MS-DRG 012: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC
MS-DRG 012 is tracheostomy for face, mouth and neck diagnoses or laryngectomy with cc, in MDC PRE (a surgical DRG), at the with-CC (complication or comorbidity) level. Its FY2027 relative weight is 4.3810, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 8.50 days. 890 ICD-10-CM principal diagnoses group into MS-DRGs 011–013 under the CMS definitions manual; the most-searched are listed below.
FY2027 payment factors
- Relative weight
- 4.3810
- Geometric mean LOS
- 8.50
- Arithmetic mean LOS
- 9.70
- Post-acute transfer
- No
Principal diagnoses that group to MS-DRGs 011–013
From the CMS MS-DRG definitions manual’s principal-diagnosis index: 890 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 011–013 the case lands in. The 24 most-searched:
- G47.33Obstructive sleep apnea (adult) (pediatric)
- J06.9Acute upper respiratory infection, unspecified
- C73Malignant neoplasm of thyroid gland
- E04.1Nontoxic single thyroid nodule
- J02.9Acute pharyngitis, unspecified
- C01Malignant neoplasm of base of tongue
- C32.0Malignant neoplasm of glottis
- J00Acute nasopharyngitis [common cold]
- S09.90XAUnspecified injury of head, initial encounter
- C76.0Malignant neoplasm of head, face and neck
- C77.0Secondary and unspecified malignant neoplasm of lymph nodes of head, face and neck
- E06.3Autoimmune thyroiditis
- G47.30Sleep apnea, unspecified
- J34.2Deviated nasal septum
- K12.2Cellulitis and abscess of mouth
- C02.9Malignant neoplasm of tongue, unspecified
- C07Malignant neoplasm of parotid gland
- E05.00Thyrotoxicosis with diffuse goiter without thyrotoxic crisis or storm
- E05.90Thyrotoxicosis, unspecified without thyrotoxic crisis or storm
- J02.0Streptococcal pharyngitis
- K02.9Dental caries, unspecified
- K13.79Other lesions of oral mucosa
- C09.9Malignant neoplasm of tonsil, unspecified
- C10.9Malignant neoplasm of oropharynx, unspecified
866 more codes group here. Open any code above for its full hierarchy, or check a whole claim in the free DRG calculator.
The severity splits
Same base DRG, split by whether a secondary diagnosis is a CC or MCC. The last column is the weight change from MS-DRG 012.
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | 5.6154 | +1.2344 |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | 4.3810 | |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | 2.7307 | -1.6503 |
All FY2027 MS-DRGs · MDC PRE