Biggest weight changes, FY2026 to FY2027
Weight increases raise payment for every hospital on the same case mix; these ten groups gained the most, which usually reflects higher reported costs or code reassignments in the final rule.
| DRG | Title | FY2027 | Change |
|---|---|---|---|
| 465 | Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders without CC/MCC | 2.4820 | +36.07% |
| 927 | Extensive Burns or Full Thickness Burns with MV >96 Hours with Skin Graft | 27.8340 | +30.36% |
| 488 | Knee Procedures without Principal Diagnosis of Infection with CC/MCC | 2.2200 | +25.49% |
| 425 | Other Hepatobiliary or Pancreas O.R. Procedures without CC/MCC | 1.8820 | +25.47% |
| 761 | Menstrual and Other Female Reproductive System Disorders without CC/MCC | 0.7040 | +23.29% |
| 297 | Cardiac Arrest, Unexplained with CC | 0.7770 | +22.56% |
| 950 | Aftercare without CC/MCC | 0.7660 | +21.97% |
| 779 | Abortion without D&C | 1.0200 | +21.28% |
| 970 | HIV with Extensive O.R. Procedures without MCC | 3.1460 | +19.30% |
| 935 | Non-Extensive Burns | 2.4230 | +17.62% |
Weight decreases are capped at 10% per year; groups near the cap signal cost shifts or case-mix changes that contract models and budgets should absorb before October 1.
| DRG | Title | FY2027 | Change |
|---|---|---|---|
| 434 | Cirrhosis and Alcoholic Hepatitis without CC/MCC | 0.6410 | -10.10% |
| 976 | HIV with Major Related Condition without CC/MCC | 0.8120 | -10.08% |
| 724 | Malignancy, Male Reproductive System without CC/MCC | 0.5900 | -10.06% |
| 081 | Nontraumatic Stupor and Coma without MCC | 0.8060 | -10.04% |
| 817 | Other Antepartum Diagnoses with O.R. Procedures with MCC | 2.0530 | -10.04% |
| 594 | Skin Ulcers without CC/MCC | 0.7800 | -10.03% |
| 285 | Acute Myocardial Infarction, Expired without CC/MCC | 0.5390 | -10.02% |
| 289 | Acute and Subacute Endocarditis with CC | 1.5360 | -10.02% |
| 697 | Urethral Stricture | 0.9700 | -10.02% |
| 116 | Intraocular Procedures with CC/MCC | 1.6270 | -10.01% |
Highest-weighted MS-DRGs
The highest weights belong to transplant, ECMO and tracheostomy groups in the pre-MDC set; each is paid at many multiples of the average inpatient case.
| DRG | Title | Weight | GMLOS |
|---|---|---|---|
| 018 | Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapies | 45.1270 | 11.4 |
| 001 | Heart Transplant or Implant of Heart Assist System with MCC | 28.0830 | 24.5 |
| 927 | Extensive Burns or Full Thickness Burns with MV >96 Hours with Skin Graft | 27.8340 | 28.7 |
| 003 | ECMO or Tracheostomy with MV >96 Hours or Principal Diagnosis Except Face, Mouth and Neck with Major O.R. Procedures | 21.2740 | 22.0 |
| 007 | Lung Transplant | 14.8700 | 21.1 |
| 523 | Extensive or Complex Spinal Fusion Procedures Except Cervical with MCC | 13.7380 | 9.2 |
| 004 | Tracheostomy with MV >96 Hours or Principal Diagnosis Except Face, Mouth and Neck without Major O.R. Procedures | 13.5880 | 22.0 |
| 014 | Allogeneic Bone Marrow Transplant | 11.7890 | 26.0 |
| 209 | Complex Aortic Arch Procedures | 11.5160 | 6.0 |
| 212 | Concomitant Aortic and Mitral Valve Procedures | 11.4420 | 12.8 |
Browse by Major Diagnostic Category
MDC 01
Assignment of Diagnosis Codes
72 MS-DRGs
MDC 02
Assignment of Diagnosis Codes
10 MS-DRGs
MDC 03
Assignment of Diagnosis Codes
25 MS-DRGs
MDC 04
Assignment of Diagnosis Codes
41 MS-DRGs
MDC 05
Assignment of Diagnosis Codes
99 MS-DRGs
MDC 06
Assignment of Diagnosis Codes
58 MS-DRGs
MDC 07
Diseases and Disorders of the Hepatobiliary System and Pancreas
36 MS-DRGs
MDC 08
Diseases and Disorders of the Musculoskeletal System and Connective Tissue
106 MS-DRGs
MDC 09
Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast
32 MS-DRGs
MDC 10
Assignment of Diagnosis Codes
26 MS-DRGs
MDC 11
Assignment of Diagnosis Codes
42 MS-DRGs
MDC 12
Assignment of Diagnosis Codes
21 MS-DRGs
MDC 13
Assignment of Diagnosis Codes
22 MS-DRGs
MDC 14
Assignment of Diagnosis Codes
23 MS-DRGs
MDC 15
Newborns and Other Neonates with Conditions Originating in Perinatal Period
7 MS-DRGs
MDC 16
Diseases and Disorders of Blood, Blood Forming Organs and Immunologic Disorders
15 MS-DRGs
MDC 17
Myeloproliferative Diseases and Disorders, Poorly Differentiated Neoplasms
28 MS-DRGs
MDC 18
Infectious and Parasitic Diseases, Systemic or Unspecified Sites
17 MS-DRGs
MDC 19
Assignment of Diagnosis Codes
9 MS-DRGs
MDC 20
Assignment of Diagnosis Codes
4 MS-DRGs
MDC 21
Assignment of Diagnosis Codes
20 MS-DRGs
MDC 22
Assignment of Diagnosis Codes
6 MS-DRGs
MDC 23
Factors Influencing Health Status and Other Contacts with Health Services
10 MS-DRGs
MDC 24
Not assigned to an MDC
8 MS-DRGs
MDC 25
Assignment of Diagnosis Codes
6 MS-DRGs
MDC PRE
Pre-MDC (transplants, tracheostomy, ECMO)
17 MS-DRGs
MDC —
MS-DRGs not assigned to an MDC
8 MS-DRGs
All MS-DRGs
Each page shows the FY2027 weight, prior-year change, length of stay, CC/MCC family, grouper code lists and the denial codes that most often follow a DRG-validation review.
