MS-DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

DRGSurgicalMDC 04

MS-DRG 168 is other respiratory system o.r. procedures without cc/mcc, in MDC 04 (a surgical DRG), at the without-CC/MCC level. Its FY2027 relative weight is 1.3896, so a case here pays more than the average Medicare inpatient stay (weight 1.0), with a geometric mean length of stay of 1.80 days.

FY2027 payment factors

Relative weight: 1.3896
Geometric mean LOS: 1.80
Arithmetic mean LOS: 2.20
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 168.

166	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC	3.8736	+2.4840
167	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC	1.8244	+0.4348
168	OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC	1.3896

All FY2027 MS-DRGs · MDC 04