Summary & Overview
Cardiac Arrest, Unexplained without CC/MCC: Inpatient Reimbursement Overview
DRG 298 applies to unexplained cardiac arrest cases without Major Complication or Comorbidity or Complication or Comorbidity and encompasses admissions where cardiac arrest is the principal diagnosis but no qualifying secondary conditions are present. This grouping matters for inpatient reimbursement because it sets the Centers for Medicare & Medicaid Services prospective payment classification and affects hospital payment for the episode of care.
DRG 298 Overview
DRG 298 covers inpatient admissions for unexplained cardiac arrest without Major Complication or Comorbidity or Complication or Comorbidity. This Diagnosis-Related Group captures cases where cardiac arrest is the principal diagnosis but no additional major or secondary complicating conditions are coded. It matters for Medicare payment because case assignment to DRG 298 determines the base prospective payment amount for the hospital stay and influences resource classification for billing. Accurate coding and documentation affect grouping and reimbursement under Centers for Medicare & Medicaid Services inpatient prospective payment policies.