MCMedicalCodingSoftware
189

MS-DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE

DRGMedicalMDC 04

MS-DRG 189 is pulmonary edema and respiratory failure, in MDC 04 (a medical DRG). Its FY2027 relative weight is 1.2108, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 3.40 days. 22 ICD-10-CM principal diagnoses group into MS-DRG 189 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
1.2108
Geometric mean LOS
3.40
Arithmetic mean LOS
4.60
Post-acute transfer
No

Principal diagnoses that group to MS-DRG 189

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 22 ICD-10-CM codes route here. The 22 most-searched:

  • J96.01Acute respiratory failure with hypoxia
  • J96.21Acute and chronic respiratory failure with hypoxia
  • J96.11Chronic respiratory failure with hypoxia
  • J80Acute respiratory distress syndrome
  • J96.00Acute respiratory failure, unspecified whether with hypoxia or hypercapnia
  • J96.10Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia
  • J96.90Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia
  • J96.12Chronic respiratory failure with hypercapnia
  • J96.20Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia
  • J96.22Acute and chronic respiratory failure with hypercapnia
  • J81.0Acute pulmonary edema
  • J81.1Chronic pulmonary edema
  • J96.02Acute respiratory failure with hypercapnia
  • J96.91Respiratory failure, unspecified with hypoxia
  • J18.2Hypostatic pneumonia, unspecified organism
  • J95.2Acute pulmonary insufficiency following nonthoracic surgery
  • J95.821Acute postprocedural respiratory failure
  • J68.1Pulmonary edema due to chemicals, gases, fumes and vapors
  • J95.1Acute pulmonary insufficiency following thoracic surgery
  • J95.3Chronic pulmonary insufficiency following surgery
  • J95.822Acute and chronic postprocedural respiratory failure
  • J96.92Respiratory failure, unspecified with hypercapnia

Choosing the principal diagnosis: Pneumonia ICD-10 codes.

All FY2027 MS-DRGs · MDC 04

MS-DRG (IPPS Table 5)FY2027