Wiki DRG 927, are there guidelines?

[SValenciano]

Are there any guidelines or global period for billing DRG 927?
Scenerio:
Patient is admitted to the Hospital A's burn unit for 7 days, transferred to another Hospital B for surgery and is there for 3 days, then is transferred back to Hospital A's burn unit for 43 days. Hospital A billed DRG 927 both times, is this allowed?

Thank you.

 

[vlh12115]

" Hospital A billed DRG 927 both times, is this allowed?"

The DRG assignment is based on the appropriate selection of a principle diagnosis. If Hospital A is using the same principle diagnosis pre and post transfer, I would say yes, they can bill for DRG 927 pre and post transfer.

 

[mitchellde]

There should be no problem with this. DRG assignment is based on the dx and any comorbitities assigned. Since burns are coded as acute until healed it is entirely probable that the same dx codes were assigned for both stays which would give the same DRG both times.

 

[SValenciano]

Thank you both vlh12115 and mitchellde for your replies, they are of great help.

Have a great day!