MCMedicalCodingSoftware
153

MS-DRG 153: OTITIS MEDIA AND URI WITHOUT MCC

DRGMedicalMDC 03

MS-DRG 153 is otitis media and uri without mcc, in MDC 03 (a medical DRG), at the without-CC/MCC level. Its FY2027 relative weight is 0.7421, so a case here pays less than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 2.30 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
0.7421
Geometric mean LOS
2.30
Arithmetic mean LOS
2.80
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 153.

152OTITIS MEDIA AND URI WITH MCC1.1151+0.3730
153OTITIS MEDIA AND URI WITHOUT MCC0.7421

Choosing the principal diagnosis: Influenza ICD-10 codes.

All FY2027 MS-DRGs · MDC 03

MS-DRG (IPPS Table 5)FY2027