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MS-DRG 010 · MDC PRE · Surgical

MS-DRG 010: Pancreas or Islet Cell Transplant

Reviewed by QuickIntell RCM Editorial Team · Last reviewed

Data effective
Data currency: IPPS Table 5 FY2027 final rule (effective October 1, 2026); Definitions Manual v44 (effective October 1, 2026). Next CMS release: April 1, 2027 (v44.1 mid-year update), then the FY2028 final rule in August 2027.

Key facts for DRG 010

FY2027 relative weight
7.5230
Higher than 97% of all MS-DRGs
Change vs FY2026
+4.8%
FY2026 weight 7.1760
Geometric mean LOS
10.4 days
Arithmetic mean 15.6 days
MDC
PRE
Pre-MDC (transplants, tracheostomy, ECMO)
Severity level
single severity level
Transfer policy
Not a transfer DRG

TL;DR

MS-DRG 010 is a surgical group in MDC PRE (Pre-MDC (transplants, tracheostomy, ECMO)) at a single-severity group of its family. CMS assigns it a FY2027 relative weight of 7.5230 with a geometric mean length of stay of 10.4 days and an arithmetic mean of 15.6. Its weight moved up 4.8% from FY2026 (7.1760). That weight is higher than 97% of all surgical and medical MS-DRGs. CMS does not split this group by severity. The v44 Definitions Manual assigns it through 3 operating room procedures codes and 427 principal or secondary diagnosis codes.

What changed from FY2026 to FY2027

CMS recalibrates every MS-DRG weight annually from the prior year's MedPAR claims. For DRG 010 the FY2027 relative weight is 7.5230 against 7.1760 in FY2026, a rise of 4.84%, which exceeds the 2% threshold worth re-checking in contract models.

FY2026 versus FY2027 payment factors for MS-DRG 010
MetricFY2026FY2027Change
Relative weight7.17607.5230+0.3470
Geometric mean LOS (days)5.910.4+4.5
Arithmetic mean LOS (days)6.015.6+9.6
Weights shown are the FY2027 final values after the 10% cap on year-over-year reductions where applicable.

CC and MCC family

DRG 010 stands alone: CMS does not split this base group by CC or MCC severity, so complication documentation does not move the assignment, although it still affects quality and risk-adjustment reporting.

Grouper logic (v44 Definitions Manual)

Operating Room Procedures: 3 ICD-10 codes drive assignment to this group.

Operating Room Procedures codes assigned to DRG 010 (sample)
ICD-10 codeDescription
0FYG0Z0Transplantation of Pancreas, Allogeneic, Open Approach
0FYG0Z1Transplantation of Pancreas, Syngeneic, Open Approach
0FYG0Z2Transplantation of Pancreas, Zooplastic, Open Approach

Principal Or Secondary Diagnosis: 427 ICD-10 codes drive assignment to this group; the first 12 are shown.

Principal Or Secondary Diagnosis codes assigned to DRG 010 (sample)
ICD-10 codeDescription
E0800Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E0801Diabetes mellitus due to underlying condition with hyperosmolarity with coma
E0810Diabetes mellitus due to underlying condition with ketoacidosis without coma
E0811Diabetes mellitus due to underlying condition with ketoacidosis with coma
E0821Diabetes mellitus due to underlying condition with diabetic nephropathy
E0822Diabetes mellitus due to underlying condition with diabetic chronic kidney disease
E0829Diabetes mellitus due to underlying condition with other diabetic kidney complication
E08311Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy with macular edema
E08319Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy without macular edema
E083211Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, right eye
E083212Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, left eye
E083213Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, bilateral

Documentation and denial exposure

As a surgical DRG, assignment depends on a qualifying operating-room procedure being coded from the operative report; a missing or non-OR procedure code drops the stay into a medical DRG in MDC PRE with a lower weight. Because this family has no severity split, review risk concentrates on medical-necessity of the admission itself and on the two-midnight benchmark. Typical inpatient denial codes for this group: CARC 16 (claim lacks information needed to group the stay), CARC 50 (the admission or procedure is judged not medically necessary), CARC 97 (a service is bundled into the DRG payment).

How QuickIntell uses DRG 010 data

QuickCode groups inpatient encounters against the current v44 logic, flags CC and MCC candidates that lack supporting documentation, and shows the weight difference across the family before the claim drops. QuickScribe captures the attending's language that supports severity, and QuickRCM works DRG-validation denials with the grouper evidence attached.

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Frequently asked questions — DRG 010

What is MS-DRG 010?

MS-DRG 010 is "Pancreas or Islet Cell Transplant", a surgical Medicare Severity Diagnosis-Related Group in MDC PRE, Pre-MDC (transplants, tracheostomy, ECMO). Medicare pays inpatient stays grouped here at the hospital's base rate multiplied by the DRG relative weight.

What is the FY2027 relative weight for DRG 010?

The FY2027 relative weight is 7.5230 (IPPS final rule Table 5, effective October 1, 2026). In FY2026 it was 7.1760, a change of +4.8%.

What is the average length of stay for DRG 010?

CMS reports a geometric mean length of stay of 10.4 days and an arithmetic mean of 15.6 days for FY2027. The geometric mean is used for transfer-payment calculations.

What documentation supports the severity level of DRG 010?

DRG 010 has no CC or MCC sibling, so secondary-diagnosis capture does not change the group or its weight. Review effort belongs instead on the principal diagnosis sequencing and the procedure codes that place the stay in this group, and on medical necessity of the inpatient admission itself under the two-midnight benchmark, which is where denials for single-severity groups concentrate.

Which codes group to DRG 010?

The v44 Definitions Manual lists 3 operating room procedures codes and 427 principal or secondary diagnosis codes for this group. Examples from the operating room procedures list: 0FYG0Z0 (Transplantation of Pancreas, Allogeneic, Open Approach); 0FYG0Z1 (Transplantation of Pancreas, Syngeneic, Open Approach); 0FYG0Z2 (Transplantation of Pancreas, Zooplastic, Open Approach).

Is DRG 010 a post-acute transfer DRG?

No. DRG 010 is not on the FY2027 post-acute care transfer list, so the transfer per-diem policy does not apply to it.

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.

Disclaimer

This page is an operational reference compiled from the CMS IPPS FY2027 final rule (Table 5) and the v44 ICD-10 MS-DRG Definitions Manual. Relative weights are national factors; actual payment depends on each hospital's wage-adjusted base rate, add-ons, outliers and transfer adjustments. Nothing here is legal, clinical or billing advice; verify grouping against your encoder and the published CMS files.