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MDC 22: Assignment of Diagnosis Codes

6 MS-DRGs (3 surgical, 3 medical) with FY2027 relative weights averaging 7.7357. Click any DRG for its weight history, CC/MCC family, grouper code lists and denial exposure.

Reviewed by QuickIntell RCM Editorial Team · Last reviewed

Data effective

MS-DRGs in MDC 22

Weights in this category range from 1.9900 (DRG 934) to 27.8340 (DRG 927); the change column compares FY2027 with FY2026.

MS-DRGs assigned to MDC 22 with FY2027 weights
DRGTitleTypeWeightGMLOSChange
927Extensive Burns or Full Thickness Burns with MV >96 Hours with Skin GraftSurgical27.834028.7+30.4%
928Full Thickness Burn with Skin Graft or Inhalation Injury with CC/MCCSurgical7.644012.9+6.6%
929Full Thickness Burn with Skin Graft or Inhalation Injury without CC/MCCSurgical3.01805.6-6.3%
933Extensive Burns or Full Thickness Burns with MV >96 Hours without Skin GraftMedical3.50502.3-10.0%
934Full Thickness Burn without Skin Graft or Inhalation InjuryMedical1.99004.4-10.0%
935Non-Extensive BurnsMedical2.42304.2+17.6%

How to read this table

The relative weight is the payment multiplier CMS applies to a hospital's wage-adjusted standardized amount; a weight of 2.0 pays roughly twice an average inpatient case before outliers and add-ons. Geometric mean length of stay is the figure used in post-acute transfer calculations, so stays shorter than it in a transfer DRG are paid per diem. The change column compares the FY2027 final weight with FY2026; moves larger than two percent usually come from code reassignments in the final rule's Table 6 series or from updated cost data, and are worth re-checking in contract models and budgets before October 1. Surgical DRGs require a qualifying operating-room procedure; medical DRGs are reached when no such procedure is coded.

Frequently asked questions

How many MS-DRGs are in MDC 22?

6 MS-DRGs are assigned to MDC 22 (Assignment of Diagnosis Codes) in the FY2027 v44 grouper: 3 surgical and 3 medical.

Which MDC 22 DRG has the highest weight?

DRG 927, Extensive Burns or Full Thickness Burns with MV >96 Hours with Skin Graft, carries the highest FY2027 relative weight in this category at 27.8340; the lowest is DRG 934 at 1.9900.

How is a stay assigned to this MDC?

The grouper maps the principal diagnosis to MDC 22, then checks for a qualifying operating-room procedure to choose between the surgical and medical DRG partitions, and finally applies CC/MCC severity splits.

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

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.