MS-DRG 152: OTITIS MEDIA AND URI WITH MCC
MS-DRG 152 is otitis media and uri with mcc, in MDC 03 (a medical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 1.1151, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 3.10 days. 220 ICD-10-CM principal diagnoses group into MS-DRGs 152–153 under the CMS definitions manual; the most-searched are listed below.
FY2027 payment factors
- Relative weight
- 1.1151
- Geometric mean LOS
- 3.10
- Arithmetic mean LOS
- 4.20
- Post-acute transfer
- No
Principal diagnoses that group to MS-DRGs 152–153
From the CMS MS-DRG definitions manual’s principal-diagnosis index: 220 ICD-10-CM codes route here, and the CC/MCC status of the secondary diagnoses decides which of 152–153 the case lands in. The 24 most-searched:
- J06.9Acute upper respiratory infection, unspecified
- J02.9Acute pharyngitis, unspecified
- J30.9Allergic rhinitis, unspecified
- J00Acute nasopharyngitis [common cold]
- J32.9Chronic sinusitis, unspecified
- H66.90Otitis media, unspecified, unspecified ear
- J11.1Influenza due to unidentified influenza virus with other respiratory manifestations
- J01.90Acute sinusitis, unspecified
- J02.0Streptococcal pharyngitis
- J30.1Allergic rhinitis due to pollen
- J30.2Other seasonal allergic rhinitis
- J30.89Other allergic rhinitis
- J32.0Chronic maxillary sinusitis
- J32.8Other chronic sinusitis
- J36Peritonsillar abscess
- H66.91Otitis media, unspecified, right ear
- H66.92Otitis media, unspecified, left ear
- J01.00Acute maxillary sinusitis, unspecified
- J31.0Chronic rhinitis
- J32.2Chronic ethmoidal sinusitis
- H65.23Chronic serous otitis media, bilateral
- H66.93Otitis media, unspecified, bilateral
- J03.90Acute tonsillitis, unspecified
- J05.0Acute obstructive laryngitis [croup]
196 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 152.
| 152 | OTITIS MEDIA AND URI WITH MCC | 1.1151 | |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | 0.7421 | -0.3730 |
Choosing the principal diagnosis: Influenza ICD-10 codes.
All FY2027 MS-DRGs · MDC 03