Inpatient Facility Coding & Compliance Alert

You Be the Coder:

Assign the Correct DRG for Pneumonia With Acute Respiratory Failure

Question: A patient is admitted with pneumonia. She also has acute respiratory failure. Which DRG should she be assigned?

Arizona Subscriber

Answer: The case is of pneumonia with a major complication/comorbidity (MCC). She has an MCC of 518.81 (Acute respiratory failure). This comes under the MDC 04- category of diseases and disorders of the respiratory system. She would be suitable case for the DRG 177 (Respiratory infections & inflammations W MCC).