MCMedicalCodingSoftware
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.

166OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC3.8736+2.0492
167OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC1.8244
168OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC1.3896-0.4348

All FY2027 MS-DRGs · MDC 04

MS-DRG (IPPS Table 5)FY2027