042
MS-DRG 042: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC
DRGSurgicalMDC 01
MS-DRG 042 is peripheral, cranial nerve and other nervous system procedures without cc/mcc, in MDC 01 (a surgical DRG), at the without-CC/MCC level. Its FY2027 relative weight is 1.6764, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 2.30 days.
FY2027 payment factors
- Relative weight
- 1.6764
- Geometric mean LOS
- 2.30
- Arithmetic mean LOS
- 2.90
- 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 042.
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | 3.7174 | +2.0410 |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | 2.1796 | +0.5032 |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | 1.6764 |
All FY2027 MS-DRGs · MDC 01