MS-DRG v38 (FY 2021) Definitions Manual MDC 04 • Simple Pneumonia and Pleurisy

DRG Assignment Logic for Simple Pneumonia and Pleurisy

Patients who qualify for Simple Pneumonia and Pleurisy will be grouped into a DRG according to the logic below.

Detailed Rules

The tables below list the codes required to qualify for this subsection according to the logic listed above. By matching the codes on a patient's account to those listed below, you can work out how a patient will be grouped by the MS-DRG grouper. However, sometimes this can be difficult to work out by hand. If you are looking for automated DRG grouping software that can be integrated into your workflow, please let us know.


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