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Physician advisor's corner: Complex pneumonias as an external reviewer target

by William E. Haik, MD, FCCP, CDIP
Complex pneumonias such as Gram-negative bacterial pneumonias and aspiration pneumonias segregate to a higher-weighted MS-DRG (MS-DRGs 177–179 [Respiratory Infections and Inflammations]) than simple pneumonias such as Streptococcus pneumoniae pneumonia, viral pneumonia, and unspecified pneumonia (MS-DRGs 193–195 [Simple Pneumonia and Pleurisy]).

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