- 001 Heart Transplant or Implant of Heart Assist Sys…
- 002 Heart Transplant or Implant of Heart Assist Sys…
- 003 ECMO or Tracheostomy with MV >96 Hours or Princ…
- 004 Tracheostomy with MV >96 Hours or Principal Dia…
- 005 Liver Transplant with MCC or Intestinal Transpl…
- 006 Liver Transplant without MCC
- 007 Lung Transplant
- 008 Simultaneous Pancreas, Islet Cell and Kidney Tr…
- 010 Pancreas or Islet Cell Transplant
- 011 Tracheostomy for Face, Mouth and Neck Diagnoses…
- 012 Tracheostomy for Face, Mouth and Neck Diagnoses…
- 013 Tracheostomy for Face, Mouth and Neck Diagnoses…
- 014 Allogeneic Bone Marrow Transplant
- 016 Autologous Bone Marrow Transplant with CC/MCC
- 017 Autologous Bone Marrow Transplant without CC/MCC
- 018 Chimeric Antigen Receptor (CAR) T-Cell and Othe…
- 019 Simultaneous Pancreas, Islet Cell and Kidney Tr…
- 020 Intracranial Vascular Procedures with Principal…
- 021 Intracranial Vascular Procedures with Principal…
- 022 Intracranial Vascular Procedures with Principal…
- 023 Craniotomy with Major Device Implant or Acute C…
- 024 Craniotomy with Major Device Implant or Acute C…
- 025 Craniotomy and Endovascular Intracranial Proced…
- 026 Craniotomy and Endovascular Intracranial Proced…
- 027 Craniotomy and Endovascular Intracranial Proced…
- 028 Spinal Procedures with MCC
- 029 Spinal Procedures with CC or Spinal Neurostimul…
- 030 Spinal Procedures without CC/MCC
- 031 Ventricular Shunt Procedures with MCC
- 032 Ventricular Shunt Procedures with CC
- 033 Ventricular Shunt Procedures without CC/MCC
- 034 Carotid Artery Stent Procedures with MCC
- 035 Carotid Artery Stent Procedures with CC
- 036 Carotid Artery Stent Procedures without CC/MCC
- 037 Extracranial Procedures with MCC
- 038 Extracranial Procedures with CC
- 039 Extracranial Procedures without CC/MCC
- 040 Peripheral, Cranial Nerve and Other Nervous Sys…
- 041 Peripheral, Cranial Nerve and Other Nervous Sys…
- 042 Peripheral, Cranial Nerve and Other Nervous Sys…
- 052 Spinal Disorders and Injuries with CC/MCC
- 053 Spinal Disorders and Injuries without CC/MCC
- 054 Nervous System Neoplasms with MCC
- 055 Nervous System Neoplasms without MCC
- 056 Degenerative Nervous System Disorders with MCC
- 057 Degenerative Nervous System Disorders without M…
- 058 Multiple Sclerosis and Cerebellar Ataxia with M…
- 059 Multiple Sclerosis and Cerebellar Ataxia with CC
- 060 Multiple Sclerosis and Cerebellar Ataxia withou…
- 061 Ischemic Stroke, Precerebral Occlusion or Trans…
- 062 Ischemic Stroke, Precerebral Occlusion or Trans…
- 063 Ischemic Stroke, Precerebral Occlusion or Trans…
- 064 Intracranial Hemorrhage or Cerebral Infarction …
- 065 Intracranial Hemorrhage or Cerebral Infarction …
- 066 Intracranial Hemorrhage or Cerebral Infarction …
- 067 Precerebral Occlusion without Infarction with M…
- 068 Precerebral Occlusion without Infarction withou…
- 069 Transient Ischemia without Thrombolytic
- 070 Other Cerebrovascular Disorders with MCC
- 071 Other Cerebrovascular Disorders with CC
- 072 Other Cerebrovascular Disorders without CC/MCC
- 073 Cranial and Peripheral Nerve Disorders with MCC
- 074 Cranial and Peripheral Nerve Disorders without …
- 075 Viral Meningitis with CC/MCC
- 076 Viral Meningitis without CC/MCC
- 080 Nontraumatic Stupor and Coma with MCC
- 081 Nontraumatic Stupor and Coma without MCC
- 082 Traumatic Stupor and Coma >1 Hour with MCC
- 083 Traumatic Stupor and Coma >1 Hour with CC
- 084 Traumatic Stupor and Coma >1 Hour without CC/MCC
- 085 Traumatic Stupor and Coma <1 Hour with MCC
- 086 Traumatic Stupor and Coma <1 Hour with CC
- 087 Traumatic Stupor and Coma <1 Hour without CC/MCC
- 088 Concussion with MCC
- 089 Concussion with CC
- 090 Concussion without CC/MCC
- 091 Other Disorders of Nervous System with MCC
- 092 Other Disorders of Nervous System with CC
- 093 Other Disorders of Nervous System without CC/MCC
- 094 Bacterial and Tuberculous Infections of Nervous…
- 095 Bacterial and Tuberculous Infections of Nervous…
- 096 Bacterial and Tuberculous Infections of Nervous…
- 097 Non-Bacterial Infection of Nervous System Excep…
- 098 Non-Bacterial Infection of Nervous System Excep…
- 099 Non-Bacterial Infection of Nervous System Excep…
- 100 Seizures with MCC
- 101 Seizures without MCC
- 102 Headaches with MCC
- 103 Headaches without MCC
- 113 Orbital Procedures with CC/MCC
- 114 Orbital Procedures without CC/MCC
- 115 Extraocular Procedures Except Orbit
- 116 Intraocular Procedures with CC/MCC
- 117 Intraocular Procedures without CC/MCC
- 121 Acute Major Eye Infections with CC/MCC
- 122 Acute Major Eye Infections without CC/MCC
- 123 Neurological Eye Disorders
- 124 Other Disorders of the Eye with MCC or Thrombol…
- 125 Other Disorders of the Eye without MCC
- 135 Sinus and Mastoid Procedures with CC/MCC
- 136 Sinus and Mastoid Procedures without CC/MCC
- 137 Mouth Procedures with CC/MCC
- 138 Mouth Procedures without CC/MCC
- 139 Salivary Gland Procedures
- 140 Major Head and Neck Procedures with MCC
- 141 Major Head and Neck Procedures with CC
- 142 Major Head and Neck Procedures without CC/MCC
- 143 Other Ear, Nose, Mouth and Throat O.R. Procedur…
- 144 Other Ear, Nose, Mouth and Throat O.R. Procedur…
- 145 Other Ear, Nose, Mouth and Throat O.R. Procedur…
- 146 Ear, Nose, Mouth and Throat Malignancy with MCC
- 147 Ear, Nose, Mouth and Throat Malignancy with CC
- 148 Ear, Nose, Mouth and Throat Malignancy without …
- 149 Dysequilibrium
- 150 Epistaxis with MCC
- 151 Epistaxis without MCC
- 152 Otitis Media and URI with MCC
- 153 Otitis Media and URI without MCC
