What is the correct diagnostic related group assignment?

Current smoker

What is the correct diagnostic related group assignment?
A . DRG 190 Chronic Obstructive Pulmonary Disease with MCC
B . DRG 202 Bronchitis and Asthma with CC/MCC
C . DRG 204 Respiratory Signs and Symptoms
D . DRG 194 Simple Pneumonia and Pleurisy without CC/MCC

View Answer

Answer: A

Explanation:

According to the ICD-10-CM/PCS MS-DRG Definitions Manual, DRG 190 is assigned for patients with a principal diagnosis of chronic obstructive pulmonary disease (COPD) and a major complication or comorbidity (MCC)1. Pneumonia is considered an MCC for this DRG2. Therefore, the patient in this case meets the criteria for DRG 190. The other options are incorrect because they do not match the principal diagnosis or the MCC of the patient.

References:

ICD-10-CM/PCS MS-DRG Definitions Manual

ICD-10-CM/PCS MS-DRG v38.0 Definitions Manual – MDC 4: Diseases and Disorders of the Respiratory System