2027 MS-DRG ListFY 2027 · v44.0

For fiscal year 2027 (discharges October 1, 2026 – September 30, 2027), CMS defines 768 Medicare Severity Diagnosis-Related Groups under grouper version 44.0, organized into a Pre-MDC block plus 25 Major Diagnostic Categories. Medical DRGs are assigned from the ICD-10-CM principal diagnosis; Surgical DRGs from ICD-10-PCS operating-room procedures. Select any DRG for its relative weight, mean length of stay, severity family, and the complete code lists.

✓ Built from the official CMS v44.0 datasetWeights & LOS from the FY 2027 IPPS Final Rule
768
Total MS-DRGs
25 + Pre
Major Diagnostic Categories
367
Medical DRGs (by diagnosis)
399
Surgical DRGs (by procedure)
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DRGMS-DRG TitleMDCTypeWeightGMLOSAMLOSDx codesProc codes
1Heart Transplant or Implant of Heart Assist System with MCC ×2PreSurgical28.082824.535.5–23
2Heart Transplant or Implant of Heart Assist System without MCC ×2PreSurgical11.00399.415.4–23
3ECMO or Tracheostomy with MV >96 Hours or Principal Diagnosis Except Face, Mouth and Neck with Major O.R. ProceduresPreSurgical21.273922.032.0–10
4Tracheostomy with MV >96 Hours or Principal Diagnosis Except Face, Mouth and Neck without Major O.R. ProceduresPreSurgical13.587522.027.3–7
5Liver Transplant with MCC or Intestinal TransplantPreSurgical10.474113.118.2–9
6Liver Transplant without MCCPreSurgical4.57557.17.7–3
7Lung TransplantPreSurgical14.870421.125.1–27
8Simultaneous Pancreas, Islet Cell and Kidney TransplantPreSurgical5.51228.29.244321
10Pancreas or Islet Cell TransplantPreSurgical7.522710.415.642715
11Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC ×3PreSurgical5.612911.714.589010
12Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC ×3PreSurgical4.37918.59.789010
13Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC ×3PreSurgical2.72966.26.989010
14Allogeneic Bone Marrow TransplantPreMedical11.789126.029.0–26
16Autologous Bone Marrow Transplant with CC/MCC ×2PreMedical6.013615.617.1–21
17Autologous Bone Marrow Transplant without CC/MCC ×2PreMedical3.30329.511.7–21
18Chimeric Antigen Receptor (CAR) T-Cell and Other ImmunotherapiesPreMedical45.127211.413.3–42
19Simultaneous Pancreas, Islet Cell and Kidney Transplant with HemodialysisPreSurgical7.546112.315.544327
20Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with MCC ×301Surgical7.95948.412.099292
21Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with CC ×301Surgical5.47034.87.699292
22Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage without CC/MCC ×301Surgical3.35191.62.599292
23Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulator01Surgical5.74227.210.13691,454
24Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis without MCC01Surgical3.96903.64.73111,454
25Craniotomy and Endovascular Intracranial Procedures with MCC ×301Surgical4.61136.28.5–1,429
26Craniotomy and Endovascular Intracranial Procedures with CC ×301Surgical3.19082.73.9–1,429
27Craniotomy and Endovascular Intracranial Procedures without CC/MCC ×301Surgical2.63331.51.9–1,429
28Spinal Procedures with MCC01Surgical6.14999.712.3–1,118
29Spinal Procedures with CC or Spinal Neurostimulators01Surgical3.51694.76.2–1,142
30Spinal Procedures without CC/MCC01Surgical2.25622.53.1–1,118
31Ventricular Shunt Procedures with MCC ×301Surgical4.25976.59.8–94
32Ventricular Shunt Procedures with CC ×301Surgical2.04242.43.5–94
33Ventricular Shunt Procedures without CC/MCC ×301Surgical1.72941.51.9–94
34Carotid Artery Stent Procedures with MCC ×301Surgical3.89164.56.7–144
35Carotid Artery Stent Procedures with CC ×301Surgical2.40531.92.8–144
36Carotid Artery Stent Procedures without CC/MCC ×301Surgical1.91961.21.4–144
37Extracranial Procedures with MCC ×301Surgical3.42314.97.5–1,035
38Extracranial Procedures with CC ×301Surgical1.63051.82.6–1,035
39Extracranial Procedures without CC/MCC ×301Surgical1.18581.21.4–1,035
40Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC01Surgical3.71686.99.7–5,085
41Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neurostimulator01Surgical2.17953.74.8–5,085
42Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC01Surgical1.67572.32.9–5,085
52Spinal Disorders and Injuries with CC/MCC ×201Medical1.78434.25.7223–
53Spinal Disorders and Injuries without CC/MCC ×201Medical0.97232.43.1223–
54Nervous System Neoplasms with MCC ×201Medical1.51973.95.761–
55Nervous System Neoplasms without MCC ×201Medical1.02912.93.961–
56Degenerative Nervous System Disorders with MCC ×201Medical2.26495.48.5369–
57Degenerative Nervous System Disorders without MCC ×201Medical1.28353.65.5369–
58Multiple Sclerosis and Cerebellar Ataxia with MCC ×301Medical1.84305.06.931–
59Multiple Sclerosis and Cerebellar Ataxia with CC ×301Medical1.19973.64.631–
60Multiple Sclerosis and Cerebellar Ataxia without CC/MCC ×301Medical0.92482.93.531–
61Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent with MCC ×301Medical2.72114.76.313010
62Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent with CC ×301Medical1.77823.03.613010
63Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent without CC/MCC ×301Medical1.45542.22.413010
64Intracranial Hemorrhage or Cerebral Infarction with MCC01Medical1.97154.46.2124–
65Intracranial Hemorrhage or Cerebral Infarction with CC or tPA in 24 Hours01Medical0.99082.83.5125–
66Intracranial Hemorrhage or Cerebral Infarction without CC/MCC01Medical0.67701.92.2124–
67Precerebral Occlusion without Infarction with MCC ×201Medical1.42843.44.526–
68Precerebral Occlusion without Infarction without MCC ×201Medical0.90112.12.626–
69Transient Ischemia without Thrombolytic01Medical0.79622.02.513–
70Other Cerebrovascular Disorders with MCC ×301Medical1.60894.46.134–
71Other Cerebrovascular Disorders with CC ×301Medical1.01733.24.334–
72Other Cerebrovascular Disorders without CC/MCC ×301Medical0.73442.22.834–
73Cranial and Peripheral Nerve Disorders with MCC ×201Medical1.57734.15.7378–
74Cranial and Peripheral Nerve Disorders without MCC ×201Medical1.01722.93.7378–
75Viral Meningitis with CC/MCC ×201Medical1.76995.57.010–
76Viral Meningitis without CC/MCC ×201Medical0.86722.83.410–
80Nontraumatic Stupor and Coma with MCC ×201Medical1.74764.66.544–
81Nontraumatic Stupor and Coma without MCC ×201Medical0.79412.83.544–
82Traumatic Stupor and Coma >1 Hour with MCC ×301Medical2.29324.46.7266–
83Traumatic Stupor and Coma >1 Hour with CC ×301Medical1.38293.24.1266–
84Traumatic Stupor and Coma >1 Hour without CC/MCC ×301Medical0.96012.12.5266–
85Traumatic Stupor and Coma <1 Hour with MCC ×301Medical2.24444.46.1119–
86Traumatic Stupor and Coma <1 Hour with CC ×301Medical1.30622.93.6119–
87Traumatic Stupor and Coma <1 Hour without CC/MCC ×301Medical0.92192.02.3119–
88Concussion with MCC ×301Medical1.42673.34.44–
89Concussion with CC ×301Medical1.13212.63.34–
90Concussion without CC/MCC ×301Medical0.82801.82.24–
91Other Disorders of Nervous System with MCC ×301Medical1.70504.36.1786–
92Other Disorders of Nervous System with CC ×301Medical1.02383.04.0786–
93Other Disorders of Nervous System without CC/MCC ×301Medical0.77832.22.7786–
94Bacterial and Tuberculous Infections of Nervous System with MCC ×301Medical3.41107.710.223–
95Bacterial and Tuberculous Infections of Nervous System with CC ×301Medical2.34975.56.823–
96Bacterial and Tuberculous Infections of Nervous System without CC/MCC ×301Medical2.31734.55.223–
97Non-Bacterial Infection of Nervous System Except Viral Meningitis with MCC ×301Medical3.82089.012.281–
98Non-Bacterial Infection of Nervous System Except Viral Meningitis with CC ×301Medical2.27115.87.681–
99Non-Bacterial Infection of Nervous System Except Viral Meningitis without CC/MCC ×301Medical1.52493.95.281–
100Seizures with MCC ×201Medical1.92364.36.262–
101Seizures without MCC ×201Medical0.89522.63.362–
102Headaches with MCC ×201Medical1.12002.94.195–
103Headaches without MCC ×201Medical0.82192.22.895–
113Orbital Procedures with CC/MCC ×202Surgical2.12774.15.8–172
114Orbital Procedures without CC/MCC ×202Surgical1.26522.02.7–172
115Extraocular Procedures Except Orbit02Surgical1.47903.74.9–722
116Intraocular Procedures with CC/MCC ×202Surgical1.59984.06.1–296
117Intraocular Procedures without CC/MCC ×202Surgical1.06151.92.5–296
