2. The patient, an elderly 85-year-old woman,

2. The patient, an elderly 85-year-old woman, was admitted with shortness of breath, dyspnea on exertion, fever, and productive cough. These problems were felt to represent lobar pneumonia. After admission lab tests including sputum cultures were performed which revealed Streptococcal pneumonia. A chest film also showed bilateral lung infiltrates. The patient also has COPD. Her COPD was exacerbated by the pneumonia. The patient was treated and discharged home after a 4 day stay. Discharge diagnoses: (1) lobar pneumonia due to Streptococcal pneumoniae, (2) COPD with acute exacerbation. a. What is the principal diagnosis code for this case? b. What secondary diagnoses code(s) should be assigned? c. What is the DRG number and description assigned for this case? d. What effect, if any, do the secondary diagnoses have on the DRG assignment and/or reimbursement?

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