For the purposes of coding diagnoses on claims, a complication is a condition that arises during the hospital stay that prolongs the length of stay. A comorbidity is a pre-existing condition that affects the treatment received and/or prolongs the length of stay.
The chart below shows potential complications and comorbidities associated with a cesarean section and a transurethral prostatectomy.
Arteriosclerotic heart disease
In some cases, DRG payment may change due to patient complications and comorbidities. Complications and comorbidities should be documented in the patient record and listed on the discharge face sheet.
This document incorporates one or more revisions made since it was originally published. See "revision history" for a summary of the revision(s).
|Rev#:||Date:||Nature of Change:|
|1.0||11/07/2007||Format: spacing adjustment|
|1.1||01/17/2014||Adjusted a minor formatting issue.|
Files that are in PDF format can be viewed using the free Adobe Reader or another PDF-reader application.
Need a language interpreter?
ʻŌlelo Hawaiʻi | Bisaya | 繁體中文 | Ilokano | 日本語 | 한국어 | ພາສາລາວ | Kajin Ṃajōḷ | Lokaiahn Pohnpei | Gagana Sāmoa | Español | Tagalog | Tonga | Foosun Chuuk | Tiếng Việt