MCMedicalCodingSoftware
147

MS-DRG 147: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC

DRGMedicalMDC 03

MS-DRG 147 is ear, nose, mouth and throat malignancy with cc, in MDC 03 (a medical DRG), at the with-CC (complication or comorbidity) level. Its FY2027 relative weight is 1.3055, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 3.50 days. 102 ICD-10-CM principal diagnoses group into MS-DRGs 146–148 under the CMS definitions manual; the most-searched are listed below.

FY2027 payment factors

Relative weight
1.3055
Geometric mean LOS
3.50
Arithmetic mean LOS
4.90
Post-acute transfer
No

Principal diagnoses that group to MS-DRGs 146–148

From the CMS MS-DRG definitions manual’s principal-diagnosis index: 102 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 146–148 the case lands in. The 24 most-searched:

  • C01Malignant neoplasm of base of tongue
  • C32.0Malignant neoplasm of glottis
  • C76.0Malignant neoplasm of head, face and neck
  • C02.9Malignant neoplasm of tongue, unspecified
  • C07Malignant neoplasm of parotid gland
  • C09.9Malignant neoplasm of tonsil, unspecified
  • C10.9Malignant neoplasm of oropharynx, unspecified
  • C32.9Malignant neoplasm of larynx, unspecified
  • C06.9Malignant neoplasm of mouth, unspecified
  • C30.0Malignant neoplasm of nasal cavity
  • C32.1Malignant neoplasm of supraglottis
  • C02.1Malignant neoplasm of border of tongue
  • C09.0Malignant neoplasm of tonsillar fossa
  • C11.9Malignant neoplasm of nasopharynx, unspecified
  • C14.0Malignant neoplasm of pharynx, unspecified
  • C00.0Malignant neoplasm of external upper lip
  • C00.2Malignant neoplasm of external lip, unspecified
  • C10.2Malignant neoplasm of lateral wall of oropharynx
  • C10.8Malignant neoplasm of overlapping sites of oropharynx
  • C12Malignant neoplasm of pyriform sinus
  • C13.9Malignant neoplasm of hypopharynx, unspecified
  • C31.0Malignant neoplasm of maxillary sinus
  • C31.1Malignant neoplasm of ethmoidal sinus
  • C32.3Malignant neoplasm of laryngeal cartilage

78 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 147.

146EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC2.1329+0.8274
147EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC1.3055
148EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC0.8008-0.5047

All FY2027 MS-DRGs · MDC 03

MS-DRG (IPPS Table 5)FY2027