- 154 Other Ear, Nose, Mouth and Throat Diagnoses wit…
- 155 Other Ear, Nose, Mouth and Throat Diagnoses wit…
- 156 Other Ear, Nose, Mouth and Throat Diagnoses wit…
- 157 Dental and Oral Diseases with MCC
- 158 Dental and Oral Diseases with CC
- 159 Dental and Oral Diseases without CC/MCC
- 163 Major Chest Procedures with MCC
- 164 Major Chest Procedures with CC
- 165 Major Chest Procedures without CC/MCC
- 166 Other Respiratory System O.R. Procedures with M…
- 167 Other Respiratory System O.R. Procedures with CC
- 168 Other Respiratory System O.R. Procedures withou…
- 173 Ultrasound Accelerated and Other Thrombolysis w…
- 175 Pulmonary Embolism with MCC or Acute Cor Pulmon…
- 176 Pulmonary Embolism without MCC
- 177 Respiratory Infections and Inflammations with M…
- 178 Respiratory Infections and Inflammations with CC
- 179 Respiratory Infections and Inflammations withou…
- 180 Respiratory Neoplasms with MCC
- 181 Respiratory Neoplasms with CC
- 182 Respiratory Neoplasms without CC/MCC
- 183 Major Chest Trauma with MCC
- 184 Major Chest Trauma with CC
- 185 Major Chest Trauma without CC/MCC
- 186 Pleural Effusion with MCC
- 187 Pleural Effusion with CC
- 188 Pleural Effusion without CC/MCC
- 189 Pulmonary Edema and Respiratory Failure
- 190 Chronic Obstructive Pulmonary Disease with MCC
- 191 Chronic Obstructive Pulmonary Disease with CC
- 192 Chronic Obstructive Pulmonary Disease without C…
- 193 Simple Pneumonia and Pleurisy with MCC
- 194 Simple Pneumonia and Pleurisy with CC
- 195 Simple Pneumonia and Pleurisy without CC/MCC
- 196 Interstitial Lung Disease with MCC
- 197 Interstitial Lung Disease with CC
- 198 Interstitial Lung Disease without CC/MCC
- 199 Pneumothorax with MCC
- 200 Pneumothorax with CC
- 201 Pneumothorax without CC/MCC
- 202 Bronchitis and Asthma with CC/MCC
- 203 Bronchitis and Asthma without CC/MCC
- 204 Respiratory Signs and Symptoms
- 205 Other Respiratory System Diagnoses with MCC
- 206 Other Respiratory System Diagnoses without MCC
- 207 Respiratory System Diagnosis with Ventilator Su…
- 208 Respiratory System Diagnosis with Ventilator Su…
- 209 Complex Aortic Arch Procedures
- 210 Cardiac Pacemaker Revision or Device Replacemen…
- 211 Cardiac Pacemaker Revision or Device Replacemen…
- 212 Concomitant Aortic and Mitral Valve Procedures
- 213 Endovascular Abdominal Aorta with Iliac Branch …
- 215 Other Heart Assist System Implant
- 216 Cardiac Valve and Other Major Cardiothoracic Pr…
- 217 Cardiac Valve and Other Major Cardiothoracic Pr…
- 218 Cardiac Valve and Other Major Cardiothoracic Pr…
- 219 Cardiac Valve and Other Major Cardiothoracic Pr…
- 220 Cardiac Valve and Other Major Cardiothoracic Pr…
- 221 Cardiac Valve and Other Major Cardiothoracic Pr…
- 228 Other Cardiothoracic Procedures with MCC
- 229 Other Cardiothoracic Procedures without MCC
- 231 Coronary Bypass with PTCA with MCC
- 232 Coronary Bypass with PTCA without MCC
- 233 Coronary Bypass with Cardiac Catheterization or…
- 234 Coronary Bypass with Cardiac Catheterization or…
- 235 Coronary Bypass without Cardiac Catheterization…
- 236 Coronary Bypass without Cardiac Catheterization…
- 239 Amputation for Circulatory System Disorders Exc…
- 240 Amputation for Circulatory System Disorders Exc…
- 241 Amputation for Circulatory System Disorders Exc…
- 242 Permanent Cardiac Pacemaker Implant with MCC
- 243 Permanent Cardiac Pacemaker Implant with CC
- 244 Permanent Cardiac Pacemaker Implant without CC/…
- 245 AICD Generator Procedures
- 250 Percutaneous Cardiovascular Procedures without …
- 251 Percutaneous Cardiovascular Procedures without …
- 252 Other Vascular Procedures with MCC
- 253 Other Vascular Procedures with CC
- 254 Other Vascular Procedures without CC/MCC
- 255 Upper Limb and Toe Amputation for Circulatory S…
- 256 Upper Limb and Toe Amputation for Circulatory S…
- 257 Upper Limb and Toe Amputation for Circulatory S…
- 263 Vein Ligation and Stripping
- 265 AICD Lead Procedures
- 266 Endovascular Cardiac Valve Replacement and Supp…
- 267 Endovascular Cardiac Valve Replacement and Supp…
- 268 Aortic and Heart Assist Procedures Except Pulsa…
- 269 Aortic and Heart Assist Procedures Except Pulsa…
- 270 Other Major Cardiovascular Procedures with MCC
- 271 Other Major Cardiovascular Procedures with CC
- 272 Other Major Cardiovascular Procedures without C…
- 273 Percutaneous and Other Intracardiac Procedures …
- 274 Percutaneous and Other Intracardiac Procedures …
- 275 Cardiac Defibrillator Implant with Cardiac Cath…
- 276 Cardiac Defibrillator Implant with MCC or Carot…
- 277 Cardiac Defibrillator Implant without MCC
- 278 Ultrasound Accelerated and Other Thrombolysis o…
- 279 Ultrasound Accelerated and Other Thrombolysis o…
- 280 Acute Myocardial Infarction, Discharged Alive w…
- 281 Acute Myocardial Infarction, Discharged Alive w…
- 282 Acute Myocardial Infarction, Discharged Alive w…
- 283 Acute Myocardial Infarction, Expired with MCC
- 284 Acute Myocardial Infarction, Expired with CC
- 285 Acute Myocardial Infarction, Expired without CC…
- 286 Circulatory Disorders Except AMI, with Cardiac …
- 287 Circulatory Disorders Except AMI, with Cardiac …
- 288 Acute and Subacute Endocarditis with MCC
- 289 Acute and Subacute Endocarditis with CC
- 290 Acute and Subacute Endocarditis without CC/MCC
- 291 Heart Failure and Shock with MCC
- 292 Heart Failure and Shock with CC
- 293 Heart Failure and Shock without CC/MCC
- 296 Cardiac Arrest, Unexplained with MCC
- 297 Cardiac Arrest, Unexplained with CC
- 298 Cardiac Arrest, Unexplained without CC/MCC
- 299 Peripheral Vascular Disorders with MCC
