MCMedicalCodingSoftware
166

MS-DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC

DRGSurgicalMDC 04

MS-DRG 166 is other respiratory system o.r. procedures with mcc, in MDC 04 (a surgical DRG), at the with-MCC (major complication or comorbidity) level. Its FY2027 relative weight is 3.8736, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 7.60 days.

FY2027 payment factors

Relative weight
3.8736
Geometric mean LOS
7.60
Arithmetic mean LOS
10.50
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 166.

166OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC3.8736
167OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC1.8244-2.0492
168OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC1.3896-2.4840

All FY2027 MS-DRGs · MDC 04

MS-DRG (IPPS Table 5)FY2027