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MS-DRG 927 · MDC 22 · Surgical

MS-DRG 927: Extensive Burns or Full Thickness Burns with MV >96 Hours with Skin Graft

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 927

FY2027 relative weight
27.8340
Higher than 100% of all MS-DRGs
Change vs FY2026
+30.4%
FY2026 weight 21.3510
Geometric mean LOS
28.7 days
Arithmetic mean 36.9 days
MDC
22
Assignment of Diagnosis Codes
Severity level
single severity level
Transfer policy
Not a transfer DRG

TL;DR

MS-DRG 927 is a surgical group in MDC 22 (Assignment of Diagnosis Codes) at a single-severity group of its family. CMS assigns it a FY2027 relative weight of 27.8340 with a geometric mean length of stay of 28.7 days and an arithmetic mean of 36.9. Its weight moved up 30.4% from FY2026 (21.3510). That weight is higher than 100% of all surgical and medical MS-DRGs. CMS does not split this group by severity. The v44 Definitions Manual assigns it through 282 principal or secondary diagnosis codes and 376 operating room procedures codes.

What changed from FY2026 to FY2027

CMS recalibrates every MS-DRG weight annually from the prior year's MedPAR claims. For DRG 927 the FY2027 relative weight is 27.8340 against 21.3510 in FY2026, a rise of 30.36%, which exceeds the 2% threshold worth re-checking in contract models.

FY2026 versus FY2027 payment factors for MS-DRG 927
MetricFY2026FY2027Change
Relative weight21.351027.8340+6.4830
Geometric mean LOS (days)24.028.7+4.7
Arithmetic mean LOS (days)32.136.9+4.8
Weights shown are the FY2027 final values after the 10% cap on year-over-year reductions where applicable.

CC and MCC family

DRG 927 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)

Principal Or Secondary Diagnosis: 282 ICD-10 codes drive assignment to this group; the first 12 are shown.

Principal Or Secondary Diagnosis codes assigned to DRG 927 (sample)
ICD-10 codeDescription
T3121Burns involving 20-29% of body surface with 10-19% third degree burns
T3122Burns involving 20-29% of body surface with 20-29% third degree burns
T3131Burns involving 30-39% of body surface with 10-19% third degree burns
T3132Burns involving 30-39% of body surface with 20-29% third degree burns
T3133Burns involving 30-39% of body surface with 30-39% third degree burns
T3141Burns involving 40-49% of body surface with 10-19% third degree burns
T3142Burns involving 40-49% of body surface with 20-29% third degree burns
T3143Burns involving 40-49% of body surface with 30-39% third degree burns
T3144Burns involving 40-49% of body surface with 40-49% third degree burns
T3151Burns involving 50-59% of body surface with 10-19% third degree burns
T3152Burns involving 50-59% of body surface with 20-29% third degree burns
T3153Burns involving 50-59% of body surface with 30-39% third degree burns

Operating Room Procedures: 376 ICD-10 codes drive assignment to this group; the first 12 are shown.

Operating Room Procedures codes assigned to DRG 927 (sample)
ICD-10 codeDescription
0HR0X72Replacement of Scalp Skin with Autologous Tissue Substitute, Cell Suspension Technique, External Approach
0HR0X73Replacement of Scalp Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HR0X74Replacement of Scalp Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HR0XJ3Replacement of Scalp Skin with Synthetic Substitute, Full Thickness, External Approach
0HR0XJ4Replacement of Scalp Skin with Synthetic Substitute, Partial Thickness, External Approach
0HR0XJZReplacement of Scalp Skin with Synthetic Substitute, External Approach
0HR0XK3Replacement of Scalp Skin with Nonautologous Tissue Substitute, Full Thickness, External Approach
0HR0XK4Replacement of Scalp Skin with Nonautologous Tissue Substitute, Partial Thickness, External Approach
0HR1X72Replacement of Face Skin with Autologous Tissue Substitute, Cell Suspension Technique, External Approach
0HR1X73Replacement of Face Skin with Autologous Tissue Substitute, Full Thickness, External Approach
0HR1X74Replacement of Face Skin with Autologous Tissue Substitute, Partial Thickness, External Approach
0HR1XJ3Replacement of Face Skin with Synthetic Substitute, Full Thickness, External Approach

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 22 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 927 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.

Explore QuickCodeExplore QuickScribeBook a demo

Frequently asked questions — DRG 927

What is MS-DRG 927?

MS-DRG 927 is "Extensive Burns or Full Thickness Burns with MV >96 Hours with Skin Graft", a surgical Medicare Severity Diagnosis-Related Group in MDC 22, Assignment of Diagnosis Codes. 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 927?

The FY2027 relative weight is 27.8340 (IPPS final rule Table 5, effective October 1, 2026). In FY2026 it was 21.3510, a change of +30.4%.

What is the average length of stay for DRG 927?

CMS reports a geometric mean length of stay of 28.7 days and an arithmetic mean of 36.9 days for FY2027. The geometric mean is used for transfer-payment calculations.

What documentation supports the severity level of DRG 927?

DRG 927 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 927?

The v44 Definitions Manual lists 282 principal or secondary diagnosis codes and 376 operating room procedures codes for this group. Examples from the principal or secondary diagnosis list: T3121 (Burns involving 20-29% of body surface with 10-19% third degree burns); T3122 (Burns involving 20-29% of body surface with 20-29% third degree burns); T3131 (Burns involving 30-39% of body surface with 10-19% third degree burns); T3132 (Burns involving 30-39% of body surface with 20-29% third degree burns).

Is DRG 927 a post-acute transfer DRG?

No. DRG 927 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.