DRG 194
Medical DRGSimple Pneumonia and Pleurisy with CC
What is MS-DRG 194?
MS-DRG 194 is a Medical Medicare Severity Diagnosis Related Group under Major Diagnostic Category 04 (MDC 04) with a Complication or Comorbidity (CC). It maps to 34 ICD-10-CM diagnosis codes. Hospitals use this grouping to determine reimbursement for inpatient stays under Medicare.
Linked ICD-10-CM Diagnosis Mappings
- B33.0
Epidemic myalgia
BillableChapter 1 - J09.X1
Influenza due to identified novel influenza A virus with pneumonia
BillableChapter 10 - J09.X2
Influenza due to identified novel influenza A virus with other respiratory manifestations
BillableChapter 10 - J10.00
Influenza due to other identified influenza virus with unspecified type of pneumonia
BillableChapter 10 - J10.01
Influenza due to other identified influenza virus with the same other identified influenza virus pneumonia
BillableChapter 10 - J10.08
Influenza due to other identified influenza virus with other specified pneumonia
BillableChapter 10 - J10.1
Influenza due to other identified influenza virus with other respiratory manifestations
BillableChapter 10 - J11.00
Influenza due to unidentified influenza virus with unspecified type of pneumonia
BillableChapter 10 - J11.08
Influenza due to unidentified influenza virus with specified pneumonia
BillableChapter 10 - J12.0
Adenoviral pneumonia
BillableChapter 10 - J12.1
Respiratory syncytial virus pneumonia
BillableChapter 10 - J12.2
Parainfluenza virus pneumonia
BillableChapter 10 - J12.3
Human metapneumovirus pneumonia
BillableChapter 10 - J12.81
Pneumonia due to SARS-associated coronavirus
BillableChapter 10 - J12.82
Pneumonia due to coronavirus disease 2019
BillableChapter 10 - J12.89
Other viral pneumonia
BillableChapter 10 - J12.9
Viral pneumonia, unspecified
BillableChapter 10 - J13
Pneumonia due to Streptococcus pneumoniae
BillableChapter 10 - J14
Pneumonia due to Hemophilus influenzae
BillableChapter 10 - J15.3
Pneumonia due to streptococcus, group B
BillableChapter 10 - J15.4
Pneumonia due to other streptococci
BillableChapter 10 - J15.7
Pneumonia due to Mycoplasma pneumoniae
BillableChapter 10 - J15.9
Unspecified bacterial pneumonia
BillableChapter 10 - J16.0
Chlamydial pneumonia
BillableChapter 10 - J16.8
Pneumonia due to other specified infectious organisms
BillableChapter 10 - J18.0
Bronchopneumonia, unspecified organism
BillableChapter 10 - J18.1
Lobar pneumonia, unspecified organism
BillableChapter 10 - J18.8
Other pneumonia, unspecified organism
BillableChapter 10 - J18.9
Pneumonia, unspecified organism
BillableChapter 10 - J92.0
Pleural plaque with presence of asbestos
BillableChapter 10 - J92.9
Pleural plaque without asbestos
BillableChapter 10 - J94.1
Fibrothorax
BillableChapter 10 - J94.9
Pleural condition, unspecified
BillableChapter 10 - R09.1
Pleurisy
BillableChapter 18