Inpatient Facility Coding & Compliance Alert

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Assign a DRG Code for Pleural Effusion With Anemia

Question: A 45-year-old patient is admitted with a diagnosis of pleural effusion. The patient is also found to be anemic. Which DRG should he be assigned?

Texas Subscriber

Answer: Pleural effusion falls under the major diagnostic category MDC 04 (Diseases and disorders of the respiratory system). The patient would be a suitable case for the MS-DRG 187 (Pleural effusion w CC), as he is also anemic.