MS-DRG · FY 2026 v43.0

MS-DRG 94 – Bacterial and Tuberculous Infections of Nervous System with MCC

A Medical DRG in MDC 01 (Diseases & Disorders of the Nervous System). Inpatient cases group to DRG 94 when the ICD-10-CM principal diagnosis is one of the 23 codes listed below and a secondary diagnosis on the major complication or comorbidity (MCC) list is present. Its FY 2026 relative weight is 3.5194 with a geometric mean length of stay of 7.9 days.

Medical DRG – assigned by principal diagnosis✓ Official CMS v43.0 dataset
3.5194
Relative Weight
7.9
Geometric Mean LOS (days)
10.5
Arithmetic Mean LOS (days)
23
Principal Diagnosis Codes

Severity family

DRG 94with MCCWeight 3.5194 · GMLOS 7.9 daysDRG 95with CCWeight 2.5792 · GMLOS 5.6 daysDRG 96without CC/MCCWeight 2.5792 · GMLOS 5.6 days
How a case is assigned to DRG 94

The grouper first assigns the case to MDC 01 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 → 94; with CC → 95; without CC/MCC → 96.

ICD-10-CM

Principal Diagnosis Codes 23 codes · 10 categories

23 of 23 shown
A02 Other salmonella infections1 code
A17 Tuberculosis of nervous system6 codes
  • A17.0 Tuberculous meningitis
  • A17.1 Meningeal tuberculoma
  • A17.81 Tuberculoma of brain and spinal cord
  • A17.82 Tuberculous meningoencephalitis
  • A17.83 Tuberculous neuritis
  • A17.89 Other tuberculosis of nervous system
A39 Meningococcal infection2 codes
  • A39.0 Meningococcal meningitis
  • A39.81 Meningococcal encephalitis
A54 Gonococcal infection1 code
G00 Bacterial meningitis, not elsewhere classified6 codes
  • G00.0 Hemophilus meningitis
  • G00.1 Pneumococcal meningitis
  • G00.2 Streptococcal meningitis
  • G00.3 Staphylococcal meningitis
  • G00.8 Other bacterial meningitis
  • G00.9 Bacterial meningitis, unspecified
G01 Meningitis in bacterial diseases classified elsewhere1 code
  • G01 Meningitis in bacterial diseases classified elsewhere
G04 Encephalitis, myelitis and encephalomyelitis1 code
  • G04.2 Bacterial meningoencephalitis and meningomyelitis, not elsewhere classified
G06 Intracranial and intraspinal abscess and granuloma3 codes
  • G06.0 Intracranial abscess and granuloma
  • G06.1 Intraspinal abscess and granuloma
  • G06.2 Extradural and subdural abscess, unspecified
G07 Intracranial and intraspinal abscess and granuloma in diseases classified elsewhere1 code
  • G07 Intracranial and intraspinal abscess and granuloma in diseases classified elsewhere
G61 Inflammatory polyneuropathy1 code
  • G61.0 Guillain-Barre syndrome
ICD-10-PCS

Procedure Codes

Procedure codes do not drive assignment for this DRG. DRG 94 is a Medical DRG, assigned from the principal diagnosis above.

Frequently Asked Questions

What is MS-DRG 94?

MS-DRG 94 (Bacterial and Tuberculous Infections of Nervous System with MCC) is a medical DRG in MDC 01 (Diseases & Disorders of the Nervous System). Its FY 2026 relative weight is 3.5194 with a geometric mean length of stay of 7.9 days.

What is the difference between DRG 94, 95, 96?

All 3 share the same base category; the severity of secondary diagnoses separates them: 94 (with MCC), 95 (with CC), 96 (without CC/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 94?

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

What is the relative weight of DRG 94?

The FY 2026 relative weight of this DRG is 3.5194, meaning reimbursement of roughly 3.52 times the average Medicare inpatient case. Multiply by a hospital's blended base rate for the approximate payment.

← PreviousDRG 93 – Other Disorders of Nervous System without CC/MCC
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.