FL 71 PPS Code is the code for which payment system?

FL 71 PPS Code is the code for which payment system?

• A. Covers patient demographics.
• B. Is the DRG code used for external diagnoses.
• C. Is the PC code for the principal procedure.
• D. Represents the Medicare Severity-Diagnosis Related Groups (MS-DRGs) for a single payment.

Answer: (D)

The field 71 PPS Code shows the payment system used for the claim. In Medicare inpatient billing, the payment is determined by MS-DRGs through a single prospective payment for the admission. So this code is specifically indicating the MS-DRG-based, single-payment method. It isn’t about patient demographics, external diagnosis DRG codes, or the principal procedure code, which are captured in other fields.

The field 71 PPS Code shows the payment system used for the claim. In Medicare inpatient billing, the payment is determined by MS-DRGs through a single prospective payment for the admission. So this code is specifically indicating the MS-DRG-based, single-payment method. It isn’t about patient demographics, external diagnosis DRG codes, or the principal procedure code, which are captured in other fields.