MS-DRG 163: MAJOR CHEST PROCEDURES WITH MCC

DRGSurgicalMDC 04

MS-DRG 163 is major chest procedures with mcc, in MDC 04 (a surgical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 4.4892, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 5.90 days.

FY2027 payment factors

Relative weight: 4.4892
Geometric mean LOS: 5.90
Arithmetic mean LOS: 8.30
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.

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 163.

163	MAJOR CHEST PROCEDURES WITH MCC	4.4892
164	MAJOR CHEST PROCEDURES WITH CC	2.5157	-1.9735
165	MAJOR CHEST PROCEDURES WITHOUT CC/MCC	1.9294	-2.5598

All FY2027 MS-DRGs · MDC 04