- 300 Peripheral Vascular Disorders with CC
- 301 Peripheral Vascular Disorders without CC/MCC
- 302 Atherosclerosis with MCC
- 303 Atherosclerosis without MCC
- 304 Hypertension with MCC
- 305 Hypertension without MCC
- 306 Cardiac Congenital and Valvular Disorders with …
- 307 Cardiac Congenital and Valvular Disorders witho…
- 308 Cardiac Arrhythmia and Conduction Disorders wit…
- 309 Cardiac Arrhythmia and Conduction Disorders wit…
- 310 Cardiac Arrhythmia and Conduction Disorders wit…
- 311 Angina Pectoris
- 312 Syncope and Collapse
- 313 Chest Pain
- 314 Other Circulatory System Diagnoses with MCC
- 315 Other Circulatory System Diagnoses with CC
- 316 Other Circulatory System Diagnoses without CC/M…
- 317 Concomitant Left Atrial Appendage Closure and C…
- 318 Percutaneous Coronary Atherectomy without Intra…
- 319 Other Endovascular Cardiac Valve Procedures wit…
- 320 Other Endovascular Cardiac Valve Procedures wit…
- 321 Percutaneous Cardiovascular Procedures with Int…
- 322 Percutaneous Cardiovascular Procedures with Int…
- 323 Coronary Intravascular Lithotripsy with Intralu…
- 324 Coronary Intravascular Lithotripsy with Intralu…
- 325 Coronary Intravascular Lithotripsy without Intr…
- 326 Stomach, Esophageal and Duodenal Procedures wit…
- 327 Stomach, Esophageal and Duodenal Procedures wit…
- 328 Stomach, Esophageal and Duodenal Procedures wit…
- 329 Major Small and Large Bowel Procedures with MCC
- 330 Major Small and Large Bowel Procedures with CC
- 331 Major Small and Large Bowel Procedures without …
- 332 Rectal Resection with MCC
- 333 Rectal Resection with CC
- 334 Rectal Resection without CC/MCC
- 335 Peritoneal Adhesiolysis with MCC
- 336 Peritoneal Adhesiolysis with CC
- 337 Peritoneal Adhesiolysis without CC/MCC
- 344 Minor Small and Large Bowel Procedures with MCC
- 345 Minor Small and Large Bowel Procedures with CC
- 346 Minor Small and Large Bowel Procedures without …
- 347 Anal and Stomal Procedures with MCC
- 348 Anal and Stomal Procedures with CC
- 349 Anal and Stomal Procedures without CC/MCC
- 350 Inguinal and Femoral Hernia Procedures with MCC
- 351 Inguinal and Femoral Hernia Procedures with CC
- 352 Inguinal and Femoral Hernia Procedures without …
- 353 Hernia Procedures Except Inguinal and Femoral w…
- 354 Hernia Procedures Except Inguinal and Femoral w…
- 355 Hernia Procedures Except Inguinal and Femoral w…
- 356 Other Digestive System O.R. Procedures with MCC
- 357 Other Digestive System O.R. Procedures with CC
- 358 Other Digestive System O.R. Procedures without …
- 359 Percutaneous Coronary Atherectomy with Intralum…
- 360 Percutaneous Coronary Atherectomy with Intralum…
- 361 Other Circulatory System O.R. Procedures with M…
- 362 Other Circulatory System O.R. Procedures withou…
- 368 Major Esophageal Disorders with MCC
- 369 Major Esophageal Disorders with CC
- 370 Major Esophageal Disorders without CC/MCC
- 371 Major Gastrointestinal Disorders and Peritoneal…
- 372 Major Gastrointestinal Disorders and Peritoneal…
- 373 Major Gastrointestinal Disorders and Peritoneal…
- 374 Digestive Malignancy with MCC
- 375 Digestive Malignancy with CC
- 376 Digestive Malignancy without CC/MCC
- 377 Gastrointestinal Hemorrhage with MCC
- 378 Gastrointestinal Hemorrhage with CC
- 379 Gastrointestinal Hemorrhage without CC/MCC
- 380 Complicated Peptic Ulcer with MCC
- 381 Complicated Peptic Ulcer with CC
- 382 Complicated Peptic Ulcer without CC/MCC
- 383 Uncomplicated Peptic Ulcer with MCC
- 384 Uncomplicated Peptic Ulcer without MCC
- 385 Inflammatory Bowel Disease with MCC
- 386 Inflammatory Bowel Disease with CC
- 387 Inflammatory Bowel Disease without CC/MCC
- 388 Gastrointestinal Obstruction with MCC
- 389 Gastrointestinal Obstruction with CC
- 390 Gastrointestinal Obstruction without CC/MCC
- 391 Esophagitis, Gastroenteritis and Miscellaneous …
- 392 Esophagitis, Gastroenteritis and Miscellaneous …
- 393 Other Digestive System Diagnoses with MCC
- 394 Other Digestive System Diagnoses with CC
- 395 Other Digestive System Diagnoses without CC/MCC
- 397 Appendix Procedures with MCC
- 398 Appendix Procedures with CC
- 399 Appendix Procedures without CC/MCC
- 400 Knee Procedures with Principal Diagnosis of Inf…
- 402 Single Level Combined Anterior and Posterior Sp…
- 403 Hip or Knee Procedures with Principal Diagnosis…
- 404 Hip or Knee Procedures with Principal Diagnosis…
- 405 Pancreas, Liver and Shunt Procedures with MCC
- 406 Pancreas, Liver and Shunt Procedures with CC
- 407 Pancreas, Liver and Shunt Procedures without CC…
- 408 Biliary Tract Procedures Except Only Cholecyste…
- 409 Biliary Tract Procedures Except Only Cholecyste…
- 410 Biliary Tract Procedures Except Only Cholecyste…
- 411 Cholecystectomy with C.D.E. with MCC
- 412 Cholecystectomy with C.D.E. with CC
- 413 Cholecystectomy with C.D.E. without CC/MCC
- 414 Cholecystectomy Except by Laparoscope without C…
- 415 Cholecystectomy Except by Laparoscope without C…
- 416 Cholecystectomy Except by Laparoscope without C…
- 417 Laparoscopic Cholecystectomy without C.D.E. wit…
- 418 Laparoscopic Cholecystectomy without C.D.E. wit…
- 419 Laparoscopic Cholecystectomy without C.D.E. wit…
- 420 Hepatobiliary Diagnostic Procedures with MCC
- 421 Hepatobiliary Diagnostic Procedures with CC
- 422 Hepatobiliary Diagnostic Procedures without CC/…
- 423 Other Hepatobiliary or Pancreas O.R. Procedures…
- 424 Other Hepatobiliary or Pancreas O.R. Procedures…
- 425 Other Hepatobiliary or Pancreas O.R. Procedures…
- 426 Multiple Level Combined Anterior and Posterior …
- 427 Multiple Level Combined Anterior and Posterior …
