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What are DRG codes?

What are DRG codes?

Diagnosis Related Groups classify hospital inpatient stays into clinically related groups expected to use similar resources. CMS uses Medicare Severity DRGs in the inpatient prospective payment system, with classifications updated for each fiscal year. A DRG supports payment grouping; it is not itself a diagnosis, coverage promise, or statement about a hospital's quality.

Published
2026-07-20
Retrieved
Not reported
Snapshot
sha256:d37ce38288ec2233cc05d9c287e1cc44f00d8e3d508fabd2db710edc667fd6f6
Data as of
2026-07-20

Source artifact receipts

Each receipt below describes its exact retained artifact or live source. Dates and digests never cross artifact boundaries.

Scope and material limitation

What this answer covers

This definition covers CMS MS-DRGs for Medicare inpatient payment. Other payers or jurisdictions may use related systems with different versions and rules.

Dated source facts

What the cited record says

Source-snapshot manifest receipt

Reproducible lineage, explicitly unsigned

This receipt attests the source snapshot manifest, not any individual fact.

The answer-series chain record is unsigned. It does not authenticate a person, organization, eligibility state, or individual fact.

Snapshot manifest SHA-256
2180c40ff5f1b596698ec845db03d666c2f2d47077a8209f344dc4d74c26a465
Previous chain SHA-256
a64ba39f0764e3fbf906e686c29634926d1f43ab77f3fdce1cdb2e4079879110
Current chain SHA-256
93edbfa9e96f22a19c6822300cd64f5c3ddec00d3a669b55a0e15953400f7d97
signature_linked_facts
0
Answer-series chain status
unsigned

Primary-source chain

Follow the answer to its source

  1. MS-DRG classifications and softwareCenters for Medicare & Medicaid Services (CMS)Accessed:

    Limitation: MS-DRG assignment is specific to Medicare inpatient payment rules and the applicable fiscal-year release; it is not a clinical diagnosis or coverage decision.

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Methodology and limitations

How to interpret this answer

Methodology version: citation-answer/v1

  • No restricted code content or patient-specific grouping is reproduced.
Read the methodology

Frequently asked questions

Questions about this answer

Is a DRG the same as a diagnosis code?
No. Diagnosis and procedure information contributes to grouping a stay, while the DRG is the resulting inpatient payment classification.

What’s on file, by the numbers

Platform snapshot · 2026-08-30

13.4Mproviders & companiesProviders, organizations, owners, and facilities on file
26.2Msource-linked factsSource-linked field facts in the dated platform snapshot
90sources with dataDistinct snapshot source IDs with at least one positive record count
16fresh sourcesDistinct source IDs whose latest positive-data snapshot falls within the preceding 45 days
111sources integratedActive registry rows; integration does not establish a load
13state Medicaid jurisdictionsDistinct states represented in the state-exclusions serving table

Integrated, with-data, and fresh-observation counts are separate. No platform-wide source-completeness count is published. Completeness is source-specific and must be evaluated against the named source's expected scope. State coverage is a separate jurisdiction measure.

Source authority is record-specific

Use the issuer named on the record.

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Reproducible by design

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Source and date

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Available derivation

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Daily observations

Dated table row-count observations can detect local drift. They do not imply that an upstream publisher released or Fonteum ingested new data that day.

Named medical review

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

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