N61.21

Documentation support

General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.

• •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.

Associated MS-DRGs

N61.21 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.

Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.

• DRG 564Other Musculoskeletal System and Connective Tissue Diagnoses with MCC
• DRG 565Other Musculoskeletal System and Connective Tissue Diagnoses with CC
• DRG 566Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC
• DRG 600Non-Malignant Breast Disorders with CC/MCC
• DRG 601Non-Malignant Breast Disorders without CC/MCC