APR DRG of the Week: APR-DRG 143: Other Respiratory Diagnoses Except Signs, Symptoms & Minor Diagnoses
Change the Principal diagnosis
- Alternate principal diagnoses recommended by FairCode docs include ...
- 997.39 Respiratory complication → DRG 121
- 518.81 Respiratory failure → DRG 133
- 415.19 Pulmonary embolism → DRG 134
- 162.3 Lung cancer → DRG 136
- 507.0 Aspiration pneumonia → DRG 137
- 466.11 Acute RSV bronchiolitis → DRG 138
- 486 Pneumonia → DRG 139
- 491.21 COPD exacerbation → DRG 140
- 428.0 Congestive heart failure → DRG 194
- 204.10 Chronic lymphocytic leukemia → DRG 691
- 038.9 Septicemia → DRG 720
Add a Secondary Diagnosis
- Respiratory disorders: 496 COPD, 511.9 Pleural effusion, 486 Pneumonia, V46.2 Dependence on Supplemental Oxygen, 780.57 Sleep apnea, 518.1 Pneumomediastinum
- Gastrointestinal disorders: 070.70 Hepatitis C
- Electrolyte disorders: 276.1 Hyponatremia, 276.8 Hypokalemia, 276.2 Acidosis
- Cardiovascular disorders: 428.0 Congestive heart failure, 416.8 Pulmonary hypertension,
- Endocrine disorders: 250.02 Diabetes, uncontrolled, 278.01 Morbid obesity V85.4 BMI over 40
- Renal disorders: 788.30 Urinary incontinence, 584.9 Acute renal failure
- Other: 348.30 Encephalopathy, 287.5 Thrombocytopenia, 785.50 Shock, 201.90 Hodgkin’s Disease, 253.6 SIADH
Add a Procedure
- 34.52 Decortication of lung for DRG 120, 96.71 Mechanical ventilation for DRG 143, 40.11 Transbronchial needle aspiration for DRG 121.
Discussion
- Read the chart carefully to determine the final diagnosis. Sometimes a different pulmonary condition is found such as malignant neoplasm of lung, aspiration pneumonia, pleural effusion, respiratory failure, pneumonia, pneumothorax or respiratory depression from medications.