Claim Diagnosis Related Group Code (or MS-DRG Code) (Encounter)

SAS Name
CLM_DRG_CD

The diagnostic related group to which a hospital claim belongs. A unique identifier of a hospital case type that is based on similar clinical problems.

Comments

This is an MAO submitted field  and may be different than the derived DRG code (variable called DRVD_DRG_CD).     

Nonpayment claims (zero reimbursement) may not have a DRG present. 

Source: Medicare Advantage Organizations (MAOs)