MCMedicalCodingSoftware
067

MS-DRG 067: PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC

DRGMedicalMDC 01

MS-DRG 067 is precerebral occlusion without infarction with mcc, in MDC 01 (a medical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 1.4274, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 3.40 days. 26 ICD-10-CM principal diagnoses group into MS-DRGs 067–068 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
1.4274
Geometric mean LOS
3.40
Arithmetic mean LOS
4.40
Post-acute transfer
No

Principal diagnoses that group to MS-DRGs 067–068

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 26 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 067–068 the case lands in. The 24 most-searched:

  • I65.29Occlusion and stenosis of unspecified carotid artery
  • I65.23Occlusion and stenosis of bilateral carotid arteries
  • I65.21Occlusion and stenosis of right carotid artery
  • I65.22Occlusion and stenosis of left carotid artery
  • I66.9Occlusion and stenosis of unspecified cerebral artery
  • I65.01Occlusion and stenosis of right vertebral artery
  • I65.02Occlusion and stenosis of left vertebral artery
  • I65.03Occlusion and stenosis of bilateral vertebral arteries
  • I65.09Occlusion and stenosis of unspecified vertebral artery
  • I65.1Occlusion and stenosis of basilar artery
  • I65.8Occlusion and stenosis of other precerebral arteries
  • I65.9Occlusion and stenosis of unspecified precerebral artery
  • I66.01Occlusion and stenosis of right middle cerebral artery
  • I66.02Occlusion and stenosis of left middle cerebral artery
  • I66.03Occlusion and stenosis of bilateral middle cerebral arteries
  • I66.09Occlusion and stenosis of unspecified middle cerebral artery
  • I66.11Occlusion and stenosis of right anterior cerebral artery
  • I66.12Occlusion and stenosis of left anterior cerebral artery
  • I66.13Occlusion and stenosis of bilateral anterior cerebral arteries
  • I66.19Occlusion and stenosis of unspecified anterior cerebral artery
  • I66.21Occlusion and stenosis of right posterior cerebral artery
  • I66.22Occlusion and stenosis of left posterior cerebral artery
  • I66.23Occlusion and stenosis of bilateral posterior cerebral arteries
  • I66.29Occlusion and stenosis of unspecified posterior cerebral artery

2 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 067.

067PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC1.4274
068PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC0.9013-0.5261

All FY2027 MS-DRGs · MDC 01

MS-DRG (IPPS Table 5)FY2027