121Acute Major Eye Infections with CC/MCC ×202Medical1.22494.15.677–
122Acute Major Eye Infections without CC/MCC ×202Medical0.74032.93.777–
123Neurological Eye Disorders02Medical0.82182.02.6210–
124Other Disorders of the Eye with MCC or Thrombolytic Agent02Medical1.24703.14.52,90610
125Other Disorders of the Eye without MCC02Medical0.76992.32.92,90610
135Sinus and Mastoid Procedures with CC/MCC ×203Surgical2.17933.75.3–497
136Sinus and Mastoid Procedures without CC/MCC ×203Surgical1.06151.31.5–497
137Mouth Procedures with CC/MCC ×203Surgical1.25173.14.2–358
138Mouth Procedures without CC/MCC ×203Surgical0.91841.72.2–358
139Salivary Gland Procedures03Surgical1.15422.23.2–169
140Major Head and Neck Procedures with MCC ×303Surgical4.30997.09.2–183
141Major Head and Neck Procedures with CC ×303Surgical2.23493.04.1–183
142Major Head and Neck Procedures without CC/MCC ×303Surgical1.70371.92.4–183
143Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC ×303Surgical3.85006.59.6–3,944
144Other Ear, Nose, Mouth and Throat O.R. Procedures with CC ×303Surgical1.78272.83.9–3,944
145Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC ×303Surgical1.23351.62.0–3,944
146Ear, Nose, Mouth and Throat Malignancy with MCC ×303Medical2.13275.68.3102–
147Ear, Nose, Mouth and Throat Malignancy with CC ×303Medical1.30493.54.9102–
148Ear, Nose, Mouth and Throat Malignancy without CC/MCC ×303Medical0.80052.23.0102–
149Dysequilibrium03Medical0.75261.92.451–
150Epistaxis with MCC ×203Medical1.44963.54.81–
151Epistaxis without MCC ×203Medical0.76122.12.61–
152Otitis Media and URI with MCC ×203Medical1.11473.14.2220–
153Otitis Media and URI without MCC ×203Medical0.74202.32.8220–
154Other Ear, Nose, Mouth and Throat Diagnoses with MCC ×303Medical1.59164.05.5660–
155Other Ear, Nose, Mouth and Throat Diagnoses with CC ×303Medical0.93182.83.5660–
156Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCC ×303Medical0.66562.12.6660–
157Dental and Oral Diseases with MCC ×303Medical1.80824.66.4415–
158Dental and Oral Diseases with CC ×303Medical0.93652.83.5415–
159Dental and Oral Diseases without CC/MCC ×303Medical0.68902.02.5415–
163Major Chest Procedures with MCC ×304Surgical4.48845.98.3–2,001
164Major Chest Procedures with CC ×304Surgical2.51513.24.0–2,001
165Major Chest Procedures without CC/MCC ×304Surgical1.92851.92.3–2,001
166Other Respiratory System O.R. Procedures with MCC ×304Surgical3.87347.610.5–1,996
167Other Respiratory System O.R. Procedures with CC ×304Surgical1.82433.34.5–1,996
168Other Respiratory System O.R. Procedures without CC/MCC ×304Surgical1.38901.82.2–1,996
173Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism04Surgical2.95463.74.51310
175Pulmonary Embolism with MCC or Acute Cor Pulmonale04Medical1.36513.74.816–
176Pulmonary Embolism without MCC04Medical0.80612.43.016–
177Respiratory Infections and Inflammations with MCC ×304Medical1.60914.55.864–
178Respiratory Infections and Inflammations with CC ×304Medical0.97423.13.964–
179Respiratory Infections and Inflammations without CC/MCC ×304Medical0.73442.43.064–
180Respiratory Neoplasms with MCC ×304Medical1.78004.76.464–
181Respiratory Neoplasms with CC ×304Medical1.09353.14.164–
182Respiratory Neoplasms without CC/MCC ×304Medical0.74362.02.664–
183Major Chest Trauma with MCC ×304Medical1.49044.15.261–
184Major Chest Trauma with CC ×304Medical1.06453.13.761–
185Major Chest Trauma without CC/MCC ×304Medical0.77122.22.661–
186Pleural Effusion with MCC ×304Medical1.58414.25.65–
187Pleural Effusion with CC ×304Medical1.00033.03.85–
188Pleural Effusion without CC/MCC ×304Medical0.66512.12.65–
189Pulmonary Edema and Respiratory Failure04Medical1.21073.44.622–
190Chronic Obstructive Pulmonary Disease with MCC ×304Medical1.07493.34.223–
191Chronic Obstructive Pulmonary Disease with CC ×304Medical0.82592.63.223–
192Chronic Obstructive Pulmonary Disease without CC/MCC ×304Medical0.62852.12.523–
193Simple Pneumonia and Pleurisy with MCC ×304Medical1.28243.84.834–
194Simple Pneumonia and Pleurisy with CC ×304Medical0.78862.73.334–
195Simple Pneumonia and Pleurisy without CC/MCC ×304Medical0.60622.22.634–
196Interstitial Lung Disease with MCC ×304Medical1.83354.86.4100–
197Interstitial Lung Disease with CC ×304Medical0.94912.83.6100–
198Interstitial Lung Disease without CC/MCC ×304Medical0.72562.22.7100–
199Pneumothorax with MCC ×304Medical1.73144.76.114–
200Pneumothorax with CC ×304Medical1.07713.13.814–
201Pneumothorax without CC/MCC ×304Medical0.67822.22.714–
202Bronchitis and Asthma with CC/MCC ×204Medical0.94722.83.547–
203Bronchitis and Asthma without CC/MCC ×204Medical0.65092.12.647–
204Respiratory Signs and Symptoms04Medical0.82082.12.730–
205Other Respiratory System Diagnoses with MCC ×204Medical1.82444.36.0208–
206Other Respiratory System Diagnoses without MCC ×204Medical0.92552.43.1208–
207Respiratory System Diagnosis with Ventilator Support >96 Hours04Medical6.397412.314.9–1
208Respiratory System Diagnosis with Ventilator Support <=96 Hours04Medical2.75104.87.0–2
209Complex Aortic Arch Procedures05Surgical11.51626.09.3–69
210Cardiac Pacemaker Revision or Device Replacement with MCC ×205Surgical3.26575.47.5–87
211Cardiac Pacemaker Revision or Device Replacement without MCC ×205Surgical1.80962.63.3–87
212Concomitant Aortic and Mitral Valve Procedures05Surgical11.441612.815.6–528
213Endovascular Abdominal Aorta with Iliac Branch Procedures05Surgical5.84751.72.8–11
215Other Heart Assist System Implant05Surgical10.14164.58.0–17
216Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC ×305Surgical9.882310.513.4–379
217Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with CC ×305Surgical6.80523.95.8–379
218Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC ×305Surgical6.80523.95.8–379
219Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with MCC ×305Surgical7.64048.09.7–304
220Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization with CC ×305Surgical5.50625.36.0–304
221Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization without CC/MCC ×305Surgical4.71342.53.2–304
228Other Cardiothoracic Procedures with MCC ×205Surgical4.96605.98.1–817
229Other Cardiothoracic Procedures without MCC ×205Surgical3.44042.53.3–817
231Coronary Bypass with PTCA with MCC ×205Surgical8.774910.311.9–488
232Coronary Bypass with PTCA without MCC ×205Surgical6.22747.78.5–488
233Coronary Bypass with Cardiac Catheterization or Open Ablation with MCC ×205Surgical8.015611.212.4–361
234Coronary Bypass with Cardiac Catheterization or Open Ablation without MCC ×205Surgical5.50418.38.8–361
235Coronary Bypass without Cardiac Catheterization with MCC ×205Surgical5.85257.78.7–280
236Coronary Bypass without Cardiac Catheterization without MCC ×205Surgical4.33775.76.1–280
239Amputation for Circulatory System Disorders Except Upper Limb and Toe with MCC ×305Surgical5.001111.013.7–41
240Amputation for Circulatory System Disorders Except Upper Limb and Toe with CC ×305Surgical2.94737.38.9–41
241Amputation for Circulatory System Disorders Except Upper Limb and Toe without CC/MCC ×305Surgical1.48234.35.2–41
242Permanent Cardiac Pacemaker Implant with MCC ×305Surgical3.12354.86.1–20
243Permanent Cardiac Pacemaker Implant with CC ×305Surgical2.10782.83.4–20
244Permanent Cardiac Pacemaker Implant without CC/MCC ×305Surgical1.76402.12.4–20
245AICD Generator Procedures05Surgical4.64624.46.3–13
250Percutaneous Cardiovascular Procedures without Intraluminal Device with MCC ×205Surgical2.33923.14.2–47
251Percutaneous Cardiovascular Procedures without Intraluminal Device without MCC ×205Surgical1.66401.92.3–47
252Other Vascular Procedures with MCC ×305Surgical3.48225.37.7–9,285
253Other Vascular Procedures with CC ×305Surgical2.62653.65.0–9,285
254Other Vascular Procedures without CC/MCC ×305Surgical1.79611.72.1–9,285
255Upper Limb and Toe Amputation for Circulatory System Disorders with MCC ×305Surgical2.82936.99.5–116
256Upper Limb and Toe Amputation for Circulatory System Disorders with CC ×305Surgical1.67105.06.1–116
257Upper Limb and Toe Amputation for Circulatory System Disorders without CC/MCC ×305Surgical1.04533.23.7–116
263Vein Ligation and Stripping05Surgical3.24204.96.9–377
265AICD Lead Procedures05Surgical3.13504.15.6–36
266Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC ×205Surgical5.93742.34.3–68
267Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC ×205Surgical4.72111.31.5–68
268Aortic and Heart Assist Procedures Except Pulsation Balloon with MCC ×205Surgical7.16576.29.5–133
269Aortic and Heart Assist Procedures Except Pulsation Balloon without MCC ×205Surgical4.25871.52.0–133
270Other Major Cardiovascular Procedures with MCC ×305Surgical5.26656.18.9–3,824
271Other Major Cardiovascular Procedures with CC ×305Surgical3.59743.64.9–3,824
272Other Major Cardiovascular Procedures without CC/MCC ×305Surgical2.48541.72.1–3,824
273Percutaneous and Other Intracardiac Procedures with MCC ×205Surgical4.29843.75.5–51
274Percutaneous and Other Intracardiac Procedures without MCC ×205Surgical3.33201.21.4–51
275Cardiac Defibrillator Implant with Cardiac Catheterization and MCC05Surgical7.15718.210.1–104
276Cardiac Defibrillator Implant with MCC or Carotid Sinus Neurostimulator05Surgical6.20226.38.2–51
277Cardiac Defibrillator Implant without MCC05Surgical4.69103.44.2–51
278Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC ×205Surgical6.34817.910.7–105
279Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC ×205Surgical4.13133.65.1–105
280Acute Myocardial Infarction, Discharged Alive with MCC ×305Medical1.61124.05.318–
281Acute Myocardial Infarction, Discharged Alive with CC ×305Medical0.91832.32.918–
282Acute Myocardial Infarction, Discharged Alive without CC/MCC ×305Medical0.73781.72.018–
283Acute Myocardial Infarction, Expired with MCC ×305Medical1.96153.25.218–
284Acute Myocardial Infarction, Expired with CC ×305Medical0.75341.62.218–
285Acute Myocardial Infarction, Expired without CC/MCC ×305Medical0.51971.21.418–
286Circulatory Disorders Except AMI, with Cardiac Catheterization with MCC ×205Medical2.21775.47.2–72
287Circulatory Disorders Except AMI, with Cardiac Catheterization without MCC ×205Medical1.07862.12.7–72
288Acute and Subacute Endocarditis with MCC ×305Medical2.63047.39.65–
289Acute and Subacute Endocarditis with CC ×305Medical1.51645.06.15–
290Acute and Subacute Endocarditis without CC/MCC ×305Medical0.78432.43.05–
291Heart Failure and Shock with MCC ×305Medical1.26853.84.929–
292Heart Failure and Shock with CC ×305Medical0.86132.93.729–
293Heart Failure and Shock without CC/MCC ×305Medical0.54602.12.529–
296Cardiac Arrest, Unexplained with MCC ×305Medical1.49942.13.33–
297Cardiac Arrest, Unexplained with CC ×305Medical0.77721.31.53–
298Cardiac Arrest, Unexplained without CC/MCC ×305Medical0.49441.01.03–
299Peripheral Vascular Disorders with MCC ×305Medical1.58403.95.31,234–
300Peripheral Vascular Disorders with CC ×305Medical1.04643.03.81,234–
301Peripheral Vascular Disorders without CC/MCC ×305Medical0.71322.02.41,234–
302Atherosclerosis with MCC ×205Medical1.19932.84.063–
303Atherosclerosis without MCC ×205Medical0.66101.82.263–
304Hypertension with MCC ×205Medical1.20103.14.111–
305Hypertension without MCC ×205Medical0.75792.12.611–
306Cardiac Congenital and Valvular Disorders with MCC ×205Medical1.54573.85.2146–
307Cardiac Congenital and Valvular Disorders without MCC ×205Medical0.91462.12.7146–
308Cardiac Arrhythmia and Conduction Disorders with MCC ×305Medical1.18093.34.461–
309Cardiac Arrhythmia and Conduction Disorders with CC ×305Medical0.73192.22.761–
310Cardiac Arrhythmia and Conduction Disorders without CC/MCC ×305Medical0.56861.82.161–
311Angina Pectoris05Medical0.66811.92.310–
312Syncope and Collapse05Medical0.86592.43.15–
313Chest Pain05Medical0.71131.72.14–
314Other Circulatory System Diagnoses with MCC ×305Medical2.08714.86.6260–
315Other Circulatory System Diagnoses with CC ×305Medical0.95112.63.3260–
316Other Circulatory System Diagnoses without CC/MCC ×305Medical0.66781.82.2260–
317Concomitant Left Atrial Appendage Closure and Cardiac Ablation05Surgical7.08902.13.9–35
318Percutaneous Coronary Atherectomy without Intraluminal Device05Surgical2.61842.73.7–20
319Other Endovascular Cardiac Valve Procedures with MCC ×205Surgical4.26647.19.9–50
320Other Endovascular Cardiac Valve Procedures without MCC ×205Surgical2.14321.92.7–50
321Percutaneous Cardiovascular Procedures with Intraluminal Device with MCC or 4+ Arteries/Intraluminal Devices05Surgical2.71473.64.8–168
322Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC05Surgical1.77482.02.4–168
323Coronary Intravascular Lithotripsy with Intraluminal Device with MCC ×205Surgical4.43544.66.1–156
324Coronary Intravascular Lithotripsy with Intraluminal Device without MCC ×205Surgical3.19092.32.8–156
325Coronary Intravascular Lithotripsy without Intraluminal Device05Surgical3.33542.73.6–4
326Stomach, Esophageal and Duodenal Procedures with MCC ×306Surgical4.94358.511.9–1,166
327Stomach, Esophageal and Duodenal Procedures with CC ×306Surgical2.44813.85.3–1,166
328Stomach, Esophageal and Duodenal Procedures without CC/MCC ×306Surgical1.64671.92.5–1,166
329Major Small and Large Bowel Procedures with MCC ×306Surgical4.54749.111.9–1,595
330Major Small and Large Bowel Procedures with CC ×306Surgical2.42604.75.9–1,595
331Major Small and Large Bowel Procedures without CC/MCC ×306Surgical1.74682.63.1–1,595
332Rectal Resection with MCC ×306Surgical3.78705.88.5–19
333Rectal Resection with CC ×306Surgical2.12813.34.2–19
334Rectal Resection without CC/MCC ×306Surgical1.68412.22.6–19
335Peritoneal Adhesiolysis with MCC ×306Surgical3.50318.410.6–108
336Peritoneal Adhesiolysis with CC ×306Surgical2.10215.06.3–108
337Peritoneal Adhesiolysis without CC/MCC ×306Surgical1.52452.93.6–108
344Minor Small and Large Bowel Procedures with MCC ×306Surgical2.82056.810.0–464
345Minor Small and Large Bowel Procedures with CC ×306Surgical1.49434.05.2–464
346Minor Small and Large Bowel Procedures without CC/MCC ×306Surgical1.26682.63.1–464
347Anal and Stomal Procedures with MCC ×306Surgical2.35835.57.7–241
348Anal and Stomal Procedures with CC ×306Surgical1.19253.03.9–241
349Anal and Stomal Procedures without CC/MCC ×306Surgical0.91301.72.1–241
350Inguinal and Femoral Hernia Procedures with MCC ×306Surgical2.57695.06.6–58
351Inguinal and Femoral Hernia Procedures with CC ×306Surgical1.56372.83.5–58
352Inguinal and Femoral Hernia Procedures without CC/MCC ×306Surgical1.22181.92.3–58
353Hernia Procedures Except Inguinal and Femoral with MCC ×306Surgical2.75315.37.1–16
354Hernia Procedures Except Inguinal and Femoral with CC ×306Surgical1.71883.13.9–16
355Hernia Procedures Except Inguinal and Femoral without CC/MCC ×306Surgical1.39011.72.1–16
356Other Digestive System O.R. Procedures with MCC ×306Surgical4.33807.410.1–2,037
357Other Digestive System O.R. Procedures with CC ×306Surgical2.28454.25.4–2,037
358Other Digestive System O.R. Procedures without CC/MCC ×306Surgical1.48842.53.2–2,037
359Percutaneous Coronary Atherectomy with Intraluminal Device with MCC ×205Surgical3.37853.85.2–172
360Percutaneous Coronary Atherectomy with Intraluminal Device without MCC ×205Surgical2.33992.12.5–172
361Other Circulatory System O.R. Procedures with MCC ×205Surgical3.75817.610.9–1,444
362Other Circulatory System O.R. Procedures without MCC ×205Surgical2.19674.96.5–1,444
368Major Esophageal Disorders with MCC ×306Medical1.64344.05.424–
369Major Esophageal Disorders with CC ×306Medical0.99212.93.524–
370Major Esophageal Disorders without CC/MCC ×306Medical0.67412.02.424–
371Major Gastrointestinal Disorders and Peritoneal Infections with MCC ×306Medical1.70875.16.786–
372Major Gastrointestinal Disorders and Peritoneal Infections with CC ×306Medical0.99653.54.386–
373Major Gastrointestinal Disorders and Peritoneal Infections without CC/MCC ×306Medical0.69452.63.186–
374Digestive Malignancy with MCC ×306Medical2.11015.47.493–
375Digestive Malignancy with CC ×306Medical1.18383.54.593–
376Digestive Malignancy without CC/MCC ×306Medical0.89252.32.993–
377Gastrointestinal Hemorrhage with MCC ×306Medical1.81294.45.744–
378Gastrointestinal Hemorrhage with CC ×306Medical0.97332.93.444–
379Gastrointestinal Hemorrhage without CC/MCC ×306Medical0.63792.02.344–
380Complicated Peptic Ulcer with MCC ×306Medical1.92434.96.531–
381Complicated Peptic Ulcer with CC ×306Medical1.08383.13.931–
382Complicated Peptic Ulcer without CC/MCC ×306Medical0.72832.53.031–
383Uncomplicated Peptic Ulcer with MCC ×206Medical1.35303.95.09–
