MS-DRG 4 – Tracheostomy with MV >96 Hours or Principal Diagnosis Except Face, Mouth and Neck without Major O.R. Procedures
A Surgical DRG in Pre-MDC (Pre-MDC). Inpatient cases group to DRG 4 when one of the 10 ICD-10-PCS operating-room procedures listed below is reported. Its FY 2026 relative weight is 13.8514 with a geometric mean length of stay of 22.4 days.
The grouper first assigns the case to Pre-MDC from the principal diagnosis, then matches a qualifying operating-room procedure from the ICD-10-PCS list below (this is a Surgical DRG).
Procedure Codes 10 codes · 3 categories
0B11 Respiratory System, Bypass6 codes
- 0B110F4 Bypass Trachea to Cutaneous with Tracheostomy Device, Open Approach
- 0B110Z4 Bypass Trachea to Cutaneous, Open Approach
- 0B113F4 Bypass Trachea to Cutaneous with Tracheostomy Device, Percutaneous Approach
- 0B113Z4 Bypass Trachea to Cutaneous, Percutaneous Approach
- 0B114F4 Bypass Trachea to Cutaneous with Tracheostomy Device, Percutaneous Endoscopic Approach
- 0B114Z4 Bypass Trachea to Cutaneous, Percutaneous Endoscopic Approach
5A15 Extracorporeal or Systemic Assistance and Performance, Physiological Systems, Performance3 codes
5A19 Extracorporeal or Systemic Assistance and Performance, Physiological Systems, Performance1 code
- 5A1955Z Respiratory Ventilation, Greater than 96 Consecutive Hours
Qualifying Diagnosis Codes
Frequently Asked Questions
What is MS-DRG 4?
MS-DRG 4 (Tracheostomy with MV >96 Hours or Principal Diagnosis Except Face, Mouth and Neck without Major O.R. Procedures) is a surgical DRG in Pre-MDC (Pre-MDC). Its FY 2026 relative weight is 13.8514 with a geometric mean length of stay of 22.4 days.
How many procedure codes group to DRG 4?
10 ICD-10-PCS operating-room procedure codes group to this DRG.
What is the relative weight of DRG 4?
The FY 2026 relative weight of this DRG is 13.8514, meaning reimbursement of roughly 13.85 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.
