MS-DRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS
MS-DRG 065 is intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours, in MDC 01 (a medical DRG), at the with-CC (complication or comorbidity) level. Its FY2027 relative weight is 0.9908, so a case here pays less than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 2.80 days. 124 ICD-10-CM principal diagnoses group into MS-DRGs 064–066 under the CMS definitions manual; the most-searched are listed below.
FY2027 payment factors
- Relative weight
- 0.9908
- Geometric mean LOS
- 2.80
- Arithmetic mean LOS
- 3.50
- 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.
Principal diagnoses that group to MS-DRGs 064–066
From the CMS MS-DRG definitions manual’s principal-diagnosis index: 124 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 064–066 the case lands in. The 24 most-searched:
- I63.9Cerebral infarction, unspecified
- I63.81Other cerebral infarction due to occlusion or stenosis of small artery
- I60.9Nontraumatic subarachnoid hemorrhage, unspecified
- I61.9Nontraumatic intracerebral hemorrhage, unspecified
- I63.89Other cerebral infarction
- I62.9Nontraumatic intracranial hemorrhage, unspecified
- I63.511Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery
- I61.0Nontraumatic intracerebral hemorrhage in hemisphere, subcortical
- I62.00Nontraumatic subdural hemorrhage, unspecified
- I63.50Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral artery
- I63.512Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery
- I61.1Nontraumatic intracerebral hemorrhage in hemisphere, cortical
- I61.5Nontraumatic intracerebral hemorrhage, intraventricular
- I61.8Other nontraumatic intracerebral hemorrhage
- I60.7Nontraumatic subarachnoid hemorrhage from unspecified intracranial artery
- I62.01Nontraumatic acute subdural hemorrhage
- I62.03Nontraumatic chronic subdural hemorrhage
- I63.311Cerebral infarction due to thrombosis of right middle cerebral artery
- I63.40Cerebral infarction due to embolism of unspecified cerebral artery
- I63.411Cerebral infarction due to embolism of right middle cerebral artery
- I63.412Cerebral infarction due to embolism of left middle cerebral artery
- I60.31Nontraumatic subarachnoid hemorrhage from right posterior communicating artery
- I60.32Nontraumatic subarachnoid hemorrhage from left posterior communicating artery
- I60.8Other nontraumatic subarachnoid hemorrhage
100 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 065.
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 1.9712 | +0.9804 |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 0.9908 | |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 0.6770 | -0.3138 |
All FY2027 MS-DRGs · MDC 01