384Uncomplicated Peptic Ulcer without MCC ×206Medical0.84682.43.09–
385Inflammatory Bowel Disease with MCC ×306Medical1.55404.86.477–
386Inflammatory Bowel Disease with CC ×306Medical0.96443.24.177–
387Inflammatory Bowel Disease without CC/MCC ×306Medical0.64622.42.977–
388Gastrointestinal Obstruction with MCC ×306Medical1.47064.45.919–
389Gastrointestinal Obstruction with CC ×306Medical0.78892.93.619–
390Gastrointestinal Obstruction without CC/MCC ×306Medical0.54032.22.619–
391Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with MCC ×206Medical1.23893.75.0250–
392Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC ×206Medical0.76452.53.1250–
393Other Digestive System Diagnoses with MCC ×306Medical1.58774.25.7575–
394Other Digestive System Diagnoses with CC ×306Medical0.92282.93.7575–
395Other Digestive System Diagnoses without CC/MCC ×306Medical0.63792.02.4575–
397Appendix Procedures with MCC ×306Surgical2.38314.76.3–57
398Appendix Procedures with CC ×306Surgical1.52192.93.7–57
399Appendix Procedures without CC/MCC ×306Surgical1.20311.82.1–57
400Knee Procedures with Principal Diagnosis of Infection08Surgical2.02495.86.956270
402Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical08Surgical4.09512.42.9–163
403Hip or Knee Procedures with Principal Diagnosis of Periprosthetic Joint Infection with MCC or Insertion of Antibiotic-eluting Bone Void Filler08Surgical5.00509.011.24305
404Hip or Knee Procedures with Principal Diagnosis of Periprosthetic Joint Infection without MCC08Surgical3.25214.65.74305
405Pancreas, Liver and Shunt Procedures with MCC ×307Surgical5.38168.411.6–537
406Pancreas, Liver and Shunt Procedures with CC ×307Surgical2.94804.65.8–537
407Pancreas, Liver and Shunt Procedures without CC/MCC ×307Surgical2.17003.13.8–537
408Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. with MCC ×307Surgical3.32206.89.3–716
409Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. with CC ×307Surgical2.23214.45.4–716
410Biliary Tract Procedures Except Only Cholecystectomy with or without C.D.E. without CC/MCC ×307Surgical1.76553.13.6–716
411Cholecystectomy with C.D.E. with MCC ×307Surgical2.76425.46.9–15
412Cholecystectomy with C.D.E. with CC ×307Surgical2.15243.64.5–15
413Cholecystectomy with C.D.E. without CC/MCC ×307Surgical1.82932.52.9–15
414Cholecystectomy Except by Laparoscope without C.D.E. with MCC ×307Surgical3.64267.49.5–7
415Cholecystectomy Except by Laparoscope without C.D.E. with CC ×307Surgical2.00774.65.5–7
416Cholecystectomy Except by Laparoscope without C.D.E. without CC/MCC ×307Surgical1.41112.73.2–7
417Laparoscopic Cholecystectomy without C.D.E. with MCC ×307Surgical2.40094.75.9–8
418Laparoscopic Cholecystectomy without C.D.E. with CC ×307Surgical1.73643.23.8–8
419Laparoscopic Cholecystectomy without C.D.E. without CC/MCC ×307Surgical1.41052.32.6–8
420Hepatobiliary Diagnostic Procedures with MCC ×307Surgical3.02506.58.7–113
421Hepatobiliary Diagnostic Procedures with CC ×307Surgical1.71353.34.3–113
422Hepatobiliary Diagnostic Procedures without CC/MCC ×307Surgical1.42492.12.8–113
423Other Hepatobiliary or Pancreas O.R. Procedures with MCC ×307Surgical4.16657.810.9–1,107
424Other Hepatobiliary or Pancreas O.R. Procedures with CC ×307Surgical2.15864.45.7–1,107
425Other Hepatobiliary or Pancreas O.R. Procedures without CC/MCC ×307Surgical1.88192.63.7–1,107
426Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with MCC ×308Surgical9.16076.78.6–230
427Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with CC ×308Surgical6.70233.74.4–230
428Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical without CC/MCC ×308Surgical5.92002.52.9–230
429Combined Anterior and Posterior Cervical Spinal Fusion with MCC ×208Surgical8.84139.512.0–108
430Combined Anterior and Posterior Cervical Spinal Fusion without MCC ×208Surgical5.89413.54.5–108
432Cirrhosis and Alcoholic Hepatitis with MCC ×307Medical1.98284.96.717–
433Cirrhosis and Alcoholic Hepatitis with CC ×307Medical1.04003.24.117–
434Cirrhosis and Alcoholic Hepatitis without CC/MCC ×307Medical0.62472.12.617–
435Malignancy of Hepatobiliary System or Pancreas with MCC ×307Medical1.84284.76.325–
436Malignancy of Hepatobiliary System or Pancreas with CC ×307Medical1.12223.34.225–
437Malignancy of Hepatobiliary System or Pancreas without CC/MCC ×307Medical0.80782.32.825–
438Disorders of Pancreas Except Malignancy with MCC ×307Medical1.57634.56.166–
439Disorders of Pancreas Except Malignancy with CC ×307Medical0.84012.93.666–
440Disorders of Pancreas Except Malignancy without CC/MCC ×307Medical0.59662.22.666–
441Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC ×307Medical1.82264.66.3120–
442Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with CC ×307Medical0.96023.14.0120–
443Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis without CC/MCC ×307Medical0.68902.42.9120–
444Disorders of the Biliary Tract with MCC ×307Medical1.66624.35.772–
445Disorders of the Biliary Tract with CC ×307Medical1.08702.93.672–
446Disorders of the Biliary Tract without CC/MCC ×307Medical0.81212.12.572–
447Multiple Level Spinal Fusion Except Cervical with MCC ×208Surgical6.96568.110.2–242
448Multiple Level Spinal Fusion Except Cervical without MCC ×208Surgical4.34973.34.1–242
449Revision of Hip or Knee Prosthesis08Surgical3.30043.14.8–42
450Single Level Spinal Fusion Except Cervical with MCC ×208Surgical5.23396.38.4–175
451Single Level Spinal Fusion Except Cervical without MCC ×208Surgical3.25962.43.1–175
456Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection with MCC ×308Surgical7.62119.912.3163242
457Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection with CC ×308Surgical5.21244.55.7163242
458Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection without CC/MCC ×308Surgical4.03712.12.5163242
461Bilateral or Multiple Major Joint Procedures of Lower Extremity with MCC ×208Surgical4.69166.28.3–230
462Bilateral or Multiple Major Joint Procedures of Lower Extremity without MCC ×208Surgical2.85272.22.7–230
463Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders with MCC or Insertion of Antibiotic-eluting Bone Void Filler08Surgical5.01977.810.9–426
464Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders with CC ×208Surgical3.17613.04.3–426
465Wound Debridement or Skin Graft Except Hand for Musculoskeletal and Connective Tissue Disorders without CC/MCC ×208Surgical2.48221.41.7–426
469Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with MCC or Total Ankle Replacement08Surgical3.10823.34.5–184
470Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC08Surgical1.95602.02.3–184
471Cervical Spinal Fusion with MCC ×308Surgical4.93617.09.3–141
472Cervical Spinal Fusion with CC ×308Surgical2.98092.53.4–141
473Cervical Spinal Fusion without CC/MCC ×308Surgical2.45251.62.0–141
474Amputation for Musculoskeletal System and Connective Tissue Disorders with MCC or Insertion of Antibiotic-eluting Bone Void Filler08Surgical4.21349.712.0–83
475Amputation for Musculoskeletal System and Connective Tissue Disorders with CC ×208Surgical2.22526.07.4–83
476Amputation for Musculoskeletal System and Connective Tissue Disorders without CC/MCC ×208Surgical1.13552.63.3–83
477Biopsies of Musculoskeletal System and Connective Tissue with MCC or Insertion of Antibiotic-eluting Bone Void Filler08Surgical3.40268.110.1–433
478Biopsies of Musculoskeletal System and Connective Tissue with CC ×208Surgical2.43375.36.5–433
479Biopsies of Musculoskeletal System and Connective Tissue without CC/MCC ×208Surgical1.85343.34.1–433
480Hip and Femur Procedures Except Major Joint with MCC or Insertion of Antibiotic-eluting Bone Void Filler08Surgical2.91956.07.1–606
481Hip and Femur Procedures Except Major Joint with CC ×208Surgical2.12664.34.8–606
482Hip and Femur Procedures Except Major Joint without CC/MCC ×208Surgical1.63973.03.4–606
483Major Joint or Limb Reattachment Procedures of Upper Extremities08Surgical2.89562.12.9–58
488Knee Procedures without Principal Diagnosis of Infection with CC/MCC ×208Surgical2.22014.66.1–270
489Knee Procedures without Principal Diagnosis of Infection without CC/MCC ×208Surgical1.31162.02.6–270
492Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with MCC or Insertion of Antibiotic-eluting Bone Void Filler08Surgical3.69166.48.1–768
493Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with CC ×208Surgical2.55264.25.0–768
494Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without CC/MCC ×208Surgical2.02542.83.3–768
495Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with MCC ×308Surgical3.33607.09.2–1,851
496Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with CC ×308Surgical1.77812.83.9–1,851
497Local Excision and Removal of Internal Fixation Devices Except Hip and Femur without CC/MCC ×308Surgical1.17141.41.6–1,851
498Local Excision and Removal of Internal Fixation Devices of Hip and Femur with CC/MCC ×208Surgical3.18854.46.0–252
499Local Excision and Removal of Internal Fixation Devices of Hip and Femur without CC/MCC ×208Surgical2.16661.82.3–252
500Soft Tissue Procedures with MCC ×308Surgical3.36017.810.4–4,317
501Soft Tissue Procedures with CC ×308Surgical1.86634.15.2–4,317
502Soft Tissue Procedures without CC/MCC ×308Surgical1.43312.32.9–4,317
503Foot Procedures with MCC ×308Surgical2.77566.98.7–1,057
504Foot Procedures with CC ×308Surgical1.77514.04.9–1,057
505Foot Procedures without CC/MCC ×308Surgical1.77514.04.9–1,057
506Major Thumb or Joint Procedures08Surgical1.20603.74.4–656
507Major Shoulder or Elbow Joint Procedures with CC/MCC ×208Surgical1.85675.16.3–552
508Major Shoulder or Elbow Joint Procedures without CC/MCC ×208Surgical1.17462.93.5–552
510Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with MCC ×308Surgical3.12825.26.7–388
511Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with CC ×308Surgical2.11773.54.3–388
512Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures without CC/MCC ×308Surgical1.70352.22.5–388
513Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with CC/MCC ×208Surgical1.52083.84.9–1,017
514Hand or Wrist Procedures, Except Major Thumb or Joint Procedures without CC/MCC ×208Surgical1.01972.32.7–1,017
515Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC ×308Surgical3.18926.78.4–4,622
516Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC ×308Surgical2.11804.05.0–4,622
517Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC ×308Surgical1.57282.32.9–4,622
518Back and Neck Procedures Except Spinal Fusion with MCC or Disc Device or Neurostimulator08Surgical3.73085.17.5–174
519Back and Neck Procedures Except Spinal Fusion with CC ×208Surgical2.03563.24.2––
520Back and Neck Procedures Except Spinal Fusion without CC/MCC ×208Surgical1.55562.12.6––
521Hip Replacement with Principal Diagnosis of Hip Fracture with MCC ×208Surgical2.85165.96.91,23296
522Hip Replacement with Principal Diagnosis of Hip Fracture without MCC ×208Surgical2.11574.04.41,23296
523Extensive or Complex Spinal Fusion Procedures Except Cervical with MCC ×308Surgical13.73839.211.0–61
524Extensive or Complex Spinal Fusion Procedures Except Cervical with CC ×308Surgical9.83225.66.4–61
525Extensive or Complex Spinal Fusion Procedures Except Cervical without CC/MCC ×308Surgical7.29503.23.8–61
533Fractures of Femur with MCC ×208Medical1.46434.25.4273–
534Fractures of Femur without MCC ×208Medical0.83983.03.7273–
535Fractures of Hip and Pelvis with MCC ×208Medical1.27243.94.9400–
536Fractures of Hip and Pelvis without MCC ×208Medical0.80682.93.4400–
537Sprains, Strains, and Dislocations of Hip, Pelvis and Thigh with CC/MCC ×208Medical0.91483.13.861–
538Sprains, Strains, and Dislocations of Hip, Pelvis and Thigh without CC/MCC ×208Medical0.71182.42.861–
539Osteomyelitis with MCC ×308Medical1.93766.18.0220–
540Osteomyelitis with CC ×308Medical1.30754.35.5220–
541Osteomyelitis without CC/MCC ×308Medical0.82932.83.7220–
542Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with MCC ×308Medical1.72084.96.6280–
543Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with CC ×308Medical1.00583.44.2280–
544Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy without CC/MCC ×308Medical0.74042.73.1280–
545Connective Tissue Disorders with MCC ×308Medical2.39035.37.7562–
546Connective Tissue Disorders with CC ×308Medical1.17353.34.3562–
547Connective Tissue Disorders without CC/MCC ×308Medical0.71602.32.7562–
548Septic Arthritis with MCC ×308Medical1.95116.08.3155–
549Septic Arthritis with CC ×308Medical1.14303.74.7155–
550Septic Arthritis without CC/MCC ×308Medical0.85962.83.5155–
551Medical Back Problems with MCC ×208Medical1.63504.45.71,170–
552Medical Back Problems without MCC ×208Medical0.95822.93.61,170–
553Bone Diseases and Arthropathies with MCC ×208Medical1.24923.95.11,617–
554Bone Diseases and Arthropathies without MCC ×208Medical0.83282.83.51,617–
555Signs and Symptoms of Musculoskeletal System and Connective Tissue with MCC ×208Medical1.29083.74.8247–
556Signs and Symptoms of Musculoskeletal System and Connective Tissue without MCC ×208Medical0.82102.73.3247–
557Tendonitis, Myositis and Bursitis with MCC ×208Medical1.48834.66.01,061–
558Tendonitis, Myositis and Bursitis without MCC ×208Medical0.88733.13.81,061–
559Aftercare, Musculoskeletal System and Connective Tissue with MCC ×308Medical1.80874.96.67,892–
560Aftercare, Musculoskeletal System and Connective Tissue with CC ×308Medical1.12343.85.17,892–
561Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC ×308Medical0.82583.04.37,892–
562Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCC ×208Medical1.39814.15.14,649–
563Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCC ×208Medical0.89823.03.54,649–
564Other Musculoskeletal System and Connective Tissue Diagnoses with MCC ×308Medical1.49094.65.96,776–
565Other Musculoskeletal System and Connective Tissue Diagnoses with CC ×308Medical0.97803.34.06,776–
566Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC ×308Medical0.73742.42.86,776–
570Skin Debridement with MCC ×309Surgical2.85887.410.1–20
571Skin Debridement with CC ×309Surgical1.63514.86.0–20
572Skin Debridement without CC/MCC ×309Surgical1.16172.83.7–20
573Skin Graft for Skin Ulcer or Cellulitis with MCC ×309Surgical6.354712.016.1562466
574Skin Graft for Skin Ulcer or Cellulitis with CC ×309Surgical3.56597.510.5562466
575Skin Graft for Skin Ulcer or Cellulitis without CC/MCC ×309Surgical1.87894.15.2562466
576Skin Graft Except for Skin Ulcer or Cellulitis with MCC ×309Surgical4.97808.312.5–466
577Skin Graft Except for Skin Ulcer or Cellulitis with CC ×309Surgical2.82394.46.6–466
578Skin Graft Except for Skin Ulcer or Cellulitis without CC/MCC ×309Surgical1.66962.23.2–466
579Other Skin, Subcutaneous Tissue and Breast Procedures with MCC ×309Surgical3.24887.410.3–6,557
580Other Skin, Subcutaneous Tissue and Breast Procedures with CC ×309Surgical1.73644.05.3–6,557
581Other Skin, Subcutaneous Tissue and Breast Procedures without CC/MCC ×309Surgical1.53562.12.7–6,557
582Mastectomy for Malignancy with CC/MCC ×209Surgical1.80142.12.87461
583Mastectomy for Malignancy without CC/MCC ×209Surgical1.80142.12.87461
584Breast Biopsy, Local Excision and Other Breast Procedures with CC/MCC ×209Surgical2.02923.34.3–338
585Breast Biopsy, Local Excision and Other Breast Procedures without CC/MCC ×209Surgical1.89162.02.4–338
592Skin Ulcers with MCC ×309Medical1.90995.67.7479–
593Skin Ulcers with CC ×309Medical1.15754.25.4479–
594Skin Ulcers without CC/MCC ×309Medical0.73473.24.0479–
595Major Skin Disorders with MCC ×209Medical2.02305.47.5115–
596Major Skin Disorders without MCC ×209Medical1.10673.54.6115–
597Malignant Breast Disorders with MCC ×309Medical1.73854.86.674–
598Malignant Breast Disorders with CC ×309Medical1.09573.34.374–
599Malignant Breast Disorders without CC/MCC ×309Medical0.67561.82.274–
600Non-Malignant Breast Disorders with CC/MCC ×209Medical0.99713.14.193–
601Non-Malignant Breast Disorders without CC/MCC ×209Medical0.60142.32.993–
602Cellulitis with MCC ×209Medical1.42724.55.7159–
603Cellulitis without MCC ×209Medical0.86333.13.7159–
604Trauma to the Skin, Subcutaneous Tissue and Breast with MCC ×209Medical1.45263.85.13,779–
605Trauma to the Skin, Subcutaneous Tissue and Breast without MCC ×209Medical0.90752.63.33,779–
606Minor Skin Disorders with MCC ×209Medical1.57214.46.3745–
607Minor Skin Disorders without MCC ×209Medical0.87722.93.7745–
614Adrenal and Pituitary Procedures with CC/MCC ×210Surgical2.03042.23.3–182
