CHA News

DRG Program Payment System Update Includes ICD-10 Procedure and Diagnosis Codes

For CFOs

This post has been archived and contains information that may be out of date.

The Diagnosis Related Group (DRG) Program payment system has been updated to include the ICD-10 procedure and diagnosis codes released by Centers for Medicare & Medicaid Services on Jan. 1.  

Providers receiving a DRG inpatient hospital claim denial with RAD code 9124 (diagnosis code missing or invalid) may void and resubmit claims for payment. Email DRG@dhcs.ca.gov with any DRG questions.