Inpatient Facility Coding & Compliance Alert

You Be the Coder:

Hit the Right DRG for Pyelonephritis

Question: A patient is admitted with complaints of left flank pain and fever. He is diagnosed as having pyelonephritis. Which DRG should he be assigned?

Texas Subscriber

Answer: The case is of pyelonephritis. The ICD-10-CM code for this is N10 (Acute tubulo-interstitial nephritis). He does not have any MCC, and pyelonephritis comes under the major diagnostic category MDC 11 (Diseases and disorders of the kidney and urinary tract). He would be a suitable case for the MS-DRG 0690 (kidney and urinary tract infection w/o MCC).