615Adrenal and Pituitary Procedures without CC/MCC ×210Surgical1.36111.31.5–182
616Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with MCC or Insertion of Antibiotic-eluting Bone Void Filler10Surgical3.14528.310.4–76
617Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with CC ×210Surgical1.72275.36.3–76
618Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders without CC/MCC ×210Surgical1.11213.43.9–76
619O.R. Procedures for Obesity with MCC ×310Surgical2.57302.85.0–298
620O.R. Procedures for Obesity with CC ×310Surgical1.58411.51.8–298
621O.R. Procedures for Obesity without CC/MCC ×310Surgical1.56311.21.3–298
622Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders with MCC ×310Surgical3.78658.711.7–302
623Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders with CC ×310Surgical2.00355.56.7–302
624Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders without CC/MCC ×310Surgical1.34832.53.1–302
625Thyroid, Parathyroid and Thyroglossal Procedures with MCC ×310Surgical3.10284.97.6–334
626Thyroid, Parathyroid and Thyroglossal Procedures with CC ×310Surgical1.55241.92.6–334
627Thyroid, Parathyroid and Thyroglossal Procedures without CC/MCC ×310Surgical1.33281.31.5–334
628Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC or Insertion of Antibiotic-eluting Bone Void Filler10Surgical3.70238.110.6–3,955
629Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC ×210Surgical2.14335.76.8–3,955
630Other Endocrine, Nutritional and Metabolic O.R. Procedures without CC/MCC ×210Surgical1.37151.92.6–3,955
637Diabetes with MCC ×310Medical1.41273.95.288–
638Diabetes with CC ×310Medical0.90182.93.788–
639Diabetes without CC/MCC ×310Medical0.63752.12.588–
640Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC ×210Medical1.33923.64.9130–
641Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC ×210Medical0.78642.53.2130–
642Inborn and Other Disorders of Metabolism10Medical1.32263.24.5216–
643Endocrine Disorders with MCC ×310Medical1.61384.86.1199–
644Endocrine Disorders with CC ×310Medical1.00443.44.1199–
645Endocrine Disorders without CC/MCC ×310Medical0.74612.63.1199–
650Kidney Transplant with Hemodialysis with MCC ×211Surgical4.69216.17.5–12
651Kidney Transplant with Hemodialysis without MCC ×211Surgical3.76795.25.8–12
652Kidney Transplant11Surgical3.17944.24.6–6
653Major Bladder Procedures with MCC ×311Surgical5.21439.412.5–133
654Major Bladder Procedures with CC ×311Surgical2.81965.06.1–133
655Major Bladder Procedures without CC/MCC ×311Surgical2.05432.93.6–133
656Kidney and Ureter Procedures for Neoplasm with MCC ×311Surgical3.27824.97.2671,177
657Kidney and Ureter Procedures for Neoplasm with CC ×311Surgical1.83652.43.1671,177
658Kidney and Ureter Procedures for Neoplasm without CC/MCC ×311Surgical1.53921.51.7671,177
659Kidney and Ureter Procedures for Non-Neoplasm with MCC ×311Surgical2.43995.47.3–1,177
660Kidney and Ureter Procedures for Non-Neoplasm with CC ×311Surgical1.30172.73.5–1,177
661Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC ×311Surgical1.04371.72.0–1,177
662Minor Bladder Procedures with MCC ×311Surgical3.04887.09.5–221
663Minor Bladder Procedures with CC ×311Surgical1.52743.64.7–221
664Minor Bladder Procedures without CC/MCC ×311Surgical1.04481.92.4–221
665Prostatectomy with MCC ×311Surgical3.25157.710.2–18
666Prostatectomy with CC ×311Surgical1.80513.75.0–18
667Prostatectomy without CC/MCC ×311Surgical1.13051.92.4–18
668Transurethral Procedures with MCC ×311Surgical2.87197.09.3–34
669Transurethral Procedures with CC ×311Surgical1.55773.74.8–34
670Transurethral Procedures without CC/MCC ×311Surgical1.03012.12.6–34
671Urethral Procedures with CC/MCC ×211Surgical1.96854.05.6–188
672Urethral Procedures without CC/MCC ×211Surgical0.93191.51.9–188
673Other Kidney and Urinary Tract Procedures with MCC ×311Surgical4.252310.013.0251,798
674Other Kidney and Urinary Tract Procedures with CC ×311Surgical2.25045.36.8251,798
675Other Kidney and Urinary Tract Procedures without CC/MCC ×311Surgical1.58902.83.7251,798
682Renal Failure with MCC ×311Medical1.46594.25.622–
683Renal Failure with CC ×311Medical0.86482.93.722–
684Renal Failure without CC/MCC ×311Medical0.60042.22.622–
686Kidney and Urinary Tract Neoplasms with MCC ×311Medical1.72455.16.967–
687Kidney and Urinary Tract Neoplasms with CC ×311Medical0.99493.14.167–
688Kidney and Urinary Tract Neoplasms without CC/MCC ×311Medical0.73322.12.667–
689Kidney and Urinary Tract Infections with MCC ×211Medical1.14153.74.839–
690Kidney and Urinary Tract Infections without MCC ×211Medical0.80082.83.439–
693Urinary Stones with MCC ×211Medical1.31553.65.118–
694Urinary Stones without MCC ×211Medical0.78152.12.618–
695Kidney and Urinary Tract Signs and Symptoms with MCC ×211Medical1.11363.54.581–
696Kidney and Urinary Tract Signs and Symptoms without MCC ×211Medical0.66772.32.981–
697Urethral Stricture11Medical0.96562.53.538–
698Other Kidney and Urinary Tract Diagnoses with MCC ×311Medical1.64004.76.0456–
699Other Kidney and Urinary Tract Diagnoses with CC ×311Medical1.00023.23.9456–
700Other Kidney and Urinary Tract Diagnoses without CC/MCC ×311Medical0.67402.32.8456–
707Major Male Pelvic Procedures with CC/MCC ×212Surgical2.04632.33.1–53
708Major Male Pelvic Procedures without CC/MCC ×212Surgical1.51161.31.5–53
709Penis Procedures with CC/MCC ×212Surgical2.06263.34.8–218
710Penis Procedures without CC/MCC ×212Surgical1.51821.51.9–218
711Testes Procedures with CC/MCC ×212Surgical1.95344.56.5–647
712Testes Procedures without CC/MCC ×212Surgical1.08082.53.0–647
713Transurethral Prostatectomy with CC/MCC ×212Surgical1.54782.33.3–8
714Transurethral Prostatectomy without CC/MCC ×212Surgical1.15661.51.7–8
715Male Reproductive System and Other O.R. Procedures for Malignancy with CC/MCC ×212Surgical2.28963.04.8381,043
716Male Reproductive System and Other O.R. Procedures for Malignancy without CC/MCC ×212Surgical1.46121.31.5381,043
717Other Male Reproductive System O.R. Procedures with CC/MCC ×212Surgical1.95583.65.2–1,043
718Other Male Reproductive System O.R. Procedures without CC/MCC ×212Surgical1.32822.02.5–1,043
722Malignancy, Male Reproductive System with MCC ×312Medical1.66824.86.638–
723Malignancy, Male Reproductive System with CC ×312Medical1.06933.34.438–
724Malignancy, Male Reproductive System without CC/MCC ×312Medical0.57091.82.338–
725Benign Prostatic Hypertrophy with MCC ×212Medical1.15733.64.65–
726Benign Prostatic Hypertrophy without MCC ×212Medical0.72492.53.15–
727Inflammation of the Male Reproductive System with MCC ×212Medical1.36944.35.667–
728Inflammation of the Male Reproductive System without MCC ×212Medical0.82202.93.667–
729Other Male Reproductive System Diagnoses with CC/MCC ×212Medical1.05533.14.3250–
730Other Male Reproductive System Diagnoses without CC/MCC ×212Medical0.65952.02.5250–
731Uterine and Adnexa Procedures for Malignancy with MCC ×313Surgical3.54625.68.458689
732Uterine and Adnexa Procedures for Malignancy with CC ×313Surgical1.92003.03.958689
733Uterine and Adnexa Procedures for Malignancy without CC/MCC ×313Surgical1.43181.61.958689
734Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with CC/MCC ×213Surgical1.58912.13.0–35
735Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy without CC/MCC ×213Surgical1.04841.62.0–35
742Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC ×213Surgical1.84482.63.6586689
743Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC ×213Surgical1.29691.51.7586689
744D&C, Conization, Laparoscopy and Tubal Interruption with CC/MCC ×213Surgical2.06214.26.0–91
745D&C, Conization, Laparoscopy and Tubal Interruption without CC/MCC ×213Surgical1.06551.61.8–91
746Vagina, Cervix and Vulva Procedures with CC/MCC ×213Surgical1.62503.35.1–446
747Vagina, Cervix and Vulva Procedures without CC/MCC ×213Surgical0.86711.31.6–446
748Female Reproductive System Reconstructive Procedures13Surgical1.38041.41.7–121
749Other Female Reproductive System O.R. Procedures with CC/MCC ×213Surgical2.47064.76.6–865
750Other Female Reproductive System O.R. Procedures without CC/MCC ×213Surgical1.49451.82.3–865
754Malignancy, Female Reproductive System with MCC ×313Medical1.80795.06.958–
755Malignancy, Female Reproductive System with CC ×313Medical1.14863.24.358–
