MS-DRGs in MDC 25
Weights in this category range from 0.8120 (DRG 976) to 7.1740 (DRG 969); the change column compares FY2027 with FY2026.
| DRG | Title | Type | Weight | GMLOS | Change |
|---|---|---|---|---|---|
| 969 | HIV with Extensive O.R. Procedures with MCC | Surgical | 7.1740 | 12.2 | +17.2% |
| 970 | HIV with Extensive O.R. Procedures without MCC | Surgical | 3.1460 | 6.2 | +19.3% |
| 974 | HIV with Major Related Condition with MCC | Medical | 3.0490 | 6.7 | +5.7% |
| 975 | HIV with Major Related Condition with CC | Medical | 1.3250 | 3.9 | +2.3% |
| 976 | HIV with Major Related Condition without CC/MCC | Medical | 0.8120 | 2.8 | -10.1% |
| 977 | HIV with or without Other Related Condition | Medical | 1.3920 | 3.8 | +7.2% |
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 25?
6 MS-DRGs are assigned to MDC 25 (Assignment of Diagnosis Codes) in the FY2027 v44 grouper: 2 surgical and 4 medical.
Which MDC 25 DRG has the highest weight?
DRG 969, HIV with Extensive O.R. Procedures with MCC, carries the highest FY2027 relative weight in this category at 7.1740; the lowest is DRG 976 at 0.8120.
How is a stay assigned to this MDC?
The grouper maps the principal diagnosis to MDC 25, 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.
- IPPS FY2027 Final Rule Table 5 (CMS-1849-F)Version v44 FY2027 · effective 2026-10-01 · file CMS-1849-F Table 5.txtSHA-256 01003dd571c1e2f5…
- IPPS FY2026 Final Rule Table 5 (CMS-1833-F)Version v43 FY2026 · effective 2025-10-01 · file CMS-1833-F Table 5.txtSHA-256 bf8c390d14b3cd3e…
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.