Skip to main content
MS-DRG 940 · MDC 23 · Surgical

MS-DRG 940: O.R. Procedures with Diagnoses of Other Contact with Health Services with CC

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 940

FY2027 relative weight
2.1110
Higher than 65% of all MS-DRGs
Change vs FY2026
-9.7%
FY2026 weight 2.3370
Geometric mean LOS
3.0 days
Arithmetic mean 4.4 days
MDC
23
Factors Influencing Health Status and Other Contacts with Health Services
Severity level
with CC (complication or comorbidity)
Transfer policy
Not a transfer DRG

TL;DR

MS-DRG 940 is a surgical group in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services) at the middle severity level of its family. CMS assigns it a FY2027 relative weight of 2.1110 with a geometric mean length of stay of 3.0 days and an arithmetic mean of 4.4. Its weight moved down 9.7% from FY2026 (2.3370). That weight is higher than 65% of all surgical and medical MS-DRGs. Its CC/MCC family (DRG 939, DRG 941) spans weights 1.9440 to 3.2660.

What changed from FY2026 to FY2027

CMS recalibrates every MS-DRG weight annually from the prior year's MedPAR claims. For DRG 940 the FY2027 relative weight is 2.1110 against 2.3370 in FY2026, a fall of 9.67%, which exceeds the 2% threshold worth re-checking in contract models.

FY2026 versus FY2027 payment factors for MS-DRG 940
MetricFY2026FY2027Change
Relative weight2.33702.1110-0.2260
Geometric mean LOS (days)3.13.0-0.1
Arithmetic mean LOS (days)4.54.4-0.1
Weights shown are the FY2027 final values after the 10% cap on year-over-year reductions where applicable.

CC and MCC family

DRG 940 shares its base definition with 2 other MS-DRGs split by severity. The family's weights span 1.9440 to 3.2660, a 1.68× spread, which is the payment effect of documenting qualifying complications and comorbidities.

MS-DRGs in the same base group as DRG 940
DRGTitleFY2027 weightGMLOS
939O.R. Procedures with Diagnoses of Other Contact with Health Services with MCC3.26605.8
940O.R. Procedures with Diagnoses of Other Contact with Health Services with CC2.11103.0
941O.R. Procedures with Diagnoses of Other Contact with Health Services without CC/MCC1.94402.0

Grouper logic (v44 Definitions Manual)

The Definitions Manual assigns DRG 940 through the MDC 23 principal-diagnosis table and the operating-room procedure hierarchy rather than a DRG-specific code list. See the manual chapter for MDC 23.

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 23 with a lower weight. Because this family splits by severity, auditors target CC and MCC capture: each secondary diagnosis must be documented as present, monitored, evaluated or treated during the stay to survive a DRG-validation review. 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 940 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.

Frequently asked questions — DRG 940

What is MS-DRG 940?

MS-DRG 940 is "O.R. Procedures with Diagnoses of Other Contact with Health Services with CC", a surgical Medicare Severity Diagnosis-Related Group in MDC 23, Factors Influencing Health Status and Other Contacts with Health Services. 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 940?

The FY2027 relative weight is 2.1110 (IPPS final rule Table 5, effective October 1, 2026). In FY2026 it was 2.3370, a change of -9.7%.

What is the average length of stay for DRG 940?

CMS reports a geometric mean length of stay of 3.0 days and an arithmetic mean of 4.4 days for FY2027. The geometric mean is used for transfer-payment calculations.

Which DRGs are in the same CC/MCC family as 940?

DRG 939 (O.R. Procedures with Diagnoses of Other Contact with Health Services with MCC, weight 3.2660); DRG 941 (O.R. Procedures with Diagnoses of Other Contact with Health Services without CC/MCC, weight 1.9440). The family's weights range from 1.9440 to 3.2660, so documented complications and comorbidities change payment materially.

What documentation supports the severity level of DRG 940?

DRG 940 is reached when the stay carries a secondary diagnosis from the CMS Complication or Comorbidity list but none from the MCC list. Common CC captures include chronic kidney disease stage 3 and above, uncontrolled diabetes with manifestations, malnutrition of specified severity and heart failure of a stated type. Each must be documented by the treating clinician and show clinical relevance in the record; a condition listed only in the problem list without assessment is the most frequent reason a CC is removed on audit and the stay drops to the base DRG.

Is DRG 940 a post-acute transfer DRG?

No. DRG 940 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.