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Rehabilitation without CC/MCC: Inpatient Reimbursement Overview
DRG 946 applies to inpatient admissions driven by the need for intensive rehabilitation without Major Complication or Comorbidity or Complication or Comorbidity. It captures patients whose primary cost drivers are therapy and rehabilitation services, which influences Centers for Medicare & Medicaid Services payment classification and hospital reimbursement for post-acute recovery.
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DRG 946 Overview
DRG 946 covers inpatient stays primarily for intensive rehabilitation services when no Major Complication or Comorbidity or Complication or Comorbidity is present. Typical cases include medically stable patients admitted for multidisciplinary rehabilitative care after events such as stroke, orthopedic surgery, or neurological injury. This Diagnosis-Related Group groups patients by resource use focused on therapy intensity rather than acute medical complexity. It matters for Centers for Medicare & Medicaid Services payment because it defines inpatient reimbursement rates tied to rehabilitation-focused resource consumption.