MDC 04 Diseases & Disorders of the Respiratory System is broken down into subgroups, listed here from most to least resource intensive. If a patient received qualifying treatment in listed in more than one subgroup, the first one listed will determine the DRG assigned to the patient.

To determine if a patient qualifies for a subgroup, click on the subgroup name and check the requirements listed. Typically, each subgroup requires one of a serious of ICD-10-CM diagnostic codes or PCS codes to have been assigned to the patient.

To qualify for any subsection in this MDC, the patient's primary diagnostic code must be included in this list.

Patients who qualify for Major Chest Procedures will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

Patients who qualify for Pulmonary Embolism will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

Patients who qualify for Respiratory Neoplasms will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

Patients who qualify for Major Chest Trauma will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

Patients who qualify for Pleural Effusion will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

Patients who qualify for Simple Pneumonia and Pleurisy will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

Patients who qualify for Interstitial Lung Disease will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

Patients who qualify for Pneumothorax will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

Patients who qualify for Bronchitis and Asthma will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

Patients who qualify for Other Respiratory System Diagnoses will be grouped into a DRG according to the logic below. View detailed requirements for qualifying for the DRGs in this subsection.

Quick Actions