- 428 Multiple Level Combined Anterior and Posterior …
- 429 Combined Anterior and Posterior Cervical Spinal…
- 430 Combined Anterior and Posterior Cervical Spinal…
- 432 Cirrhosis and Alcoholic Hepatitis with MCC
- 433 Cirrhosis and Alcoholic Hepatitis with CC
- 434 Cirrhosis and Alcoholic Hepatitis without CC/MCC
- 435 Malignancy of Hepatobiliary System or Pancreas …
- 436 Malignancy of Hepatobiliary System or Pancreas …
- 437 Malignancy of Hepatobiliary System or Pancreas …
- 438 Disorders of Pancreas Except Malignancy with MCC
- 439 Disorders of Pancreas Except Malignancy with CC
- 440 Disorders of Pancreas Except Malignancy without…
- 441 Disorders of Liver Except Malignancy, Cirrhosis…
- 442 Disorders of Liver Except Malignancy, Cirrhosis…
- 443 Disorders of Liver Except Malignancy, Cirrhosis…
- 444 Disorders of the Biliary Tract with MCC
- 445 Disorders of the Biliary Tract with CC
- 446 Disorders of the Biliary Tract without CC/MCC
- 447 Multiple Level Spinal Fusion Except Cervical wi…
- 448 Multiple Level Spinal Fusion Except Cervical wi…
- 449 Revision of Hip or Knee Prosthesis
- 450 Single Level Spinal Fusion Except Cervical with…
- 451 Single Level Spinal Fusion Except Cervical with…
- 456 Spinal Fusion Except Cervical with Spinal Curva…
- 457 Spinal Fusion Except Cervical with Spinal Curva…
- 458 Spinal Fusion Except Cervical with Spinal Curva…
- 461 Bilateral or Multiple Major Joint Procedures of…
- 462 Bilateral or Multiple Major Joint Procedures of…
- 463 Wound Debridement or Skin Graft Except Hand for…
- 464 Wound Debridement or Skin Graft Except Hand for…
- 465 Wound Debridement or Skin Graft Except Hand for…
- 469 Major Hip and Knee Joint Replacement or Reattac…
- 470 Major Hip and Knee Joint Replacement or Reattac…
- 471 Cervical Spinal Fusion with MCC
- 472 Cervical Spinal Fusion with CC
- 473 Cervical Spinal Fusion without CC/MCC
- 474 Amputation for Musculoskeletal System and Conne…
- 475 Amputation for Musculoskeletal System and Conne…
- 476 Amputation for Musculoskeletal System and Conne…
- 477 Biopsies of Musculoskeletal System and Connecti…
- 478 Biopsies of Musculoskeletal System and Connecti…
- 479 Biopsies of Musculoskeletal System and Connecti…
- 480 Hip and Femur Procedures Except Major Joint wit…
- 481 Hip and Femur Procedures Except Major Joint wit…
- 482 Hip and Femur Procedures Except Major Joint wit…
- 483 Major Joint or Limb Reattachment Procedures of …
- 488 Knee Procedures without Principal Diagnosis of …
- 489 Knee Procedures without Principal Diagnosis of …
- 492 Lower Extremity and Humerus Procedures Except H…
- 493 Lower Extremity and Humerus Procedures Except H…
- 494 Lower Extremity and Humerus Procedures Except H…
- 495 Local Excision and Removal of Internal Fixation…
- 496 Local Excision and Removal of Internal Fixation…
- 497 Local Excision and Removal of Internal Fixation…
- 498 Local Excision and Removal of Internal Fixation…
- 499 Local Excision and Removal of Internal Fixation…
- 500 Soft Tissue Procedures with MCC
- 501 Soft Tissue Procedures with CC
- 502 Soft Tissue Procedures without CC/MCC
- 503 Foot Procedures with MCC
- 504 Foot Procedures with CC
- 505 Foot Procedures without CC/MCC
- 506 Major Thumb or Joint Procedures
- 507 Major Shoulder or Elbow Joint Procedures with C…
- 508 Major Shoulder or Elbow Joint Procedures withou…
- 510 Shoulder, Elbow or Forearm Procedures, Except M…
- 511 Shoulder, Elbow or Forearm Procedures, Except M…
- 512 Shoulder, Elbow or Forearm Procedures, Except M…
- 513 Hand or Wrist Procedures, Except Major Thumb or…
- 514 Hand or Wrist Procedures, Except Major Thumb or…
- 515 Other Musculoskeletal System and Connective Tis…
- 516 Other Musculoskeletal System and Connective Tis…
- 517 Other Musculoskeletal System and Connective Tis…
- 518 Back and Neck Procedures Except Spinal Fusion w…
- 519 Back and Neck Procedures Except Spinal Fusion w…
- 520 Back and Neck Procedures Except Spinal Fusion w…
- 521 Hip Replacement with Principal Diagnosis of Hip…
- 522 Hip Replacement with Principal Diagnosis of Hip…
- 523 Extensive or Complex Spinal Fusion Procedures E…
- 524 Extensive or Complex Spinal Fusion Procedures E…
- 525 Extensive or Complex Spinal Fusion Procedures E…
- 533 Fractures of Femur with MCC
- 534 Fractures of Femur without MCC
- 535 Fractures of Hip and Pelvis with MCC
- 536 Fractures of Hip and Pelvis without MCC
- 537 Sprains, Strains, and Dislocations of Hip, Pelv…
- 538 Sprains, Strains, and Dislocations of Hip, Pelv…
- 539 Osteomyelitis with MCC
- 540 Osteomyelitis with CC
- 541 Osteomyelitis without CC/MCC
- 542 Pathological Fractures and Musculoskeletal and …
- 543 Pathological Fractures and Musculoskeletal and …
- 544 Pathological Fractures and Musculoskeletal and …
- 545 Connective Tissue Disorders with MCC
- 546 Connective Tissue Disorders with CC
- 547 Connective Tissue Disorders without CC/MCC
- 548 Septic Arthritis with MCC
- 549 Septic Arthritis with CC
- 550 Septic Arthritis without CC/MCC
- 551 Medical Back Problems with MCC
- 552 Medical Back Problems without MCC
- 553 Bone Diseases and Arthropathies with MCC
- 554 Bone Diseases and Arthropathies without MCC
- 555 Signs and Symptoms of Musculoskeletal System an…
- 556 Signs and Symptoms of Musculoskeletal System an…
- 557 Tendonitis, Myositis and Bursitis with MCC
- 558 Tendonitis, Myositis and Bursitis without MCC
- 559 Aftercare, Musculoskeletal System and Connectiv…
- 560 Aftercare, Musculoskeletal System and Connectiv…
- 561 Aftercare, Musculoskeletal System and Connectiv…
- 562 Fracture, Sprain, Strain and Dislocation Except…
