MCMedicalCodingSoftware
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.

163MAJOR CHEST PROCEDURES WITH MCC4.4892+1.9735
164MAJOR CHEST PROCEDURES WITH CC2.5157
165MAJOR CHEST PROCEDURES WITHOUT CC/MCC1.9294-0.5863

All FY2027 MS-DRGs · MDC 04

MS-DRG (IPPS Table 5)FY2027