756Malignancy, Female Reproductive System without CC/MCC ×313Medical0.85832.02.558–
757Infections, Female Reproductive System with MCC ×313Medical1.46434.76.375–
758Infections, Female Reproductive System with CC ×313Medical0.99033.44.475–
759Infections, Female Reproductive System without CC/MCC ×313Medical0.76872.93.575–
760Menstrual and Other Female Reproductive System Disorders with CC/MCC ×213Medical1.01252.83.7514–
761Menstrual and Other Female Reproductive System Disorders without CC/MCC ×213Medical0.70392.02.6514–
768Vaginal Delivery with O.R. Procedures Except Sterilization and/or D&C14Surgical1.05062.73.3199
769Postpartum and Post Abortion Diagnoses with O.R. Procedures14Surgical1.66663.15.2184–
770Abortion with D&C, Aspiration Curettage or Hysterotomy14Surgical1.09872.23.0588
776Postpartum and Post Abortion Diagnoses without O.R. Procedures14Medical0.67182.23.2184–
779Abortion without D&C14Medical1.01982.43.458–
783Cesarean Section with Sterilization with MCC ×314Surgical2.24755.38.0–77
784Cesarean Section with Sterilization with CC ×314Surgical1.04483.03.6–77
785Cesarean Section with Sterilization without CC/MCC ×314Surgical0.87692.42.7–77
786Cesarean Section without Sterilization with MCC ×314Surgical1.63694.66.4–3
787Cesarean Section without Sterilization with CC ×314Surgical1.08693.33.9–3
788Cesarean Section without Sterilization without CC/MCC ×314Surgical0.91272.83.1–3
789Neonates, Died or Transferred to Another Acute Care Facility15Medical1.82361.81.8––
790Extreme Immaturity or Respiratory Distress Syndrome, Neonate15Medical6.014217.917.912–
791Prematurity with Major Problems15Medical4.107313.313.32,244–
792Prematurity without Major Problems15Medical2.47838.68.616–
793Full Term Neonate with Major Problems15Medical4.21924.74.72,228–
794Neonate with Other Significant Problems15Medical1.49343.43.4201–
795Normal Newborn15Medical0.20223.13.1224–
796Vaginal Delivery with Sterilization and/or D&C with MCC ×314Surgical1.18093.54.41986
797Vaginal Delivery with Sterilization and/or D&C with CC ×314Surgical0.98032.63.21986
798Vaginal Delivery with Sterilization and/or D&C without CC/MCC ×314Surgical0.92462.02.31986
799Splenic Procedures with MCC ×316Surgical4.84587.09.4–50
800Splenic Procedures with CC ×316Surgical3.14884.26.0–50
801Splenic Procedures without CC/MCC ×316Surgical2.19282.32.8–50
802Other O.R. Procedures of the Blood and Blood Forming Organs with MCC ×316Surgical3.70027.711.6–1,565
803Other O.R. Procedures of the Blood and Blood Forming Organs with CC ×316Surgical1.97773.85.5–1,565
804Other O.R. Procedures of the Blood and Blood Forming Organs without CC/MCC ×316Surgical1.42181.72.5–1,565
805Vaginal Delivery without Sterilization or D&C with MCC ×314Medical1.13013.04.3199
806Vaginal Delivery without Sterilization or D&C with CC ×314Medical0.78892.32.7199
807Vaginal Delivery without Sterilization or D&C without CC/MCC ×314Medical0.68022.02.3199
808Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders with MCC ×316Medical2.17065.17.063–
809Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders with CC ×316Medical1.22643.34.263–
810Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulation Disorders without CC/MCC ×316Medical1.07492.53.263–
811Red Blood Cell Disorders with MCC ×216Medical1.39913.74.8134–
812Red Blood Cell Disorders without MCC ×216Medical0.92372.83.6134–
813Coagulation Disorders16Medical1.52793.64.640–
814Reticuloendothelial and Immunity Disorders with MCC ×316Medical2.07274.86.8137–
815Reticuloendothelial and Immunity Disorders with CC ×316Medical1.04453.03.8137–
816Reticuloendothelial and Immunity Disorders without CC/MCC ×316Medical0.73782.12.6137–
817Other Antepartum Diagnoses with O.R. Procedures with MCC ×314Surgical1.75862.74.31,964–
818Other Antepartum Diagnoses with O.R. Procedures with CC ×314Surgical1.29363.03.81,964–
819Other Antepartum Diagnoses with O.R. Procedures without CC/MCC ×314Surgical0.52261.92.31,964–
820Lymphoma and Leukemia with Major O.R. Procedures with MCC ×317Surgical6.245411.216.05524,536
821Lymphoma and Leukemia with Major O.R. Procedures with CC ×317Surgical2.20283.14.95524,536
822Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC ×317Surgical1.12671.41.75524,536
823Lymphoma and Non-Acute Leukemia with Other Procedures with MCC ×317Surgical4.60519.913.2519189
824Lymphoma and Non-Acute Leukemia with Other Procedures with CC ×317Surgical2.25144.96.7519189
825Lymphoma and Non-Acute Leukemia with Other Procedures without CC/MCC ×317Surgical1.29902.23.1519189
826Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC ×317Surgical4.75608.811.91144,536
827Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CC ×317Surgical2.38863.95.11144,536
828Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCC ×317Surgical1.69482.22.71144,536
829Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures with CC/MCC ×217Surgical3.12685.68.3114189
830Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures without CC/MCC ×217Surgical1.48522.02.4114189
831Other Antepartum Diagnoses without O.R. Procedures with MCC ×314Medical1.15533.44.81,964–
832Other Antepartum Diagnoses without O.R. Procedures with CC ×314Medical0.75822.73.91,964–
833Other Antepartum Diagnoses without O.R. Procedures without CC/MCC ×314Medical0.50001.82.41,964–
834Acute Leukemia with MCC ×317Medical5.50779.715.433–
835Acute Leukemia with CC ×317Medical2.30334.67.133–
836Acute Leukemia without CC/MCC ×317Medical1.14012.63.533–
837Chemotherapy with Acute Leukemia as Secondary Diagnosis or with High Dose Chemotherapy Agent with MCC17Medical4.710410.014.63610
838Chemotherapy with Acute Leukemia as Secondary Diagnosis with CC or High Dose Chemotherapy Agent17Medical2.15765.06.63610
839Chemotherapy with Acute Leukemia as Secondary Diagnosis without CC/MCC17Medical1.37763.74.236–
840Lymphoma and Non-Acute Leukemia with MCC ×317Medical3.27376.79.6519–
841Lymphoma and Non-Acute Leukemia with CC ×317Medical1.57673.95.2519–
842Lymphoma and Non-Acute Leukemia without CC/MCC ×317Medical0.99482.63.3519–
843Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with MCC ×317Medical1.94525.37.3110–
844Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with CC ×317Medical1.25613.74.8110–
845Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses without CC/MCC ×317Medical0.84432.33.0110–
846Chemotherapy without Acute Leukemia as Secondary Diagnosis with MCC ×317Medical2.52915.67.53–
847Chemotherapy without Acute Leukemia as Secondary Diagnosis with CC ×317Medical1.34843.74.33–
848Chemotherapy without Acute Leukemia as Secondary Diagnosis without CC/MCC ×317Medical0.77522.63.03–
849Radiotherapy17Medical2.58466.59.01–
850Acute Leukemia with Other Procedures17Surgical8.407615.623.233189
853Infectious and Parasitic Diseases with O.R. Procedures with MCC ×318Surgical4.93069.212.2––
854Infectious and Parasitic Diseases with O.R. Procedures with CC ×318Surgical2.00924.86.1––
855Infectious and Parasitic Diseases with O.R. Procedures without CC/MCC ×318Surgical1.45043.24.1––
856Postoperative or Post-Traumatic Infections with O.R. Procedures with MCC ×318Surgical4.48228.811.711–
857Postoperative or Post-Traumatic Infections with O.R. Procedures with CC ×318Surgical2.16825.36.611–
858Postoperative or Post-Traumatic Infections with O.R. Procedures without CC/MCC ×318Surgical1.40303.34.111–
862Postoperative and Post-Traumatic Infections with MCC ×218Medical1.79104.96.57–
863Postoperative and Post-Traumatic Infections without MCC ×218Medical0.98683.34.17–
864Fever and Inflammatory Conditions18Medical0.85532.53.28–
865Viral Illness with MCC ×218Medical1.31533.75.1141–
866Viral Illness without MCC ×218Medical0.86912.73.5141–
867Other Infectious and Parasitic Diseases Diagnoses with MCC ×318Medical2.18555.37.4400–
868Other Infectious and Parasitic Diseases Diagnoses with CC ×318Medical1.02303.34.2400–
869Other Infectious and Parasitic Diseases Diagnoses without CC/MCC ×318Medical0.67842.42.8400–
870Septicemia or Severe Sepsis with MV >96 Hours18Medical6.943212.514.9401
871Septicemia or Severe Sepsis without MV >96 Hours with MCC ×218Medical1.93204.86.340–
872Septicemia or Severe Sepsis without MV >96 Hours without MCC ×218Medical1.00663.44.140–
876O.R. Procedures with Principal Diagnosis of Mental Illness19Surgical3.68036.715.4––