- 563 Fracture, Sprain, Strain and Dislocation Except…
- 564 Other Musculoskeletal System and Connective Tis…
- 565 Other Musculoskeletal System and Connective Tis…
- 566 Other Musculoskeletal System and Connective Tis…
- 570 Skin Debridement with MCC
- 571 Skin Debridement with CC
- 572 Skin Debridement without CC/MCC
- 573 Skin Graft for Skin Ulcer or Cellulitis with MCC
- 574 Skin Graft for Skin Ulcer or Cellulitis with CC
- 575 Skin Graft for Skin Ulcer or Cellulitis without…
- 576 Skin Graft Except for Skin Ulcer or Cellulitis …
- 577 Skin Graft Except for Skin Ulcer or Cellulitis …
- 578 Skin Graft Except for Skin Ulcer or Cellulitis …
- 579 Other Skin, Subcutaneous Tissue and Breast Proc…
- 580 Other Skin, Subcutaneous Tissue and Breast Proc…
- 581 Other Skin, Subcutaneous Tissue and Breast Proc…
- 582 Mastectomy for Malignancy with CC/MCC
- 583 Mastectomy for Malignancy without CC/MCC
- 584 Breast Biopsy, Local Excision and Other Breast …
- 585 Breast Biopsy, Local Excision and Other Breast …
- 592 Skin Ulcers with MCC
- 593 Skin Ulcers with CC
- 594 Skin Ulcers without CC/MCC
- 595 Major Skin Disorders with MCC
- 596 Major Skin Disorders without MCC
- 597 Malignant Breast Disorders with MCC
- 598 Malignant Breast Disorders with CC
- 599 Malignant Breast Disorders without CC/MCC
- 600 Non-Malignant Breast Disorders with CC/MCC
- 601 Non-Malignant Breast Disorders without CC/MCC
- 602 Cellulitis with MCC
- 603 Cellulitis without MCC
- 604 Trauma to the Skin, Subcutaneous Tissue and Bre…
- 605 Trauma to the Skin, Subcutaneous Tissue and Bre…
- 606 Minor Skin Disorders with MCC
- 607 Minor Skin Disorders without MCC
- 614 Adrenal and Pituitary Procedures with CC/MCC
- 615 Adrenal and Pituitary Procedures without CC/MCC
- 616 Amputation of Lower Limb for Endocrine, Nutriti…
- 617 Amputation of Lower Limb for Endocrine, Nutriti…
- 618 Amputation of Lower Limb for Endocrine, Nutriti…
- 619 O.R. Procedures for Obesity with MCC
- 620 O.R. Procedures for Obesity with CC
- 621 O.R. Procedures for Obesity without CC/MCC
- 622 Skin Grafts and Wound Debridement for Endocrine…
- 623 Skin Grafts and Wound Debridement for Endocrine…
- 624 Skin Grafts and Wound Debridement for Endocrine…
- 625 Thyroid, Parathyroid and Thyroglossal Procedure…
- 626 Thyroid, Parathyroid and Thyroglossal Procedure…
- 627 Thyroid, Parathyroid and Thyroglossal Procedure…
- 628 Other Endocrine, Nutritional and Metabolic O.R.…
- 629 Other Endocrine, Nutritional and Metabolic O.R.…
- 630 Other Endocrine, Nutritional and Metabolic O.R.…
- 637 Diabetes with MCC
- 638 Diabetes with CC
- 639 Diabetes without CC/MCC
- 640 Miscellaneous Disorders of Nutrition, Metabolis…
- 641 Miscellaneous Disorders of Nutrition, Metabolis…
- 642 Inborn and Other Disorders of Metabolism
- 643 Endocrine Disorders with MCC
- 644 Endocrine Disorders with CC
- 645 Endocrine Disorders without CC/MCC
- 650 Kidney Transplant with Hemodialysis with MCC
- 651 Kidney Transplant with Hemodialysis without MCC
- 652 Kidney Transplant
- 653 Major Bladder Procedures with MCC
- 654 Major Bladder Procedures with CC
- 655 Major Bladder Procedures without CC/MCC
- 656 Kidney and Ureter Procedures for Neoplasm with …
- 657 Kidney and Ureter Procedures for Neoplasm with …
- 658 Kidney and Ureter Procedures for Neoplasm witho…
- 659 Kidney and Ureter Procedures for Non-Neoplasm w…
- 660 Kidney and Ureter Procedures for Non-Neoplasm w…
- 661 Kidney and Ureter Procedures for Non-Neoplasm w…
- 662 Minor Bladder Procedures with MCC
- 663 Minor Bladder Procedures with CC
- 664 Minor Bladder Procedures without CC/MCC
- 665 Prostatectomy with MCC
- 666 Prostatectomy with CC
- 667 Prostatectomy without CC/MCC
- 668 Transurethral Procedures with MCC
- 669 Transurethral Procedures with CC
- 670 Transurethral Procedures without CC/MCC
- 671 Urethral Procedures with CC/MCC
- 672 Urethral Procedures without CC/MCC
- 673 Other Kidney and Urinary Tract Procedures with …
- 674 Other Kidney and Urinary Tract Procedures with …
- 675 Other Kidney and Urinary Tract Procedures witho…
- 682 Renal Failure with MCC
- 683 Renal Failure with CC
- 684 Renal Failure without CC/MCC
- 686 Kidney and Urinary Tract Neoplasms with MCC
- 687 Kidney and Urinary Tract Neoplasms with CC
- 688 Kidney and Urinary Tract Neoplasms without CC/M…
- 689 Kidney and Urinary Tract Infections with MCC
- 690 Kidney and Urinary Tract Infections without MCC
- 693 Urinary Stones with MCC
- 694 Urinary Stones without MCC
- 695 Kidney and Urinary Tract Signs and Symptoms wit…
- 696 Kidney and Urinary Tract Signs and Symptoms wit…
- 697 Urethral Stricture
- 698 Other Kidney and Urinary Tract Diagnoses with M…
- 699 Other Kidney and Urinary Tract Diagnoses with CC
- 700 Other Kidney and Urinary Tract Diagnoses withou…
- 707 Major Male Pelvic Procedures with CC/MCC
- 708 Major Male Pelvic Procedures without CC/MCC
- 709 Penis Procedures with CC/MCC
- 710 Penis Procedures without CC/MCC
- 711 Testes Procedures with CC/MCC
- 712 Testes Procedures without CC/MCC
- 713 Transurethral Prostatectomy with CC/MCC
- 714 Transurethral Prostatectomy without CC/MCC
- 715 Male Reproductive System and Other O.R. Procedu…
- 716 Male Reproductive System and Other O.R. Procedu…
- 717 Other Male Reproductive System O.R. Procedures …
- 718 Other Male Reproductive System O.R. Procedures …
- 722 Malignancy, Male Reproductive System with MCC
- 723 Malignancy, Male Reproductive System with CC
- 724 Malignancy, Male Reproductive System without CC…
- 725 Benign Prostatic Hypertrophy with MCC
