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MDC 23: Factors Influencing Health Status and Other Contacts with Health Services

10 MS-DRGs (3 surgical, 7 medical) with FY2027 relative weights averaging 1.4390. 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 23

Weights in this category range from 0.5570 (DRG 951) to 3.2660 (DRG 939); the change column compares FY2027 with FY2026.

MS-DRGs assigned to MDC 23 with FY2027 weights
DRGTitleTypeWeightGMLOSChange
939O.R. Procedures with Diagnoses of Other Contact with Health Services with MCCSurgical3.26605.8-10.0%
940O.R. Procedures with Diagnoses of Other Contact with Health Services with CCSurgical2.11103.0-9.7%
941O.R. Procedures with Diagnoses of Other Contact with Health Services without CC/MCCSurgical1.94402.0-4.1%
945Rehabilitation with CC/MCCMedical1.47405.7-4.8%
946Rehabilitation without CC/MCCMedical1.10504.0-3.7%
947Signs and Symptoms with MCCMedical1.26103.6-0.6%
948Signs and Symptoms without MCCMedical0.78302.6-2.1%
949Aftercare with CC/MCCMedical1.12304.1-5.6%
950Aftercare without CC/MCCMedical0.76603.3+22.0%
951Other Factors Influencing Health StatusMedical0.55701.8+0.2%

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 23?

10 MS-DRGs are assigned to MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services) in the FY2027 v44 grouper: 3 surgical and 7 medical.

Which MDC 23 DRG has the highest weight?

DRG 939, O.R. Procedures with Diagnoses of Other Contact with Health Services with MCC, carries the highest FY2027 relative weight in this category at 3.2660; the lowest is DRG 951 at 0.5570.

How is a stay assigned to this MDC?

The grouper maps the principal diagnosis to MDC 23, 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.