Inpatient Facility Coding & Compliance Alert

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Assign a DRG Code for Pneumonia

Question: A 55 year old non hypertensive, non diabetic patient is admitted with a diagnosis of complex pneumonia. Which DRG should he be assigned into?

Texas Subscriber

Answer: The case is of a complex pneumonia. This patient does not seem to have any complications or comorbidities. The conditions falls under the major diagnostic category MDC 04 (Diseases and disorders of the respiratory system). He would be a suitable case for the MS-DRG 179 (Respiratory infections and inflammations w/o CC/MCC).