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Council member Q&A: TAVRs, MCCs, and DRG classification

This month’s question was submitted on July 31, 2023, and focuses on the proper DRG classification for transcatheter aortic valve replacement (TAVR) with MCCs. Please note that the questions and answers have been de-identified for the purposes of this article.

Q: Regarding TAVR DRG 267 versus 266: Our providers wonder why so many TAVR procedures go to the 267 DRG without an MCC. I would like to know if other facilities that perform TAVRs get many cases to 266 DRG with an MCC, and if so, what are the top MCCs captured? Providers routinely document the New York Heart Association (NYHA) heart failure class but do not always document the congestive heart failure (CHF) component. Most TAVR cases are done electively and discharged the next day, which makes it hard to justify querying for acute CHF.

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