--- title: "Part 5: Most Common DRG’s with Recommendations 2018" description: In part 5 of our series, we look at DRG 64—Intracranial hemorrhage or cerebral infarction with MCC. For this DRG recommendation the majority (almost all) were recommended to DRG 65 (Intracranial hemorrhage or cerebral infarction with CC) with deletion of the reported MCC. image: https://hiacode.com/hubfs/Imported_Blog_Media/shutterstock_690942994-1.jpg --- # Part 5: Most Common DRG’s with Recommendations 2018 ![HIAcode](https://hiacode.com/hubfs/Logos/HIA_RGB_PrimaryLogo_Icon%20(1)_Artboard%201.png) [HIAcode](https://hiacode.com/blog/author/hiacode) Jan 11, 2019 [Medical Coding Tips](https://hiacode.com/blog/tag/medical-coding-tips) ![Part 5: Most Common DRG’s with Recommendations 2018](https://hiacode.com/hubfs/Imported_Blog_Media/shutterstock_690942994-1.jpg) - Share on: - [![](https://hiacode.com/hubfs/Facebook%20svg.svg)](http://www.facebook.com/share.php?u=https://hiacode.com/blog/education/most-common-drgs-with-recommendations-2018-part-5) - [![](https://hiacode.com/hs-fs/hubfs/twitter.png?width=32&height=32&name=twitter.png)](https://twitter.com/intent/tweet?text=I+found+this+interesting+blog+post&url=https://hiacode.com/blog/education/most-common-drgs-with-recommendations-2018-part-5) - [![](https://hiacode.com/hubfs/LinkedIn%20svg.svg)](http://www.linkedin.com/shareArticle?mini=true&url=https://hiacode.com/blog/education/most-common-drgs-with-recommendations-2018-part-5) - [![](https://hiacode.com/hubfs/mdi_email.svg)](mailto:?subject=Check%20out%20https://hiacode.com/blog/education/most-common-drgs-with-recommendations-2018-part-5%20&body=Check%20out%20https://hiacode.com/blog/education/most-common-drgs-with-recommendations-2018-part-5&media=https://20824215.fs1.hubspotusercontent-na1.net/hubfs/20824215/Imported_Blog_Media/shutterstock_690942994-1.jpg) - ![](https://hiacode.com/hubfs/entypo_link.svg) copied ***This Coding Tip was updated on 8/12/2022***     In 2018, HIA reviewed 39,828 inpatient records. This is part 5 of a series as we have been looking at the top 5 DRG’s with recommendations over this week.   ## #5 DRG with the most recommendations ### DRG 64—Intracranial hemorrhage or cerebral infarction with MCC For this DRG recommendation the majority (almost all) were recommended to DRG 65 (Intracranial hemorrhage or cerebral infarction with CC) with deletion of the reported MCC. - Verify that the MCC reported is clearly documented and supported in the medical record. If there is a chance that the condition is not present or was ruled out, a query is necessary to obtain clarification. When only 1 MCC is present on a record it is always best practice to double check to ensure that it cannot be removed in an audit. One thing that was also noticed but did not change the DRG was that the stroke code was not coded to the highest specificity documented. Coders should be reviewing the medical record for specificity of the vessel involved. Here is a quick summary of the top 5 DRG’s with recommendations by HIA in 2018. - [#1—DRG 871 Septicemia w/o MV 96+ hours with MCC](https://www.hiacode.com/education/most-common-drgs-with-recommendations-2018-part-1/) - [#2—DRG 872 Septicemia w/o MV 96+ hours without MCC](https://www.hiacode.com/education/most-common-drgs-with-recommendations-2018-part-2/) - [#3—DRG 853 Infectious & parasitic disease with O.R. procedure with MCC](https://www.hiacode.com/education/most-common-drgs-with-recommendations-2018-part-3/) - [#4—DRG 190—Chronic obstructive pulmonary disease with MCC](https://www.hiacode.com/education/most-common-drgs-with-recommendations-2018-part-4/) - [#5—DRG 64—Intracranial hemorrhage or cerebral infarction with MCC](https://www.hiacode.com/education/most-common-drgs-with-recommendations-2018-part-5/) *Authored by Kim Boy, RHIT, CDIP, CCS, CCS-P* ***The information contained in this coding advice is valid at the time of posting. Viewers are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly.*** ##### [Previous](https://hiacode.com/blog/education/most-common-drgs-with-recommendations-2018-part-4) ### [Part 4: Most Common DRG’s with Recommendations 2018](https://hiacode.com/blog/education/most-common-drgs-with-recommendations-2018-part-4) ##### [Next](https://hiacode.com/blog/education/part-1-new-2019-cpt-codes-integumentary-system) ### [New 2019 CPT Codes: Part 1- Integumentary System](https://hiacode.com/blog/education/part-1-new-2019-cpt-codes-integumentary-system) Serach Blog Post ## Need to Earn CEUs? Our coding education platform, HIAlearn.com, offers courses related to this topic and many more. 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