ICD-10 MS-DRG v37.0 (2020)

Medicare Severity Diagnosis Related Group

MDC 04: DISEASES & DISORDERS OF THE RESPIRATORY SYSTEM

ICD10CM Code Assignment

Surgical DRGs

163   MAJOR CHEST PROCEDURES W MCC
164   MAJOR CHEST PROCEDURES W CC
165   MAJOR CHEST PROCEDURES W/O CC/MCC
166   OTHER RESP SYSTEM O.R. PROCEDURES W MCC
167   OTHER RESP SYSTEM O.R. PROCEDURES W CC
168   OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC

If the Principal Diagnosis designated a DRG should be selected from this MDC, AND an O.R. (Operating Room) procedure was performed but does not match the Surgical DRGs listed above, see the Unrelated Operating Room Procedures DRGs.


Medical DRGs

207   RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS
208   RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS
175   PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE
176   PULMONARY EMBOLISM W/O MCC
177   RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC
178   RESPIRATORY INFECTIONS & INFLAMMATIONS W CC
179   RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC
180   RESPIRATORY NEOPLASMS W MCC
181   RESPIRATORY NEOPLASMS W CC
182   RESPIRATORY NEOPLASMS W/O CC/MCC
183   MAJOR CHEST TRAUMA W MCC
184   MAJOR CHEST TRAUMA W CC
185   MAJOR CHEST TRAUMA W/O CC/MCC
186   PLEURAL EFFUSION W MCC
187   PLEURAL EFFUSION W CC
188   PLEURAL EFFUSION W/O CC/MCC
189   PULMONARY EDEMA & RESPIRATORY FAILURE
190   CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC
191   CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC
192   CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC
193   SIMPLE PNEUMONIA & PLEURISY W MCC
194   SIMPLE PNEUMONIA & PLEURISY W CC
195   SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC
196   INTERSTITIAL LUNG DISEASE W MCC
197   INTERSTITIAL LUNG DISEASE W CC
198   INTERSTITIAL LUNG DISEASE W/O CC/MCC
199   PNEUMOTHORAX W MCC
200   PNEUMOTHORAX W CC
201   PNEUMOTHORAX W/O CC/MCC
202   BRONCHITIS & ASTHMA W CC/MCC
203   BRONCHITIS & ASTHMA W/O CC/MCC
204   RESPIRATORY SIGNS & SYMPTOMS
205   OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC
206   OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC
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