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MS-DRG - 176 PULMONARY EMBOLISM WITHOUT MCC

The Medicare Severity Diagnosis-Related Group or MS-DRG is a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). This is the group for MS-DRG - 176 PULMONARY EMBOLISM WITHOUT Major Complication or Comorbidity diseases in version MS-DRG V40.0 applicable from 10/01/2022 through 09/30/2023.

MS-DRG MS-DRG Title MCD Relative Weight Geometric LOS Arithmetic LOS
176 PULMONARY EMBOLISM WITHOUT MCC 04 0.8176 Relative Weight
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.		 2.50 Geometric Length of Stay
The geometric mean length of stay (GMLOS) is used by Medicare to calculate the reimbursement for patients whose medical treatment takes a much longer or shorter time than average.		 3.00 Arithmetic Length of Stay
The average length of stay (ALOS) reflects the average number of days a patient spends in a hospital for each admission.

ICD-10 Codes in Diagnostic Related Group

  • I26.01 - Septic pulmonary embolism with acute cor pulmonale BILLABLE CODE
  • I26.02 - Saddle embolus of pulmonary artery with acute cor pulmonale BILLABLE CODE
  • I26.09 - Other pulmonary embolism with acute cor pulmonale BILLABLE CODE
  • I26.90 - Septic pulmonary embolism without acute cor pulmonale BILLABLE CODE
  • I26.92 - Saddle embolus of pulmonary artery without acute cor pulmonale BILLABLE CODE
  • I26.93 - Single subsegmental pulmonary embolism without acute cor pulmonale BILLABLE CODE
  • I26.94 - Multiple subsegmental pulmonary emboli without acute cor pulmonale BILLABLE CODE
  • I26.99 - Other pulmonary embolism without acute cor pulmonale BILLABLE CODE
  • I27.82 - Chronic pulmonary embolism BILLABLE CODE
  • T79.0XXA - Air embolism (traumatic), initial encounter BILLABLE CODE
  • T79.1XXA - Fat embolism (traumatic), initial encounter BILLABLE CODE
  • T80.0XXA - Air embolism following infusion, transfusion and therapeutic injection, initial encounter BILLABLE CODE