167
MS-DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC
DRGSurgicalMDC 04
MS-DRG 167 is other respiratory system o.r. procedures with cc, in MDC 04 (a surgical DRG), at the with-CC (complication or comorbidity) level. Its FY2027 relative weight is 1.8244, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 3.30 days.
FY2027 payment factors
- Relative weight
- 1.8244
- Geometric mean LOS
- 3.30
- Arithmetic mean LOS
- 4.50
- 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 167.
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | 3.8736 | +2.0492 |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | 1.8244 | |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | 1.3896 | -0.4348 |
All FY2027 MS-DRGs · MDC 04