MS-DRG
MS-DRG 191: Chronic Obstructive Pulmonary Disease with CC
AECOPD with CC
DRG
191
MDC
MDC 04: Respiratory System
Severity
with CC
Relative weight
0.8542
Avg LOS
3.4 days
Typical indications
- AECOPD + UTI
- AECOPD + CHF
Common denial patterns
- CC validation
Appeal angles
Document CC clinical relevance to length of stay.
Context: how MS-DRGs work
MS-DRGs bundle hospital inpatient payment into a single amount per admission. Each DRG has a relative weight that multiplies the hospital's base rate to determine payment. 191 has relative weight 0.8542. Major Complication or Comorbidity (MCC) and Complication or Comorbidity (CC) secondary diagnoses can move a case to a higher-paying DRG within the same family.
Frequently asked questions
What is MS-DRG 191?
Chronic Obstructive Pulmonary Disease with CC. AECOPD with CC.
What are typical indications?
AECOPD + UTI; AECOPD + CHF.
Why are claims under this DRG denied?
CC validation.
How do I appeal?
Document CC clinical relevance to length of stay.
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