- 726 Benign Prostatic Hypertrophy without MCC
- 727 Inflammation of the Male Reproductive System wi…
- 728 Inflammation of the Male Reproductive System wi…
- 729 Other Male Reproductive System Diagnoses with C…
- 730 Other Male Reproductive System Diagnoses withou…
- 731 Uterine and Adnexa Procedures for Malignancy wi…
- 732 Uterine and Adnexa Procedures for Malignancy wi…
- 733 Uterine and Adnexa Procedures for Malignancy wi…
- 734 Pelvic Evisceration, Radical Hysterectomy and R…
- 735 Pelvic Evisceration, Radical Hysterectomy and R…
- 742 Uterine and Adnexa Procedures for Non-Malignanc…
- 743 Uterine and Adnexa Procedures for Non-Malignanc…
- 744 D&C, Conization, Laparoscopy and Tubal Interrup…
- 745 D&C, Conization, Laparoscopy and Tubal Interrup…
- 746 Vagina, Cervix and Vulva Procedures with CC/MCC
- 747 Vagina, Cervix and Vulva Procedures without CC/…
- 748 Female Reproductive System Reconstructive Proce…
- 749 Other Female Reproductive System O.R. Procedure…
- 750 Other Female Reproductive System O.R. Procedure…
- 754 Malignancy, Female Reproductive System with MCC
- 755 Malignancy, Female Reproductive System with CC
- 756 Malignancy, Female Reproductive System without …
- 757 Infections, Female Reproductive System with MCC
- 758 Infections, Female Reproductive System with CC
- 759 Infections, Female Reproductive System without …
- 760 Menstrual and Other Female Reproductive System …
- 761 Menstrual and Other Female Reproductive System …
- 768 Vaginal Delivery with O.R. Procedures Except St…
- 769 Postpartum and Post Abortion Diagnoses with O.R…
- 770 Abortion with D&C, Aspiration Curettage or Hyst…
- 776 Postpartum and Post Abortion Diagnoses without …
- 779 Abortion without D&C
- 783 Cesarean Section with Sterilization with MCC
- 784 Cesarean Section with Sterilization with CC
- 785 Cesarean Section with Sterilization without CC/…
- 786 Cesarean Section without Sterilization with MCC
- 787 Cesarean Section without Sterilization with CC
- 788 Cesarean Section without Sterilization without …
- 789 Neonates, Died or Transferred to Another Acute …
- 790 Extreme Immaturity or Respiratory Distress Synd…
- 791 Prematurity with Major Problems
- 792 Prematurity without Major Problems
- 793 Full Term Neonate with Major Problems
- 794 Neonate with Other Significant Problems
- 795 Normal Newborn
- 796 Vaginal Delivery with Sterilization and/or D&C …
- 797 Vaginal Delivery with Sterilization and/or D&C …
- 798 Vaginal Delivery with Sterilization and/or D&C …
- 799 Splenic Procedures with MCC
- 800 Splenic Procedures with CC
- 801 Splenic Procedures without CC/MCC
- 802 Other O.R. Procedures of the Blood and Blood Fo…
- 803 Other O.R. Procedures of the Blood and Blood Fo…
- 804 Other O.R. Procedures of the Blood and Blood Fo…
- 805 Vaginal Delivery without Sterilization or D&C w…
- 806 Vaginal Delivery without Sterilization or D&C w…
- 807 Vaginal Delivery without Sterilization or D&C w…
- 808 Major Hematological and Immunological Diagnoses…
- 809 Major Hematological and Immunological Diagnoses…
- 810 Major Hematological and Immunological Diagnoses…
- 811 Red Blood Cell Disorders with MCC
- 812 Red Blood Cell Disorders without MCC
- 813 Coagulation Disorders
- 814 Reticuloendothelial and Immunity Disorders with…
- 815 Reticuloendothelial and Immunity Disorders with…
- 816 Reticuloendothelial and Immunity Disorders with…
- 817 Other Antepartum Diagnoses with O.R. Procedures…
- 818 Other Antepartum Diagnoses with O.R. Procedures…
- 819 Other Antepartum Diagnoses with O.R. Procedures…
- 820 Lymphoma and Leukemia with Major O.R. Procedure…
- 821 Lymphoma and Leukemia with Major O.R. Procedure…
- 822 Lymphoma and Leukemia with Major O.R. Procedure…
- 823 Lymphoma and Non-Acute Leukemia with Other Proc…
- 824 Lymphoma and Non-Acute Leukemia with Other Proc…
- 825 Lymphoma and Non-Acute Leukemia with Other Proc…
- 826 Myeloproliferative Disorders or Poorly Differen…
- 827 Myeloproliferative Disorders or Poorly Differen…
- 828 Myeloproliferative Disorders or Poorly Differen…
- 829 Myeloproliferative Disorders or Poorly Differen…
- 830 Myeloproliferative Disorders or Poorly Differen…
- 831 Other Antepartum Diagnoses without O.R. Procedu…
- 832 Other Antepartum Diagnoses without O.R. Procedu…
- 833 Other Antepartum Diagnoses without O.R. Procedu…
- 834 Acute Leukemia with MCC
- 835 Acute Leukemia with CC
- 836 Acute Leukemia without CC/MCC
- 837 Chemotherapy with Acute Leukemia as Secondary D…
- 838 Chemotherapy with Acute Leukemia as Secondary D…
- 839 Chemotherapy with Acute Leukemia as Secondary D…
- 840 Lymphoma and Non-Acute Leukemia with MCC
- 841 Lymphoma and Non-Acute Leukemia with CC
- 842 Lymphoma and Non-Acute Leukemia without CC/MCC
- 843 Other Myeloproliferative Disorders or Poorly Di…
- 844 Other Myeloproliferative Disorders or Poorly Di…
- 845 Other Myeloproliferative Disorders or Poorly Di…
- 846 Chemotherapy without Acute Leukemia as Secondar…
- 847 Chemotherapy without Acute Leukemia as Secondar…
- 848 Chemotherapy without Acute Leukemia as Secondar…
- 849 Radiotherapy
- 850 Acute Leukemia with Other Procedures
- 853 Infectious and Parasitic Diseases with O.R. Pro…
- 854 Infectious and Parasitic Diseases with O.R. Pro…
- 855 Infectious and Parasitic Diseases with O.R. Pro…
- 856 Postoperative or Post-Traumatic Infections with…
- 857 Postoperative or Post-Traumatic Infections with…
- 858 Postoperative or Post-Traumatic Infections with…
- 862 Postoperative and Post-Traumatic Infections wit…
- 863 Postoperative and Post-Traumatic Infections wit…
- 864 Fever and Inflammatory Conditions
