164
MS-DRG 164: MAJOR CHEST PROCEDURES WITH CC
DRGSurgicalMDC 04
MS-DRG 164 is major chest procedures with cc, in MDC 04 (a surgical DRG), at the with-CC (complication or comorbidity) level. Its FY2027 relative weight is 2.5157, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 3.20 days.
FY2027 payment factors
- Relative weight
- 2.5157
- Geometric mean LOS
- 3.20
- Arithmetic mean LOS
- 4.00
- 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 164.
| 163 | MAJOR CHEST PROCEDURES WITH MCC | 4.4892 | +1.9735 |
| 164 | MAJOR CHEST PROCEDURES WITH CC | 2.5157 | |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 1.9294 | -0.5863 |
All FY2027 MS-DRGs · MDC 04