quote at some point:
"From a recent study conducted by 3M comparing the ICD-9-CM grouper to the ICD-10 grouper based on recoding patient records, they estimated that slightly more than 99% of the cases showed no change in MS-DRG when coded in ICD-10."
But I cannot recall which document I pulled this quote from, and it seemed to be from around the ICD-9 to ICD-10 switch, eg ~2014. It looks like CMS took pains to keep MS-DRG groupings stable then, but it's unclear to me if that's still the case 5 years later.
If I take 2010 dx/pcs codes, convert them, and apply drgpy
, do you know if it's still 99%+ likely to have the same MS-DRG assigned as it was originally in 2010?
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I discovered that CMS's freely released MS-DRG grouper software applies the correct grouper version based on claim date. It runs on Windows, but is usable in interactive or batch mode.
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Yes, you mean the Java application: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software.html
I think there are a couple of other interfaces that you can download as well.
This package is developed to easily integrate into other Python analytics stacks. If you are okay with running as a separate application, I recommend using those applications out there.
Regarding your question, I don't know if it will maintain 99%+ match with the conversion with drgpy
, unless I have some data to compare to; sorry for not providing much insight on this.
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Closing the original issue as it can be addressed with other packages.
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Related Issues (13)
- Update to version 38.1 HOT 13
- thank you for posting HOT 1
- `dx_pttrn` excludes COVID-19 codes HOT 1
- Use of diagnoses and procedures only HOT 2
- Do not return a DRG code with ICD N400
- Does drgpy convert multiple DRG into single DRG as like DRG grouper software?
- How to print descriptions of DRG and MDC? HOT 3
- Wrong DRG 807? HOT 2
- NoExcl in Appendix C? HOT 3
- MS-DRG Version number HOT 1
- Making OR Procedures DRG-specific HOT 4
- Appropriately recognizing DRGs 98X (Procedure Unrelated to Primary Diagnosis) HOT 2
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