MS-DRG 040: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC

DRGSurgicalMDC 01

MS-DRG 040 is peripheral, cranial nerve and other nervous system procedures with mcc, in MDC 01 (a surgical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 3.7174, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 6.90 days.

FY2027 payment factors

Relative weight: 3.7174
Geometric mean LOS: 6.90
Arithmetic mean LOS: 9.70
Post-acute transfer: Yes

This DRG is subject to the post-acute care transfer policy: a discharge to a qualifying setting below the mean length of stay is paid per diem rather than in full.

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 040.

040	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC	3.7174
041	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR	2.1796	-1.5378
042	PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC	1.6764	-2.0410

All FY2027 MS-DRGs · MDC 01