880Acute Adjustment Reaction and Psychosocial Dysfunction19Medical0.93062.73.834–
881Depressive Neuroses19Medical0.89634.15.75–
882Neuroses Except Depressive19Medical0.99533.55.455–
883Disorders of Personality and Impulse Control19Medical1.73985.410.137–
884Organic Disturbances and Intellectual Disability19Medical1.59984.68.0134–
885Psychoses19Medical1.39046.59.779–
886Behavioral and Developmental Disorders19Medical1.64555.112.046–
887Other Mental Disorder Diagnoses19Medical1.11543.15.282–
894Alcohol, Drug Abuse or Dependence, Left AMA20Medical0.62722.02.7457–
895Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy20Medical1.42607.510.745735
896Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with MCC ×220Medical1.66104.56.4457–
897Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC ×220Medical0.85853.24.0457–
901Wound Debridements for Injuries with MCC ×321Surgical4.47409.514.0–20
902Wound Debridements for Injuries with CC ×321Surgical1.89384.56.2–20
903Wound Debridements for Injuries without CC/MCC ×321Surgical1.12382.43.1–20
904Skin Grafts for Injuries with CC/MCC ×221Surgical3.70956.69.6–300
905Skin Grafts for Injuries without CC/MCC ×221Surgical1.55412.94.0–300
906Hand Procedures for Injuries21Surgical1.76492.94.4–1,663
907Other O.R. Procedures for Injuries with MCC ×321Surgical3.89626.69.2–30,080
908Other O.R. Procedures for Injuries with CC ×321Surgical1.95793.54.6–30,080
909Other O.R. Procedures for Injuries without CC/MCC ×321Surgical1.38102.22.7–30,080
913Traumatic Injury with MCC ×221Medical1.54483.75.22,120–
914Traumatic Injury without MCC ×221Medical0.92812.53.22,120–
915Allergic Reactions with MCC ×221Medical1.65593.44.725–
916Allergic Reactions without MCC ×221Medical0.69261.82.225–
917Poisoning and Toxic Effects of Drugs with MCC ×221Medical1.56983.75.21,499–
918Poisoning and Toxic Effects of Drugs without MCC ×221Medical0.87162.43.31,499–
919Complications of Treatment with MCC ×321Medical1.76244.15.8338–
920Complications of Treatment with CC ×321Medical0.99752.83.6338–
921Complications of Treatment without CC/MCC ×321Medical0.67192.02.5338–
922Other Injury, Poisoning and Toxic Effect Diagnoses with MCC ×221Medical1.62483.96.32,446–
923Other Injury, Poisoning and Toxic Effect Diagnoses without MCC ×221Medical0.99802.94.52,446–
927Extensive Burns or Full Thickness Burns with MV >96 Hours with Skin Graft22Surgical27.833628.736.9282377
928Full Thickness Burn with Skin Graft or Inhalation Injury with CC/MCC ×222Surgical7.644412.917.6233376
929Full Thickness Burn with Skin Graft or Inhalation Injury without CC/MCC ×222Surgical3.01805.67.9233376
933Extensive Burns or Full Thickness Burns with MV >96 Hours without Skin Graft22Medical2.39392.34.1282–
934Full Thickness Burn without Skin Graft or Inhalation Injury22Medical1.88824.46.7233–
935Non-Extensive Burns22Medical2.42324.26.3610–
939O.R. Procedures with Diagnoses of Other Contact with Health Services with MCC ×323Surgical3.21345.89.1––
940O.R. Procedures with Diagnoses of Other Contact with Health Services with CC ×323Surgical2.11133.04.4––
941O.R. Procedures with Diagnoses of Other Contact with Health Services without CC/MCC ×323Surgical1.94392.02.6––
945Rehabilitation with CC/MCC ×223Medical1.47435.77.721,258
946Rehabilitation without CC/MCC ×223Medical1.10464.05.321,258
947Signs and Symptoms with MCC ×223Medical1.26083.65.1131–
948Signs and Symptoms without MCC ×223Medical0.78332.63.3131–
949Aftercare with CC/MCC ×223Medical1.12314.16.48,604–
950Aftercare without CC/MCC ×223Medical0.76613.34.68,604–
951Other Factors Influencing Health Status23Medical0.55741.82.71,436–
955Craniotomy for Multiple Significant Trauma24Surgical6.52578.012.1–705
956Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma24Surgical3.83095.97.3–672
957Other O.R. Procedures for Multiple Significant Trauma with MCC ×324Surgical7.55029.613.2–21,614
958Other O.R. Procedures for Multiple Significant Trauma with CC ×324Surgical4.07506.37.6–21,614
959Other O.R. Procedures for Multiple Significant Trauma without CC/MCC ×324Surgical2.71133.43.8–21,614
963Other Multiple Significant Trauma with MCC ×324Medical2.63615.27.48,727–
964Other Multiple Significant Trauma with CC ×324Medical1.49713.84.88,727–
965Other Multiple Significant Trauma without CC/MCC ×324Medical1.00542.63.18,727–
969HIV with Extensive O.R. Procedures with MCC ×225Surgical7.174412.216.61–
970HIV with Extensive O.R. Procedures without MCC ×225Surgical3.14556.214.41–
974HIV with Major Related Condition with MCC ×325Medical3.04886.710.0477–
975HIV with Major Related Condition with CC ×325Medical1.32463.95.4477–
976HIV with Major Related Condition without CC/MCC ×325Medical0.78792.83.4477–
977HIV with or without Other Related Condition25Medical1.39193.85.31–
981Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC ×3–Surgical4.74368.411.9––
982Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC ×3–Surgical2.42523.95.4––
983Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC ×3–Surgical1.61391.92.5––
987Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with MCC ×3–Surgical3.35217.710.8––
988Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis with CC ×3–Surgical1.64754.05.4––
989Non-Extensive O.R. Procedures Unrelated to Principal Diagnosis without CC/MCC ×3–Surgical1.10392.12.7––
998Principal Diagnosis Invalid as Discharge Diagnosis–n/a–––279–
999Ungroupable–n/a–––––

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PreDRGs 001–019 · 17Pre-MDC: Transplants & Tracheostomy01DRGs 020–103 · 72Diseases & Disorders of the Nervous System02DRGs 113–125 · 10Diseases & Disorders of the Eye03DRGs 135–159 · 25Diseases & Disorders of the Ear, Nose, Mouth & Throat04DRGs 163–208 · 41Diseases & Disorders of the Respiratory System05DRGs 209–362 · 99Diseases & Disorders of the Circulatory System06DRGs 326–399 · 58Diseases & Disorders of the Digestive System07DRGs 405–446 · 36Diseases & Disorders of the Hepatobiliary System & Pancreas08DRGs 400–566 · 106Diseases & Disorders of the Musculoskeletal System & Connective Tissue09DRGs 570–607 · 32Diseases & Disorders of the Skin, Subcutaneous Tissue & Breast10DRGs 614–645 · 26Endocrine, Nutritional & Metabolic Diseases & Disorders11DRGs 650–700 · 42Diseases & Disorders of the Kidney & Urinary Tract12DRGs 707–730 · 21Diseases & Disorders of the Male Reproductive System13DRGs 731–761 · 22Diseases & Disorders of the Female Reproductive System14DRGs 768–833 · 23Pregnancy, Childbirth & the Puerperium15DRGs 789–795 · 7Newborns & Other Neonates with Conditions Originating in Perinatal Period16DRGs 799–816 · 15Diseases & Disorders of Blood, Blood Forming Organs, Immunologic Disorders17DRGs 820–850 · 28Myeloproliferative Diseases & Disorders, Poorly Differentiated Neoplasms18DRGs 853–872 · 17Infectious & Parasitic Diseases, Systemic or Unspecified Sites19DRGs 876–887 · 9Mental Diseases & Disorders20DRGs 894–897 · 4Alcohol/Drug Use & Alcohol/Drug Induced Organic Mental Disorders21DRGs 901–923 · 20Injuries, Poisonings & Toxic Effects of Drugs22DRGs 927–935 · 6Burns23DRGs 939–951 · 10Factors Influencing Health Status & Other Contacts with Health Services24DRGs 955–965 · 8Multiple Significant Trauma25DRGs 969–977 · 6Human Immunodeficiency Virus Infections–DRGs 981–999 · 8Unrelated O.R. Procedures & Ungroupable

Frequently Asked Questions

How many MS-DRGs are there in 2027?

There are 768 MS-DRGs in fiscal year 2027 (grouper version 44.0): 367 Medical and 399 Surgical, organized into a Pre-MDC block plus 25 Major Diagnostic Categories.

What is the difference between a Medical and a Surgical MS-DRG?

A Medical DRG is assigned from the ICD-10-CM principal diagnosis. A Surgical DRG is assigned when a qualifying ICD-10-PCS operating-room procedure is reported. Each DRG page on this list shows the code set that drives its assignment.

What is the current MS-DRG version?

The current grouper is version 44.0 for fiscal year 2027, covering discharges from October 1, 2026 through September 30, 2027.

Source: CMS ICD-10 MS-DRG v44.0 Definitions Manual and the FY 2027 IPPS Final Rule (Table 5), effective October 1, 2026 through September 30, 2027. We publish the DRG assignments as CMS defines them and add the navigation, search, and code links.