- 865 Viral Illness with MCC
- 866 Viral Illness without MCC
- 867 Other Infectious and Parasitic Diseases Diagnos…
- 868 Other Infectious and Parasitic Diseases Diagnos…
- 869 Other Infectious and Parasitic Diseases Diagnos…
- 870 Septicemia or Severe Sepsis with MV >96 Hours
- 871 Septicemia or Severe Sepsis without MV >96 Hour…
- 872 Septicemia or Severe Sepsis without MV >96 Hour…
- 876 O.R. Procedures with Principal Diagnosis of Men…
- 880 Acute Adjustment Reaction and Psychosocial Dysf…
- 881 Depressive Neuroses
- 882 Neuroses Except Depressive
- 883 Disorders of Personality and Impulse Control
- 884 Organic Disturbances and Intellectual Disability
- 885 Psychoses
- 886 Behavioral and Developmental Disorders
- 887 Other Mental Disorder Diagnoses
- 894 Alcohol, Drug Abuse or Dependence, Left AMA
- 895 Alcohol, Drug Abuse or Dependence with Rehabili…
- 896 Alcohol, Drug Abuse or Dependence without Rehab…
- 897 Alcohol, Drug Abuse or Dependence without Rehab…
- 901 Wound Debridements for Injuries with MCC
- 902 Wound Debridements for Injuries with CC
- 903 Wound Debridements for Injuries without CC/MCC
- 904 Skin Grafts for Injuries with CC/MCC
- 905 Skin Grafts for Injuries without CC/MCC
- 906 Hand Procedures for Injuries
- 907 Other O.R. Procedures for Injuries with MCC
- 908 Other O.R. Procedures for Injuries with CC
- 909 Other O.R. Procedures for Injuries without CC/M…
- 913 Traumatic Injury with MCC
- 914 Traumatic Injury without MCC
- 915 Allergic Reactions with MCC
- 916 Allergic Reactions without MCC
- 917 Poisoning and Toxic Effects of Drugs with MCC
- 918 Poisoning and Toxic Effects of Drugs without MCC
- 919 Complications of Treatment with MCC
- 920 Complications of Treatment with CC
- 921 Complications of Treatment without CC/MCC
- 922 Other Injury, Poisoning and Toxic Effect Diagno…
- 923 Other Injury, Poisoning and Toxic Effect Diagno…
- 927 Extensive Burns or Full Thickness Burns with MV…
- 928 Full Thickness Burn with Skin Graft or Inhalati…
- 929 Full Thickness Burn with Skin Graft or Inhalati…
- 933 Extensive Burns or Full Thickness Burns with MV…
- 934 Full Thickness Burn without Skin Graft or Inhal…
- 935 Non-Extensive Burns
- 939 O.R. Procedures with Diagnoses of Other Contact…
- 940 O.R. Procedures with Diagnoses of Other Contact…
- 941 O.R. Procedures with Diagnoses of Other Contact…
- 945 Rehabilitation with CC/MCC
- 946 Rehabilitation without CC/MCC
- 947 Signs and Symptoms with MCC
- 948 Signs and Symptoms without MCC
- 949 Aftercare with CC/MCC
- 950 Aftercare without CC/MCC
- 951 Other Factors Influencing Health Status
- 955 Craniotomy for Multiple Significant Trauma
- 956 Limb Reattachment, Hip and Femur Procedures for…
- 957 Other O.R. Procedures for Multiple Significant …
- 958 Other O.R. Procedures for Multiple Significant …
- 959 Other O.R. Procedures for Multiple Significant …
- 963 Other Multiple Significant Trauma with MCC
- 964 Other Multiple Significant Trauma with CC
- 965 Other Multiple Significant Trauma without CC/MCC
- 969 HIV with Extensive O.R. Procedures with MCC
- 970 HIV with Extensive O.R. Procedures without MCC
- 974 HIV with Major Related Condition with MCC
- 975 HIV with Major Related Condition with CC
- 976 HIV with Major Related Condition without CC/MCC
- 977 HIV with or without Other Related Condition
- 981 Extensive O.R. Procedures Unrelated to Principa…
- 982 Extensive O.R. Procedures Unrelated to Principa…
- 983 Extensive O.R. Procedures Unrelated to Principa…
- 987 Non-Extensive O.R. Procedures Unrelated to Prin…
- 988 Non-Extensive O.R. Procedures Unrelated to Prin…
- 989 Non-Extensive O.R. Procedures Unrelated to Prin…
- 998 Principal Diagnosis Invalid As Discharge Diagno…
- 999 Ungroupable
Frequently asked questions
What is an MS-DRG relative weight?
A relative weight expresses the average cost of treating patients in one MS-DRG relative to the average Medicare inpatient case, which is set to 1.0. Payment is the hospital's wage-adjusted base rate multiplied by the weight, before add-ons, outliers and transfer adjustments.
When do FY2027 MS-DRG weights take effect?
The v44 grouper and FY2027 weights apply to discharges on or after October 1, 2026, through September 30, 2027. CMS may issue a v44.1 update effective April 1, 2027 for new technology codes.
What is the difference between geometric and arithmetic mean length of stay?
The arithmetic mean is the simple average of days. The geometric mean dampens long-stay outliers and is the figure CMS uses to decide post-acute transfer per-diem payments.
How many MS-DRGs are there in FY2027?
CMS Table 5 for FY2027 lists 768 MS-DRGs including the two ungroupable categories (998 and 999), organised into 25 Major Diagnostic Categories plus a pre-MDC set for transplants and tracheostomies.
Sources
Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-01. Verify against the primary file before billing or contracting decisions.
- IPPS FY2027 Final Rule Table 5 (CMS-1849-F)Version v44 FY2027 · effective 2026-10-01 · file CMS-1849-F Table 5.txtSHA-256 01003dd571c1e2f5…
- IPPS FY2026 Final Rule Table 5 (CMS-1833-F)Version v43 FY2026 · effective 2025-10-01 · file CMS-1833-F Table 5.txtSHA-256 bf8c390d14b3cd3e…
- ICD-10 MS-DRG Definitions Manual v44 (text)Version v44 · effective 2026-10-01 · file fy2027-fr-icd10-ms-drg-definitions-manual-files-v44.zipSHA-256 ae4f6c11727fe91f…
Disclaimer
Operational reference compiled from CMS publications. Relative weights are national factors; actual payment depends on hospital-specific rates and adjustments. Not legal, clinical or billing advice.