MS-DRG · FY 2026 v43.0

MS-DRG 176 – Pulmonary Embolism without MCC

A Medical DRG in MDC 04 (Diseases & Disorders of the Respiratory System). Inpatient cases group to DRG 176 when the ICD-10-CM principal diagnosis is one of the 16 codes listed below and no secondary diagnosis on the MCC list is present. Its FY 2026 relative weight is 0.8050 with a geometric mean length of stay of 2.4 days.

Medical DRG – assigned by principal diagnosis✓ Official CMS v43.0 dataset
0.8050
Relative Weight
2.4
Geometric Mean LOS (days)
3.0
Arithmetic Mean LOS (days)
16
Principal Diagnosis Codes
How a case is assigned to DRG 176

The grouper first assigns the case to MDC 04 from the principal diagnosis and finds no qualifying operating-room procedure (this is a Medical DRG; ICD-10-PCS codes do not drive assignment here).

ICD-10-CM

Principal Diagnosis Codes 16 codes · 4 categories

16 of 16 shown
I26 Pulmonary embolism12 codes
  • I26.01 Septic pulmonary embolism with acute cor pulmonale
  • I26.02 Saddle embolus of pulmonary artery with acute cor pulmonale
  • I26.03 Cement embolism of pulmonary artery with acute cor pulmonale
  • I26.04 Fat embolism of pulmonary artery with acute cor pulmonale
  • I26.09 Other pulmonary embolism with acute cor pulmonale
  • I26.90 Septic pulmonary embolism without acute cor pulmonale
  • I26.92 Saddle embolus of pulmonary artery without acute cor pulmonale
  • I26.93 Single subsegmental thrombotic pulmonary embolism without acute cor pulmonale
  • I26.94 Multiple subsegmental thrombotic pulmonary emboli without acute cor pulmonale
  • I26.95 Cement embolism of pulmonary artery without acute cor pulmonale
  • I26.96 Fat embolism of pulmonary artery without acute cor pulmonale
  • I26.99 Other pulmonary embolism without acute cor pulmonale
I27 Other pulmonary heart diseases1 code
  • I27.82 Chronic pulmonary embolism
T79 Certain early complications of trauma, not elsewhere classified2 codes
  • T79.0XXA Air embolism (traumatic), initial encounter
  • T79.1XXA Fat embolism (traumatic), initial encounter
T80 Complications following infusion, transfusion and therapeutic injection1 code
  • T80.0XXA Air embolism following infusion, transfusion and therapeutic injection, initial encounter
ICD-10-PCS

Procedure Codes

Procedure codes do not drive assignment for this DRG. DRG 176 is a Medical DRG, assigned from the principal diagnosis above.

Frequently Asked Questions

What is MS-DRG 176?

MS-DRG 176 (Pulmonary Embolism without MCC) is a medical DRG in MDC 04 (Diseases & Disorders of the Respiratory System). Its FY 2026 relative weight is 0.8050 with a geometric mean length of stay of 2.4 days.

How many diagnosis codes group to DRG 176?

16 ICD-10-CM principal diagnosis codes group to this DRG, spanning 4 three-character categories.

What is the relative weight of DRG 176?

The FY 2026 relative weight of this DRG is 0.8050, meaning reimbursement of roughly 0.81 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

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Source: CMS ICD-10 MS-DRG v43.0 Definitions Manual and the FY 2026 IPPS Final Rule (Table 5), effective October 1, 2025 through September 30, 2026. We publish the DRG assignments as CMS defines them and add the navigation, search, and code links.