MS-DRG · FY 2026 v43.0

MS-DRG 871 – Septicemia or Severe Sepsis without MV >96 Hours with MCC

A Medical DRG in MDC 18 (Infectious & Parasitic Diseases, Systemic or Unspecified Sites). Inpatient cases group to DRG 871 when the ICD-10-CM principal diagnosis is one of the 40 codes listed below and a secondary diagnosis on the major complication or comorbidity (MCC) list is present. Its FY 2026 relative weight is 1.9425 with a geometric mean length of stay of 4.8 days.

Medical DRG – assigned by principal diagnosis✓ Official CMS v43.0 dataset
1.9425
Relative Weight
4.8
Geometric Mean LOS (days)
6.4
Arithmetic Mean LOS (days)
40
Principal Diagnosis Codes

Severity family

DRG 871with MCCWeight 1.9425 · GMLOS 4.8 daysDRG 872without MCCWeight 1.0233 · GMLOS 3.4 days
How a case is assigned to DRG 871

The grouper first assigns the case to MDC 18 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), then applies the severity split from secondary diagnoses: with MCC → 871; without MCC → 872.

ICD-10-CM

Principal Diagnosis Codes 40 codes · 15 categories

40 of 40 shown
A02 Other salmonella infections1 code
A20 Plague1 code
A22 Anthrax1 code
A26 Erysipeloid1 code
  • A26.7 Erysipelothrix sepsis
A32 Listeriosis1 code
A39 Meningococcal infection6 codes
  • A39.1 Waterhouse-Friderichsen syndrome
  • A39.2 Acute meningococcemia
  • A39.3 Chronic meningococcemia
  • A39.4 Meningococcemia, unspecified
  • A39.89 Other meningococcal infections
  • A39.9 Meningococcal infection, unspecified
A40 Streptococcal sepsis5 codes
  • A40.0 Sepsis due to streptococcus, group A
  • A40.1 Sepsis due to streptococcus, group B
  • A40.3 Sepsis due to Streptococcus pneumoniae
  • A40.8 Other streptococcal sepsis
  • A40.9 Streptococcal sepsis, unspecified
A41 Other sepsis15 codes
  • A41.01 Sepsis due to Methicillin susceptible Staphylococcus aureus
  • A41.02 Sepsis due to Methicillin resistant Staphylococcus aureus
  • A41.1 Sepsis due to other specified staphylococcus
  • A41.2 Sepsis due to unspecified staphylococcus
  • A41.3 Sepsis due to Hemophilus influenzae
  • A41.4 Sepsis due to anaerobes
  • A41.50 Gram-negative sepsis, unspecified
  • A41.51 Sepsis due to Escherichia coli [E. coli]
  • A41.52 Sepsis due to Pseudomonas
  • A41.53 Sepsis due to Serratia
  • A41.54 Sepsis due to Acinetobacter baumannii
  • A41.59 Other Gram-negative sepsis
  • A41.81 Sepsis due to Enterococcus
  • A41.89 Other specified sepsis
  • A41.9 Sepsis, unspecified organism
A42 Actinomycosis1 code
  • A42.7 Actinomycotic sepsis
A54 Gonococcal infection1 code
B00 Herpesviral [herpes simplex] infections1 code
  • B00.7 Disseminated herpesviral disease
B37 Candidiasis1 code
R57 Shock, not elsewhere classified2 codes
R65 Symptoms and signs specifically associated with systemic inflammation and infection2 codes
  • R65.20 Severe sepsis without septic shock
  • R65.21 Severe sepsis with septic shock
R78 Findings of drugs and other substances, not normally found in blood1 code
ICD-10-PCS

Procedure Codes

Procedure codes do not drive assignment for this DRG. DRG 871 is a Medical DRG, assigned from the principal diagnosis above.

Frequently Asked Questions

What is MS-DRG 871?

MS-DRG 871 (Septicemia or Severe Sepsis without MV >96 Hours with MCC) is a medical DRG in MDC 18 (Infectious & Parasitic Diseases, Systemic or Unspecified Sites). Its FY 2026 relative weight is 1.9425 with a geometric mean length of stay of 4.8 days.

What is the difference between DRG 871, 872?

All 2 share the same base category; the severity of secondary diagnoses separates them: 871 (with MCC), 872 (without MCC). A major complication or comorbidity (MCC) places the case in the highest-weighted DRG of the family; a CC in the middle; neither in the lowest.

How many diagnosis codes group to DRG 871?

40 ICD-10-CM principal diagnosis codes group to this DRG, spanning 15 three-character categories.

What is the relative weight of DRG 871?

The FY 2026 relative weight of this DRG is 1.9425, meaning reimbursement of roughly 1.94 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.