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Most Frequently Billed Spine Care Diagnoses

By: Marcy Rogers, M.Ed. and Suzan Sattler, RN

As we drill down to the intricacies of DRG (Diagnosis Related Groups) payment calculation variables, we can better understand the impact that comprehensive physician documentation and accurate data reporting has upon hospital reimbursement. The most frequently billed DRGs for spine care are listed in Table 1. Examples of documentation, coding, and billing scenarios follow:

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Marcy Rogers, M.Ed. Suzan Sattler, RN