MS-DRG · FY 2026 v43.0

MS-DRG 981 – Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC

A Surgical DRG in Ungrouped (Other). Its FY 2026 relative weight is 4.6918 with a geometric mean length of stay of 8.4 days.

Surgical DRG – assigned by operating-room procedure✓ Official CMS v43.0 dataset
4.6918
Relative Weight
8.4
Geometric Mean LOS (days)
11.8
Arithmetic Mean LOS (days)

Severity family

DRG 981with MCCWeight 4.6918 · GMLOS 8.4 daysDRG 982with CCWeight 2.4585 · GMLOS 4.0 daysDRG 983without CC/MCCWeight 1.7140 · GMLOS 2.0 days
How a case is assigned to DRG 981

The grouper first assigns the case to Ungrouped from the principal diagnosis, then matches a qualifying operating-room procedure from the ICD-10-PCS list below (this is a Surgical DRG), then applies the severity split from secondary diagnoses: with MCC → 981; with CC → 982; without CC/MCC → 983.

ICD-10-PCS

Procedure Codes

Procedure codes do not drive assignment for this DRG.
ICD-10-CM

Qualifying Diagnosis Codes

Diagnosis codes do not drive assignment for this DRG. Cases group here from the ICD-10-PCS procedure list below.

Frequently Asked Questions

What is MS-DRG 981?

MS-DRG 981 (Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC) is a surgical DRG in Ungrouped (Other). Its FY 2026 relative weight is 4.6918 with a geometric mean length of stay of 8.4 days.

What is the difference between DRG 981, 982, 983?

All 3 share the same base category; the severity of secondary diagnoses separates them: 981 (with MCC), 982 (with CC), 983 (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.

What is the relative weight of DRG 981?

The FY 2026 relative weight of this DRG is 4.6918, meaning reimbursement of roughly 4.69 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.